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Patients & Families Parents & Educators Children & Teens NIDA Search enter keywords Search Connect with NIDA: Facebook LinkedIn Twitter YouTube Flickr RSS Home Drugs of Abuse Related Topics Publications Funding News & Events About NIDA Print Home » Publications » DrugFacts » Heroin Heroin Share Revised July 2017 Photo of heroin powder. Photo by DEA What is heroin? Heroin is an opioid drug made from morphine, a natural substance taken from the seed pod of the various opium poppy plants grown in Southeast and Southwest Asia, Mexico, and Colombia. Heroin can be a white or brown powder, or a black sticky substance known as black tar heroin. Other common names for heroin include big H, horse, hell dust, and smack. How do people use heroin? People inject, sniff, snort, or smoke heroin. Some people mix heroin with crack cocaine, a practice called speedballing. What are the effects of heroin? Heroin enters the brain rapidly and binds to opioid receptors on cells located in many areas, especially those involved in feelings of pain and pleasure and in controlling heart rate, sleeping, and breathing. Prescription Opioids and Heroin Prescription opioid pain medicines such as OxyContin® and Vicodin® have effects similar to heroin. Research suggests that misuse of these drugs may open the door to heroin use. Nearly 80 percent of Americans using heroin (including those in treatment) reported misusing prescription opioids first.1,2 While prescription opioid misuse is a risk factor for starting heroin use, only a small fraction of people who misuse pain relievers switch to heroin. According to a national survey, less than 4 percent of people who had misused prescription pain medicines started using heroin within 5 years.1 This suggests that prescription opioid misuse is just one factor leading to heroin use. Read more about this intertwined problem in our Prescription Opioids and Heroin Research Report. Short-Term Effects People who use heroin report feeling a "rush" (a surge of pleasure, or euphoria). However, there are other common effects, including: dry mouth warm flushing of the skin heavy feeling in the arms and legs nausea and vomiting severe itching clouded mental functioning going "on the nod," a back-and-forth state of being conscious and semiconscious Long-Term Effects People who use heroin over the long term may develop: insomnia collapsed veins for people who inject the drug damaged tissue inside the nose for people who sniff or snort it infection of the heart lining and valves abscesses (swollen tissue filled with pus) constipation and stomach cramping liver and kidney disease lung complications, including pneumonia mental disorders such as depression and antisocial personality disorder sexual dysfunction for men irregular menstrual cycles for women Injection Drug Use, HIV, and Hepatitis People who inject drugs such as heroin are at high risk of contracting the HIV and hepatitis C (HCV) virus. These diseases are transmitted through contact with blood or other bodily fluids, which can occur when sharing needles or other injection drug use equipment. HCV is the most common bloodborne infection in the Unites States. HIV (and less often HCV) can also be contracted during unprotected sex, which drug use makes more likely. Read more about the connection between heroin and these diseases in our Heroin Research Report. Other Potential Effects Heroin often contains additives, such as sugar, starch, or powdered milk, that can clog blood vessels leading to the lungs, liver, kidneys, or brain, causing permanent damage. Also, sharing drug injection equipment and having impaired judgment from drug use can increase the risk of contracting infectious diseases such as HIV and hepatitis (see "Injection Drug Use, HIV, and Hepatitis"). Can a person overdose on heroin? Yes, a person can overdose on heroin. A heroin overdose occurs when a person uses enough of the drug to produce a life-threatening reaction or death. Heroin overdoses have increased in recent years.3 When people overdose on heroin, their breathing often slows or stops. This can decrease the amount of oxygen that reaches the brain, a condition called hypoxia. Hypoxia can have short- and long-term mental effects and effects on the nervous system, including coma and permanent brain damage. How can a heroin overdose be treated? Naloxone is a medicine that can treat an opioid overdose when given right away. It works by rapidly binding to opioid receptors and blocking the effects of heroin and other opioid drugs. Sometimes more than one dose may be needed to help a person start breathing again, which is why it’s important to get the person to an emergency department or a doctor to receive additional support if needed. Read more in the Substance Abuse and Mental Health Services Administration’s Opioid Overdose Prevention Toolkit. Naloxone is available as an injectable (needle) solution, a handheld auto-injector (EVZIO®), and a nasal spray (NARCAN® Nasal Spray). Friends, family, and others in the community can use the auto-injector and nasal spray versions of naloxone to save someone who is overdosing. The rising number of opioid overdose deaths has led to an increase in public health efforts to make naloxone available to at-risk persons and their families, as well as first responders and others in the community. Some states have passed laws that allow pharmacists to dispense naloxone without a prescription from a person’s personal doctor. Read more about naloxone at our Naloxone webpage. Photo of a nauseated young woman standing in a bathroom. Photo by ©iStock.com/KatarzynaBialasiewicz Is heroin addictive? Heroin is highly addictive. People who regularly use heroin often develop a tolerance, which means that they need higher and/or more frequent doses of the drug to get the desired effects. A substance use disorder (SUD) is when continued use of the drug causes issues, such as health problems and failure to meet responsibilities at work, school, or home. An SUD can range from mild to severe, the most severe form being addiction. Those who are addicted to heroin and stop using the drug abruptly may have severe withdrawal. Withdrawal symptoms—which can begin as early as a few hours after the drug was last taken—include: restlessness severe muscle and bone pain sleep problems diarrhea and vomiting cold flashes with goose bumps ("cold turkey") uncontrollable leg movements ("kicking the habit") severe heroin cravings Researchers are studying the long-term effects of opioid addiction on the brain. Studies have shown some loss of the brain’s white matter associated with heroin use, which may affect decision-making, behavior control, and responses to stressful situations.4–6 How is heroin addiction treated? A range of treatments including medicines and behavioral therapies are effective in helping people stop heroin use. It’s important to match the best treatment approach to meet the particular needs of each individual patient. Medicines include buprenorphine and methadone. They work by binding to the same opioid receptors in the brain as heroin, but more weakly, reducing cravings and withdrawal symptoms. Another treatment is naltrexone, which blocks opioid receptors and prevents opioid drugs from having an effect. Behavioral therapies for heroin addiction include methods called cognitive-behavioral therapy and contingency management. Cognitive-behavioral therapy helps modify the patient’s drug-use expectations and behaviors, and helps effectively manage triggers and stress. Contingency management provides motivational incentives, such as vouchers or small cash rewards for positive behaviors such as staying drug-free. These behavioral treatment approaches are especially effective when used along with medicines. Read more about drug addiction treatment in our Treatment Approaches for Drug Addiction DrugFacts. Points to Remember Heroin is an opioid drug made from morphine, a natural substance taken from the seed pod of various opium poppy plants. Heroin can be a white or brown powder, or a black sticky substance known as black tar heroin. People inject, sniff, snort, or smoke heroin. Some people mix heroin with crack cocaine, called speedballing. Heroin enters the brain rapidly and binds to opioid receptors on cells located in many areas, especially those involved in feelings of pain and pleasure and in controlling heart rate, sleeping, and breathing. People who use heroin report feeling a "rush" (or euphoria). Other common effects include dry mouth, heavy feelings in the arms and legs, and clouded mental functioning. Long-term effects may include collapsed veins, infection of the heart lining and valves, abscesses, and lung complications. Research suggests that misuse of prescription opioid pain medicine is a risk factor for starting heroin use. A person can overdose on heroin. Naloxone is a medicine that can treat a heroin overdose when given right away, though more than one dose may be needed. Heroin can lead to addiction, a form of substance use disorder. Withdrawal symptoms include severe muscle and bone pain, sleep problems, diarrhea and vomiting, and severe heroin cravings. A range of treatments including medicines and behavioral therapies are effective in helping people stop heroin use. However, treatment plans should be individualized to meet the needs of the patient. Learn More For more information about heroin, visit our: Heroin webpage Opioids webpage Commonly Abused Drugs chart Medications to Treat Opioid Addiction Research Report References Muhuri PK, Gfroerer JC, Davies MC. Associations of Nonmedical Pain Reliever Use and Initiation of Heroin Use in the United States. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2013. http://archive.samhsa.gov/data/2k13/DataReview/DR006/nonmedical-pain-reliever-use-2013.pdf. Accessed May 13, 2016. Jones CM. Heroin use and heroin use risk behaviors among nonmedical users of prescription opioid pain relievers - United States, 2002-2004 and 2008-2010. Drug Alcohol Depend. 2013;132(1-2):95-100. doi:10.1016/j.drugalcdep.2013.01.007. Centers for Disease Control and Prevention (CDC). Multiple Cause of Death, 1999-2015. CDC WONDER Online Database. https://wonder.cdc.gov/mcd-icd10.html. Accessed April 4, 2017. Li W, Li Q, Zhu J, et al. White matter impairment in chronic heroin dependence: a quantitative DTI study. Brain Res. 2013;1531:58-64. doi:10.1016/j.brainres.2013.07.036. Liu J, Qin W, Yuan K, et al. Interaction between dysfunctional connectivity at rest and heroin cues-induced brain responses in male abstinent heroin-dependent individuals. PloS One. 2011;6(10):e23098. doi:10.1371/journal.pone.0023098. Qiu Y, Jiang G, Su H, et al. Progressive white matter microstructure damage in male chronic heroin dependent individuals: a DTI and TBSS seding by new mothers being treated with buprenorphine Stronger Relief for Neuropathic Pain NIDA Notes: The Latest in Drug Abuse Research Lesson Plan anPatients & Families Parents & Educators Children & Teens NIDA Search enter keywords Search Connect with NIDA: Facebook LinkedIn Twitter YouTube Flickr RSS Home Drugs of Abuse Related Topics Publications Funding News & Events About NIDA Print Home » Publications » DrugFacts » Heroin Heroin Share Revised July 2017 Photo of heroin powder. Photo by DEA What is heroin? Heroin is an opioid drug made from morphine, a natural substance taken from the seed pod of the various opium poppy plants grown in Southeast and Southwest Asia, Mexico, and Colombia. Heroin can be a white or brown powder, or a black sticky substance known as black tar heroin. Other common names for heroin include big H, horse, hell dust, and smack. How do people use heroin? People inject, sniff, snort, or smoke heroin. Some people mix heroin with crack cocaine, a practice called speedballing. What are the effects of heroin? Heroin enters the brain rapidly and binds to opioid receptors on cells located in many areas, especially those involved in feelings of pain and pleasure and in controlling heart rate, sleeping, and breathing. Prescription Opioids and Heroin Prescription opioid pain medicines such as OxyContin® and Vicodin® have effects similar to heroin. Research suggests that misuse of these drugs may open the door to heroin use. Nearly 80 percent of Americans using heroin (including those in treatment) reported misusing prescription opioids first.1,2 While prescription opioid misuse is a risk factor for starting heroin use, only a small fraction of people who misuse pain relievers switch to heroin. According to a national survey, less than 4 percent of people who had misused prescription pain medicines started using heroin within 5 years.1 This suggests that prescription opioid misuse is just one factor leading to heroin use. Read more about this intertwined problem in our Prescription Opioids and Heroin Research Report. Short-Term Effects People who use heroin report feeling a "rush" (a surge of pleasure, or euphoria). However, there are other common effects, including: dry mouth warm flushing of the skin heavy feeling in the arms and legs nausea and vomiting severe itching clouded mental functioning going "on the nod," a back-and-forth state of being conscious and semiconscious Long-Term Effects People who use heroin over the long term may develop: insomnia collapsed veins for people who inject the drug damaged tissue inside the nose for people who sniff or snort it infection of the heart lining and valves abscesses (swollen tissue filled with pus) constipation and stomach cramping liver and kidney disease lung complications, including pneumonia mental disorders such as depression and antisocial personality disorder sexual dysfunction for men irregular menstrual cycles for women Injection Drug Use, HIV, and Hepatitis People who inject drugs such as heroin are at high risk of contracting the HIV and hepatitis C (HCV) virus. These diseases are transmitted through contact with blood or other bodily fluids, which can occur when sharing needles or other injection drug use equipment. HCV is the most common bloodborne infection in the Unites States. HIV (and less often HCV) can also be contracted during unprotected sex, which drug use makes