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

bottle vimax pills penis enlagement excercises

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.

natural penis enargement exercise free pnis enlargement tip

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

discount vig rx com enlarement penis penis pump

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.

penis enlargement surgery picture pennis enlargement surgeon

Prices

do penis enlargment pills workmanual penile enlargement exercisenatural penile enlargement pillsmanual penile enlargement exercisepenis enlarement pillspenis elargement pills product

40% Order This Deal

Price: $234.95

Price Per Bottle: $39.15

Saving: $124.75

cheapest penis enlargement pillspenis enargement procedurepenis elargement traction devicepenis enlargement doctorpenile enlargment surgery picture

21% Order This Deal

Price: $214.95

Price Per Bottle: $42.99

Saving: $84.80

cheap penile enlargmenttop rated penile enlargement pillspnis enlargement surgery photopnis enlargement surgery photo

14% Order This Deal

Price: $189.95

Price Per Bottle: $47.48

Saving: $49.85

vimax plastic surgery penis enlargementmanual penis enlargementtruth about penis enlargement pills

12% Order This Deal

Price: $154.95

Price Per Bottle: $51.65

Saving: $24.90

cheap penis enhancementtop rated penis enlargment pills

8% Order This Deal

Price: $109.95

Price Per Bottle: $54.98

Saving: $9.95

vimax extender

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.

