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Having difficulty to satisfy your cohort’s sexual desires due to erectile dysfunction? Erectile dysfunction can have a root cause in either physical or psychological factors, or even both. Erectile dysfunction in simple terms means the repeated inability of a man to achieve or sustain an erection for the completion of a sexual intercourse. Apart from creating stress and anxiety, dysfunctional erectile can ruin your personal relationships too. Don’t miss any opportunity to express your most intimate feelings with Levitra oral medication. Levitra in plain vocabulary can be understood as an erectile dysfunction drug which can help men accomplish the spur within them. It is a FDA endorsed prescription medication, which further establishes it reliability. Usage of internet has bestowed us with a gamut of advantages. You can now shop for Levitra online through various online pharmacies, which can enable to have your order delivered at your doorstep. Generic Levitra are also available in the pharmaceutical market which are cheaper than the original drug, Levitra. Guess what more can you get? You can also get access to online Levitra prescriptions. The best part of these online prescriptions is that these are free-of-charge. In fact, it can save you from running around to doctors’ clinic for procuring a prescription and not to forget its cost-effectiveness. Levitra works by inhibiting the PDE-5 enzymes, which regulate the blood flow into the penis. Due to this reason, it is also referred to as PDE-5 inhibitor. Levitra primarily relaxes the smooth muscles of the penis and enhances the blood flow into the penis. This as a result sources an erection. Levitra does not cause an erection solely, and requires a sexual stimulus to achieve an erection. It releases its effect within 25-60 minutes after its consumption. Levitra tablets are available in the strength of 5mg, 10mg and 20mg. The dosage of Levitra varies from individual to individual, as it is determined by your health status. Consume Levitra as per your doctors’ directions to avert any medical mishaps. Intake of Levitra can be achieved with or without meals. It does not protect you against sexually transmitted diseases such as HIV. In order to safeguard yourself and your partner against sexually transmitted diseases, ensure adequate precautionary measures. Levitra is solely formulated for usage by men. Consumption of Levitra by women is not recommended as the effect upon women has not yet been studied. Usage of nitrates or alpha-blockers should be abstained from, along with Levitra medication. Make your doctor aware of any medical problems you may possess, before embarking upon Levitra medication such as nausea, dizziness, angina, heart attack, irregular heart beats, low or high blood pressure amid others. This approach can help the doctor to decide the suitable dosage in accordance to your health status. Explore the passion within you through easy online Levitra prescriptions, just at a click of a button. penis enlagement before and after photo penis elargement surgery cost penis enlarement pump homemade penis enlargment penis enlarement excersizes herbal natural penis enhancement enlargement free pennis pills sample penile enlargment review

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Prostate brachytherapy (pronounced bray-kee-ther-uh-pee), the implantation of radioactive seeds into the prostate gland, is one of the standard methods of successfully treating prostate cancer. The tiny radioactive seeds are smaller than grains of rice. A prostate seed implant may be the only type of radiation therapy needed by a man with low-risk prostate cancer or it may be prescribed in addition to external beam radiation therapy in men with intermediate- and high- risk prostate cancer. The goal is to eradicate cancer cells while preserving healthy, surrounding tissue, such as the bladder, the urethra (the tube that connects the bladder to the penis), and the rectum. The advantages of prostate seed implants are significant. Fist, the procedure requires only minor surgery, usually causing fewer side effects than other treatments. Also, it is generally a same day, outpatient procedure. Men usually are able to return to work within several days, as long as they feel well enough. In addition, recent reports suggest that the procedure, when performed on properly selected men, is at least as effective as surgery to cure prostate cancer. Radiation exposure to other people is minimal, so restrictions do not apply unless the man is returning to a setting where a young child or pregnant woman is present. Treatment Planning Men undergo a pre-implant ultrasound study to determine where the radioactive seeds (and the needles to implant them) should be placed. A transrectal ultrasound, wherein an ultrasound probe is carefully positioned in the rectum to view the entire prostate, is performed. Images of the prostate are taken and are transferred to a special treatment planning computer, which evaluates the position of the prostate and generates a three-dimensional plan that dictates the precise placement of the seeds. Preparation for the Procedure Most candidates for prostate brachytherapy undergo blood tests, a chest x-ray and an EKG several days prior to the implant, in order to be approved for anesthesia. On the morning of the procedure, men receive an