more likely. Read more about the connection between heroin and these diseases in our Heroin Research Report. Other Potential Effects Heroin often contains additives, such as sugar, starch, or powdered milk, that can clog blood vessels leading to the lungs, liver, kidneys, or brain, causing permanent damage. Also, sharing drug injection equipment and having impaired judgment from drug use can increase the risk of contracting infectious diseases such as HIV and hepatitis (see "Injection Drug Use, HIV, and Hepatitis"). Can a person overdose on heroin? Yes, a person can overdose on heroin. A heroin overdose occurs when a person uses enough of the drug to produce a life-threatening reaction or death. Heroin overdoses have increased in recent years.3 When people overdose on heroin, their breathing often slows or stops. This can decrease the amount of oxygen that reaches the brain, a condition called hypoxia. Hypoxia can have short- and long-term mental effects and effects on the nervous system, including coma and permanent brain damage. How can a heroin overdose be treated? Naloxone is a medicine that can treat an opioid overdose when given right away. It works by rapidly binding to opioid receptors and blocking the effects of heroin and other opioid drugs. Sometimes more than one dose may be needed to help a person start breathing again, which is why it’s important to get the person to an emergency department or a doctor to receive additional support if needed. Read more in the Substance Abuse and Mental Health Services Administration’s Opioid Overdose Prevention Toolkit. Naloxone is available as an injectable (needle) solution, a handheld auto-injector (EVZIO®), and a nasal spray (NARCAN® Nasal Spray). Friends, family, and others in the community can use the auto-injector and nasal spray versions of naloxone to save someone who is overdosing. The rising number of opioid overdose deaths has led to an increase in public health efforts to make naloxone available to at-risk persons and their families, as well as first responders and others in the community. Some states have passed laws that allow pharmacists to dispense naloxone without a prescription from a person’s personal doctor. Read more about naloxone at our Naloxone webpage. Photo of a nauseated young woman standing in a bathroom. Photo by ©iStock.com/KatarzynaBialasiewicz Is heroin addictive? Heroin is highly addictive. People who regularly use heroin often develop a tolerance, which means that they need higher and/or more frequent doses of the drug to get the desired effects. A substance use disorder (SUD) is when continued use of the drug causes issues, such as health problems and failure to meet responsibilities at work, school, or home. An SUD can range from mild to severe, the most severe form being addiction. Those who are addicted to heroin and stop using the drug abruptly may have severe withdrawal. Withdrawal symptoms—which can begin as early as a few hours after the drug was last taken—include: restlessness severe muscle and bone pain sleep problems diarrhea and vomiting cold flashes with goose bumps ("cold turkey") uncontrollable leg movements ("kicking the habit") severe heroin cravings Researchers are studying the long-term effects of opioid addiction on the brain. Studies have shown some loss of the brain’s white matter associated with heroin use, which may affect decision-making, behavior control, and responses to stressful situations.4–6 How is heroin addiction treated? A range of treatments including medicines and behavioral therapies are effective in helping people stop heroin use. It’s important to match the best treatment approach to meet the particular needs of each individual patient. Medicines include buprenorphine and methadone. They work by binding to the same opioid receptors in the brain as heroin, but more weakly, reducing cravings and withdrawal symptoms. Another treatment is naltrexone, which blocks opioid receptors and prevents opioid drugs from having an effect. Behavioral therapies for heroin addiction include methods called cognitive-behavioral therapy and contingency management. Cognitive-behavioral therapy helps modify the patient’s drug-use expectations and behaviors, and helps effectively manage triggers and stress. Contingency management provides motivational incentives, such as vouchers or small cash rewards for positive behaviors such as staying drug-free. These behavioral treatment approaches are especially effective when used along with medicines. Read more about drug addiction treatment in our Treatment Approaches for Drug Addiction DrugFacts. Points to Remember Heroin is an opioid drug made from morphine, a natural substance taken from the seed pod of various opium poppy plants. Heroin can be a white or brown powder, or a black sticky substance known as black tar heroin. People inject, sniff, snort, or smoke heroin. Some people mix heroin with crack cocaine, called speedballing. Heroin enters the brain rapidly and binds to opioid receptors on cells located in many areas, especially those involved in feelings of pain and pleasure and in controlling heart rate, sleeping, and breathing. People who use heroin report feeling a "rush" (or euphoria). Other common effects include dry mouth, heavy feelings in the arms and legs, and clouded mental functioning. Long-term effects may include collapsed veins, infection of the heart lining and valves, abscesses, and lung complications. Research suggests that misuse of prescription opioid pain medicine is a risk factor for starting heroin use. A person can overdose on heroin. Naloxone is a medicine that can treat a heroin overdose when given right away, though more than one dose may be needed. Heroin can lead to addiction, a form of substance use disorder. Withdrawal symptoms include severe muscle and bone pain, sleep problems, diarrhea and vomiting, and severe heroin cravings. A range of treatments including medicines and behavioral therapies are effective in helping people stop heroin use. However, treatment plans should be individualized to meet the needs of the patient. Learn More For more information about heroin, visit our: Heroin webpage Opioids webpage Commonly Abused Drugs chart Medications to Treat Opioid Addiction Research Report References Muhuri PK, Gfroerer JC, Davies MC. Associations of Nonmedical Pain Reliever Use and Initiation of Heroin Use in the United States. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2013. http://archive.samhsa.gov/data/2k13/DataReview/DR006/nonmedical-pain-reliever-use-2013.pdf. Accessed May 13, 2016. Jones CM. Heroin use and heroin use risk behaviors among nonmedical users of prescription opioid pain relievers - United States, 2002-2004 and 2008-2010. Drug Alcohol Depend. 2013;132(1-2):95-100. doi:10.1016/j.drugalcdep.2013.01.007. Centers for Disease Control and Prevention (CDC). Multiple Cause of Death, 1999-2015. CDC WONDER Online Database. https://wonder.cdc.gov/mcd-icd10.html. Accessed April 4, 2017. Li W, Li Q, Zhu J, et al. White matter impairment in chronic heroin dependence: a quantitative DTI study. Brain Res. 2013;1531:58-64. doi:10.1016/j.brainres.2013.07.036. Liu J, Qin W, Yuan K, et al. Interaction between dysfunctional connectivity at rest and heroin cues-induced brain responses in male abstinent heroin-dependent individuals. PloS One. 2011;6(10):e23098. doi:10.1371/journal.pone.0023098. Qiu Y, Jiang G, Su H, et al. Progressive white matter microstructure damage in male chronic heroin dependent individuals: a DTI and TBSS seding by new mothers being treated with buprenorphine Stronger Relief for Neuropathic Pain NIDA Notes: The Latest in Drug Abuse Research Lesson Plan anPatients & Families Parents & Educators Children & Teens NIDA Search enter keywords Search Connect with NIDA: Facebook LinkedIn Twitter YouTube Flickr RSS Home Drugs of Abuse Related Topics Publications Funding News & Events About NIDA Print Home » Publications » DrugFacts » Heroin Heroin Share Revised July 2017 Photo of heroin powder. Photo by DEA What is heroin? Heroin is an opioid drug made from morphine, a natural substance taken from the seed pod of the various opium poppy plants grown in Southeast and Southwest Asia, Mexico, and Colombia. Heroin can be a white or brown powder, or a black sticky substance known as black tar heroin. Other common names for heroin include big H, horse, hell dust, and smack. How do people use heroin? People inject, sniff, snort, or smoke heroin. Some people mix heroin with crack cocaine, a practice called speedballing. What are the effects of heroin? Heroin enters the brain rapidly and binds to opioid receptors on cells located in many areas, especially those involved in feelings of pain and pleasure and in controlling heart rate, sleeping, and breathing. Prescription Opioids and Heroin Prescription opioid pain medicines such as OxyContin® and Vicodin® have effects similar to heroin. Research suggests that misuse of these drugs may open the door to heroin use. Nearly 80 percent of Americans using heroin (including those in treatment) reported misusing prescription opioids first.1,2 While prescription opioid misuse is a risk factor for starting heroin use, only a small fraction of people who misuse pain relievers switch to heroin. According to a national survey, less than 4 percent of people who had misused prescription pain medicines started using heroin within 5 years.1 This suggests that prescription opioid misuse is just one factor leading to heroin use. Read more about this intertwined problem in our Prescription Opioids and Heroin Research Report. Short-Term Effects People who use heroin report feeling a "rush" (a surge of pleasure, or euphoria). However, there are other common effects, including: dry mouth warm flushing of the skin heavy feeling in the arms and legs nausea and vomiting severe itching clouded mental functioning going "on the nod," a back-and-forth state of being conscious and semiconscious Long-Term Effects People who use heroin over the long term may develop: insomnia collapsed veins for people who inject the drug damaged tissue inside the nose for people who sniff or snort it infection of the heart lining and valves abscesses (swollen tissue filled with pus) constipation and stomach cramping liver and kidney disease lung complications, including pneumonia mental disorders such as depression and antisocial personality disorder sexual dysfunction for men irregular menstrual cycles for women Injection Drug Use, HIV, and Hepatitis People who inject drugs such as heroin are at high risk of contracting the HIV and hepatitis C (HCV) virus. These diseases are transmitted through contact with blood or other bodily fluids, which can occur when sharing needles or other injection drug use equipment. HCV is the most common bloodborne infection in the Unites States. HIV (and less often HCV) can also be contracted during unprotected sex, which drug use makes more likely. Read more about the connection between heroin and these diseases in our Heroin Research Report. Other Potential Effects Heroin often contains additives, such as sugar, starch, or powdered milk, that can clog blood vessels leading to the lungs, liver, kidneys, or brain, causing permanent damage. Also, sharing drug injection equipment and having impaired judgment from drug use can increase the risk of contracting infectious diseases such as HIV and hepatitis (see "Injection Drug Use, HIV, and Hepatitis"). Can a person overdose on heroin? Yes, a person can overdose on heroin. A heroin overdose occurs when a person uses enough of the drug to produce a life-threatening reaction or death. Heroin overdoses have increased in recent years.3 When people overdose on heroin, their breathing often slows or stops. This can decrease the amount of oxygen that reaches the brain, a condition called hypoxia. Hypoxia can have short- and long-term mental effects and effects on the nervous system, including coma and permanent brain damage. How can a heroin overdose be treated? Naloxone is a medicine that can treat an opioid overdose when given right away. It works by rapidly binding to opioid receptors and blocking the effects of heroin and other opioid drugs. Sometimes more than one dose may be needed to help a person start breathing again, which is why it’s important to get the person to an emergency department or a doctor to receive additional support if needed. Read more in the Substance Abuse and Mental Health Services Administration’s Opioid Overdose Prevention Toolkit. Naloxone is available as an injectable (needle) solution, a handheld auto-injector (EVZIO®), and a nasal spray (NARCAN® Nasal Spray). Friends, family, and others in the community can use the auto-injector and nasal spray versions of naloxone to save someone who is overdosing. The rising number of opioid overdose deaths has led to an increase in public health efforts to make naloxone available to at-risk persons and their families, as well as first responders and others in the community. Some states have passed laws that allow pharmacists to dispense naloxone without a prescription from a person’s personal doctor. Read more about naloxone at our Naloxone webpage. Photo of a nauseated young woman standing in a bathroom. Photo by ©iStock.com/KatarzynaBialasiewicz Is heroin addictive? Heroin is highly addictive. People who regularly use heroin often develop a tolerance, which means that they need higher and/or more frequent doses of the drug to get the desired effects. A substance use disorder (SUD) is when continued use of the drug causes issues, such as health problems and failure to meet responsibilities at work, school, or home. An SUD can range from mild to severe, the most severe form being addiction. Those who are addicted to heroin and stop using the drug abruptly may have severe withdrawal. Withdrawal symptoms—which can begin as early as a few hours after the drug was last taken—include: restlessness severe muscle and bone pain sleep problems diarrhea and vomiting cold flashes with goose bumps ("cold turkey") uncontrollable leg movements ("kicking the habit") severe heroin cravings Researchers are studying the long-term effects of opioid addiction on the brain. Studies have shown some