best pennis enlargement

Lose weight. Reduce stress. Lower your cholesterol level. Improve your circulation. Live longer. Stay younger. Sounds like an ad for a new wonder drug right? In fact it’s a partial list of the benefits of humanity’s oldest and most pleasurable pastime - sex. Most of us are aware of the feel-good benefits of sex while we’re engaged in it, but do you also know that there are benefits which carry on after the sweaty bodies have dried and the sweet talk has reverted to sports? For instance: Maintaining Ideal Body Weight There are 3500 calories in a pound of fat. For every 3500 calories you burn (that you do not replace with food!) you will lose one pound of fat. Sexual intercourse burns approximately 150 calories per half hour. Here’s how that stacks up against some other activities that may be part of your fitness regime: yoga 114 calories per half hour, dancing - rock 129, walking - 3mph 153, weight training 153, canoeing - 2mph 153, volleyball 174. According to one survey reported by the Ottawa Citizen, Canadians on average have sex 7.33 times per month, lasting approximately 24.4 minutes. That means that “Joe Canada” is burning off more than 10 thousand calories a year, or about 3 pounds, in a not particularly active sex life. Those who are more sexually active, into Tantra for instance where lovemaking lasts 4 hours, would burn up 600 calories a session. At once a week that’s 31,200 calories or 9 pounds per year. Considering that people put weight on gradually, slowly gaining 5-10 pounds per year until they are overweight, it’s not unrealistic to assume that regular sexual activity is one way to help maintain a healthy body weight. Increased Blood Flow Sex helps increase the blood flow to your brain and to all other organs of your body. Increased heart rate and deep breathing accounts for the improvement in circulation. As fresh blood supply arrives, your cells, organs and muscles are saturated with fresh oxygen and hormones, and as the used blood is removed, you also remove waste products that cause fatigue and even illness. Lower Cholesterol Lowering your cholesterol is another of the “sex as exercise” benefits. Sex helps lower the overall cholesterol level. Perhaps more importantly it tips the HDL/LDL (good/bad) cholesterol balance towards the healthier HDL side. Stress Reduction, Relaxation and Improved Sleep People having frequent sex often report that they handle stress better, so the normal stresses of living do not become distress. The profound relaxation that typically follows lovemaking, with orgasm for women and ejaculation and/or orgasm for men, may be one of the few times people actually allow themselves to completely let go, surrender and relax. Many indicate that they sleep more deeply and restfully after satisfying lovemaking. In the relaxing afterglow you may be able to let go of distracting thoughts. Being able to stop thinking has helped many to overcome insomnia. Sex as Pain Reliever Through the touch magic of sex the hormone oxytocin is secreted in your body which in turn causes the release of endorphins. Because of these natural opiates sex acts as a powerful analgesic, elevating the pain threshold and helping to relieve the aches of conditions like arthritis, whiplash and headaches. Now there’s a novel approach, sex as a remedy for headache rather than an excuse for abstaining! With arousal and orgasm oxytocin levels rise. They spike 3 to 5 times higher than usual just before orgasm. In fact it is oxytocin that triggers the orgasm. Measurements performed at the Masters and Johnson laboratories have shown that the uterine contractions brought about by orgasm (triggered by oxytocin) are just as powerful as those of child labor. Women can use this extraordinary orgasmic contraction and relaxation of the uterine muscle to relieve cramps during PMS and menstruation. Live Longer, Stay Younger A British study of 1,000 men found those who had at least two orgasms a week had half the death rate of their countrymen who indulge less than once a month. The hormone DHEA promotes sexual excitement and increases in response to it. Dr Theresa Crenshaw author of The Alchemy of Love and Lust says DHEA may be the most powerful chemical in our personal world. It helps balance the immune system, improves cognition, promotes bone growth, and maintains and repairs tissues, keeping your skin healthy and supple. It may also contribute to cardiovascular health and even function as antidepressant. Prostate and Genital Health Some doctors believe that more than 75% of men over 50 have a somewhat enlarged prostate, and that virtually all men will suffer from prostate enlargement if they live long enough. This condition, called benign prostate hypertrophy (BPH), is normal and usually not dangerous. Unfortunately, some of these men develop prostate cancer, one of the leading causes of death in older men. Regular sexual intercourse with frequent ejaculations will help to keep the prostate healthy. For those men who practice delaying ejaculation, for example in the practice of Tantra Sacred Sex, performing Kegel exercises (in which you contract the muscles around your genitals), will tone these muscles, just as exercising other muscles tones other areas of your body. More importantly, these exercises will help keep the prostate