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Every day, thousands of women undergo breast augmentation, or breast enlargement, surgery. Surprisingly, many women who undergo breast augmentation surgery do not fully consider all the issues involved with the procedure and its effects on their lives. If you are considering breast enlargement, one of the most important issues in making your decision should be if you are doing this for yourself. “I am constantly amazed at the number of women who come into my office, not because they want to make the change but because their boyfriend or husband would prefer larger breasts,” says Dr. Miguel Delgado, a plastic surgeon in San Francisco, California. Our society places a great emphasis on personal appearance. Breast augmentation is a permanent decision that, although it can change your life, should be considered only if your expectations are realistic. Breast enlargement will not completely change your life or make you a different person. Breast enlargement, however, can enhance your curves and physical appearance, especially if you have had children. The best candidates for breast enlargement are emotionally mature women who desire larger, shapelier breasts. A common reason to undergo the procedure is that the breasts are asymmetric, usually where one breast is noticeably smaller than the other. Breast enlargement can bring the undersized breast into balance with the larger. Breast augmentation surgery will leave a scar. An experienced cosmetic surgeon will be able to minimize this scarring, but it can not be completely eliminated. If you are considering breast enlargement surgery, you and your surgeon will discuss where the implant should be placed and, consequently, where the scar will be located. This is most often located in the armpit, around the nipple, or at the base of the breast. Another consideration is the implant itself. Saline implants can be round, moderate, or high profile. The surface of the implant can be smooth, textured, or a “teardrop” with a textured surface. Many women who undergo breast enlargement surgery choose to have a breast lift at the same time. This will obviously be more expensive, however most women find that undergoing the two procedures together produces fantastic results. vimax penis enlargement pic before and after vimax penis enlargement vimax home penis enlargement vimax real penis enlargement penis enlargement technique penis enlargment tip easy enlargement free penis surgery way vimax herbal natural penis enlargement
A typical day at the inbox Today, I received 374 emails total. A pretty light day considering some days I get more than 1,000. To clarify what they were35 were for business, 4 were personal in nature, 11 were from groups I asked to get information from like Neiman Marcus and Urban Outfitters, VH1, and a PR Newsletter. The balance of 324 was unsolicited (UCEunsolicited commercial email)in other words spam. If I extrapolate the UCE I’ve gotten in the last six hours alone, I find I must be missing something about myself on some spiritual level.. I am a balding, fat man with a small penis that doesn’t work. I am in debt. I am looking for a lower interest rate on my mortgage while at the same time making thousands of dollars with no effort on my part in the privacy of my own home—filling out surveys, stuffing envelopes and not selling something that miraculously sells itself. Even better, I can be a travel agent without wrinkles; obtain a college degree while waiting for my 1500 advance to show up in my bank account; I can restore my credit rating legally while watching my free satellite TV and munching on my drugs sent courtesy of an offshore pharmacy that has a doctor who will write me a prescription… HMMM…definitely something to consider. NOT. I’ve also discovered that I am a prime candidate to help an African Prince transfer funds into the US. He trusts me. All I have to do is give him my bank account information. The problem is that I am a woman who doesn’t suffer those ills. Someone thinks I do…There is something wrong with this picture. The future of bulk email and why it is likely to remain dead Now, you might be asking why I, who was dubbed the “Spam Queen” in the “Wall Street Journal” three years ago, am even bothering to say anything about email? Just to set the record straight, I have never advocated spam or sending spam. One reporter said to me, "Some people consider all bulk email as spam. What do you have to say about that?" to which I replied, "Then I guess you'd call me the spam queen," as a joke. In our sound byte media world, one editor turned this little quip into a buzzword and I became known almost instantly, all over the world, as representing what everyone, including myself, hates about email. The media as usual emphasized sensationalism and missed the point. I am not complaining because my marketing business skyrocketed as a result. At that time I advocated email as a very effective medium for small business, which because of its low cost lets small businesses level the playing field against big corporations. At no small personal risk, I visited the Federal Trade Commission in Washington, DC, and