It’s a question that has divided men’s health experts for years: Should healthy men, with no symptoms or family history of prostate cancer, get a prostate specific antigen test and treatment right away if a tumor is found?
Men’s health experts and cancer specialists say the continuing back-and-forth on PSA testing and active surveillance has deepened widespread confusion for men with questions about what to do.
Proponents of routine PSA testing say it is the best screening tool in oncologists’ arsenals for catching prostate cancer early, when it is most treatable.
But opponents argue that it prompts many newly diagnosed men to seek invasive treatments that can cause impotence and incontinence, although up to 80% have low-risk tumors that will never be life-threatening. For them, they say, the best option is “active surveillance,” where doctors monitor patients closely for signs their cancer is advancing before treating it.
This fall, the influential National Comprehensive Cancer Network (NCCN) reignited the debate, recommending active surveillance, surgery, or radiation for men newly diagnosed with prostate cancer as a result of PSA testing — giving equal weight to all three approaches.
After a firestorm of criticism, the NCCN reversed course and now recommends that “most men” with low-risk prostate cancer be managed through active surveillance as the “preferred” first treatment option over surgery and radiation.
The updated guidelines also reiterated the group’s stance against routine PSA testing for most men “as a general population screening tool due to its well-documented limitations” and its potential for prompting overtreatment.
Some oncologists even say the debate has eclipsed the most important point about prostate cancer — that each case requires a personalized, patient-centered approach to testing and care that one-size-fits-all screening guidelines don’t take into account.
“These guidelines are always changing back and forth, and I’ve seen a lot of these changes,” says David Samadi, MD, a urologic oncologist and director of men’s health at St. Francis Hospital in Roslyn, NY. “But individualized care is the best way to go.”
He says men should work with their doctors to determine whether and when to have PSA testing, based on their unique genetic and biological makeup, age, family history, overall health, lifestyle, race, ethnic background, and other factors. Any course of cancer care should be approached in a similar, patient-centered way, he says.
“Given the uncertainty that PSA testing results in more benefit than harm, a thoughtful and broad approach to PSA is critical,” Brawley says, citing the current position of the American Urological Association.
“Patients need to be informed of the risks and benefits of testing before it’s undertaken. The risks of over detection and overtreatment should be included in this discussion.”
Brawley says his own position on PSA testing has evolved over the past 3 decades, in part because most men are no longer routinely treated aggressively at the first sign of cancer.
“I was very much against screening for prostate cancer, especially in the 1990s,” he says. “Fifteen years ago, every man who was found to have localized prostate cancer in the United States, if he was diagnosed on a Tuesday or Wednesday, he was told it needs to be out of your body by Friday, week after next, literally.
PSA Testing: Pros, Cons
A PSA test measures blood levels of prostate-specific antigen, which can be high when cancer is present in the prostate, the walnut-sized gland that produces seminal fluid and is key to a man’s sexual functioning.
The test was introduced in 1994 to detect the possible presence of prostate cancer, the second-leading cause of cancer deaths in American men. A PSA level of less than 4 nanograms per milliliter of blood is considered normal; when it spikes to 6 or higher in a year’s time, doctors are likely to suggest a biopsy to check for a tumor.
Even when testing turns up a tumor, it does not indicate whether it’s an aggressive form of cancer that needs treatment right away or is a slow-growing, low-risk tumor unlikely to be life-threatening. In fact, autopsy studies have found that undiagnosed prostate cancer is found in about a third of men over 70 who die from some other cause.
But there is no question that PSA testing has helped identify many cancer cases that might otherwise have not been found in early stages. Research shows:
- PSA screening can flag cancer about 6 years earlier than a digital rectal exam and 5-10 years before symptoms of the disease emerge.
- The death rate from prostate cancer has fallen by more than half since the FDA first approved PSA tests.
- Nine in 10 cases in the U.S. are found while the disease is confined to the gland (or nearby), when nearly all men with the disease survive 5 or more years.
- About 4 out of 5 men with an elevated PSA who are found on biopsy to have cancer have a low-risk form of the disease that is unlikely to kill them before something else does.
Even so, the doubts about PSA testing have led to widespread debate over who should have it done, at what age, and how doctors and patients should respond to an elevated level.