healthy, by moving the sexual energy up out of the prostate and circulating it throughout your body. The technique is very simple and you can perform hundreds of contractions per day for top sexual/physical fitness for both men and women. Imagine you are urinating, but want to stop the flow of urine, that’s all there is to it. Contracting your muscles in this way is one of the healthiest exercises you could add to your exercise regime. When 178 Belgian men with minor erection problems participated in a 4-month daily rehabilitation program which primarily focused on Kegel exercises, 74 percent showed improvement and 43 percent were cured. For women, Kegels strengthen the entire urogenital tract, aiding greatly in childbirth and preventing the onset of incontinence in later life. They also sensitize the genital tissues, helping women to become orgasmic and/or increase the intensity of their orgasms Boost Testosterone and Estrogen Regular sexual activity boosts testosterone and estrogen levels in both men and women. Besides boosting your libido testosterone fortifies bones and muscles. Some physicians suggest that testosterone keeps hearts healthy and good cholesterol high. Testosterone is what makes the sex drive in men and women more aggressive. It makes you want to have sex, pursue sex, initiate sex and perhaps dominate the lovemaking. Testosterone seems to motivate both men and women to strongly desire specific genital sex and release by orgasm. Because men have so much testosterone, they seem obsessed with genitals, intercourse and ejaculation, but appear to care less for romance and foreplay-touching, hugging, cuddling, eye gazing, etc. Sex increases women’s estrogen levels keeping vaginal tissues more supple and also protecting against heart disease. It is estrogen that makes a woman sexually receptive and responsive to a man’s approach. It is estrogen that makes her want to be touched and feel romantic, it is testosterone that makes her want to be penetrated. Estrogen makes a woman soft-breasts develop in response to estrogen. Estrogen is a powerful influence on how a woman smells. It influences the degree to which she projects softness, openness, and interest in sexual touching. Men’s bodies also produce estrogen. In fact testosterone can be converted into estrogen in the man’s body. Some estrogen helps a man to develop the softer, more nurturing feminine sides of their personalities. As men age, the testosterone/estrogen balance begins to shift, with testosterone decreasing and estrogen increasing, and this is one reason why so many men seem to mellow out as they get older. The Healing Power of Intimacy Sex is good for you, but sex with love is even better. According to Dr. Dean Ornish author of ‘Love and Survival: the Scientific Basis for the Healing Power of Intimacy’, “an open heart can lead to the most joyful and ecstatic sex”. His researches into intimacy and its effects on health have shown that “anything that promotes feelings of love and intimacy is healing”. If you have someone who really cares for you and for whom you care in return, someone you are intimately connected with in all ways - emotional, physical and more -- then you may be three to five times less likely at risk of premature death and disease from all causes. Part of this has to do with the positive effects of touch, what Dr. Crenshaw refers to as Vitamin T. The chemical composition of your body is changed by touch. Caressing, hugging, stroking, cuddling send a chain reaction of chemicals to signal your brain that this is pleasurable, nurturing, good. There is strong scientific evidence demonstrating the importance of touch to good health. In the 1930s, Dr. Rene Spitz, attending physician at a number of nurseries, noticed that the illness and mortality rates were quite a bit higher in some of the nurseries. His observations and experiments led to the finding that the children who were becoming ill and dying had nothing to do with hygiene or nutrition, but rather had to do with the amount of touching the infants received from the attending staff. He confirmed his findings by hiring “grandmothers” to come into the nurseries to hold, fondle, and cuddle the children. The illness and mortality rates declined rapidly. Researchers at Miami's Touch Research Institute (TRI) found that premature infants who received three massages a day over 10 days gained 47 percent more weight than preemies who weren't massaged. David Sebringsil, who writes regularly for The Society For Human Sexuality (one of the best online sources of excellent, sex-positive information), recommends Erotic Massage become a part of or alternative to regular lovemaking. It is one of the best ways to help someone achieve extended, multiple, or "whole body" orgasmic states. Through erotic massage partners learn to give and receive loving touch and extraordinary pleasure. It makes you healthier and happier. Healthy blood, healthy bones, healthy heart, healthy body and a peaceful mind - all thanks to the healing powers of sex. Next time you’re in the mood let her know you’ve got the doctor on your side! vimax penis enlargement forum vimax penile enlargment surgeon penis enlargement without pills penis enargement tool free penis enhancement tip penile enlargment product easy enlagement free penis surgery way