spoke my peace about small businesses and not throwing out the baby with the bathwater before even the very term spam could be legally agreed upon and defined to the satisfaction of marketers, ISPs and the government jointly. Small businesses are the lifeblood of the US economy, and entrepreneurs with their dreams are what have made the US the economic powerhouse it still is today. Email that is sent to people who WANT to receive it, and that is in accordance with their preferences, still gets a high response. It allows many small businesses to get ahead. I didn't want to see big corporations or the government take over email and bar entry, filter, and extort everyone else while still sending their own advertising messages freely. And then came the CanSpam act, which I and many other legitimate marketers welcomed, because it had a great promise of getting rid of the noise while keeping the signal. As it turned out, the opposite happened. Email filters from ISP's now block a large amount of legitimate messages, which they call "false positives". Marketers can't send the text they would like to send to their subscribers, so they have to resort to filter tricking tactics such as spelling the word spam as sp@@@M so that they can get past the filters that were intended for another purpose entirely. In a climate like this, legitimate companies that had been diligently following best practices, and keeping their lists clean for years, suddenly did not want to stay in business with ambiguities in the law and the potential litigation that might ensue even if all the rules WERE followed, so many companies just folded. However the people that continue to send email illegally did not fold. Often times sending from outside the US borders, they stepped up their operations even more, to the point that there is almost no truly legitimate bulk email left. In other words, the signal has become lost in the noise. The simplicity is this — bulk commercial email has gotten to the point where it isn’t effective. We just don’t do it anymore. What’s the point? It doesn’t get a response, and we found people are overloaded with advertising messages and no longer willing to receive more, especially in their inbox, unless they specifically asked for it. As a marketing professional, the only thing that should count for you at the end of the day is effectiveness. Bulk commercial email has turned into the above, a bunch of unprofessional, ineffective scams. In other words, Spam is a fourletter word. Legitimate marketers are staying away in droves and it’s easy to see why. First of all let’s look at some facts. In the United States, it is legal to send unsolicited commercial email. The CAN SPAM act allows for this. You have to provide a way to optout and not hide who you are, and a few more simple but ethical rules. Although it is legal, there isn’t an internet service provider in the United States who will allow you to send unsolicited commercial email. Larger mailers have optin information from lists they purchase which imply consent but those lists aren’t originated from the mailer, but from other submailers—you get a free thing or access to a particular site and the user checks a box that it is okay to get information from their “affiliates and partners.” The “affiliates and partners” they are referring to are those who pay for the email addresses and optin information. These guys are sending you mail legally, but the fact is, they are not getting into your email box for the most part. Blocking, filtering, and doing it the “legal” way bulk wise, is just not working. Not to mention, there is no way to prove that the recipients opted in or are willing to get the message since they opted in at someone else’s site, not yours. The response rate is pathetic and when that mail does get through, you have many disgruntled individuals who never remember opting in, so in their view, the mail is unsolicited. The only way to get email into inboxes en masse is by not following the rules, so the only messages getting through are the scams, including the pornographic, illegal, and objectionable. It is ironic that the very thing people want to rail against, they are getting more of in the aftermath of CanSpam. So where does that leave us? What can a small businessperson do to get their message out, and not break their bank? How to market effectively in the new internet wave If you are a small businessperson, there are 3 alternatives that you should consider, which are described in this next section: What is effective you might ask? (Ask away, it’s kind of the point here..) 1) First party offers that impart some value added (a tip; some information, something the consumer is interested in.) Lets say John Q. Consumer gave his email address for a newsletter, or for more information on a particular subject, or to play a game. Chances are he probably would not be angered to get an email from your company especially since he asked for you to contact him. He would recognize your domain name since he spent enough time on your site to actually ask the info. Additionally, your internet service provider would not shut you down for violations and you’d start