In the face of the uncertainties, men have to weigh competing and confusing advice on PSA testing and active surveillance.
- The American Cancer Society recommends that men with at least a 10-year life expectancy “make an informed decision” with their doctor about PSA testing. Discussions should begin at age 50 for men at “average” risk for cancer, 45 for those at “high risk” (African Americans and men with a father, brother, or son diagnosed with the disease before 65), and 40 for “higher risk” people (with more than one close relative diagnosed with prostate cancer at an early age).
- The National Comprehensive Cancer Network does not endorse routine screening but advises men 45 to 75 years old to discuss screening risks and benefits with their doctor.
- The American Urological Association recommends that men 55 to 69 years old weigh the risks and benefits of PSA screening and advises against testing for men under 40, those between 40 and 54 at “average risk,” and men over age 70 or with “a life expectancy less than 10-15 years.”
- In 2018, the U.S. Preventive Services Task Force (USPSTF) revised its controversial 2012 recommendation against prostate cancer screening and now advises that for men ages 55 to 69, “the decision of whether or not to undergo screening should be individualized.” For men 70 and older, the USPSTF recommends against PSA testing.
“I’m a big proponent of PSA screening and … I always tell the patients to get a baseline PSA at the age of 40,” he says. “And if that’s absolutely normal, then you can repeat it every 2 or 3 years.”
But from the get-go, Samadi says, it’s important to understand that an elevated PSA test, on its own, does not necessarily mean any man needs surgery, radiation, or other treatment right away that can affect his quality of life.
Brawley agrees, noting that studies show a prostatectomy (surgery to remove all or part of the prostate) carries a 40% risk for impotence and/or urinary incontinence and a 0.5% chance of dying from the operation, while pelvic radiation can lead to bladder and bowel irritation and bleeding.
Advances in Biomarkers, Genetics
In recent years, researchers have been working to develop more refined and sophisticated techniques than PSA testing to help identify more aggressive tumors early, reports James Eastham, MD, of Memorial Sloan Kettering Cancer Center in New York City.
One is the so-called 4Kscore test that assesses the levels of four prostate-specific antigens to gauge a man’s risk of having an aggressive cancer.
Another, called the prostate health index, combines three PSA measurements to identify cancer and help some men avoid a biopsy.
A third test, ExoDx Prostate IntelliScore, examines biomarkers in urine to help predict a man’s likelihood of having prostate cancer that will spread and become deadly without treatment right away.
In addition, other newly developed tests and methods — some based on molecular and genetic tests — are showing promise.
Samadi says these personalized, next-wave tests are more precise tools that go beyond PSA testing to help guide oncologists’ decisions on care, management, and treatment of their patients.
Maurie Markman, MD, a medical oncologist, believes this new breed of genetic tests and molecular biomarkers will revolutionize cancer therapy.
Improvements in Treatment
Samadi says some of these advances have already improved prostate cancer detection and will continue to do so.
Major strides have been made in surgical techniques (using less invasive laparoscopic and robotic-assisted techniques), digital medicine (using MRI and other scans), and more targeted radiation therapy. Meanwhile, clinical trials are underway for new drugs designed to treat genetic factors that drive cancers of all types.
Samadi says he’s also seen major progress in treating prostate cancer as a result of changes in American medicine since the 1990s.
“When I was in training in residency, 25-30 years ago, we would see people coming in with hard-rock prostates, and we were doing a lot of surgery, chemo, hormonal treatment, and radiation,” he notes. “But over the course of the last 3 decades, a lot has changed, and [it] all happens to be good.”
For one thing, an elevated PSA no longer triggers the “knee-jerk reaction” that a biopsy must be done, and immediate treatment be sought if a tumor is uncovered.
Twenty years ago, urologists would randomly biopsy six or more areas of the prostate in a hit-or-miss hunt for tumor cells that often required patients to have multiple procedures.
“But today, we’re using more of a targeted biopsy, we’re finding out where the lesion is, we go straight into the lesion, and we’re able to find out exactly what the cancer is,” Samadi says. “So it’s less invasive, less headache, more targeted, and more intelligent.”
In the 1900s and early 2000s, full-pelvis radiation was common, often causing serious complications. But more precise radiation techniques — involving “CyberKnife” therapy and proton therapy — can now be used to deliver tiny, precisely aimed beams of radiation into tumor cells, sparing healthy surrounding tissues and reducing complication risks.