loss of the brain’s white matter associated with heroin use, which may affect decision-making, behavior control, and responses to stressful situations.4–6 How is heroin addiction treated? A range of treatments including medicines and behavioral therapies are effective in helping people stop heroin use. It’s important to match the best treatment approach to meet the particular needs of each individual patient. Medicines include buprenorphine and methadone. They work by binding to the same opioid receptors in the brain as heroin, but more weakly, reducing cravings and withdrawal symptoms. Another treatment is naltrexone, which blocks opioid receptors and prevents opioid drugs from having an effect. Behavioral therapies for heroin addiction include methods called cognitive-behavioral therapy and contingency management. Cognitive-behavioral therapy helps modify the patient’s drug-use expectations and behaviors, and helps effectively manage triggers and stress. Contingency management provides motivational incentives, such as vouchers or small cash rewards for positive behaviors such as staying drug-free. These behavioral treatment approaches are especially effective when used along with medicines. Read more about drug addiction treatment in our Treatment Approaches for Drug Addiction DrugFacts. Points to Remember Heroin is an opioid drug made from morphine, a natural substance taken from the seed pod of various opium poppy plants. Heroin can be a white or brown powder, or a black sticky substance known as black tar heroin. People inject, sniff, snort, or smoke heroin. Some people mix heroin with crack cocaine, called speedballing. Heroin enters the brain rapidly and binds to opioid receptors on cells located in many areas, especially those involved in feelings of pain and pleasure and in controlling heart rate, sleeping, and breathing. People who use heroin report feeling a "rush" (or euphoria). Other common effects include dry mouth, heavy feelings in the arms and legs, and clouded mental functioning. Long-term effects may include collapsed veins, infection of the heart lining and valves, abscesses, and lung complications. Research suggests that misuse of prescription opioid pain medicine is a risk factor for starting heroin use. A person can overdose on heroin. Naloxone is a medicine that can treat a heroin overdose when given right away, though more than one dose may be needed. Heroin can lead to addiction, a form of substance use disorder. Withdrawal symptoms include severe muscle and bone pain, sleep problems, diarrhea and vomiting, and severe heroin cravings. A range of treatments including medicines and behavioral therapies are effective in helping people stop heroin use. However, treatment plans should be individualized to meet the needs of the patient. Learn More For more information about heroin, visit our: Heroin webpage Opioids webpage Commonly Abused Drugs chart Medications to Treat Opioid Addiction Research Report References Muhuri PK, Gfroerer JC, Davies MC. Associations of Nonmedical Pain Reliever Use and Initiation of Heroin Use in the United States. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2013. http://archive.samhsa.gov/data/2k13/DataReview/DR006/nonmedical-pain-reliever-use-2013.pdf. Accessed May 13, 2016. Jones CM. Heroin use and heroin use risk behaviors among nonmedical users of prescription opioid pain relievers - United States, 2002-2004 and 2008-2010. Drug Alcohol Depend. 2013;132(1-2):95-100. doi:10.1016/j.drugalcdep.2013.01.007. Centers for Disease Control and Prevention (CDC). Multiple Cause of Death, 1999-2015. CDC WONDER Online Database. https://wonder.cdc.gov/mcd-icd10.html. Accessed April 4, 2017. Li W, Li Q, Zhu J, et al. White matter impairment in chronic heroin dependence: a quantitative DTI study. Brain Res. 2013;1531:58-64. doi:10.1016/j.brainres.2013.07.036. Liu J, Qin W, Yuan K, et al. Interaction between dysfunctional connectivity at rest and heroin cues-induced brain responses in male abstinent heroin-dependent individuals. PloS One. 2011;6(10):e23098. doi:10.1371/journal.pone.0023098. Qiu Y, Jiang G, Su H, et al. Progressive white matter microstructure damage in male chronic heroin dependent individuals: a DTI and TBSS seding by new mothers being treated with buprenorphine Stronger Relief for Neuropathic Pain NIDA Notes: The Latest in Drug Abuse Research Lesson Plan anPatients & Families Parents & Educators Children & Teens NIDA Search enter keywords Search Connect with NIDA: Facebook LinkedIn Twitter YouTube Flickr RSS Home Drugs of Abuse Related Topics Publications Funding News & Events About NIDA Print Home » Publications » DrugFacts » Heroin Heroin Share Revised July 2017 Photo of heroin powder. Photo by DEA What is heroin? Heroin is an opioid drug made from morphine, a natural substance taken from the seed pod of the various opium poppy plants grown in Southeast and Southwest Asia, Mexico, and Colombia. Heroin can be a white or brown powder, or a black sticky substance known as black tar heroin. Other common names for heroin include big H, horse, hell dust, and smack. How do people use heroin? People inject, sniff, snort, or smoke heroin. Some people mix heroin with crack cocaine, a practice called speedballing. What are the effects of heroin? Heroin enters the brain rapidly and binds to opioid receptors on cells located in many areas, especially those involved in feelings of pain and pleasure and in controlling heart rate, sleeping, and breathing. Prescription Opioids and Heroin Prescription opioid pain medicines such as OxyContin® and Vicodin® have effects similar to heroin. Research suggests that misuse of these drugs may open the door to heroin use. Nearly 80 percent of Americans using heroin (including those in treatment) reported misusing prescription opioids first.1,2 While prescription opioid misuse is a risk factor for starting heroin use, only a small fraction of people who misuse pain relievers switch to heroin. According to a national survey, less than 4 percent of people who had misused prescription pain medicines started using heroin within 5 years.1 This suggests that prescription opioid misuse is just one factor leading to heroin use. Read more about this intertwined problem in our Prescription Opioids and Heroin Research Report. Short-Term Effects People who use heroin report feeling a "rush" (a surge of pleasure, or euphoria). However, there are other common effects, including: dry mouth warm flushing of the skin heavy feeling in the arms and legs nausea and vomiting severe itching clouded mental functioning going "on the nod," a back-and-forth state of being conscious and semiconscious Long-Term Effects People who use heroin over the long term may develop: insomnia collapsed veins for people who inject the drug damaged tissue inside the nose for people who sniff or snort it infection of the heart lining and valves abscesses (swollen tissue filled with pus) constipation and stomach cramping liver and kidney disease lung complications, including pneumonia mental disorders such as depression and antisocial personality disorder sexual dysfunction for men irregular menstrual cycles for women Injection Drug Use, HIV, and Hepatitis People who inject drugs such as heroin are at high risk of contracting the HIV and hepatitis C (HCV) virus. These diseases are transmitted through contact with blood or other bodily fluids, which can occur when sharing needles or other injection drug use equipment. HCV is the most common bloodborne infection in the Unites States. HIV (and less often HCV) can also be contracted during unprotected sex, which drug use makes more likely. Read more about the connection between heroin and these diseases in our Heroin Research Report. Other Potential Effects Heroin often contains additives, such as sugar, starch, or powdered milk, that can clog blood vessels leading to the lungs, liver, kidneys, or brain, causing permanent damage. Also, sharing drug injection equipment and having impaired judgment from drug use can increase the risk of contracting infectious diseases such as HIV and hepatitis (see "Injection Drug Use, HIV, and Hepatitis"). Can a person overdose on heroin? Yes, a person can overdose on heroin. A heroin overdose occurs when a person uses enough of the drug to produce a life-threatening reaction or death. Heroin overdoses have increased in recent years.3 When people overdose on heroin, their breathing often slows or stops. This can decrease the amount of oxygen that reaches the brain, a condition called hypoxia. Hypoxia can have short- and long-term mental effects and effects on the nervous system, including coma and permanent brain damage. How can a heroin overdose be treated? Naloxone is a medicine that can treat an opioid overdose when given right away. It works by rapidly binding to opioid receptors and blocking the effects of heroin and other opioid drugs. Sometimes more than one dose may be needed to help a person start breathing again, which is why it’s important to get the person to an emergency department or a doctor to receive additional support if needed. Read more in the Substance Abuse and Mental Health Services Administration’s Opioid Overdose Prevention Toolkit. Naloxone is available as an injectable (needle) solution, a handheld auto-injector (EVZIO®), and a nasal spray (NARCAN® Nasal Spray). Friends, family, and others in the community can use the auto-injector and nasal spray versions of naloxone to save someone who is overdosing. The rising number of opioid overdose deaths has led to an increase in public health efforts to make naloxone available to at-risk persons and their families, as well as first responders and others in the community. Some states have passed laws that allow pharmacists to dispense naloxone without a prescription from a person’s personal doctor. Read more about naloxone at our Naloxone webpage. Photo of a nauseated young woman standing in a bathroom. Photo by ©iStock.com/KatarzynaBialasiewicz Is heroin addictive? Heroin is highly addictive. People who regularly use heroin often develop a tolerance, which means that they need higher and/or more frequent doses of the drug to get the desired effects. A substance use disorder (SUD) is when continued use of the drug causes issues, such as health problems and failure to meet responsibilities at work, school, or home. An SUD can range from mild to severe, the most severe form being addiction. Those who are addicted to heroin and stop using the drug abruptly may have severe withdrawal. Withdrawal symptoms—which can begin as early as a few hours after the drug was last taken—include: restlessness severe muscle and bone pain sleep problems diarrhea and vomiting cold flashes with goose bumps ("cold turkey") uncontrollable leg movements ("kicking the habit") severe heroin cravings Researchers are studying the long-term effects of opioid addiction on the brain. Studies have shown some loss of the brain’s white matter associated with heroin use, which may affect decision-making, behavior control, and responses to stressful situations.4–6 How is heroin addiction treated? A range of treatments including medicines and behavioral therapies are effective in helping people stop heroin use. It’s important to match the best treatment approach to meet the particular needs of each individual patient. Medicines include buprenorphine and methadone. They work by binding to the same opioid receptors in the brain as heroin, but more weakly, reducing cravings and withdrawal symptoms. Another treatment is naltrexone, which blocks opioid receptors and prevents opioid drugs from having an effect. Behavioral therapies for heroin addiction include methods called cognitive-behavioral therapy and contingency management. Cognitive-behavioral therapy helps modify the patient’s drug-use expectations and behaviors, and helps effectively manage triggers and stress. Contingency management provides motivational incentives, such as vouchers or small cash rewards for positive behaviors such as staying drug-free. These behavioral treatment approaches are especially effective when used along with medicines. Read more about drug addiction treatment in our Treatment Approaches for Drug Addiction DrugFacts. Points to Remember Heroin is an opioid drug made from morphine, a natural substance taken from the seed pod of various opium poppy plants. Heroin can be a white or brown powder, or a black sticky substance known as black tar heroin. People inject, sniff, snort, or smoke heroin. Some people mix heroin with crack cocaine, called speedballing. Heroin enters the brain rapidly and binds to opioid receptors on cells located in many areas, especially those involved in feelings of pain and pleasure and in controlling heart rate, sleeping, and breathing. People who use heroin report feeling a "rush" (or euphoria). Other common effects include dry mouth, heavy feelings in the arms and legs, and clouded mental functioning. Long-term effects may include collapsed veins, infection of the heart lining and valves, abscesses, and lung complications. Research suggests that misuse of prescription opioid pain medicine is a risk factor for starting heroin use. A person can overdose on heroin. Naloxone is a medicine that can treat a heroin overdose when given right away, though more than one dose may be needed. Heroin can lead to addiction, a form of substance use disorder. Withdrawal symptoms include severe muscle and bone pain, sleep problems, diarrhea and vomiting, and severe heroin cravings. A range of treatments including medicines and behavioral therapies are effective in helping people stop heroin use. However, treatment plans should be individualized to meet the needs of the patient. Learn More For more information about heroin, visit our: Heroin webpage Opioids webpage Commonly Abused Drugs chart Medications to Treat Opioid Addiction Research Report References Muhuri PK, Gfroerer JC, Davies MC. Associations of Nonmedical Pain Reliever Use and Initiation of Heroin Use in the United States. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2013. http://archive.samhsa.gov/data/2k13/DataReview/DR006/nonmedical-pain-reliever-use-2013.pdf. Accessed May 13, 2016. Jones CM. Heroin use and heroin use risk behaviors among nonmedical users of prescription opioid pain relievers - United States, 2002-2004 and 2008-2010. Drug Alcohol Depend. 