VIMAX Pills can enlarge your penis size up to 3-4 Inches in length and up to 25% in girth !

penis enargement exercise penis enlargment

VIMAX Pills is a powerful natural herbal male enhancement formula that increases penis length and girth, sexual desire, sexual health and helps to achieve stronger erections. Combining the formulations of the type of herbs found in many parts of the world that have been proven to work for many years, you can now enjoy the full benefits of our product. Some of the same type of herbs found in Polynesia where the men of the Mangaian tribe have sex on the average of 3 times a night, every night. While this is not what you may wish, it is nice to know your sexual performance can improve substantially.

After many years of medical Research and Development, our company is pleased to offer you a 100% Natural and Safe Product that can safely and permanently enlarge your penis size up to 3-4 Inches in length and up to 25% in girth. Discover what our "proven to work" formula can do for you by ordering today. Many men were skeptical at first but after they gave our pills a try their sex life and self esteem changed for the better.Our pills will improve your overall sexual health, make you feel younger and you will have more pleasurable orgasms. You can take one pill 2 times per day to keep the effects of VIMAX PILLS in your system and to promote virility enhancement.

100% Safe and Natural Herbal Ingredients

Epunedum Sagitum or Horny Goat Weed - Known in China as Yin Yang Huo. Chinese top medical doctors report that horny goat weed boosts libido and improves erectile function. Used to restore sexual fire and allay fatigue.

Saw Palmetto - Known to stimulate a low libido in males and to increase sexual energy. A compound in saw palmetto has aphrodisiac effects.

Ginkgo - Medicinal use of ginkgo can be traced back 5,000 years in Chinese herbal medicine.The herb also increases blood flow to the genitals which improves sexual function. In one study 78% of a group of men with impotence reported significant improvement without side effects.

Other Ingredients: Muira Puama (balsam), Velvet, Damiana (leaf), Cayenne (fruit), Oats (entire plant), Avena sativa, Ginseng (root), Panax Ginseng, Caltrop (fruit) Tribulus terrestris.

compare penile enlargement pills penis enhancement before and after photo

VIMAX Pills helps you gain:

  • Stronger and more intense orgasms
  • Substantially increase your sexual desire and stamina
  • The appearance of your penis will arouse your sex partners.
  • You will have bigger erections. Because of increased blood flow your erections grow harder.
  • Erections when you want them. Rock hard erections every time. No more problems because you can't get it up and keep it up. VIMAX PILLS will keep the blood flowing to your penis so you will always get hard and stay hard.

Do VIMAX Pills really work?

We get many emails from our customers that say our pills helped them regain their sexual ego. It's up to you when to stop taking our pills since they are 100% safe and made from natural products. We had one customer write to us that he decided to stop the pills after he no longer felt embarrassed when making love. His penis used to be below average, 5 inches to be exact, now he is 7 inches and is fully satisfied. He wrote us saying that now his woman receives an orgasm 95% of the time they make love, before she could barely get excited.

"I'm very grateful to Pillsexpert for bringing such miraculous changes to my life. Having gained 2.5 inches from the 4 months supply and became more passionate and sexually attractive I was even able to fix the relationship with my wife (we were on the verge of the divorce) by simply having great sex with her. I feel more confident now and …I'm just happy!!! You know how they say it: ”Miracles don't just happen, they are firstly very well prepared.” No doubt that your company put a lot of time and effort to start helping people. Thank you so much and good luck to you." Mark Andrew, FL

natural penis enlargement pills free pnis enlargement

Why are we #1 on the market?

Consider the difference between a 7, 8 or 9 inch penis that is thicker and a penis that is 4 to 6 inches and narrower. With a larger penis you penetrate more sensitive areas of the woman. Your longer penis probes deeper searching those special nerve endings. The added width to your penis fills and presses her from side to side to give your partner the most exhilarating sensations. The results are permanent. You control the growth because once you reach your optimum size you could stop taking VIMAX PILLS. We say you could stop taking VIMAX PILLS because it is not necessary to be larger then 9 inches. Most women can only comfortably accommodate a 9 inch penis. Anything larger than that may be too large for most women. Nine inches or more then 9 inches, the choice is yours.