Cancer specialists are also optimistic about the promise of other therapeutics now in the pipeline.
Early research has found, for instance, that cutting-edge prostate-specific membrane antigen (PSMA) scans can identify high-risk cancers. These scans use radioactive tracers that attach to PSMA, a substance often found in large amounts on prostate cancer cells, and are now being used in some medical centers.
Another technique — called “radioligand therapy,” already approved overseas — combines a targeting compound that binds to cancer biomarkers to enable precisely targeted delivery of radiation to the tumor, leaving healthy surrounding tissue unharmed.
In addition to these advances in treatment options, Samadi says the approach to treating prostate cancer — particularly in older men — has undergone a sea change. Twenty years ago, men older than 70 were not considered good candidates for surgery or other treatment, he says.
“But that concept doesn’t make sense anymore today, and the reason is medicine has improved … and we see a lot of people in their 80s and 90s,” he says.
For instance, Samadi says some of his patients are 70 and older who are healthy, physically fit, and great candidates for surgery because they are likely to live many more years. On the other hand, he treats patients in their 50s who are obese, diabetic, and/or have heart disease who aren’t likely to benefit as much from prostate surgery.
“I look at my patients individually,” he says. “If they are healthy and they are in good physical shape and I think they would be an excellent candidate in the operating room under my care, then I know this guy can be cancer-free with our robotic surgeries and with good continence rate and good sexual function, etc.”
“A one-size-fits-all approach is not a good treatment plan,” Samadi says. “Individualized care is the best way.”
Everyone female desires of fuller and voluptuous breasts as it may paintings wonders for her confidence. Good length complements their feminist and works surprise for his or her basic character.
The herbal herbs boom the breast length and deliver and appealing form. Big B XL Capsule effect the general form and look of the breasts. It works with inside the breasts to broaden new tissues and boom blood float to the breasts. The improved quantity of blood float brings the more youthful sense, tightens the pores and skin to get rid of sagging, and makes it glow with a pinkish blush. It complements the sensitivity and softness with inside the breasts.
There may be diverse strategies applied to boom breasts length naturally. These comprise breast enhancement creams, pills, and breast pumps. They are taken into consideration to be very powerful; however they all don’t offer everlasting consequences. Breast expansion pump works fine however for a few time. It additionally reasons a facet impact.
Big-BXL tablets are a herbal and powerful breast enlarger. They are secure to apply and that they deliver your stunning and herbal breasts. Made from herbal herbs, it offers you the preferred consequences of a month. It does now no longer the handiest boom your breast length, however additionally firmness. With an easy dosage to comply with Big-BXL tablets haven’t any facet impact.
Our technique could be very low cost and cheap. You don’t want to go through any surgical operation for this purpose. If you may go through surgical operation to decorate your breasts, then it’ll price extra, and it would have faceted results as well. Big BXL tablets are facet impact free. They are shaped via way of means of the mixture of herbal herbs.
Factors that have an effect on the breast length and form: –
Pregnancy: – Pregnancy influences your breast length and form. Because milk starts off evolved to shape for your breast, that’s a motive of loosing sagging breast.
Age: – After the age of 40, pores and skin begins off evolved to lose elasticity and proteins like collagen and elastin begin breaking down. These consequences in loosing sagging breast.
Fatness: – If you’re obese, than the fats begins off evolved to shop at your chest. Its direct impact is seen to your breast. Your breast will appearance shapeless.
Smoking: Smoking reasons the pores and skin to lose elasticity, so people who smoke are much more likely to broaden baggy breasts.
Exercise without guide: Exercise that includes numerous breast motion can place more stress on the breast ligaments. If the breasts, particularly huge breasts, do now no longer have the right guided, it may cause stretching of the ligaments and sagging of the breasts.
Exercise – Although exercising could be very useful for the body, workout excessively may be liable for lowering the tightness of the breast.
Breastfeeding – Post lactation, the fats cells shrink, and that’s why sagging happens.
Bra selection – Wearing a bra with the proper guide could be very vital as it may each make and spoil your breasts. Do now no longer put on the equal bra for a protracted time. Cotton bras need to be used extra in place of nylon and foam bras, and it’s far fine to sleep without bra at night.