to build a small but effective list of people who are actually interested in what you, as a business owner, have to say. This has been effective since the beginning of the internet. The only problem is, how do you reach people the first time, to get them to your site? How do you find a target market for your products that is likely to be interested in what you have to offer and sign up for your newsletter, visit your site, and hopefully buy your stuff? Is there anything less costly than television, radio, and (ugh!) banner ads? Yes there is. Drum roll please…..Search Engine Marketing. If you write good ads, and compete with the right keywords, people who are already searching for an answer to a question, doing research, comparison shopping will go to a search engine and type in their parameters. If you know how to market well, only people who are interested will go to your site. If you have a web site that is compelling and you are offering a value added, they will ask for more information or sign up for your newsletter, or get your free download. Now, getting to this point can sometimes take a little time, but if you are persistent, and know how to interpret your statistics, you can do this. If you want the result without the learning curve, hire a Search Engine Marketing Firm. So the new tools for small businesspeople to stampede traffic to their websites in 2005 and beyond are going to be: 1) Search Engine Marketing 2) Publicity, including press releases that provide meaningful news 3) Providing quality content and expert commentary for radio, TV, and internet hubs in your field You can be successful on the internet and these tools help to establish you as an expert in your field, as well as attract the very people who are looking for your product or service at the same time. These are the tools of a new form of marketing, which people are calling "In Touch" Marketing, or "intelligent marketing" and is one way to cut through and actually get you the most possible business, at the lowest possible cost, with laser precise targeting. In future articles I will teach you how to use them with deadly precision. This is the new way for small businesses and entrepreneurs to succeed in 2005 and beyond. 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I really don’t know how to say this any other way. My dog decided to talk to me the other night and he had a lot to say. It initially played like any other night really. Once again, I was tossing and turning, in and out of sleep. I was half awake, mulling over my job situation: I want to make money writing but I need an income more. Then the most bizarre thing happened. “Hey human Bob! This is your best friend speaking! Wake up!” Who the hell was that? It was a deep, low voice; strong and certain with a hint of a bourbon induced slur. Sounded like Dean Martin actually. I immediately sat up. It was pitch black. The radio clock blurred 3:53 in a dull crimson light. All I could make out was the shadowy outline of Parker, my trusty beagle, sitting upright at my feet. “Hey boy, did you hear that?” I whispered instinctively. “Someone’s in the house.” My vision was starting to warm up to the darkness. Parker just stared back at me, his head tilted, his long ears hanging to the side of his head like hand towels on a wall. He turned his head to the bedroom doorway, lifted his nose to the night and sniffed. He turned back to face me. “Don’t think so.” I swore Parker spoke but it couldn’t be. I mean his hound drawn lips seemed to move to the words I heard but that was impossible. “Who’s there?” I yelled into the night. “Whoever it is, I am warning you that I am at this moment retrieving my loaded double-barrel twelve gauge from under the bed. I will shoot you. So leave now and I want to hear the door slam behind you.” I made some dumb noises in a lame attempt to fool the intruder into believing what I had just proclaimed. I took the ruse to the next level. “Okay. I’m fully armed and about to call 911 from my fully powered cell phone. Oh yeah, strong signal, four bars. Oh yeah, this is going to be a very clear 911 call.” “You’re breaking me up. Put the phone down human Bob.” It was Parker talking. I was certain of it. Nah, it had to be a sick trick. “Okay, good one Steve. You wired up the dog with a little speaker. Very funny.” My brother Steve was known to go to great lengths to pull off pranks. But I was pretty sure he was at his apartment in the city, sixty miles away, God knows doing what, and at 48 years old, unlikely to suddenly bother me with a prank—it had been 25 years since his last one. But the mind scrambles to the most implausible scenarios when so duly challenged. “Don’t think so. Nope it’s me, Parker,” the dog mumbled. I was positive he spoke again. By now I was sitting straight up, leaning towards him. He just sat there and looked at me with those big dark eyes. His poker face was on. “Parker? Are you talking to me?” “Well I’m not talking to myself.” I leaned back against the headboard. He yawned. “This can’t be. I’ve got to stop watching Animal Planet.” “Listen, I’ve got something to say and I’m not sure how long this talking stuff is going to work so …” “You