best pennis enlargement

For a change in routine, a woman at top giving strokes can be highly erotic. But, positions like this are always not comfortable. The consistent horizontal position with penetrative partner at top and receiving partner below is natural and comfortable. Other than experimentation with positions, sometimes experiment with timing is also done. Changes in timing lead to quickies. Quickies are spicy and you can have quickies whenever you are in the mood to reach at peak quickly. Quickies are vigorous, powerful and full of passion. For a change, quickies are all right, but when quickies become compulsion because of early fall of penis, you hate them completely. Penis generally falls early because you get orgasm earlier than natural timing. However, fall of penis without achieving orgasm is also possible. This condition is known as erectile dysfunction. Whenever, there is the severity of ED, the penis does not erect even after intense foreplay. This is what we call impotency and it is frustrating for a man. Erectile dysfunction is equally frustrating for the woman, who is in intimate relations with you. The man suffering from erectile dysfunction cannot get her orgasm. Nobody likes arrival of such problems in his life, but this happens. The percentage of men suffering from erectile dysfunction is increasing. In last few years, medical science has developed remarkably. Treatments, which were not possible few years back, are now possible with the help of new age medication and technology. Erectile dysfunction is one among those diseases, for which high efficacy medication is available in the market. A single pill of Levitra an hour before sex can give proper erection to enjoy sex for long duration. Early ejaculation of man is no longer a problem, because it helps in retention of erection even after orgasm. Now, enjoy intense foreplay without fall and give her hard organ to play with. Levitra has Vardenafil Hydrochloride; this active ingredient blocks enzyme which causes fall of penis. Till effect of this pill remains in the body, penis cannot fall. Achievement of orgasm plays no part in it. This is an oral prescription medication; so one should take this medication only on doctor’s prescription. The general prescription volume of this medication is 20mg, sometimes 10mg pill is also prescribed by the doctor. One pill of this ED medication should be taken with water an hour before sex. This medication can cause some side effects like runny nose, dry mouth, dizziness, nausea, increase in heart beats and painful erection. The side effect takes place only in rare cases. If doctor’s guidelines are followed strictly, then this medication is unlikely to cause any side effect. Place an online order for it and get the medication at your doorstep. Through an online order, you can buy it at anytime and from anywhere. Quickies are no longer a compulsion; convert them in a long term affair with Levitra power. vimax guide to penis enlargement penile enlargement excersizes penis enhancement secret magna rx review magna rx testimonials natural penile enlargment technique penis enhancement pills product vimax free penis enlargement technique best pennis enlargement