Sunburn – Ultraviolet rays harm the pores and skin and motive lack of elasticity as well.
Nutrient deficiency – Many ladies have observed that because of the dearth of vitamins of their body, their breasts get the proper quantity of nutrition, because of which the breasts begin turning into unformed.
Big-B-XL Will Help You With:-
• Increase breast length and firmness
• Enhance texture of pores and skin round breast
• Promotes uplift of the breast & deep cleavage
• Healthy, company and spherical breasts
• Soft and fuller appearance
• Improves the glow and tightens the pores and skin
• Pure Natural mixture of herbs
• 100% secure and facet impact free
• Makes it viable to offer fairer breast pores and skin and pinkish nipples
• Used successfully via way of means of female throughout the globe
• Natural enhancement in breast length and form
• Best breast extend formula
• Tightens the breast pores and skin and make it glow
• Help in balancing hormones
• Fuller and more youthful sense
Remove stretch marks and looseness Big BXL Breast expansion Pills is the remedy for cutting-edge day female who is familiar with the want of appropriate form with inside the beauty and attractive character of female.
Everyone female desires of fuller and voluptuous breasts as it may paintings wonders for her confidence. Good length complements their feminist and works surprise for his or her basic character.
The herbal herbs boom the breast length and deliver and appealing form. Big B XL Capsule
effect the general form and look of the breasts. It works with inside the breasts to broaden new tissues and boom blood float to the breasts. The improved quantity of blood float brings the more youthful sense, tightens the pores and skin to get rid of sagging, and makes it glow with a pinkish blush. It complements the sensitivity and softness with inside the breasts.
There may be diverse strategies applied to boom breasts length naturally. These com
prize breast enhancement creams, pills, and breast pumps. They are taken into consideration to be very powerful; however they all don’t offer everlasting consequences. Breast expansion pump works fine however for a few time. It additionally reasons a facet impact.
Big-BXL tablets are a herbal and powerful breast enlarger. They are secure to apply and that they deliver your stunning and herbal breasts. Made from herbal herbs, it offers you the preferred consequences of a month. It does now no longer the handiest boom your breast length, however additionally firmness. With an easy dosage to comply with Big-BXL tablets haven’t any facet impact.
Our technique could be very low cost and cheap. You don’t want to go through any surgical operation for this purpose. If you may go through surgical operation to decorate your breasts, then it’ll price extra, and it would have faceted results as well. Big BXL tablets are facet impact free. They are shaped via way of means of the mixture of herbal herbs.
Factors that have an effect on the breast length and form: –
Pregnancy: – Pregnancy influences your breast length and form. Because milk starts off evolved to shape for your breast, that’s a motive of loosing sagging breast.
Age: – After the age of 40, pores and skin begins off evolved to lose elasticity and proteins like collagen and elastin begin breaking down. These consequences in loosing sagging breast.
Fatness: – If you’re obese, than the fats begins off evolved to shop at your chest. Its direct impact is seen to your breast. Your breast will appearance shapeless.
Smoking: Smoking reasons the pores and skin to lose elasticity, so people who smoke are much more likely to broaden baggy breasts.
Exercise without guide: Exercise that includes numerous breast motion can place more stress on the breast ligaments. If the breasts, particularly huge breasts, do now no longer have the right guided, it may cause stretching of the ligaments and sagging of the breasts.
Exercise – Although exercising could be very useful for the body, workout excessively may be liable for lowering the tightness of the breast.
Breastfeeding – Post lactation, the fats cells shrink, and that’s why sagging happens.
Bra selection – Wearing a bra with the proper guide could be very vital as it may each make and spoil your breasts. Do now no longer put on the equal bra for a protracted time. Cotton bras need to be used extra in place of nylon and foam bras, and it’s far fine to sleep without bra at night.
Sunburn – Ultraviolet rays harm the pores and skin and motive lack of elasticity as well.
Nutrient deficiency – Many ladies have observed that because of the dearth of vitamins of their body, their breasts get the proper quantity of nutrition, because of which the breasts begin turning into unformed.
