For men with performance issues who are physically healthy, Boyle often prescribes counseling, such as marriage counseling for men with relationship issues or psychiatric help for men who are preoccupied with a problem in penile appearance. For young men with sexual performance problems and no signs of physical problems, Boyle may prescribe counseling and a low dose of Viagra as they work out issues of insecurity. "They need reassurance from a physician that everything is OK," she says.
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Surgery offers the only permanent solution for enlargement of the penis. Through surgery, the penis can be visually enlarged, usually by just over an inch. The surgeon will cut the ligaments that hold the penis in its usual position, allowing the penis to descend. Weights, or stretching devices, are then used for a few months to affect a permanent increase in size. The procedure may result in scar tissue, the erection will point down, and the base of the penis will be hairy.

Ben Clark was introduced to Big Al and the Double Long Daddy in the late 1990s after seeing Boogie Nights. Mark Wahlberg’s character is based on John Holmes, perhaps the biggest-dicked porn star of all time. Clark had never thought about the size of his penis — or how he measured up against other guys — but he became a major size queen after watching Wahlberg unfurl his monster cock in the film. He poked around on Lycos, a pre-Google search engine, which turned up a bunch of penis-enlargement spam links. One was a forum administered by Big Al who explained he’d developed a series of exercises proven to add significant length. “I guess you can say that changed everything for me,” Clark says with a laugh. “Big Al has always been a positive influence and inspiration for this industry. I’ve always known him to be honest about what he says and does.”
It is amazing to continuously see the obvious fake reviews being bought and paid for by the seller or manufacturer of this garbage product. Keep it up dimwits. I will continue as a REAL REVIEWER to counter the false claims, outright lies and bust these buffoons for attempts at fraud. This product and all it's derivatives SIMPLY does NOT work. If it did no man alive would leave his house! think about it. In fact, we would all work as porn stars overdosing on this crap so we that the underwear companies can reinvent a new products as the old ones simply would no longer FIT!
There are several surgical treatments, most of which carry a risk of significant complications.[6] Procedures by unlicensed surgeons can lead to serious complications.[7] Risky surgical treatments include subcutaneous fat injection, division of the suspensory ligament, and the injection of dermal fillers, silicone gel, or PMMA.[8][9] The American Urological Association (AUA) and the Urology Care Foundation "consider subcutaneous fat injection for increasing penile girth to be a procedure which has not been shown to be safe or efficacious. The AUA also considers the division of the suspensory ligament of the penis for increasing penile length in adults to be a procedure which has not been shown to be safe or efficacious."[10] Dermal fillers are also not approved by the US Food and Drug Administration (FDA) for use in the penis.[11]
If you’re worried about satisfying your partner with an average or smaller penis, you’ll be happy to know that most of the vagina’s nerves are located on the outer third of the vagina, which is why you can finger a woman to orgasm (more here). If you have an average size penis, you can target this area by entering from on top while your partner lies with her legs flat on the bed. It reduces the depth of penetration and puts more tension on the vaginal lips, improving stimulation for both of you.
Pubic hair grooming in men has increased, with recent surveys finding that 50.5% of men surveyed reported regular pubic hair grooming [20]. While men groom their pubic hair for many different reasons, from regular hygiene to making oral sex easier, improved appearance and making the penis look longer were found to be fairly common reasons for male grooming. Trimming pubic hair, particularly around the base of the penis, may give you the appearance of a larger penis.

If there were any justice in the world this book would have hit the New York Times bestseller list. As what, I don't know. Humor? Non-fiction? Fiction? Pure wicked genius? I got it from the library but I'm going to have to buy a copy for my keeper shelf. Somebody give Mr. Purnell a MacArthur so he can have time to write more brilliant books like this.
I bought my first pump in 1990. My issue was, while I was just over six inches in length erect, I was skinny. I used to do a half an hour session prior to my then lover arriving for sex. She was 18 (I was 24) and she thought I had the biggest dick ever. The reason: my veins were flush with blood and I was artificially inflated. But, over time, with regular pumping, the capillaries expanded for good, the muscles in my penis became bigger and stronger, and I gained noticeably in girth.
When I was younger around 18-19 I was really insecure about my penis size, mostly because I watched A LOT of porn and thought that every girl could only get off with a mandingo sized dick. This obviously led to a lot of insecurity about my penis size which was average at around 5.5″. So one day I remember seeing one of those porn site ads “grow your penis up to 8″ in a month!” and figured what the hell a month is no time at all and I’ll have a monster dong in 4 weeks! So I went to the site and bought one, $120 if I remember correctly which was a lot of money for me at the time. I remember ordering and then canceling the order about twice out of fear, then I guess I finally said screw it, ordered it and walked away.
Men who have lost all or part of their penis as a result of injury or surgery are certainly candidates for reconstructive operations. And, in certain cases where a man has a very small penis that is causing him severe, intractable psychological problems, cosmetic surgery may be considered a last resort. However, this is a radical step and clearly not a decision that can be rushed into. It is strongly recommended that anyone considering surgery should consult a urologist, as well as a therapist to discuss the issue and its psychological ramifications.
...just as some men care about the size of women's breasts. But many (most?) men think women are as obsessed with penis size as guys are, and that's simply not true. From all the surveys of what women want in a man (and there have been quite a few), penis size is way down the list, if it appears at all. And with all due respect to women who yearn to be "filled up," I've talked with several men who have really huge, porn-star penises, and to a man, they've said their size was not a gift, but a burden, that most women take one look at their phone pole and say, "Oh, wow...but there's NO WAY that thing's going inside me."
Two urological researchers, Marco Ordera and Paolo Gontero of the University of Turin in Italy, examined outcomes from both surgical and nonsurgical procedures for “male enhancement” in previous studies. Half of the studies involved surgical procedures performed on 121 men; the other half involved nonsurgical enhancement techniques used by 109 men.
SOURCES: Karen Boyle, MD, assistant professor of urology and director of reproductive medicine and surgery, Johns Hopkins University School of Medicine. Laurence A. Levine, MD, professor, Rush University Medical Center and director of male sexual function and fertility, Chicago. Steven Lamm, MD, assistant professor of medicine, New York University and author, The Hardness Factor. Richard, New York. Bob, New Jersey. WebMD Medical News: "Penis-Lengthening Surgery Questioned," "Small-Penis Syndrome Questioned."
Male enhancement pills are pills that claim to enhance pleasure in sex, penis or erection size, or stamina in men. The only pills that are proven to have a positive effect are prescription medicines for erectile dysfunction (like Viagra, Sildenafil, Cialis, Spedra and Levitra) or natural supplements (like yohimbine). Pills advertised online are often illegal, unregulated, and potentially dangerous.
Alternate the Pressure – Work with the pump by varying the pressure, similar to interval workouts by athletes. Try alternating the pressure levels such as starting in 3 in Hg for 30 seconds, then increasing the level after 30 seconds. Then, lower the pressure by increments down to zero. After 30 seconds, climb back again. This enhances the inner chambers and overall circulation.