Unlike other clones, Vimax Pills are made from only high end ingredients available to bring you best results possible. We run a serious business and treat as such, unlike other companies that appear out of nowhere and then disappear with your money without ever sending you a product you paid for.

best penis enlargment surgery free penile enlargement pills

Prices

pnis enlargement factpenis enlagement without pillspnis enlargement pills revieweasy enlargement free penis surgery waypenis enhancement resultcompare penile enlargement pills

40% Order This Deal

Price: $234.95

Price Per Bottle: $39.15

Saving: $124.75

herbal natural penis enlarementpnis enlargement systempnis enlargement systemfree magna rxpenis elargement excersizes

21% Order This Deal

Price: $214.95

Price Per Bottle: $42.99

Saving: $84.80

penis enhancementvimax penis enlargement before and after picturebest enlargement exercise pnisbuy penile enlargement pills

14% Order This Deal

Price: $189.95

Price Per Bottle: $47.48

Saving: $49.85

penis enlarement pills productpenis enlargment pill magna rxpenis elargement before and after

12% Order This Deal

Price: $154.95

Price Per Bottle: $51.65

Saving: $24.90

best enlagement exercise penispenile enlargement surgeon

8% Order This Deal

Price: $109.95

Price Per Bottle: $54.98

Saving: $9.95

natural penis elargement pills

5% Order This Deal

Price: $59.95

Price Per Bottle: $59.95

Saving: $0.00

Most of the orders placed before 1PM Eastern Standard Time are shipped the same day.
Worldemail or IP-PILLSEXPERT will appear on your credit card statement.
All orders are shipped in discreet packaging.

top rated penis enargement pills

You are just with yourself and enjoying the company with “someone” that gives you profound sense of appreciation for everything that you come across- long drive that pass through the bridge over river where you’d love to bop, lip smacking foods and cozy environment but when the big moment comes you are unable to have an erection even though you are being sufficiently stimulated. Such cases are not to be seen in isolation. Growing number of populace experience a phase in their life when they’ve to face some form of Erectile Dysfunction. Erectile Dysfunction- when man is unable to have or sustain an erection. It is the impairment of erectile reflexes. There is whole range of medication available that claims to treat ED. The numbers of men who are seeking solace with the zenegra to treat their problem of erectile dysfunction are on the increase. Zenegra is the generic version of brand name drug viagra. Both contain the same active ingredient Sildenafil Citrate. Zenegra is a prescription drug and should be taken with physician advice. Even those men whom erectile dysfunction is not a problem are finding hard to resist the temptation of zenegra that gives a tremendous boost to enhance their libido. It is also reported that men using it feels great first- rank experience of sex drive sustained erection and quicker recharge. Only half of prescribed medication is enough to bring the potency at functioning level. But before using zenegra it would be advisable to discuss with physician about all the details of your medical life. Like kidney and intestine problem, any allergies (especially drug allergies), any penis conditions such as fibrosis, scarring, history of painful/prolonged erection (priapism), sickle cell anemia, blood system cancers (such as leukemia or myeloma), or Peyronie's disease, eye problems (retina diseases). Liver disease, bleeding disorders or active stomach ulcers, heart diseases, stroke or severe high or low blood pressure. Refraining from alcohol while using zenegra would help to shun the side effects. Let your doctor know all your prescription or non prescription medication you may use especially any nitrate medicine and high blood pressure medicine. This drug taken by mouth as needed 45 minutes before the sexual activity take only as directed. Zenegra should be kept at room temperature between 59 and 86 degrees F (15 and 30 degree C). Zenegra and all the medication should be kept away from the reach of children. natural penile enlargment exercise free penis enlargment pills penis enlagement surgeon com enlargment penis penis pump pro solution wealth pnis enlargement photo penile enlargment system plus vigrx