2013;132(1-2):95-100. doi:10.1016/j.drugalcdep.2013.01.007. Centers for Disease Control and Prevention (CDC). Multiple Cause of Death, 1999-2015. CDC WONDER Online Database. https://wonder.cdc.gov/mcd-icd10.html. Accessed April 4, 2017. Li W, Li Q, Zhu J, et al. White matter impairment in chronic heroin dependence: a quantitative DTI study. Brain Res. 2013;1531:58-64. doi:10.1016/j.brainres.2013.07.036. Liu J, Qin W, Yuan K, et al. Interaction between dysfunctional connectivity at rest and heroin cues-induced brain responses in male abstinent heroin-dependent individuals. PloS One. 2011;6(10):e23098. doi:10.1371/journal.pone.0023098. Qiu Y, Jiang G, Su H, et al. Progressive white matter microstructure damage in male chronic heroin dependent individuals: a DTI and TBSS seding by new mothers being treated with buprenorphine Stronger Relief for Neuropathic Pain NIDA Notes: The Latest in Drug Abuse Research Lesson Plan anPatients & Families Parents & Educators Children & Teens NIDA Search enter keywords Search Connect with NIDA: Facebook LinkedIn Twitter YouTube Flickr RSS Home Drugs of Abuse Related Topics Publications Funding News & Events About NIDA Print Home » Publications » DrugFacts » Heroin Heroin Share Revised July 2017 Photo of heroin powder. Photo by DEA What is heroin? Heroin is an opioid drug made from morphine, a natural substance taken from the seed pod of the various opium poppy plants grown in Southeast and Southwest Asia, Mexico, and Colombia. Heroin can be a white or brown powder, or a black sticky substance known as black tar heroin. Other common names for heroin include big H, horse, hell dust, and smack. How do people use heroin? People inject, sniff, snort, or smoke heroin. Some people mix heroin with crack cocaine, a practice called speedballing. What are the effects of heroin? Heroin enters the brain rapidly and binds to opioid receptors on cells located in many areas, especially those involved in feelings of pain and pleasure and in controlling heart rate, sleeping, and breathing. Prescription Opioids and Heroin Prescription opioid pain medicines such as OxyContin® and Vicodin® have effects similar to heroin. Research suggests that misuse of these drugs may open the door to heroin use. Nearly 80 percent of Americans using heroin (including those in treatment) reported misusing prescription opioids first.1,2 While prescription opioid misuse is a risk factor for starting heroin use, only a small fraction of people who misuse pain relievers switch to heroin. According to a national survey, less than 4 percent of people who had misused prescription pain medicines started using heroin within 5 years.1 This suggests that prescription opioid misuse is just one factor leading to heroin use. Read more about this intertwined problem in our Prescription Opioids and Heroin Research Report. Short-Term Effects People who use heroin report feeling a "rush" (a surge of pleasure, or euphoria). However, there are other common effects, including: dry mouth warm flushing of the skin heavy feeling in the arms and legs nausea and vomiting severe itching clouded mental functioning going "on the nod," a back-and-forth state of being conscious and semiconscious Long-Term Effects People who use heroin over the long term may develop: insomnia collapsed veins for people who inject the drug damaged tissue inside the nose for people who sniff or snort it infection of the heart lining and valves abscesses (swollen tissue filled with pus) constipation and stomach cramping liver and kidney disease lung complications, including pneumonia mental disorders such as depression and antisocial personality disorder sexual dysfunction for men irregular menstrual cycles for women Injection Drug Use, HIV, and Hepatitis People who inject drugs such as heroin are at high risk of contracting the HIV and hepatitis C (HCV) virus. These diseases are transmitted through contact with blood or other bodily fluids, which can occur when sharing needles or other injection drug use equipment. HCV is the most common bloodborne infection in the Unites States. HIV (and less often HCV) can also be contracted during unprotected sex, which drug use makes more likely. Read more about the connection between heroin and these diseases in our Heroin Research Report. Other Potential Effects Heroin often contains additives, such as sugar, starch, or powdered milk, that can clog blood vessels leading to the lungs, liver, kidneys, or brain, causing permanent damage. Also, sharing drug injection equipment and having impaired judgment from drug use can increase the risk of contracting infectious diseases such as HIV and hepatitis (see "Injection Drug Use, HIV, and Hepatitis"). Can a person overdose on heroin? Yes, a person can overdose on heroin. A heroin overdose occurs when a person uses enough of the drug to produce a life-threatening reaction or death. Heroin overdoses have increased in recent years.3 When people overdose on heroin, their breathing often slows or stops. This can decrease the amount of oxygen that reaches the brain, a condition called hypoxia. Hypoxia can have short- and long-term mental effects and effects on the nervous system, including coma and permanent brain damage. How can a heroin overdose be treated? Naloxone is a medicine that can treat an opioid overdose when given right away. It works by rapidly binding to opioid receptors and blocking the effects of heroin and other opioid drugs. Sometimes more than one dose may be needed to help a person start breathing again, which is why it’s important to get the person to an emergency department or a doctor to receive additional support if needed. Read more in the Substance Abuse and Mental Health Services Administration’s Opioid Overdose Prevention Toolkit. Naloxone is available as an injectable (needle) solution, a handheld auto-injector (EVZIO®), and a nasal spray (NARCAN® Nasal Spray). Friends, family, and others in the community can use the auto-injector and nasal spray versions of naloxone to save someone who is overdosing. The rising number of opioid overdose deaths has led to an increase in public health efforts to make naloxone available to at-risk persons and their families, as well as first responders and others in the community. Some states have passed laws that allow pharmacists to dispense naloxone without a prescription from a person’s personal doctor. Read more about naloxone at our Naloxone webpage. Photo of a nauseated young woman standing in a bathroom. Photo by ©iStock.com/KatarzynaBialasiewicz Is heroin addictive? Heroin is highly addictive. People who regularly use heroin often develop a tolerance, which means that they need higher and/or more frequent doses of the drug to get the desired effects. A substance use disorder (SUD) is when continued use of the drug causes issues, such as health problems and failure to meet responsibilities at work, school, or home. An SUD can range from mild to severe, the most severe form being addiction. Those who are addicted to heroin and stop using the drug abruptly may have severe withdrawal. Withdrawal symptoms—which can begin as early as a few hours after the drug was last taken—include: restlessness severe muscle and bone pain sleep problems diarrhea and vomiting cold flashes with goose bumps ("cold turkey") uncontrollable leg movements ("kicking the habit") severe heroin cravings Researchers are studying the long-term effects of opioid addiction on the brain. Studies have shown some loss of the brain’s white matter associated with heroin use, which may affect decision-making, behavior control, and responses to stressful situations.4–6 How is heroin addiction treated? A range of treatments including medicines and behavioral therapies are effective in helping people stop heroin use. It’s important to match the best treatment approach to meet the particular needs of each individual patient. Medicines include buprenorphine and methadone. They work by binding to the same opioid receptors in the brain as heroin, but more weakly, reducing cravings and withdrawal symptoms. Another treatment is naltrexone, which blocks opioid receptors and prevents opioid drugs from having an effect. Behavioral therapies for heroin addiction include methods called cognitive-behavioral therapy and contingency management. Cognitive-behavioral therapy helps modify the patient’s drug-use expectations and behaviors, and helps effectively manage triggers and stress. Contingency management provides motivational incentives, such as vouchers or small cash rewards for positive behaviors such as staying drug-free. These behavioral treatment approaches are especially effective when used along with medicines. Read more about drug addiction treatment in our Treatment Approaches for Drug Addiction DrugFacts. Points to Remember Heroin is an opioid drug made from morphine, a natural substance taken from the seed pod of various opium poppy plants. Heroin can be a white or brown powder, or a black sticky substance known as black tar heroin. People inject, sniff, snort, or smoke heroin. Some people mix heroin with crack cocaine, called speedballing. Heroin enters the brain rapidly and binds to opioid receptors on cells located in many areas, especially those involved in feelings of pain and pleasure and in controlling heart rate, sleeping, and breathing. People who use heroin report feeling a "rush" (or euphoria). Other common effects include dry mouth, heavy feelings in the arms and legs, and clouded mental functioning. Long-term effects may include collapsed veins, infection of the heart lining and valves, abscesses, and lung complications. Research suggests that misuse of prescription opioid pain medicine is a risk factor for starting heroin use. A person can overdose on heroin. Naloxone is a medicine that can treat a heroin overdose when given right away, though more than one dose may be needed. Heroin can lead to addiction, a form of substance use disorder. Withdrawal symptoms include severe muscle and bone pain, sleep problems, diarrhea and vomiting, and severe heroin cravings. A range of treatments including medicines and behavioral therapies are effective in helping people stop heroin use. However, treatment plans should be individualized to meet the needs of the patient. Learn More For more information about heroin, visit our: Heroin webpage Opioids webpage Commonly Abused Drugs chart Medications to Treat Opioid Addiction Research Report References Muhuri PK, Gfroerer JC, Davies MC. Associations of Nonmedical Pain Reliever Use and Initiation of Heroin Use in the United States. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2013. http://archive.samhsa.gov/data/2k13/DataReview/DR006/nonmedical-pain-reliever-use-2013.pdf. Accessed May 13, 2016. Jones CM. Heroin use and heroin use risk behaviors among nonmedical users of prescription opioid pain relievers - United States, 2002-2004 and 2008-2010. Drug Alcohol Depend. 2013;132(1-2):95-100. doi:10.1016/j.drugalcdep.2013.01.007. Centers for Disease Control and Prevention (CDC). Multiple Cause of Death, 1999-2015. CDC WONDER Online Database. https://wonder.cdc.gov/mcd-icd10.html. Accessed April 4, 2017. Li W, Li Q, Zhu J, et al. White matter impairment in chronic heroin dependence: a quantitative DTI study. Brain Res. 2013;1531:58-64. doi:10.1016/j.brainres.2013.07.036. Liu J, Qin W, Yuan K, et al. Interaction between dysfunctional connectivity at rest and heroin cues-induced brain responses in male abstinent heroin-dependent individuals. PloS One. 2011;6(10):e23098. doi:10.1371/journal.pone.0023098. Qiu Y, Jiang G, Su H, et al. Progressive white matter microstructure damage in male chronic heroin dependent individuals: a DTI and TBSS seding by new mothers being treated with buprenorphine Stronger Relief for Neuropathic Pain NIDA Nots: The Latest in Drug Abuse Researh Lesson Plan an

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The “Ultimate Stretch” is great technique especially for those who want to improve their length. It is a simple tactic that involves just stretching your flaccid little buddy out. Here are detailed directions: Take your time for a proper warm-up phase. Retract your foreskin and grasp your phallus behind (about one inch below) its head/glans firmly. You should feel no pain or significant discomfort (do not cut off too much blood circulation). Pull it outwards with enough force to feel painless stretch inside your shaft. Hold that position for 20 to 30 seconds. If needed, rest for 5 seconds. Repeat steps 2 to 4 but this time pull it upwards to your belly button. Repeat but this time pull it downwards to your knees. Repeat but this time pull it to your right side. Repeat but this time pull it to your left side. Take your time to go through a cool down phase.Does penis size matter for women? The question most men probably care for most. While many woman claim that penis size isn’t important for them and it’s all about the right technique and a loving partner treating them well, that’s only half the truth. In totally anonymous surveys, the number of women claiming that penis size is important for them, at least from a aesthetic viewpoint, is significantly higher than in face to face surveys. The “Ultimate Stretch” is great technique especially for those who want to improve their length. It is a simple tactic that involves just stretching your flaccid little buddy out. Here are detailed directions: Take your time for a proper warm-up phase. Retract your foreskin and grasp your phallus behind (about one inch below) its head/glans firmly. You should feel no pain or significant discomfort (do not cut off too much blood circulation). Pull it outwards with enough force to feel painless stretch inside your shaft. Hold that position for 20 to 30 seconds. If needed, rest for 5 seconds. Repeat steps 2 to 4 but this time pull it upwards to your belly button. Repeat but this time pull it downwards to your knees. Repeat but this time pull it to your right side. Repeat but this time pull it to your left side. Take your time to go through a cool down phase.Does