There was a couple, Brenda and Rob, who lived in my neighborhood. They were happily married and were passionately in love even after 5 years of togetherness. Just after Christmas, on a cloudy morning I saw an ambulance taking the husband to the hospital. He suffered a heart attack. Since that day things started changing, the chemistry between the two which was an example for other couples started fading into the black darkness. This is a common scene within a couple. Mainly after a heart attack, couples are not comfortable with each other especially when it comes to having Sex. Sex is restricted for initial few months after the attack or the heart failure and later too, the wives are concerned about its adverse effects on their husband’s heart and so they start avoiding sex. Having a heart attack also brings forward certain facts; it shows that the patient has a problematic blood flow, an elevated cholesterol level and narrow blood vessels with plaque. All these facts point out to the serious possibility of having erectile dysfunction. With cardiac risks, it is not true that you need to lead a sex-less life. In fact it is safe to resume sex after a heart attack as advised by your doctor. If you are suffering from erectile dysfunction, Viagra is there to ensure strong erection. Actually, the recent studies on PDE5 inhibitors focus on their potential role to protect the heart from heart attack and reduce the chances of heart failure. Essentially, the main mechanism of Viagra or Sildenafil Citrate is relaxing the muscles to help blood flow. The erectile function mainly depends on the amount of blood that flow into the penis. The main function of the heart is to regulate the oxygen supply using blood flow to the different parts of the body. If the cardiovascular system is not smooth enough, it impedes the blood flow. The wonder drug Viagra can work on heart as well. Amazing isn’t it? Depending on the findings of the scientists from different corners of the world, I can say that Viagra can help the sexual life of a person who has recently suffered heart attack. Of course, he must take doctor’s advice and take care of other medicines he may be taking for the treatment of heart disease. So, for the sweet couples like Brenda and Rob, Viagra is there to take their care. Trust me, the chemistry between the lovers can never fade and is always there…all it requires is a small punch, which Viagra can give to your life. ___________________________________________________________________ vimax herbal natural penis enlargement best penis enlargement pill best penile enlargment penis enlargment without pills penis enargement pills magna rx pills pro solution pills pnis enlargement picture best pennis enlargement

Whenever a person falls prey to erectile dysfunction, a hellish phase starts off in his life for the obvious reason that erectile dysfunction turns his life upside down by making him incapable of physically uniting with his partner. The pain and suffering is doubled if by any chance, while being treated for erectile dysfunction the physician identifies you as a victim of prostate cancer. But, wait! Don’t be too worried. A ray of hope has entered the lives of people suffering from these two deadly disorders simultaneously since the effective action of Cialis on erectile dysfunction patients suffering from prostate cancer came to light in a recent experiment. A group of Dutch scientists experimented the anti-impotency drug Cialis on erectile dysfunction patients suffering from prostate cancer and found that under the influence of Cialis, the victims emerged successful in getting rid of impotency in spite of prostate cancer continuously wreaking havoc in their lives. The results of the experiments conducted at the Erasmus MC-Daniel den Hoed Cancer Center in Rotterdam showed that 48 percent from among the group of erectile dysfunction patients suffering from prostate cancer were able to achieve successful sexual intercourse with their partners after being administered with Cialis. Further it became apparent that 67 percent out of the total Cialis administered patients set off erections of remarkably good quality while from the placebo administered group only 20 percent were able to achieve that. Cancer in any form is very scary and threatening. Whether it is lung cancer, throat cancer or any other type of cancer, the patient undergoes tremendous agony which further makes him mentally and physically sapped of energy. At such a crucial juncture the combined effect of erectile dysfunction and prostate cancer can leave the patient nowhere for which he should immediately rush for a suitable treatment as soon as he is identified with both these ailments. Male erectile dysfunction is a specific disorder in which blood in sufficient quantity fail to reach the penile section for which it becomes absolutely impossible for the patient to trigger off erections necessary for physical intercourse. Notwithstanding the gravity of the situation, on being applied to the system, drugs like Viagra, Cialis and Levitra inhibits the PDE 5 enzyme and accelerates the effect of nitric oxide which further ensures sufficient blood flow to the penis. To sum it up finally, any of the FDA approved erectile dysfunction medicines would be suitable for your war against male impotency. But when certain risky conditions come along with your erectile dysfunction, e.g. prostate cancer, extra caution and care should be maintained. On being clinically tested Cialis has been found a worthwhile cure for people afflicted with erectile dysfunction as well as prostate cancer. But don’t dash off for the medicine immediately. Arrange for a face off discussion with a doctor, disclose your problems in front of him and take his advice whether Cialis would be the right pick for you. Proper consultation with a physician is of utmost importance while starting a whole scale war against impotency as you can avail of an effective and safe treatment only by treading on cautiously. free exercise tip for penis enlargement safe pnis enlargement penis enargement system manual pnis enlargement exercise penis enlargment surgery penis enargement picture compare pnis enlargement pills penile enlargment review best pennis enlargement