enema to help optimize the quality of the transrectal ultrasound images. In addition, blood thinners are discontinued several days prior to the procedure to help diminish the risk of bleeding. Day of the Procedure Typically, men who are scheduled to undergo seed placement arrive early in the morning. Next, the man is taken to the operating room for the procedure, where he undergoes either general or spinal anesthesia. Then, the radiation oncologist and the urologist work as a team to implant the seeds into the prostate, using transrectal ultrasound to guide the placement. The Implant Process Using the treatment plan and fluoroscopy (real-time x-ray), the radiation oncologist places the seeds within the prostate. The entire procedure usually takes less than one hour. After the seed placement, the urologist performs a cystoscopy (a procedure in which a slender, flexible, fiber optic scope is inserted from the penis into the bladder), to look for and remove any seeds that dislodged in the bladder or the urethra. Within the few next days, a CT scan is obtained to verify the placement of the seeds. Prostate Seed Implants: Recovery Because prostate implants do not involve major surgery, side effects are rarely severe. The most common side effects reported by men after prostate seed implants are: • Urinary frequency (60-70%) • Urinary burning (50%) • Urinary urgency (50%) • Erectile dysfunction (30%) • Blood in the urine (20-30%) • Increased bowel movements and bowel urgency (5%) • Fatigue (20%) • Pelvic pain (20%) • The need for temporary catheter placement (10-15%) • Urinary incontinence (less than 1%) In addition, up to 20 percent of men are found to have seed migration into their lungs. However, no detrimental effects have been reported. Infrequently, men have required trans-urethral resection, the “scraping” of the prostate gland via the penis, to relieve urinary obstruction after the seed placement. Follow-Up Men who undergo prostate brachytherapy report for follow-up visits four weeks after the procedure and every three months thereafter. A PSA blood test and a physical exam are performed to assess the status of the prostate. The good news is that prostate seed implants are usually successful at controlling prostate cancer within the gland. Such local control of disease correlates with rendering men free from prostate cancer. pnis enlargement pic before and after vimax free penis enlargement enlargement penis pill vimax free penile enlargement cheapest penis enlarement pills penis enlagement tip penis enlargment result vimax free penis enlargement tip top rated pennis enlargement pills

Implants: the reason that I choose to start talking about implants is very simple, in my point of view they are the beginners in EBM, or using a better choice of words, they are the least invasive of the 3 base techniques. I found so many types of implants and all of them are very interesting, So I decided to write about: Eye ball jewellery Magnetic Implants 3d implants Eye ball jewellery is probably one of the newest techniques of the all EBM. It was developed by ophthalmologic experts, it is an ocular Surgery that adds a decorative platinum implant inserted under a thin membrane in the eye, which holds the implant in place. Since the membrane is clear, the implant can be seen clearly against the white of the eye. There are not many shapes of ornaments offered yet, and it is a very new procedure that for now can only be done officially in Holland, the cost is around U$ 1200.So far the doctors could not find a side effect to it, what does not mean that there aren’t any. In the U.S. some States committees already approved a bill to ban it; the procedure goes more or less like the following: • The eye is anesthetized with routine eye-drop anaesthesia medication. • The eye is decontaminated and draped with routine techniques used in ocular surgery. • An intra conjunctival bleb is created by injection of BSS in the most superficial conjunctive layer. The bleb may be positioned adjacent to the temporal limbus. • With conjunctive scissors, the bleb is opened and a superficial intra conjunctival tunnel is made. • The tunnel is checked to determine if it is wide enough to accommodate the implant. • The device is inserted into the tunnel up to the desired final position of the implant. • With a sponge, all excess BSS is removed from the implantation area. • At the end of the procedure, antibiotic drops are applied onto the eye. • Postoperative management includes antibiotic eye drops for 1-2 week(s). • The procedure takes about 15 minutes. So far Doctors could not find any side effect or complications caused by the implant, and hopefully they won’t find any. So keep in mind, there are very few people authorized to do this procedure, and so far it can only be realised in Holland, and even so only 2 clinics are fully authorized to do so. Magnetic Implants: What are they? They are small magnet implanted under your skin with the purpose to enhance your senses as if it was the acquisition of the so famous sixth sense, how it happens, by moving in response to an electromagnetic field and transferring this as sensation to the surrounding nerves. We can divide the magnetic implants into 4 types: Sensory: The one that supposed to give you the sixth sense Sexual: Where the magnets are placed inside the most sensitive area or the genitalia of a couple, male and female