top rated penis enargement pills

If you’re over 40, you’ve got a ticking time bomb in your backside. It’s called benign prostatic hyperplasia…or BPH for short. This is the number one problem in older men. Your prostate is normally about the size and shape of a walnut and is located at the base of your penis. It surrounds your urethra – the tube your urine flows through – and that’s exactly why it’s likely to cause you problems. As you get older, your prostate grows and begins to squeeze the urethra and obstruct normal flow. Most men’s prostates begin enlarging after 40. If you make it to eighty, you have an 80% chance of having BPH. So, what are the symptoms of BPH? • Constant urge to urinate • Frequent nighttime urination • Dribbling or leaking after urination • Difficulty starting urination • A weak stream • Never feeling the bladder is empty Factors that increase your risk The major factors that increase your risk of developing BPH include: • Your medical history • Family history • Diet • Hormone levels Prevention strategies It’s never too early to start preventing BPH…You can save yourself a lot of problems later. And if you already have the symptoms – you can keep them from getting worse. Here are some simple and easy precautions you can take right now: 1. Get enough Omega-3 fatty acids: These are the essential fatty acids in fish, eggs, nuts and flax seed oil. You can get them by eating one of these foods every day…remember most fish that provide Omega-3 are contaminated with mercury…or by taking a supplement. Studies have shown Omega-3 seems to stop the conversion of the chemical that triggers prostate growth. The recommended dose is between 3 and 6 grams a day. 2. Eat healthy: Basically, cut down on the crap … sugars, hydrogenated oils…the things that tend to cause inflammation. Get plenty of protein and veggies. And, to be safe, add a good, natural food base, multivitamin. 3. Watch your DHT levels: Most doctors will tell you that testosterone is the cause of prostate enlargement and give you treatments to reduce it. Now that’s great! The very thing that makes you male and gives you your virility is being taken away from you. Dr. Al Sears wrote, “Testosterone is one of many related steroid hormones. Several are interconverted. Testosterone, for instance, can be converted into estrogens. But testosterone can also be converted into DHT. DHT is 9 times more powerful at stimulating growth of prostate tissue than testosterone is. Testosterone maintains normal health of your prostate but DHT stimulates an overgrowth. DHT sends signals to the prostate tissue, making it swell. As the tissue swells, it impinges on the surrounding urinary and reproductive systems. (DHT is also the chemical that causes men to develop male pattern baldness.) Your body converts testosterone to DHT with an enzyme called 5-alpha reductase. Exposure to stress and steroid related toxins in the environment appear to increase the activity of 5-alpha reductase. This deals a double blow to your manhood. It robs you of testosterone and it increases DHT. But, without the presence of 5-alpha reductase, testosterone will not convert into DHT. And this is the concept behind well-designed BPH treatments. If you can block the action of the 5-alpha reductase, you can prevent and treat prostate enlargement while increasing, not lowering your testosterone. Dr. Sears goes on to say, “You can stop 5-alpha reductase from making DHT with natural supplements. The best inhibitors of 5-alpha reductase come to us in the form of plant sterols. I’ve talked about some of these supplements before. Saw palmetto, pygeum, and pumpkinseed are the “big three”. 4. Get a regular exam: BPH and the worst case, prostate cancer aren’t something to fool around with. Especially if you’re over 40, you should see your doctor for a prostate check-up once a year. Include hormone blood tests, physical exam, and a comprehensive PSA test in your routine. pennis enlargement information penis enlargment review best pennis enlargement pills enlargment forum free matter penis size penis enlargement drug manual penis enlargment exercise real penis enargement elargement manhattan penis top rated penis enargement pills

Generally, what we understand when we first hear about Cialis is the fact that this is the first true competitor of Viagra as it fights against erectile disfunction as well as the first mentioned. Viagra appeared in 1998 and registered a high success generally for the fact that it was the first product of this kind. Nowadays a new successful product was attributed to ICOS corporation which is to shatter the unbelievable success of Viagra. The series isn't ending here, anyway,as another one called Levitra is expected to appear. First of all, there should be mentioned that the sell market of Cialis has reached an enormous level which is bound to put aside the success registered by Viagra in the late 90's. What is important is the fact that from around thirty million people suffering from erectile disfunction in the USA and another estimated number of one hundred and seventy five million abroad who are having this disfunction and using these products, only a little part are using Viagra. Viagra has reached this year a total profit of $1,5bn, while the account of money used for these drugs(such as Viagra, Levitra and Cialis) raises up to $6. Similar to the case of Viagra, Cialis should be understood as a general performance provider, to just a regular treatment for the ailment. Anyone of us should know that there is a specific process of these medication which makes them be so successful, while constantly improving our lives: they work by blocking an enzyme named phosphodiesterase (which happens to relax some of our muscles), this way allowing a certain growth of the blood flow in your penis. Another advantage gained by Cialis over Viagra is the fact that it is available(by prescription only) in countries like the United Kingdom, Denmark, Finland, Sweden and Australia and it is ought to be approved in USA too. Moreover, a common argument brought in favor of Cialis is the fact that it has more rapid effects than Viagra; The starting process can be reached at approximately sixteen minutes after taking the pill, while the entire process can lead up to twenty four hours or more. In contrast to that, by taking Viagra one may feel the effects after one hour and have them for four hours upmost. Like Viagra, an estimated number of eighty percent of the people who have tried Cialis have had the opportunity and chance in the mean time to have an erection as well as sexual acts but in comparison with Viagra, the effects and potential of the user lasted for more than thirty six hours after taking the pill;in this period of time the effects were almost constant. A possible explanation for this is the fact that Cialis persists longer in the body than Viagra does. The period of time for blood levels to fall fifty percent for Viagra records four hours, while Cialis makes it up to seventeen hours. This can signify that a twenty five percent of the original doze of Cialis is still in the body at that time. To conclude, it may be said that Cialis has finally shattered the’ unbreakable’ myth of Viagra by adding more tough points to the well-known advantages of Viagra. Logically, it is of a higher quality technique than Viagra this being the reason for the extreme surpassing. Let’s hope things will not remain this way and will improve more and more up to perfection herbal pennis enlargement do penis elargement pills really work top rated penis enhancement pills truth about penile enlargment free penis enlarement technique natural penis elargement pills penis elargement video penis enlagement excercises top rated penis enargement pills

