Big Al has been a pioneer in penis enlargement for going on two decades. The 44-year-old Miami native tells me he was a “thin, shy and bookish child” until age 14, when he began lifting weights and caught the self-improvement bug. After a five-year stint in the Army, he became a self-taught expert on nutrition, kinesiology and biomechanics. While researching a book on steroid-free natural bodybuilding, Big Al noticed the muscle mags were all filled with ads for penis enlargement pumps, pills and surgical procedures, so he developed a natural penis enlargement program as a free bonus for his bodybuilding course. “Surprisingly, nine out of ten weightlifters I spoke with were only interested in male enhancement,” he says.
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Other tips for preventing penis shrinkage such as stopping smoking and optimizing blood flow to the penis may not have a lot of studies to back them up, but we do know there’s a relationship between healthy blood flow and sexual health. Taking measures to maintain blood flow throughout the body, which includes quitting smoking, may not specifically prevent shrinkage but can promote overall sexual health and wellness.

If you think that penis implant surgery may be the answer to your quest to make your penis bigger, the opposite can actually be true. Following the implantation of a penile prosthesis, some couples have reported dissatisfaction with penile girth and length. While penis implant surgery may improve penile rigidity, but it may confound a couple’s satisfaction with penile size to variable degrees [26]. Another review found that loss of penile size is a common complaint after penile prosthetic implant surgery, and pre-insertion, intraoperative, and post-insertion strategies are recommended to address these issues to reduce dissatisfaction with size after penis implant surgery [27].
Sometimes men with erection problems or a diminished libido have low levels of testosterone, Boyle says. Testosterone deficiencies can also affect mood and energy levels. Boyle tests for testosterone levels and prescribes it as a topical gel, though she warns it is only safe when prescribed and monitored by a physician. Nonprescription testosterone, such as the kind used by some bodybuilders, is dangerous, she warns.
"Some men are confused (or rather not as educated on the matter) and they believe that the outside skin get’s longer and thicker. That’s false. However, some men have false expectations; they think using a penis pump once will cause them to have a bigger penis permanently, and that’s false. As in the gym example before, you have to keep at it, and you have to practice to see results. Yes, early on you will see results like any newbie in the gym, but if you don’t keep at it you will see those results diminish,” says Dubois. 

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