are talking!” I interrupted incredulously. “Should you want I bow wow?” “Holy cow! Parker you are talking.” “Yup. But I’m not sure for how long. So can I say a few things before …” “I can’t believe this.” “Yeah I know. Either can I but if you don’t mind.” I looked at him with a giant smile plastered across my face. Parker can talk. The dog was talking. Who was I kidding? It had to be a prank. He continued. “I’ve been listening to a lot of that talk radio and that C-SPAN channel you watch while you write. I’m here to tell ya I don’t like what I’m hearing.” “You’re kidding me right?” “Afraid not.” Oh this was good. I was really hallucinating. Talk-shmalk, I had a few nagging questions of my own. “Hey, can I ask you something before you get to your stuff?” “Make it quick. I haven’t got all night.” “You like smell things a hundred times more than we do, right?” “Four hundred.” “Okay, four hundred. Wow! Then I really wonder about this.” “Yeah I know. Why do we like to sniff every morsel of excrement or yellow patch of urine we encounter on our walks?” “Now that you bring it up, yeah, why? It must smell like the inside of Dick Cheney’s or Ted Kennedy’s septic tank? And you know how much crap they’re filled with.” “That was a funny one human Bob. But it isn’t like what you smell. We pick up a lot more notes. It’s a broader pallet if you will. We don’t smell stink. We smell identity, mood, and illness. For instance, you know that crazy cairn terrier down the street?” “Yeah.” “She has stomach cancer and her humans don’t have a clue.” “You are kidding me?” “She probably has less than six months if they don’t get her to a vet soon.” He paused to lick his right front paw. “Yeah, and another thing. Don’t take me out at nights for awhile.” “Why?” “Cause there is a rabid possum living under the porch. That’s why.” “You know this from the smell of possum poop?” “Excrement.” “Whatever.” “Yup.” Parker yawned as if bored. “So is that it? Can I say what I need to say?” “Well there is that thing you do with that licking your, you know, your …” “Penis?” “Well, yeah.” “Jealous are we?” “Well, it’s just that …” “It’s all about keeping clean. Nothing pleasurable if that’s what you’re driving at. Nothing like what you do with your hand. By the way, I’d appreciate it if you wouldn’t pet me afterwards. Nope, no pleasure; it’s all business. You made sure of that when you had me “fixed”, remember. Thank you very much.” “Oh yeah, sorry about that. I had no idea you knew any different.” “No idea my butt. I’ll ‘no idea’ ya.” He paused again to lick his right paw again and then continued. “But I don’t hold it against you. We don’t hold grudges. Heck, if we did, we would have mauled most humans dead by now. Which brings me to why I am talking to you.” “No grudges. Really? I mean that “fixing” stuff is pretty serious. That’s pretty good if that doesn’t bother you.” “You done? Can I get to my concern?” “Sure. Sorry. Go ahead.” “How can humans be so smart supposedly, while they single handedly are destroying the Earth?” “You mean global warming?” “It’s more than that. It’s the air. It’s the water. It’s the dirt. It’s the forests. It’s the killing. It’s the anger. It’s the hate. It’s the grudges. It’s the fear. It’s everything.” “Oh come on. You’re being a little dramatic.” “We don’t know dramatic.” “Well give me examples of what you mean.” “First of all, the air is filled with danger. Dogs, cats, birds, animals of all kinds can smell it. It is our biggest topic when we get together.” “I don’t smell a thing.” “Yeah, that’s part of the problem. And you can’t taste the troubled water either.” “Scientists don’t seem to be complaining. So I should be listening to a dog?” “We have no agenda. Dogs call it as they smell it.” “ ‘call it as they smell it’; I’m suppose to just accept that?” “Yeah, there is a lot you should just accept.” “Oh yeah, like what else?” “Well, and here is what I think is the crux of the problem, you keep choosing the wrong alpha humans.” “What?” “You’ve got this alpha thing all wrong. Just because animals order their packs based on physical size and strength doesn’t make it so for humans. We do it because we are simple. You do it because you are thoughtless. That’s what we, and I think it is fair to say I am speaking for all animals, don’t get. Humans are able to think things through. But they never do. Well, that’s not completely true; some have but they are mocked or marginalized. An alpha dog barks and gets all puffy, like that wacky shepherd Sarge from around the block. The worst he can do is break out of his electronic fence and charge one of us. But you humans take it up a notch.” “Can you give me a for instance?” “God there are so many. Let me see. Okay, you’ve elected a president who pounds his chest and walks around like a gorilla with its arms all out to the side, all tough and all, carrying on with ‘bring it on’. When he jumps the fence, he brings tanks and bombs and humans loaded down in weapons and in body armor. Meanwhile, you have alpha males all over the place, flexing their muscle in their packs, threatening to obtain nuclear weapons, the great equalizer, giving the president one excuse after another to hop the