I really don’t know how to say this any other way. My dog decided to talk to me the other night and he had a lot to say. It initially played like any other night really. Once again, I was tossing and turning, in and out of sleep. I was half awake, mulling over my job situation: I want to make money writing but I need an income more. Then the most bizarre thing happened. “Hey human Bob! This is your best friend speaking! Wake up!” Who the hell was that? It was a deep, low voice; strong and certain with a hint of a bourbon induced slur. Sounded like Dean Martin actually. I immediately sat up. It was pitch black. The radio clock blurred 3:53 in a dull crimson light. All I could make out was the shadowy outline of Parker, my trusty beagle, sitting upright at my feet. “Hey boy, did you hear that?” I whispered instinctively. “Someone’s in the house.” My vision was starting to warm up to the darkness. Parker just stared back at me, his head tilted, his long ears hanging to the side of his head like hand towels on a wall. He turned his head to the bedroom doorway, lifted his nose to the night and sniffed. He turned back to face me. “Don’t think so.” I swore Parker spoke but it couldn’t be. I mean his hound drawn lips seemed to move to the words I heard but that was impossible. “Who’s there?” I yelled into the night. “Whoever it is, I am warning you that I am at this moment retrieving my loaded double-barrel twelve gauge from under the bed. I will shoot you. So leave now and I want to hear the door slam behind you.” I made some dumb noises in a lame attempt to fool the intruder into believing what I had just proclaimed. I took the ruse to the next level. “Okay. I’m fully armed and about to call 911 from my fully powered cell phone. Oh yeah, strong signal, four bars. Oh yeah, this is going to be a very clear 911 call.” “You’re breaking me up. Put the phone down human Bob.” It was Parker talking. I was certain of it. Nah, it had to be a sick trick. “Okay, good one Steve. You wired up the dog with a little speaker. Very funny.” My brother Steve was known to go to great lengths to pull off pranks. But I was pretty sure he was at his apartment in the city, sixty miles away, God knows doing what, and at 48 years old, unlikely to suddenly bother me with a prank—it had been 25 years since his last one. But the mind scrambles to the most implausible scenarios when so duly challenged. “Don’t think so. Nope it’s me, Parker,” the dog mumbled. I was positive he spoke again. By now I was sitting straight up, leaning towards him. He just sat there and looked at me with those big dark eyes. His poker face was on. “Parker? Are you talking to me?” “Well I’m not talking to myself.” I leaned back against the headboard. He yawned. “This can’t be. I’ve got to stop watching Animal Planet.” “Listen, I’ve got something to say and I’m not sure how long this talking stuff is going to work so …” “You are talking!” I interrupted incredulously. “Should you want I bow wow?” “Holy cow! Parker you are talking.” “Yup. But I’m not sure for how long. So can I say a few things before …” “I can’t believe this.” “Yeah I know. Either can I but if you don’t mind.” I looked at him with a giant smile plastered across my face. Parker can talk. The dog was talking. Who was I kidding? It had to be a prank. He continued. “I’ve been listening to a lot of that talk radio and that C-SPAN channel you watch while you write. I’m here to tell ya I don’t like what I’m hearing.” “You’re kidding me right?” “Afraid not.” Oh this was good. I was really hallucinating. Talk-shmalk, I had a few nagging questions of my own. “Hey, can I ask you something before you get to your stuff?” “Make it quick. I haven’t got all night.” “You like smell things a hundred times more than we do, right?” “Four hundred.” “Okay, four hundred. Wow! Then I really wonder about this.” “Yeah I know. Why do we like to sniff every morsel of excrement or yellow patch of urine we encounter on our walks?” “Now that you bring it up, yeah, why? It must smell like the inside of Dick Cheney’s or Ted Kennedy’s septic tank? And you know how much crap they’re filled with.” “That was a funny one human Bob. But it isn’t like what you smell. We pick up a lot more notes. It’s a broader pallet if you will. We don’t smell stink. We smell identity, mood, and illness. For instance, you know that crazy cairn terrier down the street?” “Yeah.” “She has stomach cancer and her humans don’t have a clue.” “You are kidding me?” “She probably has less than six months if they don’t get her to a vet soon.” He paused to lick his right front paw. “Yeah, and another thing. Don’t take me out at nights for awhile.” “Why?” “Cause there is a rabid possum living under the porch. That’s why.” “You know this from the smell of possum poop?” “Excrement.” “Whatever.” “Yup.” Parker yawned as if bored. “So is that it? Can I say what I need to say?” “Well there is that thing you do with that licking your, you know, your …” “Penis?” “Well, yeah.” “Jealous are we?” “Well, it’s just that …” “It’s all about keeping clean. Nothing pleasurable if that’s what you’re driving at. Nothing like what you do with your hand. By the way, I’d appreciate it if you wouldn’t pet me afterwards. Nope, no pleasure; it’s all business. You made sure of that when you had me “fixed”, remember. Thank you very much.” “Oh yeah, sorry about that. I had no idea you knew any different.” “No idea my butt. I’ll ‘no idea’ ya.” He paused again to lick his right paw again and then continued. “But I don’t hold it against you. We don’t hold grudges. Heck, if