Big-B-XL Will Help You With:-
• Increase breast length and firmness
• Enhance texture of pores and skin round breast
• Promotes uplift of the breast & deep cleavage
• Healthy, company and spherical breasts
• Soft and fuller appearance
• Improves the glow and tightens the pores and skin
• Pure Natural mixture of herbs
• 100% secure and facet impact free
• Makes it viable to offer fairer breast pores and skin and pinkish nipples
• Used successfully via way of means of female throughout the globe
• Natural enhancement in breast length and form
• Best breast extend formula
• Tightens the breast pores and skin and make it glow
• Help in balancing hormones
• Fuller and more youthful sense
Remove stretch marks and looseness Big BXL Breast expansion Pills is the remedy for cutting-edge day female who is familiar with the want of appropriate form with inside the beauty and attractive character of female.
To know about breast reduction cream
Female low concupiscence issue comes up once on an individual basis or a combination of physiological or psychological conditions affects her drive. A woman`s body practicality and sexual responses are totally different than that of male. The feminine low concupiscence treatment may be a treatment to cure the difficulty of low sex drive/ sex urge in females. It removes the hurdles from a full-fledged drive and brings her nearer to expertise the height of sexual issues.
Female concupiscence and sex medication for feminine
Sexual pathology in ladies
A woman’s desire naturally fluctuates over the years. Higher and lower desire sometimes varies thanks to major issues like maternity, climacteric or unwellness, or a relationship along with your partner, however, if you’re a better half. If you’re troubled by low sex need or no sex need in the slightest degree, then there are several techniques to create changes in fashion with low drive, and increase sex need which might increase the desire of your partner. And a few medicines additionally promise.
In medical terms, you have got inactive desire disorder if you have got a persistent or perennial kind of loss of interest in sex that may cause personal distress. Low concupiscence is additional common in ladies than in men. In fact, quite forty % of ladies suffer from sexual pathology whereas men {who suffer or who are suffering} from sexual pathology are concerning thirty % World Health Organization complain of lack of drive. However wherever wills this distinction come back from? Why is that this downside additional common in ladies than in men? The rationale is that the concupiscence in ladies is far additional advanced than the concupiscence in men. Whereas male concupiscence is primarily physical, drive in feminine may be affected each physically and showing emotion. And lots of alternative factors may also be suffering from a spread of physiological factors and diseases, medications, physical changes etc. will result in lower concupiscence in ladies.
There are several physical reasons for low desire in ladies will be:-
Disease – illness that cause low concupiscence in ladies embrace nephropathy, medical specialty diseases, arteria illness, arthritis, diabetes, cancer, high vital sign, etc.
Medicines – several medications, like negative vital sign medication, anti-depressants, anti-psychotic medication, therapy medication, etc., are renowned to possess an impression on drive.
Alcohol and misuse – Taking an excessive amount of alcohol or medication will kill your concupiscence.
Obesity or diet – ladies World Health Organization are weighty or suffer from eating disorder (or severe weight problems) could have a decrease in bound sex hormones and sexual interest.
Surgery – Breast surgery or surgery involving the crotch will have an effect on the need for sex.
Tiredness – truly, there’s no interest in sex thanks to exhaustion.
Pain or discomfort throughout sex – If a lady experiences pain (dyspareunia) or impairment throughout sex, it will destroy your need for sex.
Hormone changes – Changes in secretion levels additionally cause changes in concupiscence. It will kill the urge to possess sex for a few times in a very woman’s life particularly.
Stress and anxiety- Body image and/or low vanity.
Relationship problems.
Past or gift physical or emotional abuse.
History of regulatory offense or rape.
Secret sexual practice.
Fezinil Capsule provides and helps to boost sexual health of ladies, improve level of high spirits throughout sexual issues and facilitate ladies to urge excited.
Develop higher fertility: –
- Sexual pathology in ladies, desire, sexual vitality booster, quicker arousal, restores drive.
- Fezinil Capsule Provides Improvement in Sexual Health of ladies
- Eliminates the shortage of concupiscence or restore drive
- It works on multiple orgasms, intense arousal, and robust orgasms
- More interest in having sex, enjoys having sex
- It regulates the flow of blood and erectile organ
- It removes the coldness of ladies and awakens the need to possess sex in them.