fence. It’s nuts. And I for one am telling you, you’ve got it all wrong.” “Well, I don’t know what to say.” “You don’t need to say anything. Just start picking the right alpha humans; humans whose visions see beyond fighting, whose hearts hold no grudges, whose thoughts and reasons are not the products of testosterone, whose collective knowledge is rooted in the concept that true peace is never the consequence of war but the outcome of constant learning, negotiating and adjusting.” “This is what you want to tell me? Nothin’ for nothin’ but it’s a little heavy for a little chat with a dog at 3:30 in the morning.” “In a nut shell, yeah.” It was hard to accept this from my beagle. I mean, he’s a dog; a sleeping, eating, sniffing, crapping dog. I was chalking this whole episode up to stress. I was apparently snapping. “That’s it. I’m pretty much done. Just one last thing while I have the chance.” “What? World hunger? String theory?” I asked sarcastically. “You get the right alpha humans and the world hunger thing will take care of itself, smart ass. As far as string theory, who do you think I am, Hawking? I’m just a dog. No it’s more pedestrian than that, something I think you can manage.” “Then what, already?” I asked impatiently. “You know that thing you do occasionally where you empty the dish washer in the buff.” “Ummm … yeah I guess.” “Put some clothes on. It’s disturbing. I’m beggin’ ya, please!” “All right, but only if you lick your privates in private.” “I’ll see what I can do. No promises.” “So this is it? No more talking? You know we could make a fortune on Letterman with his stupid pet tricks.” “It’ll never happen. You see, this is a one time deal. Not sure why or how this is happening. Maybe that God guy is involved somehow. All I know is that when it is done, it is …” He abruptly stopped talking. “Parker?” Not a grunt. He yawned and as he did he stretched his front legs out and spread across the foot of the bed, his ears resting flat on the blanket. “Parker … are you done? Is that it?” He slowly closed his eyes and floated off to sleep. “Parker … just like that?” He began to twitch; in hot pursuit of a fox I imagined. “Holy smokes. I must be dreaming myself.” I curled back down under the safety of my covers, scratched my butt and thought about the conversation I had just had with Parker or myself or both. I sniffed the air. It smelled fine to me. What the heck was he talking about, ‘danger in the air’? It had to be a dream. As I drifted off to sleep, I thought about getting a real job real soon, apparently this writing stuff was getting the best of me. I also made a point to remember to talk to the owners of that crazy cairn terrier. I thought it was the least I could do. 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A slow and steady revolution is sweeping the market for erectile dysfunction drugs – Cialis. Most people may not even be aware of it. Lilly ICOS, the pharmaceutical alliance, which launched the blockbuster drug Cialis, announced that the drug has achieved 1 billion dollars in global sales since launching in Europe less than two years back. In fact Cialis has become the top Erectile Dysfunction treatment in France, since January 2005, based on the latst market data, easily overtaking Viagra, the first brand to be launched in this market. It is also doing very well in United Kingdom, Italy, Germany, United States, Canada, Australia, Mexico and Brazil. So much so that a Lilly ICOS press release contained these words from Rich Pilnik, President of Lilly's EMEA region "We are very pleased with the performance of Cialis and the steady development of the brand since its launch two years ago. Millions of men suffer from ED and the growth of the market demonstrates that patients are speaking to their healthcare providers about ED and seeking treatment options." Not only has Cialis been able to expand the market but it has also eaten heavily in the market share of Viagra from Pfizer, the first drug to be launched in this market and Levitra from Glaxo-Bayer-Schering Plough. In fact Cialis was the second PDE5 inhibitor drug to become available in Europe. It is currently promoted in approximately 100 countries including the United States, Australia, Brazil, Mexico, Canada and across Europe and Asia for Erectile Dysfunction. According to Paul Clark, Chairman and Chief Executive Officer of ICOS Corporation. "Passing the $1 billion mark is an important milestone for Lilly ICOS and a great accomplishment for the Cialis team. Since 2003, men with erectile dysfunction have had a choice of oral treatments for their condition - a condition which may impact on relationships and daily life." Beyond all the hype and the jubilation is the sheer superiority of Cialis over all the other drugs available in this indication. To understand the benefits of Cialis, we need to firstly understand this complex condition. Erectile Dysfunction or Impotence is defined as the inability to ensure and maintain an erection sufficient for sexual intercourse. ED affects an estimated 180 million men worldwide . 