we did, we would have mauled most humans dead by now. Which brings me to why I am talking to you.” “No grudges. Really? I mean that “fixing” stuff is pretty serious. That’s pretty good if that doesn’t bother you.” “You done? Can I get to my concern?” “Sure. Sorry. Go ahead.” “How can humans be so smart supposedly, while they single handedly are destroying the Earth?” “You mean global warming?” “It’s more than that. It’s the air. It’s the water. It’s the dirt. It’s the forests. It’s the killing. It’s the anger. It’s the hate. It’s the grudges. It’s the fear. It’s everything.” “Oh come on. You’re being a little dramatic.” “We don’t know dramatic.” “Well give me examples of what you mean.” “First of all, the air is filled with danger. Dogs, cats, birds, animals of all kinds can smell it. It is our biggest topic when we get together.” “I don’t smell a thing.” “Yeah, that’s part of the problem. And you can’t taste the troubled water either.” “Scientists don’t seem to be complaining. So I should be listening to a dog?” “We have no agenda. Dogs call it as they smell it.” “ ‘call it as they smell it’; I’m suppose to just accept that?” “Yeah, there is a lot you should just accept.” “Oh yeah, like what else?” “Well, and here is what I think is the crux of the problem, you keep choosing the wrong alpha humans.” “What?” “You’ve got this alpha thing all wrong. Just because animals order their packs based on physical size and strength doesn’t make it so for humans. We do it because we are simple. You do it because you are thoughtless. That’s what we, and I think it is fair to say I am speaking for all animals, don’t get. Humans are able to think things through. But they never do. Well, that’s not completely true; some have but they are mocked or marginalized. An alpha dog barks and gets all puffy, like that wacky shepherd Sarge from around the block. The worst he can do is break out of his electronic fence and charge one of us. But you humans take it up a notch.” “Can you give me a for instance?” “God there are so many. Let me see. Okay, you’ve elected a president who pounds his chest and walks around like a gorilla with its arms all out to the side, all tough and all, carrying on with ‘bring it on’. When he jumps the fence, he brings tanks and bombs and humans loaded down in weapons and in body armor. Meanwhile, you have alpha males all over the place, flexing their muscle in their packs, threatening to obtain nuclear weapons, the great equalizer, giving the president one excuse after another to hop the fence. It’s nuts. And I for one am telling you, you’ve got it all wrong.” “Well, I don’t know what to say.” “You don’t need to say anything. Just start picking the right alpha humans; humans whose visions see beyond fighting, whose hearts hold no grudges, whose thoughts and reasons are not the products of testosterone, whose collective knowledge is rooted in the concept that true peace is never the consequence of war but the outcome of constant learning, negotiating and adjusting.” “This is what you want to tell me? Nothin’ for nothin’ but it’s a little heavy for a little chat with a dog at 3:30 in the morning.” “In a nut shell, yeah.” It was hard to accept this from my beagle. I mean, he’s a dog; a sleeping, eating, sniffing, crapping dog. I was chalking this whole episode up to stress. I was apparently snapping. “That’s it. I’m pretty much done. Just one last thing while I have the chance.” “What? World hunger? String theory?” I asked sarcastically. “You get the right alpha humans and the world hunger thing will take care of itself, smart ass. As far as string theory, who do you think I am, Hawking? I’m just a dog. No it’s more pedestrian than that, something I think you can manage.” “Then what, already?” I asked impatiently. “You know that thing you do occasionally where you empty the dish washer in the buff.” “Ummm … yeah I guess.” “Put some clothes on. It’s disturbing. I’m beggin’ ya, please!” “All right, but only if you lick your privates in private.” “I’ll see what I can do. No promises.” “So this is it? No more talking? You know we could make a fortune on Letterman with his stupid pet tricks.” “It’ll never happen. You see, this is a one time deal. Not sure why or how this is happening. Maybe that God guy is involved somehow. All I know is that when it is done, it is …” He abruptly stopped talking. “Parker?” Not a grunt. He yawned and as he did he stretched his front legs out and spread across the foot of the bed, his ears resting flat on the blanket. “Parker … are you done? Is that it?” He slowly closed his eyes and floated off to sleep. “Parker … just like that?” He began to twitch; in hot pursuit of a fox I imagined. “Holy smokes. I must be dreaming myself.” I curled back down under the safety of my covers, scratched my butt and thought about the conversation I had just had with Parker or myself or both. I sniffed the air. It smelled fine to me. What the heck was he talking about, ‘danger in the air’? It had to be a dream. As I drifted off to sleep, I thought about getting a real job real soon, apparently this writing stuff was getting the best of me. I also made a point to remember to talk to the owners of that crazy cairn terrier. I thought it was the least I could do. One can’t be too dismissive of the unexplainable these days. penis enlargment pump penile enlargement picture buy penis enlagement pills penis enhancement result vimax plastic surgery penis enlargement penis enlagement surgery penis enlagement excersizes penile enlargment information top rated penis enargement pills