Sexuality for a lady includes a awfully big selection of physical activities and psychological experiences. These activities satisfy a big physical and emotional would like for closeness and intimacy. Sex does not simply embrace your sexual practices. Your feelings concerning yourself, and the way you relate to others concerning sex and past sexual experiences, are a part of your sexual makeup. Thus this medication helps you in your physical activities and psychological experiences of sex
For the primary time, Hashmi Ayurvedic treatment to beat the matter of ladies is out there within the kind of Fezinil capsules. It’s a sexual vitality booster for girls. It provides pleasance for girls. It helps you to realize additional coming. Helps you to expertise quicker arousal.
Yes, it is possible. But how likely is it? Well, we’re still not exactly sure. As with all things COVID-related, the science on this continues to evolve (shocker!).
First of all, let’s be clear — any kind of traveling right now increases your risk of catching COVID-19.
Of course, it’s natural to be concerned about flying, specifically — after all, it puts you in an enclosed space with other passengers who may be infected (and not even know it). But many experts say overall risk of picking up the virus in the aircraft itself is “relatively slim” (emphasis is mine — it’s the nurse in me), and a recently released study seems to back them up. The low risk is, in part, due to the air recirculation system in most airplanes, which replaces the cabin’s air with fresh air every 2 to 3 minutes. Additionally, most planes are equipped with high-efficiency particulate air (HEPA) filters, similar to those used in hospital intensive care units, which filter out 99.9% of particles.
Still, there’s much we don’t know about this virus, and two other recent studies suggest that sharing an airplane compartment is not entirely without risk.
In one case, a passenger aboard a flight from London to Hanoi, Vietnam, seems to have infected 15 fellow travelers. In another case, four passengers on a plane from Boston to Hong Kong became ill with COVID-19 after their flight. Because they each tested positive for the exact same strain of SARS-CoV-2, researchers strongly believe they must have infected each other aboard the flight. It’s important to note that both of these flights took place in early March — before masks were worn regularly — and both were long-haul flights, one clocked in at over 10 hours and the other over 15. (It is not yet known what role, if any, flight time might play in the risk of contracting COVID-19 on a flight.)
In the meantime, if you do decide to travel by plane, plan carefully to lessen your risk of exposure to SARS-CoV-2. Try to choose airlines or flights with reduced seating capacity to maximize the space between passengers. Pick an airline that requires masks, and wear your own mask at all times in the airport and on the plane. Avoid removing your mask onboard to eat or drink. Try to avoid using the airplane toilet because the enclosed space may harbor more germs in the air and on surfaces. Maintain as much distance between yourself and others as possible. Use hand sanitizer or wash your hands as frequently as possible before and during your flight.
Also, keep in mind, we’ve been talking here specifically about the risk inside of a plane, which is a more controlled environment. But when you travel by air, you come into contact with people (and surfaces) at multiple points in the process — waiting in security lines at the airport, in the cab getting to/from the airport, etc. So you need to factor in those points of potential exposure as well if you’re considering flying.
Any kind of travel increases the risk that you might unknowingly carry COVID-19 to people at your destination, or you might bring the virus back home to your loved ones. Before you choose to travel, ask yourself if these risks are worth it. And if you do decide to travel by plane, think about self-isolating after the flight for 14 days to keep others safe.
Extreme-X plus is specially formulated to overcome male sexual dysfunction problem.This sexual dysfunction treatment herbal product is designed to have multiple benefits such as enhancing sexual concert, providing stamina and improved sexual desire, strengthening erections and significantly improving overall sexual and systemic function.The ingredients of this male enhancement treatment are safe, effective and have no side-effects. This male enhancement formula is available without a prescription, so you won’t have to pay expensive medical fees or answer any embarrassing questions. It is the most effective male sexual dysfunction treatment product.
Male sexual dysfunction includes impotence & erectile problems, & it can be psychological or physical in nature, or both. Male sexual dysfunction ranges from meek decreased sexual drive, weaker erections, lack of stamina, slow and weak ejaculation to intense total absence of erection and also no sexual desire. Your sexual dysfunction problems that can easily be solved with this herbal male enhancement treatment. Extreme-X plus capsule will boost your sexual performance by strengthening erections & increasing libido.