90 percent of ED cases are related to a physical or medical condition, such as diabetes, cardiovascular diseases, and prostate cancer treatment, while 10 percent are due to psychological causes . In many cases, however, both psychological and physical factors contribute to the condition. Where physical factor play an important role PDE-5( Phosphodiaterase) inhibitors have a significant role to play. These include drugs like Sildenafil (Viagra) and Vardenafil(Levitra). But none are as good as Tadalafil(Cialis). Why? Firstly let’s understand how PDE-5 inhibitors work. They work by inhibiting the enzyme phosphodiasterase-5 which is responsible for degrading another enzyme called cGMP(cyclic Guanosine Mono Phosphate) which through a series of reactions is responsible for the synthesis of nitric oxide. Nitric oxide is an important vasodilator responsible for dilation of the blood vessels that supply blood to the penis. Thus, there is an increase in the blood supplied to the penis and this increased blood engorges the penis and leads the formation of an erection through hydraulic pressure. All PDE-5 inhibitors work in the same way but because they are different molecules, they also have different properties. The body quickly eliminates both Sildenafil and Vardenafil. Therefore their action lasts for only 4 hours, while Tadalafil(Cialis) is absorbed and eliminated slowly therefore it remains in the body for a longer period of time. Therefore its duration of action is 9 times that of other drugs - 36 hours. This ensures that Cialis will act over a whopping 36 hours and any patient on Cialis does not need to have hurried sex , but sex at his or his partner’s leisurely pace. That is why Cialis has been nicknamed as “Le Weekend Pill” in France. It allows the man to relax with his partner and have spontaneous sex. Also other drugs like Viagra act on the enzyme PDE-6, which is found in the eyes, leading to bluish discolouration of vision, which will not occur with Cialis. Cialis can be taken with a 100% fat meal and there will be no change in it’s action. The same is not true for Sildenafil or Vardenafil, which are affected by food. All this makes Cialis currently the best drug for erectile dyfunction. 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Medical professionals estimate that of over 100 strains of Human Papilloma Virus (HPV) approximately 30 strains of the virus are known to lead to genital warts. Genital warts are classified as a sexually transmitted disease, yet the exchange of bodily fluids during sexual intercourse is not required for the virus to spread. The highly contagious genital warts are transmitted through skin-to-skin contact. The human Papilloma Virus that causes genital warts is transferable through oral sex, and genital HPV strains have been detected in warts that have formed in the mouth and throat. Once infected, it is also possible to spread genital warts to other parts of your body by scratching an infected area and then touching another body part, particularly in the genital area. It is important to wash your hands thoroughly should you accidentally come in contact with the genital warts on your body or come in contact with them during the application of a topical treatment. Vertical transmission is the name given to the transferal of genital warts from mother to baby during childbirth. While it is possible for a mother with genital warts to deliver a baby vaginally without transferal, there are some accounts of infection to the newborn from the mother. Though there is no hard proof that genital warts can be transferred from fomites—objects that carry viral diseases from one person to another—it is still good practice not to deliberately use a towel or other personal item that may have come in contact with genital warts. The effectiveness of your immune system plays a significant roll in the appearance of physical symptoms of genital warts and the degree to which they are present. For some, the physical signs of genital warts may appear in months. For other individuals, the appearance may take years. Human Papilloma Viruses are generally classified into two categories: • High risk strains: those likely to lead to cancer of the cervix, anus, vagina, throat, or penis • Low risk strains: those likely to lead to genital warts The individual strains of the Human Papilloma Virus that have been identified have each been assigned a number for reference purposes. Of the thirty strains identified as sexually transmitted, the following are more prevalent and considered high risk strains: 16, 18, 31, 33, 35, 39, 45, 51, 52, 58 and 69. Oral strains include: 6, 7, 11, 13, 16, and 32. Low risk stains, those which can lead to genital warts, include: 6, 11, 42, and 43. Clinically known as Condylomata Acuminata, genital warts or venereal warts are one of the most prevalent forms of sexually transmitted disease. Annually, approximately 5.5 million new cases of the Genital Human Papilloma Virus are reported. Though 20 million Americans are believed to have genital HPV, less than 4% of those people have been diagnosed or are being treated for the virus. Most people show no physical symptoms and do not know that they have the virus. 90% of all reported cases of genital warts are of the low risk variety, strain number 6 or 11.