have to get the implant, it supposed to enhance the feeling of the body parts while in movement against each other, they can also be placed in the lips. Symbolic: is implanted but a couple to create a magnetic bond as the two people hold hands, as there are not real proves that a couple can really exchange energy thru this technique, we can take it as more discrete kind of wedding rings. Functional: Probably not a very comfortable matter, but if you get larger magnets you would be able to pick up things such as screws and some other items, with the magnets commonly used you can’t pick up more than a paper clips, the up side of having such small magnets is that they wont affect your credit cards, hard drives, monitors, and so on. To get the implant is also quite simple: Small incision in the tip of the finger and opening a pocket Create a tinny pocket to add the magnetic pellet (the magnets are about a third the size of a grain of rice) Do the suture and bandage the finger tips (the procedure takes about half an hour to do 5 fingers) The first few days the sensation is not very pleasant but after a week and the stitches taken off the pain goes away and in the period between 1 to 4 weeks you can start to enjoy the magnetic field moving feeling, and the benefit of this EBM is that the scars are almost invisible and if what I read is true, the feeling is quite interesting. Because this procedure is bran new the side effects are not known yet, but the biocompatibility of neodymium, but it is considered a generally toxic irritant and moderately poisonous with documented adverse effects. In order to keep the magnet from coming in contact with the skin, it has to be coated with a sheath of biocompatible silicone, there is always the risk of “peeled” the silicone off of the magnet, if it happens the compromised magnet should be replaced by removed and replaced by a new one. This procedure is so very new that not even all the BM specialists are doing it; some are waiting for it to get a bit safer and better developed. Because so far risks are unknown, but once that the coating of the magnet problem is solved it will probably turn into a huge trend among people. But if you are one of those that want to get all of it first, please wait until it is proved safe. 3d implants: It is the act of placing an object under the skin to create a design on the skin’s surface, it is actually a very simple technique, an incision is made, and the implant that can be made out of many materials (titanium, soft or solid silicon, Teflon and steel, the steel variety sometimes can cause an infection, there is also the option of natural bone tissue) is inserted, you are stitched up and ready to go. Simple….the after care apparently is simpler than the after care of a piercing. To get a 3D implant you can choose many areas of the body, forehead (the intern horns, third eye and the external horns), you can place spikes on your head, beads on your arms, legs, chest and many but many more, if you are a guy you can get your penis beaded (pearling), in many different ways. Some of the risks of the implants are: -Tissue Resorption: erosion of the tissue by rubbing or pressure applied against the body. Implant can bury itself into the muscles wearing down the body's natural defences; this risk can happen especially with hard materials such as Teflon and stain less steel so if you want to get it done try to use softer materials such as silicone and choose safer places to add the implants. -Implant Rejection: Is when the implants put enough pressure on the skin above them, that it actually manage to do enough damage to surrounding tissue that the skin above the implant dies and the implant becomes exposed ,once this process begins there's not lot that can be done about it other than removing the implant. -Pressure on Nerve and Muscle: When an implant is placed on top of muscle, nerves, or blood vessels, it has the potential to interfere with their functioning. To minimize the risk you have to be sure to tell the 3D artist if you are experiencing anything that can be related to it, this way the artist can change the positioning or the placement of the implant without harm you, in some cases the procedure has to be postponed or aborted. You should also strongly consider research about the kind of implant that you will get and the location of it so you can do it safely. There are also many other possible risks that can be associated with implants such as: Keloids, Implant surface contamination, Implant Biocompatibility, Implant Finishing, Lidocaine Toxicity, Anaesthetic allergy, Sub dermal Shifting, Mod before Client, Needle allergy, Adrenalin Excitement, Impact damage, Hypertrophy scarring, Abscess, Boils, Cancer, Blood loss, Shock, Bloodborne Pathogens Ok that is all for now guys, next week I will be writing about Surgical modification……And I can promise to you all that it will be a very, but a very interesting article….Until them, go have fun and enjoy life… Yes, I’m really trying to fix my karma thing……we never know what can happen tomorrow….. pennis enlargement photo do penis enhancement pills work sex vig rx penis enhancement photo do pnis enlargement pills work cheapest penis enlagement pills penile enlargment picture penis enlargment result top rated pennis enlargement pills