penis size matter for women? The question most men probably care for most. While many woman claim that penis size isn’t important for them and it’s all about the right technique and a loving partner treating them well, that’s only half the truth. In totally anonymous surveys, the number of women claiming that penis size is important for them, at least from a aesthetic viewpoint, is significantly higher than in face to face surveys. This fact doesn’t mean a smaller penis can’t satisfy a women, it doesn’t mean you can’t have a perfect sex life with a small penis, but the the harsh truth is: Size matters, at least for some women. No need to panic if you have a small penis, according to a combined study of several reasearch institutes since 1942, 85% of all women are happy with the penis size of their partner, while only 55% of all men are happy with their own penis. So, the percieved problem is bigger than the real one. Good news: Too big isn’t good, if you are hung like a horse chances are high that intercourse isn’t possible in some positions since it hurts. While being very stretchable, the average vagina is only about 4.5 inch deep. So, average or a little below average can have it’s advantages as well, especially if you perfer practices like anal sex.Can food or supplements help my penis grow? Neither food nor any supplements influence penis growth or size. That’s the reason why all the so called penis pills offered on the internet simply don’t work at all, don’t believe all the fake promises. All those pills increase the blood flow only, which may cause a little harder erections, but the effect instantly stops once you stop taking those pills. So, a lot of wasted money for a minimal and non-permanent effect. It’s tempting, the sellers of those pills will show you doctors smiling from their websites, pseudo scientific studies from India they paid for, raving testimonials from famous pornstars but it’s just a huge scam scheme. It’s an extremely profitable business, selling cheap herbs for astronomical prices, combined with often shady long term recurring billing that’s hard to cancel. Bottom line: Penis pills are pure “snake oil” often made of cheap ingredients importet from China, overpriced and even potentially harmful for you health. Especially the contamination with heavy metals and carcinogenic colorings is a possible problem. Some sellers claim their products are manufactured in FDA approved laboratories, but this doesn’t mean the product itself is controlled by the FDA, like prescription drugs. Even worse, many of these pills contain undeclared substances to make buyer believe the product works. There are hundreds of different so called penis enalrgement pills on the FDAs official “Tainted Sexual Health Products” warning list, including some very well known and popular pill brands. The hidden drug ingredients are often Sildenafil, Tadalafil or Vardenafil, subtances used to treat erection problems, short ED (erectile dysfunction). While these prescription only drugs can help patients suffering from ED, they can also have dangerous side effects and interactions, especially for people taking certain cardiac drugs. In the worst case, they can cause heart attacks, there are several verified actual deaths related to dubious penis pills. Don’t risk your life and stay away from enhancement pills, no matter how tempting the advertsing or fake reviews sound. Go for effective natural training instead.GET A BIGGER PENIS Make the most of your manhood with Men’s Health‘s tips Men's Health By Men's Health Posted on October 8, 2009 ShareTweetShareToggle It's your problem “Let’s get one thing straight,” says sex adviser Dr Pam Spurr, and author of Sensational Sex: the revolutionary guide to sexual pleasure and fulfilment (Robson Books). “Penis size is your problem – 99% of women are happy with what you’ve got to offer.” And if you are on the smaller side of average, use another appendage – your fingers, your toes, your tongue, whatever it takes – to get her to orgasm. “Women aren’t so different to men,” says Spurr. “They’re delighted if they reach climax – you’d be hard pushed to find a women who had an orgasm yet complained about the size of your penis.” So now we’ve taken a woman’s satisfaction out of the equation, let’s deal with your problem. “It’s a confidence issue,” says Emily Dubberley, author of Brief Encounters: a woman’s guide to casual sex (Vision). “Regardless of size, some men are simply more inclined to be happy with what they’ve got and these are the men who are usually more relaxed in bed and more fun. Guys who feel inadequate are self-conscious and that shows during sex.” How to up your confidence? Use these tips: Lose the pad That bit of extra flesh just above your pubic bone is hiding your penis under a fat-based cloak. When you’re overweight, fat is deposited at the base of the penis, making your penis look smaller and making it more difficult to penetrate your partner as deeply. Work off that unsightly flesh cloak with regular exercise and you could increase the length of your penis by up to an inch. Trim your hair Pubic hair is another cloak that hides your pride and joy. Trim the hair around the base of your penis and not only will you expose more of the shaft, you’ll make it more enjoyable for your good lady to provide you with oral pleasure. Use Durex's Play Vibrations It’s a cock ring with a difference – a tiny little vibrator is attached, which you can position to stimulate her clitoris (i.e. so it’s on the top of your penis if you’re doing it missionary-style; on the bottom, near your testicles, if from behind). This works as a fantastic distraction – the sensation is so intense she wouldn’t notice if your penis was half the size it is. Durex Play Vibrations costs £6.84 and is available at supermarkets, high-street chemists and online at www.shopdurex.com. Play in the shallows Only the first inch of a woman’s vagina has many nerve endings in it – most are housed in her vaginal lips and her clitoris. The further inside you go, the less localised sensation she has. “By focusing your efforts in the shallow part of her vaginal canal you’ll maximise stimulation to her nerve endings,” says Spurr. “This is the area that gives women most pleasure.” With these tips in your pocket, it's time to get her in the mood. Click here for tips on how from Men's Health.This fact doesn’t mean a smaller penis can’t satisfy a women, it doesn’t mean you can’t have a perfect sex life with a small penis, but the the harsh truth is: Size matters, at least for some women. No need to panic if you have a small penis, according to a combined study of several reasearch institutes since 1942, 85% of all women are happy with the penis size of their partner, while only 55% of all men are happy with their own penis. So, the percieved problem is bigger than the real one. Good news: Too big isn’t good, if you are hung like a horse chances are high that intercourse isn’t possible in some positions since it hurts. While being very stretchable, the average vagina is only about 4.5 inch deep. So, average or a little below average can have it’s advantages as well, especially if you perfer practices like anal sex.Can food or supplements help my penis grow? Neither food nor any supplements influence penis growth or size. That’s the reason why all the so called penis pills offered on the internet simply don’t work at all, don’t believe all the fake promises. All those pills increase the blood flow only, which may cause a little harder erections, but the effect instantly stops once you stop taking those pills. So, a lot of wasted money for a minimal and non-permanent effect. It’s tempting, the sellers of those pills will show you doctors smiling from their websites, pseudo scientific studies from India they paid for, raving testimonials from famous pornstars but it’s just a huge scam scheme. It’s an extremely profitable business, selling cheap herbs for astronomical prices, combined with often shady long term recurring billing that’s hard to cancel. Bottom line: Penis pills are pure “snake oil” often made of cheap ingredients importet from China, overpriced and even potentially harmful for you health. Especially the contamination with heavy metals and carcinogenic colorings is a possible problem. Some sellers claim their products are manufactured in FDA approved laboratories, but this doesn’t mean the product itself is controlled by the FDA, like prescription drugs. Even worse, many of these pills contain undeclared substances to make buyer believe the product works. There are hundreds of different so called penis enalrgement pills on the FDAs official “Tainted Sexual Health Products” warning list, including some very well known and popular pill brands. The hidden drug ingredients are often Sildenafil, Tadalafil or Vardenafil, subtances used to treat erection problems, short ED (erectile dysfunction). While these prescription only drugs can help patients suffering from ED, they can also have dangerous side effects and interactions, especially for people taking certain cardiac drugs. In the worst case, they can cause heart attacks, there are several verified actual deaths related to dubious penis pills. Don’t risk your life and stay away from enhancement pills, no matter how tempting the advertsing or fake reviews sound. Go for effective natural training instead.GET A BIGGER PENIS Make the most of your manhood with Men’s Health‘s tips Men's Health By Men's Health Posted on October 8, 2009 ShareTweetShareToggle It's your problem “Let’s get one thing straight,” says sex adviser Dr Pam Spurr, and author of Sensational Sex: the revolutionary guide to sexual pleasure and fulfilment (Robson Books). “Penis size is your problem – 99% of women are happy with what you’ve got to offer.” And if you are on the smaller side of average, use another appendage – your fingers, your toes, your tongue, whatever it takes – to get her to orgasm. “Women aren’t so different to men,” says Spurr. “They’re delighted if they reach climax – you’d be hard pushed to find a women who had an orgasm yet complained about the size of your penis.” So now we’ve taken a woman’s satisfaction out of the equation, let’s deal with your problem. “It’s a confidence issue,” says Emily Dubberley, author of Brief Encounters: a woman’s guide to casual sex (Vision). “Regardless of size, some men are simply more inclined to be happy with what they’ve got and these are the men who are usually more relaxed in bed and more fun. Guys who feel inadequate are self-conscious and that shows during sex.” How to up your confidence? Use these tips: Lose the pad That bit of extra flesh just above your pubic bone is hiding your penis under a fat-based cloak. When you’re overweight, fat is deposited at the base of the penis, making your penis look smaller and making it more difficult to penetrate your partner as deeply. Work off that unsightly flesh cloak with regular exercise and you could increase the length of your penis by up to an inch. Trim your hair Pubic hair is another cloak that hides your pride and joy. Trim the hair around the base of your penis and not only will you expose more of the shaft, you’ll make it more enjoyable for your good lady to provide you with oral pleasure. Use Durex's Play Vibrations It’s a cock ring with a difference – a tiny little vibrator is attached, which you can position to stimulate her clitoris (i.e. so it’s on the top of your penis if you’re doing it missionary-style; on the bottom, near your testicles, if from behind). This works as a fantastic distraction – the sensation is so intense she wouldn’t notice if your penis was half the size it is. Durex Play Vibrations costs £6.84 and is available at supermarkets, high-street chemists and online at www.shopdurex.com. Play in the shallows Only the first inch of a woman’s vagina has many nerve endings in it – most are housed in her vaginal lips and her clitoris. The further inside you go, the less localised sensation she has. “By focusing your efforts in the shallow part of her vaginal canal you’ll maximise stimulation to her nerve endings,” says Spurr. “This is the area that gives women most pleasure.” With these tips in your pocket, it's time to get her in the mood. Click here for tips on how from Men's Health.The “Ultimate Stretch” is great technique especially for those who want to improve their length. It is a simple tactic that involves just stretching your flaccid little buddy out. Here are detailed directions: Take your time for a proper warm-up phase. Retract your foreskin and grasp your phallus behind (about one inch below) its head/glans firmly. You should feel no pain or significant discomfort (do not cut off too much blood circulation). Pull it outwards with enough force to feel painless stretch inside your shaft. Hold that position for 20 to 30 seconds. If needed, rest for 5 seconds. Repeat steps 2 to 4 but this time pull it upwards to your belly button. Repeat but this time pull it downwards to your knees. Repeat but this time pull it to your right side. Repeat but this time pull it to your left side. Take your time to go through a cool down phase.Does penis size matter for women? The question most men probably care for most. While many woman claim that penis size isn’t important for them and it’s all about the right technique and a loving partner treating them well, that’s only half the truth. In totally anonymous surveys, the number of women claiming that penis size is important for them, at least from a aesthetic viewpoint, is significantly higher than in face to face surveys. The “Ultimate Stretch” is great technique especially for those who want to improve their length. It is a simple tactic that involves just stretching your flaccid little buddy out. Here are detailed directions: Take your time for a proper warm-up phase. Retract your foreskin and grasp your phallus behind (about one inch below) its head/glans firmly. You should feel no pain or significant discomfort (do not cut off too much blood circulation). Pull it outwards with enough force to feel painless stretch inside your shaft. Hold that position for 20 to 30 seconds. If needed, rest for 5 seconds. Repeat steps 2 to 4 but this time pull