Extreme-X plus capsule is the only product on the market that contains all of these potent and effective ingredients, and we personally guarantee it to be the most powerful herbal treatment for male sexual dysfunction on the market today! This is a powerful herbal male sexual dysfunction treatment for instant boost in erectile power, male sexual stamina and libido. The combination of these powerful herbs enhances the male erectile power with its first dose and a male gets more firmer and stronger erections within an hour. It has the extraordinary capability of increase in libido and also treating male erectile dysfunction, sexual dysfunction.
The herbal combination used in Extreme-X plus capsule works to improve and promote blood circulation. It relaxes the blood vessels to ensure that the flow of blood into the penis remains continuous and unrestricted. Male users will experience a bigger, firmer erection. Extreme-X plus capsule also works by stimulating your sexual arousal, enabling you to take it to new heights that will allow you to keep your rock solid erection for longer periods of time! The effects of supplements starts with the first dose. With this Extreme-X capsule, healthy men are enhanced and energized to perform like never before. While men with performance issues can achieve amazing results.
Benefits of Extreme-X plus capsule:
- Prolongs sexual endurance for 72 hours!
- Increases desire and sexual arousal!
- Enhances sensitivity and sexual pleasure!
- Boost your sex drive and sexual stamina!
- Eliminates premature ejaculation!
Buy Extreme-X Plus Capsule Now
We offer our clients a scientific formulation X-Fire – Sex Enhancement Capsules, which are a sex power enhancement medicine. Comes under the brand name X-Fire capsules, these capsules increase sexual potential and results in achieving full erection. Potentate proper blood supply to the tissues of the penis, these are very useful in treating male sexual disorder like low libido and sperm enhancer.
X-Fire capsule is one of the most potent male libido enhancers which will help you achieve harder erections and improve overall body energy to put you in the mood for sex. This herbal supplement is very effective in maximizing sexual power and stamina in men. It is a non-prescription herbal male sexual stimulant which enhances manhood and overall lovemaking performance.
X-Fire capsule effectively removes sexual weakness caused due to over masturbation or due to excessive sexual activities. It increases the body’s natural ability to achieve and maintain rock hard erections during sexual stimulation. This herbal supplement is also helpful in treating erectile dysfunction and premature ejaculation. It stimulates lovemaking desire, increases stamina and duration of intimate moments resulting in more active and satisfied sexual life.
X-Fire capsule not only increases male libido but it will help you feel better, and give you more energy at the same time. This male libido enhancer is beneficial to men in a number of ways. It corrects poor ejaculation control, loss of lovemaking desire, loose erections and sexual weakness. The powerful herbal ingredients present in this supplement are well known for their wonderful effects on the body to improve male libido. X-Fire capsule is known for restoring the lost vigor and strength in the body. It eliminates fatigue and reverses age effects and improves the overall well being.
X-Fire capsule helps increase strength, stamina and energy the natural way and take your lovemaking performance to the next level. X-Fire capsule will improve every aspect of your life and will rejuvenate that youth within you. If you are worried about the side effects of the Fire-X capsule, it will never be a problem, because this herbal supplement is made of natural ingredients that are proven to be safe, without giving you harmful side effects in the body.
Benefits of X-Fire include:
- Enhances blood flow
- Improves Overall Sexual Health and Vitality
- Increases strength and stamina
- Relieves stress and antidepressant
- Useful for men with erectile dysfunction and premature ejaculation
Buy X-Fire Now
Cardiotone-XL heart disease treatment is designed to nourish your heart with sufficient blood supply reducing the risk of heart attacks. It can keep your heart healthy and pumping at its best.This heart disease treatment is effective in strengthening the heart muscles, controlling blood pressure, maintaining the normal pulse rate and other heart diseases. It regulates blood pressure and maintains balance myocardial oxygen. This heart attack treatment regulates lipid metabolism by increasing HDL-cholesterol while lowering bad LDL-cholesterol This is one of the effective treatment for heart disease.
Cardiotone-XL is a proprietary herbal blend of potent herbs that you can take as a heart disease treatment. This heart attack treatment optimizes and manages your overall cardiovascular health. It directly effects on the cardiovascular system and rebuilds your energy levels. The key ingredients in this heart disease treatment are so well blended that they smoothly and directly work on the cardiovascular system of the body having a positive impact on the core energy and the easy blood flow in the body.