The next problem is that most small online business owners usually have little money and not a lot of time to generate traffic and visitors to their site.... Many of them spend 6-8 hours every day just trying to generate some traffic to their site, product or service. And, at the end of each month, because nothing they seem to try ever works very well, they find themselves no better off than they were the month before. It doesn't take them long to realize what a big waste of time doing it that way really is. What we want to share with you today is one of the 'smartest' ways to generate an unlimited number of visitors to almost any site. It doesn't matter whether you are promoting a product, a service, a business opportunity or a content site. It doesn't matter how much your product costs ... It doesn't even matter if you are promoting your own products or someone elses via an affiliate program. If you want to promote ... need extra traffic or visitors ... want to increase your sales and monthly income, while automating 98% of it all - then keep reading. And while we can't cover ALL the different methods here, we would like to reveal 3 or 4 that we have found to be extremely inexpensive, relatively untapped, that have huge potential in bringing qualified traffic to your website. And, even more importantly ... regardless of whether you want 10,000 or 1,000,000 visitors, they only take about 30 minutes to set in motion! Why would you pay a lead-generation company $3 to $5 or more PER lead when you can generate your own at a fraction of the cost? So now instead of spending your entire day and your entire bank account trying to generate traffic to your site, what we are about to reveal should have you spending your time on more important things - like developing new products, growing your business, golfing, or whatever else it is that you really want to do. Isn't that the whole point of having your own web business ... so you can have more time and freedom to enjoy life and do as you wish? Wouldn't you agree, it's much better to spend 30 minutes or less on promotions, and to have the entire process automated? That's the difference between working SMART, and working HARD! You don't want to work HARD do you? The first thing we need you to know is that all website traffic is not created equal. There are plenty of sources out there and we can't speak for them all. However, we do use the traffic methods we mention below to successfully generate traffic and qualified leads to our business. And, as well as ones not mentioned below, they continue to work successfully to promote these types of online businesses with consistant success: Business Opportunities Network Marketing/MLM Franchise Opportunties Work-at-home programs Credit Cards/Repair Personal Finance Insurance offers Investment sites Computers, Software, etc Education, Jobs/Career "Free Stuff", Coupons, etc Internet/Web Services Shopping, Gifts, etc Sports/Sporting Goods Travel, Cars, Outdoors Pets, Hobbies, etc Mens/Womens Health Dieting, Fitness, etc Cooking, Gardening, etc Home Improvement Online Casinos sites Joke and Humor sites Online Games, Chat, etc Music, Sports, Movies, etc Pets, Hobbies, etc The traffic generation methods we are talking about are Pop-Ups, Pop-Unders, Keyword Targeted Pop-Unders, Expired Domain Traffic, AUDIO is OK traffic, and the different targeting platforms that can make them even more effective in promoting your business. It is important to note that these traffic generation methods are NOT spam advertising. All websites these methods take place with, have opted in to allow this to happen, are payed well to do so, and, there are tens of thousands of them participating). Let's start by taking a quick look at POP-UPS. I'm positive you've experienced "Pop-Ups" while surfing online. Pop-Ups are the irritating windows that suddenly "pop" out of nowhere, in front of what you were reading, interrupting what you are doing. We aren't going to spend a lot of time talking about Pop-Ups. They tend to get a lot of bad press; most people have software installed and most ISPs have blocking devices in place to eliminate them these day, which makes them not as popular a means of generating traffic. Nevertheless, because they are usually slightly cheaper than the other methods, some people still buy them in large quantities and use them to pull a small, but converting quantity of traffic to their websites. We want to spend more time talking about the other 3 types of promotion methods today. , and we will go next to the traffic method called Pop-Unders. POP-UNDERS - are pretty much what the name sounds like. The big difference between them and Pop-UPs is that Pop-Unders load **under** the current browser window. Because of that, they tend to not be as bothersome or interrupting to the web surfers as Pop-Ups. 99% of the time the web surfer doesn't even know the Pop-Under site is there until they move or close their main window, so they aren't in a "bad mood", from being interrupted, when they do see it. When you advertise your site with "Pop-Unders", your site is loaded behind another website that someone has just arrived at or left. Once the person closes off that particular site they then see yours, hence the name "pop-under". This is obviously a very cost effective way to have your site seen by thousands or even millions of people. Obviously this type of advertising, as with most others has its pros and cons. The pro being people WILL see your site by the thousands