Many visitors to our website Potty Training and Bedwetting Solutions wonder what the different treatment options are between bedwetting and potty training. This article explores the causes and some treatment options for bedwetting. Causes of bedwetting The most common reasons for a child suffering from bedwetting are as follows: developmental delays (as mentioned earlier), genetics (same here), sleep disorder (such as sleeping too deeply), behavior and psychological disorders, anatomy, antidiuretic hormone levels. The most commonly accepted, but also hardest to prove, cause of primary nocturnal enuresis is maturational delay of the central nervous system. Basically meaning that the child’s nervous system doesn’t sense that the bladder needs to be held, and the urine is released during sleep. Sleeping disorders make up a very large percentage of children who suffer from bedwetting, and there has been extensive research done on the subject, but there have been such varying results, that it is hard for researchers to determine a primary sleep disorder that can be determined as the main cause for bedwetting. Some people believe that bedwetting is mainly caused behaviorally, which leads to the issue of psychological consideration- some studies have shown that psychologically children who suffer from nocturnal enuresis have essentially the same behaviors as children who don’t, while other studies have concluded the opposite. In those studies that show psychological differences between the two groups, the differences have mainly been that a child who has a bedwetting problem is less social and has more self-esteem issues than the other group. This begs a question though: do the low self-esteem and social issues go hand in hand with bedwetting children, or does the bedwetting lead to these types of psychological situations in these children? Family history is also very important, and many studies have shown results that deem it almost conclusive that if a parent suffered from bedwetting as a child, there is a very strong chance that their child will. In fact, one study showed that in a family where both parents suffered from this condition, there was a 77 percent chance that their child would do the same. This is a helpful finding, because it helps dispel the theory that enuresis is a behavioral problem. In turn, this makes it more acceptable, and causes slightly less frustration and guilt, which can lead the way for a better outcome following therapy. Treating bedwetting In the beginning of trying to deal with a bedwetting situation, you may opt to try different methods of battling it without the interference of doctor or medical care. Whether or not medical intervention will be necessary depends largely on many factors, including such issues as the child’s age, how often they actually wet the bed, and the perceived severity of the problem by the child’s family, and most children actually do outgrow bedwetting, never needing treatment for it by a physician at all. Many parents use night time diapers to battle bedwetting, and while these work great in preventing the bed from getting wet due to the accident, they actually do very little in the way of helping resolve the issue. Although it is obviously very important to focus on this part of bedwetting, it is also very important to try to prevent future occurrences. This is why is a good idea to try and step in as early as possible to use many basic methods of prevention. Then, when these don’t work, you may decide to take your child to the doctor. You should know, though, that children younger than six years of age are usually not treated by doctors if bedwetting is the only problem. Once you have decided to take your child to a physician concerning bedwetting, it is important to know that it may take a long time to actually reach the ultimate goal of completely accident-free nights. It is a long process in which both the parent and the child must remain dedicated. There are two methods which doctors utilize to deal with bedwetting problems: behavioral therapy and medicine. It is extremely important that the parent and child be as cooperative as possible, and be willing to try the doctor’s suggestions. If anyone has a bad attitude about the situation, it can make solving the problem a whole lot harder, if not impossible. When you first take your child to the doctor, they will most likely want to rule out any medical conditions in the very beginning. While most of the children who are seen by physicians regarding bedwetting are perfectly healthy, some actually do have a medical condition. So, before a doctor will approach it as if they don’t, they will want to make sure that this really is the case. The evaluation the doctor does on your child should be geared toward ruling out anatomic abnormalities of the urinary tract or bladder. These can include such situations as posterior urethral valves, an ectopic ureter, or an epispadiac urethra, which is a urethral opening on the dorsum of the penis. When the doctor does a thorough exam, which will include gathering family medical history, a physical exam, and a urine evaluation, they are usually able to determine whether or not there is a medical condition and, if there is, what that condition might be. When, and even before, your child is being medically treated for enuresis, it is an excellent idea to keep a diary of bedwetting episodes. Along with this diary, if the child’s bedwetting does not occur repetitively on a nightly basis, it is a good idea to write down anything that might have occurred that day to upset your child’s normal psychological balance. Once the doctor has determined whether there is, or is not, a medical condition contributing to your child’s bedwetting situation, they can determine which methods of treatment will best help them. Again, it is important to remember that consistent follow-up can be a key to improvement in bedwetting (it is also good to know that improvement is usually defined by most doctors as a 50 percent decrease in the frequency of bedwetting episodes). Your doctor may decide to use just one method of treatment or both in conjunction with one another. The behavioral methods can, and usually do, include the following: an alarm system, a reward system, asking your child to change the sheets, and bladder training. An alarm system Bedwetting Alarms can be an excellent tool for helping by retraining your child’s sleeping patterns so that they sleep more lightly, and wake up more often during the night, allowing less time for an accident to occur. You can set these for a certain amount of time and have your child get up and try to use the restroom every time the alarm goes off. A reward system can also be a very successful method of behavior therapy, especially once the child has learned new sleep patterns and is having less frequent accidents. Giving them either a small reward each day after a dry night, or a large reward at the end of a certain length of time, such as an entire week of dry nights, can help give your child even more incentive to try to wake up at night. Having your child change the sheets is also an excellent way to help keep them from having as many bedwetting nights. While it is never good to punish a child for something they have little to know control over, this is not punishment, and is instead a way for them to learn that they have to be responsible for their actions, even if those actions occur while they are sleeping. This also works well because they are having to get up out of bed and be pulled from the deep sleep more often, which in turn can lead them to sleep more lightly on a regular basis. Bladder training is another form of behavioral therapy that can help limit bedwetting nights. This is defined by, during the day, having your child hold their bladder for longer and longer periods of time. They may always go to the restroom immediately when they feel the urge to go, and so when they are in a deep sleep, that is how their body reacts when that urge hits them. If you teach your child to hold it for as long as they can when the urge comes while they are awake, they are more likely to be able to hold it subconsciously while they are asleep. If behavioral therapies do not work, and only if the child is 7 years of age, or older, medicines may be prescribed. Medicines work best in conjunction with behavioral therapy, because they are not a cure for bedwetting. They also may have side effects. If you do decide to go with medicines as a treatment option for your child, there are two common kinds, one of which your doctor will likely prescribe. One of these helps the bladder hold more urine, and one helps the kidneys make less urine. Obviously, these are not the types of drugs you will want your child to have to take consistently for the rest of their life. Instead, they are best when used temporarily in conjunction with the behavior therapy mentioned earlier. Helping your child cope with bedwetting Not only should you try to help your child overcome their bedwetting problem, but you should also focus on helping them to understand it and not feel quite so bad about it, if at all possible. Your child likely feels very ashamed at being a bedwetter. They may also feel guilt for not being able to control their body in a way that they feel they should. This is very likely in older children. You should never punish your child for this problem. It is very important to remember that your child cannot help it. Again, the older the child is, the more this applies, and your child is likely even more irritated about it than you are. You should try to not make your child feel any more guilt about it than they already do. It may also help your child to know that no one really knows the exact cause of bedwetting, because there are too many factors that have to be considered in each case. Explain to them the many different causes that might be affecting their situation, and the fact that these reasons are not their fault, and that you will help them overcome it. Tell them as much information as is necessary to help them be able to deal with it without thinking less of themselves. For instance, if you wet the bed as a child, be sure and explain this, while also informing them that it can run in families. This might help take some of the pressure off and relieve some of their guilt. Just remember, this is a rough time on both you and your child, and you should use whatever methods necessary to dispel your bedwetting difficulties. Keeping the right no-fault attitude can definitely help, as well as having an open mind to suggestions for treatments, and being dedicated to whatever ways you decide to treat bedwetting and/or potty training.