Dietary Supplement. Fast-acting. Doctor developed. 3-Stage Sexual Response: Enhance drive & desire; increase blood flow; longer performance & stamina. Recent scientific research suggests that L-Arginine may dilate blood vessels helping to enhance penile blood flow. Good blood vessel function is an essential element of generating and maintaining erection. When combined with targeted nutraceuticals, this 3-stage formula supports a strong, healthy libido promoting sexual performance and enjoyment. The drug free solution that actually works. Satisfaction Guaranteed! Easy-to-swallow liquid soft-gels allow nutrients to be released fast for optimum results. Patented BioPerine enhances the absorption of nutrients from the formula. (These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease). Distributed, formulated and quality tested by Applied Nutrition. 
“My advice to men is that before they try any potions, creams, pumps or surgery, improve your technique. You will feel more confident and women will like you a lot more, at least in the bedroom,” says Dr. David Shusterman, MD, the Medical Director of NY Urology. A lot of men don't invest money into the right products that will improve the outcomes. “At every Duane Reade they have what I call a penis enhancement pack; it includes a penis ring with a vibrator on it. The pack is $10 and it will achieve what the men want to achieve without going through surgery,” says Dr. Shusterman. A lot of men want enhancement but it tends to only hurt your sex life, not help. “Most guys regret going through surgical enhancement,” says Dr. Shusterman.
Anyways so I had it in my hands, it was a bathmate or something like that, a water penis pump. I went to the shower and began pumping the shit out of my dick. Hurt like a son of a bitch, felt like I put my dick in a shopvac and my insides were being pulled out through my urethra. But I could tell my dick was getting bigger already so I suffered through the pain. 15 minutes later I pop the thing off and my god was my dick engorged! It was the dick of my dreams, little did I know the results only lasted a couple hours but in that time I had to of jerked it about 5 times, and stood in the mirror staring at it for another 30 minutes before it shrunk back down to a stub. So I pumped for a month and actually saw some result, was thicker mostly. I kept at it for maybe another 3-4 months consistently and kept an eye on my “gains” and to my surprise my dick was actually growing. But one day I got a little too cocky and over pumped and my dick started hurting along the right side and I was properly freaked out. I quit right then and there and threw the damn thing away after breaking it into tiny pieces so that it couldn’t be recognized. All in all, my dick did grow, it’s about 6.5″ now and slightly more girthy.
Doctors and physicians based their logic and reasoning around data and information that is based on evidence. In saying that, a doctor would wholeheartedly recommend penile traction therapy. Do you think penile augmentation surgery produces multiple inch gains? Well if you did, then you either read wrong or someone was in the wrong telling you that it does. Upon paying for a surgical procedure intended to add more length, you are also paying for a penis extender.
Thankfully, I’ve avoided the emergency room. After six weeks of daily rice socks and side-side-stretching, my penis has, in fact, lengthened. I’m embarrassed to admit how satisfying it felt to notch six inches on my ruler. And I’m confident those increases would continue if I stuck with Big Al, but I think I’ll stop here. After all, as Nelson explains, the average penis is 5.16 inches, so at just over 6, I’m already in the 70th percentile. “You’re an inch bigger than average and thick,” he says. “Holy shit, what more do you want?”
Penis size is obviously a factor in the sexual experience, not the only factor, but clearly a major factor. The argument that penis size doesn’t matter seems silly if any serious consideration is given. The mechanics of sex are all about friction, bumping and grinding, and suffice to say an erect penis that is seven inches long and six inches around is going to produce very different friction with a lot more bumps and more grinding than a penis that is 5 inches long and 4 inches around.
Chicago urologist Laurence A. Levine, MD, director of the male fertility program at Rush University Medical Center, tested the FastSize Extender on 10 men afflicted with Peyronie's disease, which can cause bending and shrinkage of the penis. At the end of the six-month study, which was funded by the maker of the FastSize Extender, Levine found increased penile length and reduced curvature in every man and increased girth in seven of the men. Calling the results "remarkable," Levine now prescribes the device to many of his Peyronie's patients and reports no significant complications. (Levine has also worked as a paid consultant to FastSize Extender.)
The side effects of lengthening surgeries are numerous and include infections, nerve damage, reduced sensitivity, and difficulty getting an erection. Perhaps most disturbing, scarring can leave you with a penis that's shorter than what you started with. Widening the penis is even more controversial. Side effects can be unsightly -- a lumpy, bumpy, uneven penis.
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