This heart disease treatment is considered as one of the best heart attack treatment and it can be used on daily basis in order to get healthy cardiovascular system. Cardiotone-XL capsules helps to lower the Cholesterol level for near about sixty-four percent, this is a conclusion drown from the people taking the preparation of Cardiotone-XL, and after 30 days it was found that their LDL levels gets decreased by near about twenty-five point six percent. Cardiotone-XL is having best effects on all the cholesterol and all the lipids.It helps the dilatation of the blood vessels and it is used in the condition of hypertension.
Benefits of Cardiotone-XL Capsule
- Strengthen Your Heart and Arteries
- Improve Your Blood Circulation
- Raises levels of good cholesterol and reduces bad cholesterol
- Enhances collagen production in connective tissues
- Regulates serum lipids
Buy Cardiotone-XL Capsule Now
HT-NIL is a blend of herbal ingredients that have been used for centuries to help support healthy blood pressure. Using this high blood pressure treatment everyday to help maintain healthy circulation and support cardio-vascular health. The herbs used in this hypertension treatment support healthy heart function, maintain healthy arteries, maintain blood flow to the heart, supports. HT-NIL is known to relieve hypertension and reduce high blood pressure and also to treat orthostatic hypotension, where blood pressure drops abnormally upon standing. This high blood pressure treatment works by increasing stroke volume, where the amount of blood per heart beat is increased, and lowering blood pressure and pulse rate. HT-NIL also dilates the peripheral blood vessels which improves circulation.
HT-NIL is a highly effective high blood pressure treatment, which lowers blood pressure by inhibiting the natural compounds that urge blood vessels to contract and place pressure on the heart. This treatment for hypertension only needs to be taken once a day to provide an effective treatment for those who are at risk of serious cardiovascular health problems.Symptoms of hypertension are headaches, dizziness, heart pain, palpitations, difficulty in breathing, blurred vision, frequent urination.This high blood pressure treatment works for some people who have tried many other remedies without success. It has no known interactions with prescription high blood pressure medicines; you don’t have to risk stopping your other therapies in order to try out HT-NIL.
Benefits of High Blood Pressure Treatment:
- Supports Healthy Blood Circulation
- Promotes Artery Health and Integrity
- Facilitates blood flow and central and peripheral vascular circulation
- Maintains Healthy Blood Pressure Levels
- Has Proven Effectiveness
Buy HT-NIL Capsule Now
Pilepsole is a proven, successful remedy for piles treatment that will provide instant relief from piles, as well as eliminate the condition completely. Even if you have bleeding piles, herbal piles treatment reduces the engorgement and turgidity of the veins. It relieves hepatic congestion and portal pressure, this hemorrhoids treatment works best in hepatic disorders associated with venous congestion.The laxative property of this piles treatment corrects chronic constipation associated with hemorrhoids, one of the main causes of hemorrhoids.
Pilepsole was formulated based on the latest clinical studies to quickly relieve symptoms of piles. It goes to work directly on the underlying cause to stop re-occurrence of piles. All herbal ingredients used in this piles treatment have been tested during double blind clinical studies and were found to be effective in treating piles.This hemorrhoids treatment will also deal with the causes of hemorrhoids and not only the symptoms. By using this hemorrhoids treatment to deal with the cause, you can wave goodbye to piles for good.This piles treatment offers you everything you need to take care of your hemorrhoids from the inside and the outside in one fell swoop.
Benefits of Piles Treatment:
- Relieves pain and pressure
- Shrinks hemorrhoids
- Stops itching and bleeding
- Promotes better blood flow
- Helps dissolve existing blood clots
- Strengthens weakened veins
- Prevents infections of hemorrhoids
- Regulates digestive system
Pilepsole is considered to be effective herbal treatment for piles and provide several benefits such as it will be helpful to treat the infection, varicose veins and inflammation of the affected areas.Whether you suffer from mild, moderate or severe symptoms of piles, this piles treatment will get help in finding best ways to treat hemorrhoids naturally and improve your own health and well-being. Pilepsole is the only product in the market that contains most effective herbal ingredients that helps your body dissolve blood clots. Blood clots are clogging the hemorrhoidal veins and cause pain. Because this piles treatment unclogs your hemorrhoid, it naturally shrinks and relieves the pressure and pain.