and the cost is extremely low. The con being most people will close the pop-under without bothering to browse your website. That is a fact you have to be aware of. You are NOT going to see conversion rates of 10% or anything like that ... far from it. However, you can make a small fortune even with a horrible conversion ratio. This form of traffic generation is so cost-effective that even if you only get 1 sale out of every 10,000 Pop-Unders you're still a head of the game! Let me say this another way, because this is the key and you really need to understand this. Quite truthfully, from a response ratio standpoint, Pop-Unders aren't choice #1, however, because they are so inexpensive, they can be one of the BEST ways to promote your site from an ROI (return on investment) standpoint, and that's what matters! Pop-Unders are quite a popular means of generating traffic, especially since they can be targeted by topic into almost any specific niche your website fits into. For example, if you have a sports website, it can be targeted to "appear" behind sports websites. Or, if you have a casino site, it can be targeted to load behind casino websites. It's obvious that only the visitors who are actually interested in those topics, would be looking at that niche site in the first place, right? Here are some of the many categories that can be targeted: Advertising Media - Agriculture - Animals - Antiques - Arts - Associations - Astronomy - Auctions - Auto Rental - Autos - Babies - Bathroom - Beauty - Bicycles - Boats - Books - Bridal - Building - Business - Camping - Candles - Candy & Confectionery - Cellular Phones - Cellular Service - Career Counselling - Car Audio - Charity - Chatrooms - Christian - Cigarettes - Cigars - Childrens Products - Clip art - Clocks & Watches - Clothes - Collectibles - College - College Nightlife - College Students - Comics - Computer Advice - Computer Memory - Computer Peripherals - Computer Programming - Computer Related - Computer Software - Computer Virus - Consumer Electronics - Conventions - Cooking - Cosmetics & Perfume - Costumes & Uniforms - Crafts & Craft Making - Credit Cards - Dance - Debt Consolidation - Diet - Domain Names - Education - Employment - Entertainment - Exhibitions & Conventions - Eye Care - Fabrics - Family - Farming - Fashion - Fashion for Men - Fashion for Women - Finance - Fishing - Fitness - Flights - Flooring - Flowers - Food & Beverage - Free Stuff - Friends & People - Furniture - Games - Games for Consoles - Games for PC - Gardening - Genealogy - Geography - Gifts - Golf - Government - Hair - Handbags - Health - Health for Men - Health for Women - High Tech - Home Business - Home Electronics - Horoscopes & Astrology - Horses - Hotels - Humour & Fun - Income Opportunities - Industry - Information - Insurance & Banking - Internet Services - Investment - Jewellery - Jobs & Career Counselling - Kids Activities - Kitchen - Language - Law & Law Enforcement - Liquor & Alcohol - Loans - Magazines - Maps - Marketing for Internet - Marketing non-Internet - Media - Miscellaneous - MLM - Money Making - Mortgages - Motorcycles - Movies & Films - Music/MP3 - Musical Instruments - Nature & Animals - News - Office Supplies - Organizations - Personal Advice - Personal Computers - Personal Homepage - Pest Control - Pets - Photography - Posters - Printers & Supplies - Property (Commercial) - Property (Residential) - Real Estate - Religion - Safety & Security - Sales - Science - Seniors & Retirement - Services - Shoes & Foot Products - Shopping - Skateboards - Smoking & Tobacco Products - Software - Sports - Tax - Tea & Coffee - Telephones & Service - Television & Satellite TV - Tickets - Top Web Sites - Toys - Training - Transportation - Travel & Tourism - Trivia - Vitamins - Web Design - Web Hosting - Web Resources - Webmasters -Wedding/Marriage - Adult Casino - Adult Movies - Adult Toys - Gay - Live Webcams - Match Making/Dating - Paysites - Paysites Amateurs - Paysites Hardcore - Paysites Interracial - Paysites Softcore - Paysites Teens - Penis Enlargement - Shopping - TGP - Untargeted Adult - Webmasters - Adult Casino - Free Games - Horse & Dog Racing - Premium Casino - Sports Betting - Untargeted Gambling. There are some limitations to using POP-traffic that you should be aware of. You will find that most traffic resellers state these limitations in their Terms and Conditions; in clear view on their websites: No other window of any type can be spawned internal or external of the target URL. The sites you submit may not contain any pop window (i.e exit pages, java pops, pop-ins, fly-ins, pop-unders, etc.). No redirectors, scripts that change the home page settings, message boxes, download boxes, are NOT allowed no hate/illegal/adult--All PG rated content. No warez, virus, trojan, auto-downloads, framebreakers, or browser-altering allowed. NO SOUND/NOISE on the page you are targeting. Before they start a campaign for you, they thoroughly check to see if any of these "traps" are on the site, and they do refuse service to any sites they determine are inappropriate for their network. Now while banning the presence of most of these "traps" listed above are valid, the NO sound/noise and the NO pop-up/under limitations that most traffic resellers enforce do stop A LOT of website businesses from using POP-traffic. Now there's a solution. AUDIO is OKAY! is a **new** mainstream form of traffic that ALLOWS you to have audio/sound and/or 1 Pop-Up or Pop-Under on your website's front page. What this means is that a lot of website businesses that have state-of-the-art movies, talking, or music presentations that start automatically on their front webpages, can now buy and use POP-traffic to generate visitors! This is new and this is in demand! Website promotion specialists can use POP-traffic to expose your business to millions of users with the most cost effective packages. They can deliver guaranteed visitors directly to your website 24/7. 