it upwards to your belly button. Repeat but this time pull it downwards to your knees. Repeat but this time pull it to your right side. Repeat but this time pull it to your left side. Take your time to go through a cool down phase.Does penis size matter for women? The question most men probably care for most. While many woman claim that penis size isn’t important for them and it’s all about the right technique and a loving partner treating them well, that’s only half the truth. In totally anonymous surveys, the number of women claiming that penis size is important for them, at least from a aesthetic viewpoint, is significantly higher than in face to face surveys. This fact doesn’t mean a smaller penis can’t satisfy a women, it doesn’t mean you can’t have a perfect sex life with a small penis, but the the harsh truth is: Size matters, at least for some women. No need to panic if you have a small penis, according to a combined study of several reasearch institutes since 1942, 85% of all women are happy with the penis size of their partner, while only 55% of all men are happy with their own penis. So, the percieved problem is bigger than the real one. Good news: Too big isn’t good, if you are hung like a horse chances are high that intercourse isn’t possible in some positions since it hurts. While being very stretchable, the average vagina is only about 4.5 inch deep. So, average or a little below average can have it’s advantages as well, especially if you perfer practices like anal sex.Can food or supplements help my penis grow? Neither food nor any supplements influence penis growth or size. That’s the reason why all the so called penis pills offered on the internet simply don’t work at all, don’t believe all the fake promises. All those pills increase the blood flow only, which may cause a little harder erections, but the effect instantly stops once you stop taking those pills. So, a lot of wasted money for a minimal and non-permanent effect. It’s tempting, the sellers of those pills will show you doctors smiling from their websites, pseudo scientific studies from India they paid for, raving testimonials from famous pornstars but it’s just a huge scam scheme. It’s an extremely profitable business, selling cheap herbs for astronomical prices, combined with often shady long term recurring billing that’s hard to cancel. Bottom line: Penis pills are pure “snake oil” often made of cheap ingredients importet from China, overpriced and even potentially harmful for you health. Especially the contamination with heavy metals and carcinogenic colorings is a possible problem. Some sellers claim their products are manufactured in FDA approved laboratories, but this doesn’t mean the product itself is controlled by the FDA, like prescription drugs. Even worse, many of these pills contain undeclared substances to make buyer believe the product works. There are hundreds of different so called penis enalrgement pills on the FDAs official “Tainted Sexual Health Products” warning list, including some very well known and popular pill brands. The hidden drug ingredients are often Sildenafil, Tadalafil or Vardenafil, subtances used to treat erection problems, short ED (erectile dysfunction). While these prescription only drugs can help patients suffering from ED, they can also have dangerous side effects and interactions, especially for people taking certain cardiac drugs. In the worst case, they can cause heart attacks, there are several verified actual deaths related to dubious penis pills. Don’t risk your life and stay away from enhancement pills, no matter how tempting the advertsing or fake reviews sound. Go for effective natural training instead.GET A BIGGER PENIS Make the most of your manhood with Men’s Health‘s tips Men's Health By Men's Health Posted on October 8, 2009 ShareTweetShareToggle It's your problem “Let’s get one thing straight,” says sex adviser Dr Pam Spurr, and author of Sensational Sex: the revolutionary guide to sexual pleasure and fulfilment (Robson Books). “Penis size is your problem – 99% of women are happy with what you’ve got to offer.” And if you are on the smaller side of average, use another appendage – your fingers, your toes, your tongue, whatever it takes – to get her to orgasm. “Women aren’t so different to men,” says Spurr. “They’re delighted if they reach climax – you’d be hard pushed to find a women who had an orgasm yet complained about the size of your penis.” So now we’ve taken a woman’s satisfaction out of the equation, let’s deal with your problem. “It’s a confidence issue,” says Emily Dubberley, author of Brief Encounters: a woman’s guide to casual sex (Vision). “Regardless of size, some men are simply more inclined to be happy with what they’ve got and these are the men who are usually more relaxed in bed and more fun. Guys who feel inadequate are self-conscious and that shows during sex.” How to up your confidence? Use these tips: Lose the pad That bit of extra flesh just above your pubic bone is hiding your penis under a fat-based cloak. When you’re overweight, fat is deposited at the base of the penis, making your penis look smaller and making it more difficult to penetrate your partner as deeply. Work off that unsightly flesh cloak with regular exercise and you could increase the length of your penis by up to an inch. Trim your hair Pubic hair is another cloak that hides your pride and joy. Trim the hair around the base of your penis and not only will you expose more of the shaft, you’ll make it more enjoyable for your good lady to provide you with oral pleasure. Use Durex's Play Vibrations It’s a cock ring with a difference – a tiny little vibrator is attached, which you can position to stimulate her clitoris (i.e. so it’s on the top of your penis if you’re doing it missionary-style; on the bottom, near your testicles, if from behind). This works as a fantastic distraction – the sensation is so intense she wouldn’t notice if your penis was half the size it is. Durex Play Vibrations costs £6.84 and is available at supermarkets, high-street chemists and online at www.shopdurex.com. Play in the shallows Only the first inch of a woman’s vagina has many nerve endings in it – most are housed in her vaginal lips and her clitoris. The further inside you go, the less localised sensation she has. “By focusing your efforts in the shallow part of her vaginal canal you’ll maximise stimulation to her nerve endings,” says Spurr. “This is the area that gives women most pleasure.” With these tips in your pocket, it's time to get her in the mood. Click here for tips on how from Men's Health.This fact doesn’t mean a smaller penis can’t satisfy a women, it doesn’t mean you can’t have a perfect sex life with a small penis, but the the harsh truth is: Size matters, at least for some women. No need to panic if you have a small penis, according to a combined study of several reasearch institutes since 1942, 85% of all women are happy with the penis size of their partner, while only 55% of all men are happy with their own penis. So, the percieved problem is bigger than the real one. Good news: Too big isn’t good, if you are hung like a horse chances are high that intercourse isn’t possible in some positions since it hurts. While being very stretchable, the average vagina is only about 4.5 inch deep. So, average or a little below average can have it’s advantages as well, especially if you perfer practices like anal sex.Can food or supplements help my penis grow? Neither food nor any supplements influence penis growth or size. That’s the reason why all the so called penis pills offered on the internet simply don’t work at all, don’t believe all the fake promises. All those pills increase the blood flow only, which may cause a little harder erections, but the effect instantly stops once you stop taking those pills. So, a lot of wasted money for a minimal and non-permanent effect. It’s tempting, the sellers of those pills will show you doctors smiling from their websites, pseudo scientific studies from India they paid for, raving testimonials from famous pornstars but it’s just a huge scam scheme. It’s an extremely profitable business, selling cheap herbs for astronomical prices, combined with often shady long term recurring billing that’s hard to cancel. Bottom line: Penis pills are pure “snake oil” often made of cheap ingredients importet from China, overpriced and even potentially harmful for you health. Especially the contamination with heavy metals and carcinogenic colorings is a possible problem. Some sellers claim their products are manufactured in FDA approved laboratories, but this doesn’t mean the product itself is controlled by the FDA, like prescription drugs. Even worse, many of these pills contain undeclared substances to make buyer believe the product works. There are hundreds of different so called penis enalrgement pills on the FDAs official “Tainted Sexual Health Products” warning list, including some very well known and popular pill brands. The hidden drug ingredients are often Sildenafil, Tadalafil or Vardenafil, subtances used to treat erection problems, short ED (erectile dysfunction). While these prescription only drugs can help patients suffering from ED, they can also have dangerous side effects and interactions, especially for people taking certain cardiac drugs. In the worst case, they can cause heart attacks, there are several verified actual deaths related to dubious penis pills. Don’t risk your life and stay away from enhancement pills, no matter how tempting the advertsing or fake reviews sound. Go for effective natural training instead.GET A BIGGER PENIS Make the most of your manhood with Men’s Health‘s tips Men's Health By Men's Health Posted on October 8, 2009 ShareTweetShareToggle It's your problem “Let’s get one thing straight,” says sex adviser Dr Pam Spurr, and author of Sensational Sex: the revolutionary guide to sexual pleasure and fulfilment (Robson Books). “Penis size is your problem – 99% of women are happy with what you’ve got to offer.” And if you are on the smaller side of average, use another appendage – your fingers, your toes, your tongue, whatever it takes – to get her to orgasm. “Women aren’t so different to men,” says Spurr. “They’re delighted if they reach climax – you’d be hard pushed to find a women who had an orgasm yet complained about the size of your penis.” So now we’ve taken a woman’s satisfaction out of the equation, let’s deal with your problem. “It’s a confidence issue,” says Emily Dubberley, author of Brief Encounters: a woman’s guide to casual sex (Vision). “Regardless of size, some men are simply more inclined to be happy with what they’ve got and these are the men who are usually more relaxed in bed and more fun. Guys who feel inadequate are self-conscious and that shows during sex.” How to up your confidence? Use these tips: Lose the pad That bit of extra flesh just above your pubic bone is hiding your penis under a fat-based cloak. When you’re overweight, fat is deposited at the base of the penis, making your penis look smaller and making it more difficult to penetrate your partner as deeply. Work off that unsightly flesh cloak with regular exercise and you could increase the length of your penis by up to an inch. Trim your hair Pubic hair is another cloak that hides your pride and joy. Trim the hair around the base of your penis and not only will you expose more of the shaft, you’ll make it more enjoyable for your good lady to provide you with oral pleasure. Use Durex's Play Vibrations It’s a cock ring with a difference – a tiny little vibrator is attached, which you can position to stimulate her clitoris (i.e. so it’s on the top of your penis if you’re doing it missionary-style; on the bottom, near your testicles, if from behind). This works as a fantastic distraction – the sensation is so intense she wouldn’t notice if your penis was half the size it is. Durex Play Vibrations costs £6.84 and is available at supermarkets, high-street chemists and online at www.shopdurex.com. Play in the shallows Only the first inch of a woman’s vagina has many nerve endings in it – most are housed in her vaginal lips and her clitoris. The further inside you go, the less localised sensation she has. “By focusing your efforts in the shallow part of her vaginal canal you’ll maximise stimulation to her nerve endings,” says Spurr. “This is the area that gives women most pleasure.” With these tips in your pocket, it's time to get her in the mood. Click here for tips on how from Men's Health.The “Ultimate Stretch” is great technique especially for those who want to improve their length. It is a simple tactic that involves just stretching your flaccid little buddy out. Here are detailed directions: Take your time for a proper warm-up phase. Retract your foreskin and grasp your phallus behind (about one inch below) its head/glans firmly. You should feel no pain or significant discomfort (do not cut off too much blood circulation). Pull it outwards with enough force to feel painless stretch inside your shaft. Hold that position for 20 to 30 seconds. If needed, rest for 5 seconds. Repeat steps 2 to 4 but this time pull it upwards to your belly button. Repeat but this time pull it downwards to your knees. Repeat but this time pull it to your right side. Repeat but this time pull it to your left side. Take your time to go through a cool down phase.Does penis size matter for women? The question most men probably care for most. While many woman claim that penis size isn’t important for them and it’s all about the right technique and a loving partner treating them well, that’s only half the truth. In totally anonymous surveys, the number of women claiming that penis size is important for them, at least from a aesthetic viewpoint, is significantly higher than in face to face surveys. The “Ultimate Stretch” is great technique especially for those who want to improve their length. It is a simple tactic that involves just stretching your flaccid little buddy out. Here are detailed directions: Take your time for a proper warm-up phase. Retract your foreskin and grasp your phallus behind (about one inch below) its head/glans firmly. You should feel no pain or significant discomfort (do not cut off too much blood circulation). Pull it outwards with enough force to feel painless stretch inside your shaft. Hold that position for 20 to 30 seconds. If needed, rest for 5 seconds. Repeat steps 2 to 4 but this time pull it upwards to your belly button. Repeat but this time pull it downwards to your knees. Repeat but this time pull it to your right side. Repeat but this time pull it to your left side. Take your time to go through a cool down phase.Does penis size matter for women? The question most men probably care for most. While many woman claim that penis size isn’t important for them and it’s all about the right technique and a loving partner treating them well, that’s only half the truth. In totally anonymous surveys, the number of women claiming that penis size is important for them, at least from a aesthetic viewpoint, is significantly higher than in face to face surveys. This fact doesn’t mean a smaller penis can’t satisfy a women, it doesn’t mean you can’t have a perfect sex life with a small penis, but the the harsh truth is: Size matters, at least for some women. No need to panic if you have a small penis, according to a combined study of several reasearch institutes since 1942, 85% of all women are happy with the penis size of their partner, while only 55% of all men are happy with their own penis. So, the percieved problem is bigger than the real one. Good news: Too big isn’t good, if you are hung like a horse chances are high that intercourse isn’t possible in some positions since it hurts. While being very stretchable, the average vagina is only about 4.5 inch deep. So, average or a little below average can have it’s advantages as well, especially if you perfer practices like anal sex.Can food or supplements help my penis grow? Neither food nor any supplements influence penis growth or size. That’s the reason why all the so called penis pills offered on the internet simply don’t work at all, don’t believe all the fake promises. All those pills increase the blood flow only, which may cause a little harder erections, but the effect instantly stops once you stop taking those pills. So, a lot of wasted money for a minimal and non-permanent effect. It’s tempting, the sellers of those pills will show you doctors smiling from their websites, pseudo scientific studies from India they paid for, raving testimonials from famous pornstars but it’s just a huge scam scheme. It’s an extremely profitable business, selling cheap herbs for astronomical prices, combined with often shady long term recurring billing that’s hard to cancel. Bottom line: Penis pills are pure “snake oil” often made of cheap ingredients importet from China, overpriced and even potentially harmful for you health. Especially the contamination with heavy metals and carcinogenic colorings is a possible problem. Some sellers claim their products are manufactured in FDA approved laboratories, but this doesn’t mean the product itself is controlled by the FDA, like prescription drugs. Even worse, many of these pills contain undeclared substances to make buyer believe the product works. There are hundreds of different so called penis enalrgement pills on the FDAs official “Tainted Sexual Health Products” warning list, including some very well known and popular pill brands. The hidden drug ingredients are often Sildenafil, Tadalafil or Vardenafil, subtances used to treat erection problems, short ED (erectile dysfunction). While these prescription only drugs can help patients suffering from ED, they can also have dangerous side effects and interactions, especially for people taking certain cardiac drugs. In the worst case, they can cause heart attacks, there are several verified actual deaths related to dubious penis pills. Don’t risk your life and stay away from enhancement pills, no matter how tempting the advertsing or fake reviews sound. Go for effective natural training instead.GET A BIGGER PENIS Make the most of your manhood with Men’s Health‘s tips Men's Health By Men's Health Posted on October 8, 2009 ShareTweetShareToggle It's your problem “Let’s get one thing straight,” says sex adviser Dr Pam Spurr, and author of Sensational Sex: the revolutionary guide to sexual pleasure and fulfilment (Robson Books). “Penis size is your problem – 99% of women are happy with what you’ve got to offer.” And if you are on the smaller side of average, use another appendage – your fingers, your toes, your tongue, whatever it takes – to get her to orgasm. “Women aren’t so different to men,” says Spurr. “They’re delighted if they reach climax – you’d be hard pushed to find a women who had an orgasm yet complained about the size of your penis.” So now we’ve taken a woman’s satisfaction out of the equation, let’s deal with your problem. “It’s a confidence issue,” says Emily Dubberley, author of Brief Encounters: a woman’s guide to casual sex (Vision). “Regardless of size, some men are simply more inclined to be happy with what they’ve got and these are the men who are usually more relaxed in bed and more fun. Guys who feel inadequate are self-conscious and that shows during sex.” How to up your confidence? Use these tips: Lose the pad That bit of extra flesh just above your pubic bone is hiding your penis under a fat-based cloak. When you’re overweight, fat is deposited at the base of the penis, making your penis look smaller and making it more difficult to penetrate your partner as deeply. Work off that unsightly flesh cloak with regular exercise and you could increase the length of your penis by up to an inch. Trim your hair Pubic hair is another cloak that hides your pride and joy. Trim the hair around the base of your penis and not only will you expose more of the shaft, you’ll make it more enjoyable for your good lady to provide you with oral pleasure. Use Durex's Play Vibrations It’s a cock ring with a difference – a tiny little vibrator is attached, which you can position to stimulate her clitoris (i.e. so it’s on the top of your penis if you’re doing it missionary-style; on the bottom, near your testicles, if from behind). This works as a fantastic distraction – the sensation is so intense she wouldn’t notice if your penis was half the size it is. Durex Play Vibrations costs £6.84 and is available at supermarkets, high-street chemists and online at www.shopdurex.com. Play in the shallows Only the first inch of a woman’s vagina has many nerve endings in it – most are housed in her vaginal lips and her clitoris. The further inside you go, the less localised sensation she has. “By focusing your efforts in the shallow part of her vaginal canal you’ll maximise stimulation to her nerve endings,” says Spurr. “This is the area that gives women most pleasure.” With these tips in your pocket, it's time to get her in the mood. Click here for tips on how from Men's Health.This fact doesn’t mean a smaller penis can’t satisfy a women, it doesn’t mean you can’t have a perfect sex life with a small penis, but the the harsh truth is: Size matters, at least for some women. No need to panic if you have a small penis, according to a combined study of several reasearch institutes since 1942, 85% of all women are happy with the penis size of their partner, while only 55% of all men are happy with their own penis. So, the percieved problem is bigger than the real one. Good news: Too big isn’t good, if you are hung like a horse chances are high that intercourse isn’t possible in some positions since it hurts. While being very stretchable, the average vagina is only about 4.5 inch deep. So, average or a little below average can have it’s advantages as well, especially if you perfer practices like anal sex.Can food or supplements help my penis grow? Neither food nor any supplements influence penis growth or size. That’s the reason why all the so called penis pills offered on the internet simply don’t work at all, don’t believe all the fake promises. All those pills increase the blood flow only, which may cause a little harder erections, but the effect instantly stops once you stop taking those pills. So, a lot of wasted money for a minimal and non-permanent effect. It’s tempting, the sellers of those pills will show you doctors smiling from their websites, pseudo scientific studies from India they paid for, raving testimonials from famous pornstars but it’s just a huge scam scheme. It’s an extremely profitable business, selling cheap herbs for astronomical prices, combined with often shady long term recurring billing that’s hard to cancel. Bottom line: Penis pills are pure “snake oil” often made of cheap ingredients importet from China, overpriced and even potentially harmful for you health. Especially the contamination with heavy metals and carcinogenic colorings is a possible problem. Some sellers claim their products are manufactured in FDA approved laboratories, but this doesn’t mean the product itself is controlled by the FDA, like prescription drugs. Even worse, many of these pills contain undeclared substances to make buyer believe the product works. There are hundreds of different so called penis enalrgement pills on the FDAs official “Tainted Sexual Health Products” warning list, including some very well known and popular pill brands. The hidden drug ingredients are often Sildenafil, Tadalafil or Vardenafil, subtances used to treat erection problems, short ED (erectile dysfunction). While these prescription only drugs can help patients suffering from ED, they can also have dangerous side effects and interactions, especially for people taking certain cardiac drugs. In the worst case, they can cause heart attacks, there are several verified actual deaths related to dubious penis pills. Don’t risk your life and stay away from enhancement pills, no matter how tempting the advertsing or fake reviews sound. Go for effective natural training instead.GET A BIGGER PENIS Make the most of your manhood with Men’s Health‘s tips Men's Health By Men's Health Posted on October 8, 2009 ShareTweetShareToggle It's your problem “Let’s get one thing straight,” says sex adviser Dr Pam Spurr, and author of Sensational Sex: the revolutionary guide to sexual pleasure and fulfilment (Robson Books). “Penis size is your problem – 99% of women are happy with what you’ve got to offer.” And if you are on the smaller side of average, use another appendage – your fingers, your toes, your tongue, whatever it takes – to get her to orgasm. “Women aren’t so different to men,” says Spurr. “They’re delighted if they reach climax – you’d be hard pushed to find a women who had an orgasm yet complained about the size of your penis.” So now we’ve taken a woman’s satisfaction out of the equation, let’s deal with your problem. “It’s a confidence issue,” says Emily Dubberley, author of Brief Encounters: a woman’s guide to casual sex (Vision). “Regardless of size, some men are simply more inclined to be happy with what they’ve got and these are the men who are usually more relaxed in bed and more fun. Guys who feel inadequate are self-conscious and that shows during sex.” How to up your confidence? Use these tips: Lose the pad That bit of extra flesh just above your pubic bone is hiding your penis under a fat-based cloak. When you’re overweight, fat is deposited at the base of the penis, making your penis look smaller and making it more difficult to penetrate your partner as deeply. Work off that unsightly flesh cloak with regular exercise and you could increase the length of your penis by up to an inch. Trim your hair Pubic hair is another cloak that hides your pride and joy. Trim the hair around the base of your penis and not only will you expose more of the shaft, you’ll make it more enjoyable for your good lady to provide you with oral pleasure. Use Durex's Play Vibrations It’s a cock ring with a difference – a tiny little vibrator is attached, which you can position to stimulate her clitoris (i.e. so it’s on the top of your penis if you’re doing it missionary-style; on the bottom, near your testicles, if from behind). This works as a fantastic distraction – the sensation is so intense she wouldn’t notice if your penis was half the size it is. Durex Play Vibrations costs £6.84 and is available at supermarkets, high-street chemists and online at www.shopdurex.com. Play in the shallows Only the first inch of a woman’s vagina has many nerve endings in it – most are housed in her vaginal lips and her clitoris. The further inside you go, the less localised sensation she has. “By focusing your efforts in the shallow part of her vaginal canal you’ll maximise stimulation to her nerve endings,” says Spurr. “This is the area that gives women most pleasure.” With these tips in your pocket, it's time to get her in the mood. Click here for tips on how from Men's Health.The “Ultimate Stretch” is great technique especially for those who want to improve their length. It is a simple tactic that involves just stretching your flaccid little buddy out. Here are detailed directions: Take your time for a proper warm-up phase. Retract your foreskin and grasp your phallus behind (about one inch below) its head/glans firmly. You should feel no pain or significant discomfort (do not cut off too much blood circulation). Pull it outwards with enough force to feel painless stretch inside your shaft. Hold that position for 20 to 30 seconds. If needed, rest for 5 seconds. Repeat steps 2 to 4 but this time pull it upwards to your belly button. Repeat but this time pull it downwards to your knees. Repeat but this time pull it to your right side. Repeat but this time pull it to your left side. Take your time to go through a cool down phase.Does penis size matter for women? The question most men probably care for most. While many woman claim that penis size isn’t important for them and it’s all about the right technique and a loving partner treating them well, that’s only half the truth. In totally anonymous surveys, the number of women claiming that penis size is important for them, at least from a aesthetic viewpoint, is significantly higher than in face to face surveys. The “Ultimate Stretch” is great technique especially for those who want to improve their length. It is a simple tactic that involves just stretching your flaccid