Male factors are projected to produce about thirty percent of all infertility troubles and to contribute to them in another twenty percent. Whatever conventional wisdom may have to say about whose "fault" the problem is that figures indicate that the responsibility is split about equally between the sexes. Studies initiated by the National Institutes of Health at six universities are exploring the infertility consequences of the increase of sexually transmitted diseases among the young. At greatest risk are those between the ages of fifteen and nineteen regardless of socioeconomic differences. The production or quality of sperm may be affected by congenital and genetic abnormalities, injuries to the genital tract, heat, age, sperm agglutination, acute and chronic infection (often sexually transmissible infections), malnutrition, previous surgery, allergies, chronic illness, environmental or occupational factors (such as radiation), varicocele, or certain medications. Among these medications are Tagamet, used in ulcer treatment; drugs used for treating cancer; and some antibiotics (especially those used to treat tuberculosis). Also heavy smoking of marijuana and smoking generally, alcoholism and stress may result in impotence or inability to ejaculate. Varicocele, a varicose enlargement of the veins of the spermatic cord, is a potentially curable cause of male infertility. While this condition occurs in many men with normal fertility, it has been found to be present in as many as forty percent of infertile men. Half of all men with varicoceles have decreased sperm count or sperm motility or other changes in the semen analysis. Theories of the cause of these changes include heat, pressure and toxic substances from the dilated vessels. Permanent or temporary damage to the male testis can occur as a result of a genital infection or a systemic infection. Gonorrhea may do enough damage to the male genital tract to result temporarily in a marked decrease in the sperm count. Mumps in an adult male may involve one or both testicles and may cause severe testicular damage. Fortunately, usually only one testicle suffers severe impairment and the sperm count, though possibly reduced, is usually compatible with fertility. Any systemic viral or bacterial infection may cause a temporary depression in the sperm count. Because many of the infertility tests for women are more complicated and involve more risk than those for men, infertility testing often begins with the male. A semen analysis is a simple test that can provide a great deal of information. The male is asked to submit a recently ejaculated semen specimen to the physician or laboratory. This specimen is then examined microscopically to determine sperm count, their size and shape and if they are able to move normally. There is no sharp line of demarcation between fertility and sterility in the sperm count. Counts of less than twenty to forty million per cubic centimeter are often correlated with decreased fertility, although men with counts of five to ten million have fathered children. A high percentage of sperm with abnormal shape, size, or decreased motility is also correlated with decreased fertility. The semen can be analyzed also for antibodies and cultured for various infections. The hormone levels in the man's blood are also measured to make sure his hypothalamus and pituitary glands are functioning normally.