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The holidays are touted to be the time of year to be joyful and most of all have fun and spend time with family and/or friends. For some, however, the holidays when families and/or friends gather to celebrate and share the joy of the season are not joyful. Because family matters are conducted behind closed doors this 'unhappy event' goes unnoticed and the victim of this cruel experience takes its toll. I speak of the unspeakable—sexual child abuse. Countless children are abused at family gatherings. While everyone is talking, laughing and having a good time, beloved Uncle Lewey, Grandpa or family friend, walks out of the living room (ostensibly to go to the bathroom) but instead goes into his niece's/granddaughter's or family friend’s room, where she is 'hanging out.' He nonchalantly chats with her and before she realizes what he is about to do, he has planted a kiss on her lips and forced his tongue into her mouth and/or fondles her breast. He then tells her she is so sexy he couldn’t stop himself, she is very special and it is their secret or he threatens her that if she tells he will say she is a 'liar' or worse yet, she 'came onto' him. Thus, she is forced into silence and shame. While I realize this scenario is difficult to fathom, it is all too real and all too frequent. However, this scenario doesn't need to end tragically, something can be done to prevent or mitigate it. No one is born a molester, yet all too often victims become perpetrators. Sexual child abuse has become a family tradition-Uncle Lewey was abused by his father, mother, uncle, cousin or aunt and now he has abused his niece. Or grandpa was abused by someone and he now has abused his granddaughter. How, you may ask, can this be possible when so many people are around-no one would risk being seen sexually abusing a child? Unfortunately, this rationalization merely avoids accepting the truth about sexual abuse perpetrators. It only takes a second to abuse a child. Furthermore, few people recognize what constitutes sexual child abuse. Sexual touch—a sensuous or ‘wet’ kiss on the lips, touching or fondling erogenous areas cause as much trauma as genital contact. All sexual abuse and/or sexual touch is damaging because it is first and foremost a betrayal of trust. PREVENTION is possible. However, for a child to be able to prevent this experience, she or he needs to have knowledge of and permission to exercise self-protection. Without knowledge of and permission to exercise self-protection, the only defense a child has against any kind of abuse is to accept the blame. A child cannot conceive the idea, "My father, uncle, mother, grandpa, grandma, aunt, brother, sister, cousin, friend, teacher, or baby-sitter is sick and is harming me." Therefore, the only way to survive sexual abuse or incest is to assume that it is his or her fault. A child has unquestioning trust for everyone in the family or persons of acquaintance or authority. Parents generally teach girls to be passive, compliant, non-assertive, co-operative and reward them for doing so. Girls are raised to be 'quiet, sweet and pretty' they are never to make a 'scene.' It is not surprising then, that girls are (according to statistics) twice as likely to be sexually abused. Perpetrators know who and how to target their victims. Boys are taught, expected and praised to be tough and self-assured, even at times when something troubles them. Whenever a person is traumatized, he or she resorts to familiar behavior; for girls this behavior usually means passivity while boys usually 'tough it out'-thinking if they are strong and unemotional, no harm can occur. Self-protection offers a direct and effective way to empower children to help themselves. Since perpetrators cunningly and with forethought sets the stage to perpetrate this crime in secrecy, who is better able than the child to protect him or herself? Perpetrators say they can sense a child to victimize; they sense this by the child's demeanor, body language and facial expressions. They sense the fear, the helplessness, their compliant attitude and their passivity. Perpetrators choose victims who they assume will keep their secret. No child needs to fall prey to these cunning predators. The first response the majority of people form when hearing of sexual abuse or incest is denial. 'I do not have to be concerned about that in my community. This would never happen in my family.' The unbelievable reality is that a person who sexually abuses children may seem very average and ordinary to the world. He or she may be a leader in the church, in the community or in business. He or she does not fit a classic stereotype and is not necessarily uneducated, unemployed, impoverished or an alcoholic. Furthermore, we find sexual abuse and incest even more difficult to believe or accept when the person we like, admire, love, and/or marry is the perpetrator of the abuse. Tragically, the unwillingness to accept the facts concerning sexual abuse perpetrators leaves children vulnerable to becoming victims and increases the likelihood that they will be abused. 