little buddy out. Here are detailed directions: Take your time for a proper warm-up phase. Retract your foreskin and grasp your phallus behind (about one inch below) its head/glans firmly. You should feel no pain or significant discomfort (do not cut off too much blood circulation). Pull it outwards with enough force to feel painless stretch inside your shaft. Hold that position for 20 to 30 seconds. If needed, rest for 5 seconds. Repeat steps 2 to 4 but this time pull it upwards to your belly button. Repeat but this time pull it downwards to your knees. Repeat but this time pull it to your right side. Repeat but this time pull it to your left side. Take your time to go through a cool down phase.Does penis size matter for women? The question most men probably care for most. While many woman claim that penis size isn’t important for them and it’s all about the right technique and a loving partner treating them well, that’s only half the truth. In totally anonymous surveys, the number of women claiming that penis size is important for them, at least from a aesthetic viewpoint, is significantly higher than in face to face surveys. This fact doesn’t mean a smaller penis can’t satisfy a women, it doesn’t mean you can’t have a perfect sex life with a small penis, but the the harsh truth is: Size matters, at least for some women. No need to panic if you have a small penis, according to a combined study of several reasearch institutes since 1942, 85% of all women are happy with the penis size of their partner, while only 55% of all men are happy with their own penis. So, the percieved problem is bigger than the real one. Good news: Too big isn’t good, if you are hung like a horse chances are high that intercourse isn’t possible in some positions since it hurts. While being very stretchable, the average vagina is only about 4.5 inch deep. So, average or a little below average can have it’s advantages as well, especially if you perfer practices like anal sex.Can food or supplements help my penis grow? Neither food nor any supplements influence penis growth or size. That’s the reason why all the so called penis pills offered on the internet simply don’t work at all, don’t believe all the fake promises. All those pills increase the blood flow only, which may cause a little harder erections, but the effect instantly stops once you stop taking those pills. So, a lot of wasted money for a minimal and non-permanent effect. It’s tempting, the sellers of those pills will show you doctors smiling from their websites, pseudo scientific studies from India they paid for, raving testimonials from famous pornstars but it’s just a huge scam scheme. It’s an extremely profitable business, selling cheap herbs for astronomical prices, combined with often shady long term recurring billing that’s hard to cancel. Bottom line: Penis pills are pure “snake oil” often made of cheap ingredients importet from China, overpriced and even potentially harmful for you health. Especially the contamination with heavy metals and carcinogenic colorings is a possible problem. Some sellers claim their products are manufactured in FDA approved laboratories, but this doesn’t mean the product itself is controlled by the FDA, like prescription drugs. Even worse, many of these pills contain undeclared substances to make buyer believe the product works. There are hundreds of different so called penis enalrgement pills on the FDAs official “Tainted Sexual Health Products” warning list, including some very well known and popular pill brands. The hidden drug ingredients are often Sildenafil, Tadalafil or Vardenafil, subtances used to treat erection problems, short ED (erectile dysfunction). While these prescription only drugs can help patients suffering from ED, they can also have dangerous side effects and interactions, especially for people taking certain cardiac drugs. In the worst case, they can cause heart attacks, there are several verified actual deaths related to dubious penis pills. Don’t risk your life and stay away from enhancement pills, no matter how tempting the advertsing or fake reviews sound. Go for effective natural training instead.GET A BIGGER PENIS Make the most of your manhood with Men’s Health‘s tips Men's Health By Men's Health Posted on October 8, 2009 ShareTweetShareToggle It's your problem “Let’s get one thing straight,” says sex adviser Dr Pam Spurr, and author of Sensational Sex: the revolutionary guide to sexual pleasure and fulfilment (Robson Books). “Penis size is your problem – 99% of women are happy with what you’ve got to offer.” And if you are on the smaller side of average, use another appendage – your fingers, your toes, your tongue, whatever it takes – to get her to orgasm. “Women aren’t so different to men,” says Spurr. “They’re delighted if they reach climax – you’d be hard pushed to find a women who had an orgasm yet complained about the size of your penis.” So now we’ve taken a woman’s satisfaction out of the equation, let’s deal with your problem. “It’s a confidence issue,” says Emily Dubberley, author of Brief Encounters: a woman’s guide to casual sex (Vision). “Regardless of size, some men are simply more inclined to be happy with what they’ve got and these are the men who are usually more relaxed in bed and more fun. Guys who feel inadequate are self-conscious and that shows during sex.” How to up your confidence? Use these tips: Lose the pad That bit of extra flesh just above your pubic bone is hiding your penis under a fat-based cloak. When you’re overweight, fat is deposited at the base of the penis, making your penis look smaller and making it more difficult to penetrate your partner as deeply. Work off that unsightly flesh cloak with regular exercise and you could increase the length of your penis by up to an inch. Trim your hair Pubic hair is another cloak that hides your pride and joy. Trim the hair around the base of your penis and not only will you expose more of the shaft, you’ll make it more enjoyable for your good lady to provide you with oral pleasure. Use Durex's Play Vibrations It’s a cock ring with a difference – a tiny little vibrator is attached, which you can position to stimulate her clitoris (i.e. so it’s on the top of your penis if you’re doing it missionary-style; on the bottom, near your testicles, if from behind). This works as a fantastic distraction – the sensation is so intense she wouldn’t notice if your penis was half the size it is. Durex Play Vibrations costs £6.84 and is available at supermarkets, high-street chemists and online at www.shopdurex.com. Play in the shallows Only the first inch of a woman’s vagina has many nerve endings in it – most are housed in her vaginal lips and her clitoris. The further inside you go, the less localised sensation she has. “By focusing your efforts in the shallow part of her vaginal canal you’ll maximise stimulation to her nerve endings,” says Spurr. “This is the area that gives women most pleasure.” With these tips in your pocket, it's time to get her in the mood. Click here for tips on how from Men's Health.This fact doesn’t mean a smaller penis can’t satisfy a women, it doesn’t mean you can’t have a perfect sex life with a small penis, but the the harsh truth is: Size matters, at least for some women. No need to panic if you have a small penis, according to a combined study of several reasearch institutes since 1942, 85% of all women are happy with the penis size of their partner, while only 55% of all men are happy with their own penis. So, the percieved problem is bigger than the real one. Good news: Too big isn’t good, if you are hung like a horse chances are high that intercourse isn’t possible in some positions since it hurts. While being very stretchable, the average vagina is only about 4.5 inch deep. So, average or a little below average can have it’s advantages as well, especially if you perfer practices like anal sex.Can food or supplements help my penis grow? Neither food nor any supplements influence penis growth or size. That’s the reason why all the so called penis pills offered on the internet simply don’t work at all, don’t believe all the fake promises. All those pills increase the blood flow only, which may cause a little harder erections, but the effect instantly stops once you stop taking those pills. So, a lot of wasted money for a minimal and non-permanent effect. It’s tempting, the sellers of those pills will show you doctors smiling from their websites, pseudo scientific studies from India they paid for, raving testimonials from famous pornstars but it’s just a huge scam scheme. It’s an extremely profitable business, selling cheap herbs for astronomical prices, combined with often shady long term recurring billing that’s hard to cancel. Bottom line: Penis pills are pure “snake oil” often made of cheap ingredients importet from China, overpriced and even potentially harmful for you health. Especially the contamination with heavy metals and carcinogenic colorings is a possible problem. Some sellers claim their products are manufactured in FDA approved laboratories, but this doesn’t mean the product itself is controlled by the FDA, like prescription drugs. Even worse, many of these pills contain undeclared substances to make buyer believe the product works. There are hundreds of different so called penis enalrgement pills on the FDAs official “Tainted Sexual Health Products” warning list, including some very well known and popular pill brands. The hidden drug ingredients are often Sildenafil, Tadalafil or Vardenafil, subtances used to treat erection problems, short ED (erectile dysfunction). While these prescription only drugs can help patients suffering from ED, they can also have dangerous side effects and interactions, especially for people taking certain cardiac drugs. In the worst case, they can cause heart attacks, there are several verified actual deaths related to dubious penis pills. Don’t risk your life and stay away from enhancement pills, no matter how tempting the advertsing or fake reviews sound. Go for effective natural training instead.GET A BIGGER PENIS Make the most of your manhood with Men’s Health‘s tips Men's Health By Men's Health Posted on October 8, 2009 ShareTweetShareToggle It's your problem “Let’s get one thing straight,” says sex adviser Dr Pam Spurr, and author of Sensational Sex: the revolutionary guide to sexual pleasure and fulfilment (Robson Books). “Penis size is your problem – 99% of women are happy with what you’ve got to offer.” And if you are on the smaller side of average, use another appendage – your fingers, your toes, your tongue, whatever it takes – to get her to orgasm. “Women aren’t so different to men,” says Spurr. “They’re delighted if they reach climax – you’d be hard pushed to find a women who had an orgasm yet complained about the size of your penis.” So now we’ve taken a woman’s satisfaction out of the equation, let’s deal with your problem. “It’s a confidence issue,” says Emily Dubberley, author of Brief Encounters: a woman’s guide to casual sex (Vision). “Regardless of size, some men are simply more inclined to be happy with what they’ve got and these are the men who are usually more relaxed in bed and more fun. Guys who feel inadequate are self-conscious and that shows during sex.” How to up your confidence? Use these tips: Lose the pad That bit of extra flesh just above your pubic bone is hiding your penis under a fat-based cloak. When you’re overweight, fat is deposited at the base of the penis, making your penis look smaller and making it more difficult to penetrate your partner as deeply. Work off that unsightly flesh cloak with regular exercise and you could increase the length of your penis by up to an inch. Trim your hair Pubic hair is another cloak that hides your pride and joy. Trim the hair around the base of your penis and not only will you expose more of the shaft, you’ll make it more enjoyable for your good lady to provide you with oral pleasure. Use Durex's Play Vibrations It’s a cock ring with a difference – a tiny little vibrator is attached, which you can position to stimulate her clitoris (i.e. so it’s on the top of your penis if you’re doing it missionary-style; on the bottom, near your testicles, if from behind). This works as a fantastic distraction – the sensation is so intense she wouldn’t notice if your penis was half the size it is. Durex Play Vibrations costs £6.84 and is available at supermarkets, high-street chemists and online at www.shopdurex.com. Play in the shallows Only the first inch of a woman’s vagina has many nerve endings in it – most are housed in her vaginal lips and her clitoris. The further inside you go, the less localised sensation she has. “By focusing your efforts in the shallow part of her vaginal canal you’ll maximise stimulation to her nerve endings,” says Spurr. “This is the area that gives women most pleasure.” With these tips in your pocket, it's time to get her in the mood. Click here for tips on how from Men's Health.

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Dgreatson:

@Mandla, tested and trusted, am in the vip group but did joined the free group and upgraded. I pray i remember. I will post vip tip here, but dont know if its allowed. With average odd of 2.00, what matters is the staking plan, if you have a gud staking plan it helps recover loss and be in profit, just like we dont have to stake every day or all matches. Anyway click to join free footbal tips group on Telegram messenger https://t.co/GfTOgUjtLd Or email for links bankerpaidtips@gmail.com

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What kind of games do the offer? No specific info on the site. Any idea?

HH:

I've try this tipster for about 1 month. They guarantee there is no losing run. After trying for 1 month, they have very low hit percentage, it cause minus in my account. And after that I claim the guaratee. I've paid for 1 year subscribe. But I thought that there's no need to hit by the car to know it feel hurts. so, I claim the refund, and they return all my money. My reviews is they are fair, but they have very low percentage in hit ratio. Not the same as in their advertising.


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