'Traditionally, incest was defined as: sexual intercourse between two persons too closely related to marry legally--sex between siblings, first cousins, the seduction by fathers of their daughters. This dysfunctional blood relationship, however, does not completely describe what children are experiencing. To fully understand all sexual abuse, we need to look beyond the blood bond and include the emotional bond between the victim and his or her perpetrator. Thus, a new definition has emerged. The new definition now relies less on the blood bond between the victim and the perpetrator and more on the experience of the child. Incest is both sexual abuse and an abuse of power. It is violence that does not require force. Another is using the victim, treating them in a way that they do not want or in a way that is not appropriate by a person with whom a different relationship is required. It is abuse because it does not take into consideration the needs or wishes of the child; rather, it meets the needs of the other person at the child's expense. If the experience has sexual meaning for another person, in lieu of a nurturing purpose for the benefit of the child, it is abuse. If it is unwanted or inappropriate for her age or the relationship, it is abuse. Incest [sexual abuse] can occur through words, sounds, or even exposure of the child to sights or acts that are sexual but do not involve her. If she is forced to see what she does not want to see, for instance, by an exhibitionist, it is abuse. If a child is forced into an experience that is sexual in content or overtone that is abuse. As long as the child is induced into sexual activity with someone who is in a position of greater power, whether that power is derived through the perpetrator's age, size, status, or relationship, the act is abusive. A child who cannot refuse, or who believes she or he cannot refuse, is a child who has been violated. (E. Sue Blume, Secret Survivors)." Sexual abuse can be as subtle (covert) as any person showing pornographic pictures or movies to a child. It is any man hugging a child while pressing his hard penis against her. It is anyone consistently invading a child's privacy, such as entering the bathroom or bedroom without knocking, catching her unaware and indisposed. It is playfully pulling her swimsuit bottom down in the pool or pulling her panties down without her permission. Sexual abuse is anyone bathing the child when the child is old enough to bathe herself. It is any person who touches or caresses the child in ways she does not like or in ways that are sexual. It is any man holding a child on his lap when he has an erection. It is any trusted adult who stares at or makes comments about the child's body. It is anyone kissing the child in a way that is sexual for the giver. It is seemingly innocuous touching, wrestling, tickling, or playing which has sexual overtones or meaning for the other person. Sexual abuse is as blatant (overt) as instructing or asking the child to lie in bed in an intimate position, fondling, digital, penis or object penetration of the rectum or vagina, or instructing a child to perform oral sex or performing oral sex on the child. It is forcing the child to touch others or be touched by others, including other children. A classic example of covert sexual abuse while people are present is exemplified by a 39 year-old woman who came to me after having a severe panic attack. During our investigation as to what was the root cause of the panic attack she revealed she had been sexually abused when she was nine by a 'nice man,' who was a family friend. "He helped me on with my coat while attending a family gathering. As he adjusted my coat onto my shoulder, he fondled my breast." This type fondling is often times referred to as 'coping a feel.' No matter the label, it is sexual abuse and causes damage. As an adult woman you know how icky it feels when a man 'cops a feel.' Can you imagine what it would feel like for a nine-year-old, who has no information to comprehend and emotionally resolve what she experienced? Overt sexual abuse is openly sexual and apparent. Although there may be an attempt to deny that it is abusive, there is no attempt to hide the fact that it is sexual in nature. Covert sexual abuse is more insidious. Thus, identifying it is harder, because the sexual nature of the action is disguised. The perpetrator acts as if she or he is doing something non-sexual, when in fact he or she is being sexual. The betrayal then becomes two-fold. The child is not only abused, but also tricked or deceived about the act. In this dishonesty, the child is unable to identify or clarify his or her perception of the experience. The unreal or surreal sense that accompanies any sexual abuse is intensified when the child is tricked into disbelief. Thus, the child doubts his or her perceptions and feelings and believes that there is something wrong with himself or herself because he or she feels terrible. To make matters worse, everyone around her or him acts as if nothing is wrong. Thus, she or he feels crazy, as if she or he is the one with the problem. A classic example of overt sexual abuse while people are present is exemplified by the incident a client, who is a sexual abuse survivor, reported about seeing her father (her perpetrator) kiss her one-year-old niece on the pubic area after her niece had taken a bath. Her sister, the child's mother, the child's grandmother, (wife of the perpetrator) were present. "My sister and mother (the child's grandmother) laughed and I got sick to the stomach. Am I over reacting," she asked. Obviously, her sister and mother are unaware of the definition of sexual abuse. Except for the fact this woman was in recovery and could clarify the experience she would not have considered it sexual abuse either. The frightening truth about sexual abuse and incest perpetrators is that within their mindset, they do not hold beliefs reflecting society's moral and ethical values. Because of a child's innocence and trust of the abuser, usually pressure or violence is not required. Thus, the sexual abuse or incest perpetrator can unequivocally state, "Never ever. I could never harm a child or anyone. It's not in my heart. It's not who I am." Michael Jackson, 1993. Sexual abuse and incest perpetrators frequently pass lie detector tests. They feel no inner conflict with what they have done. Their moral and ethical values do not reflect the standards on which the test is based. If you have the slightest cause for concern, trust your intuition and seek professional intervention. Trusting and acting on our intuition or sixth sense is paramount to protecting children from perpetrators, no matter whether they are family members, family friends, doctors, dentists, teachers, etc. When intuitiveness or a sixth sense has been activated in detecting danger, it can be identified by a change in one's physiology. First: Accept the fact that sexual abuse perpetrators may seem very average and ordinary to the world. In spite of all the reports of sexual abuse by pillars of the community-teachers, clergy, coaches, we still want to cling to the belief that a sexual abuse perpetrator is the disheveled man with a scraggly beard, wearing a dirty trench coat. It is difficult to believe the people we like, admire, trust and love would do such a heinous thing. Second: Accept the definition of sexual abuse. (See definition above) Third: Know the signs your child is being targeted: Self-protection offers a direct and effective method for children to protect themselves. Who, other than the child, is in a better position to protect him/herself? Perpetrators say they can sense a child to victimize. They can tell by the child's demeanor, body language, and facial expression. They sense the fear, the helplessness, the passivity. They chose a child who is easily intimidated or controlled so hopefully the child won't tell. Secrecy is paramount for the perpetrator. Whenever a person is traumatized, he or she resorts to familiar behavior; for girls this behavior is usually passivity, while boys usually 'tough it out'-thinking if they are strong and unemotional, no harm can occur. Sexual crimes against children can only be committed if the perpetrator finds someone who will hopefully keep the secret. No child needs to fall prey to these cunning predators. There are seven child tested, parent approved sexual child abuse prevention techniques, which will protect your child from the most cunning predators. If you heed and investigate these warning signals you can prevent continued abuse. Warning signals include: • * an aversion to a person, place or event. • * outbursts of anger and there is no apparent reason known for such anger. • * any unusual or unexplained behavior change. Ceasing an activity that was once done without hesitation. • * not wanting to be around a particular person. • * family member/friend seems to foster a relationship with your child more for him/herself than for your child. • * secretiveness between the child and adult Fourth: What to do: • * Teach Good/Appropriate Touch with regard to anyone. • * Teach Appropriate Body Boundaries with regard to anyone. • * Foster Self-Esteem and Good Body Image • * Teach the "Tell Mommy and Daddy Everything-No Secrets rule. • * Allow your child to command respect regarding dislikes and touch with family members, friends or authority figures. • * Talk with and listen to your child until you are satisfied the aversion is unrelated to improper behavior by anyone. • * Check on your child occasionally whenever they are with another adult or other times to become 'known' as an attentive parent. • * Trust and honor your child's intuitive reactions. If your child feels uncomfortable with someone, respect their intuitive sense—honor their intuitive sense. • * Appropriate Suspicion—trusting and acting on your intuition or sixth sense is paramount. If you have confusion regarding a person's actions, nagging/persistent thoughts or feelings, hesitation, general suspicion, apprehension, fear, doubt, a hunch, curiosity regarding a person's actions or statements, or questions regarding a person's proclamation that is not substantiated by their actions—trust your intuition or sixth sense. • * If you err in evaluating the situation, make the error on the side of caution. The important factor is not that you have avoided offending someone, but that you have protected your child's interest. • * Remember it only takes a second to sexually abuse anyone—child or adult