Anxiety is everywhere, floating freely through the air, passing from person to person like a virus on the wings of a sneeze. While some of us feel nervous about our jobs, our health, or our families, others feel a very personal dread about our own bodies. Preoccupied by physical appearances, we can become distracted from what matters most in life, and turn instead to worrying about some highly specific body part. If, by chance, we zero in on the piece of ourselves most closely associated with intimacy — our genitals — we might shut down entirely.
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The FDA is giving "Time Out" capsules a real time out. The agency says the product marketed as "100%" natural is really just a Viagra rip off in disguise. The agency says the pills contain "hydroxythiohomosildenafil, a chemical similar to sildenafil, the active ingredient in Viagra. Like sildenafil, this chemical may interact with prescription drugs such as nitrates, including nitroglycerin, and cause dangerously low blood pressure."
Doctors view the penial pump or Vacuum Erection Devices — as a safe, effectual, cost-effective treatment for erectile dysfunction. According to American Urological Association, these devices may also be useful in cases where such PDE5 drugs as Viagra have failed to work. In addition, the most up-to-date evidence strongly suggests that the prolonged use of these devices will enhance the size of your penis permanently.
Some surgical methods have the most evidence of effectiveness, whereas others have fairly frequent complications, sometimes severe, including scarring that lead, ultimately, to penis shrinkage or erectile dysfunction.[1][2] Noninvasive methods have received little scientific study, and most lack scientific evidence of effectiveness, although scientific evidence supports some elongation by prolonged traction.[3] Some quack products may improve penis erection, mistaken by consumers for penis enlargement.
This kind of belief probably expresses much of how you feel about yourself and your body and how you think others perceive you. Often, doubts and feelings of shame and inadequacy about penis shape and size stem from comments bandied about in school changing rooms, during puberty. Furthermore, messages we receive from the media and society can all too often link masculinity, power and virility to penis size, thus re-enforcing this self-doubt and poor body image.

Results from a study of over 4,000 men from the Archives of Sexual Behaviour, found that one of the keys to a happy sex life could be something as simple as self-acceptance. They used the ‘Index of Male Genital Image’ (IMGI) to study the men’s perceptions of their genital size, and perhaps unsurprisingly the men who were dissatisfied with their genital size were less likely to report being sexually active.
While all three of our proven penis enlargement techniques provide increased thickness – and that wider girth enlarges in proportion as your penis gets engorged from arousal, Morganstern offers two different procedures that provide increase in your length – and increased length occurs with both your erect and flaccid state although not in direct proportion to the longer size. Typically? Your increased length during an erect state will be roughly half the increased length you see when flaccid. Thus, if you gained two inches in length when not aroused – you could expect about an inch more size when erect.

Amr Raheem is an andrology specialist (meaning his focus is on medicine relating to men) at University College London Hospitals, as well as a surgeon at International Andrology, a private clinic in the capital. Over the past 15 years, he has carried out more than 250 enlargements. “There is no typical patient,” Raheem says. “All professions, all ethnicities, married, single, gay, straight, rich, poor. It’s across the board. And all ages. I’ve worked on men in their 60s – I don’t know if they go out and use it afterwards. Early 20s, I won’t do. These are still boys. They must get to know it before they change it.”
Consider these two exercises as the ‘beginning’ exercise for at least a month. Try to perform them daily and increase reps as you progress,however, if you feel uncomfortable then lower the intensity or stop doing immediately if you start feeling too much pain. Once you complete these beginning exercises for at least a month, then switch to the advanced exercises for stretching and jelqing.

Before engaging in pumping, you should take some precautions. Warming up should be done before pumping. Otherwise, you might find yourself heading to a doctor instead of achieving your desired results. Also, you have to manscape down there to make pumping more effective. Pubic hair can hinder a good seal, which is very important when you create a vacuum.
Stamina & Extending Blend: Maca Powder (Root), Ashwagandha Powder (Root), Dimethylglycine (DMG), CDP-Choline. Libido Boosting Blend: Epimedium (Epimedium Sagittatum) (Horny Goat Weed) Extract (10% Icariin) (Aerial), Tribulus Extract (40% Saponins) (Plant), Yohimbe Extract (2% Total Alkaloids) (Bark), L-Tyrosine. Power Max Blend: L-Arginine (as L-Arginine Hydrochloride), NADH (Nicotinamide Adenine Dinucleotide) Bioperine Complex: Ginger Extract (5% Gingerols) (Root), Long Pepper Extract (1.5% Piperine) (Fruit), Bioperine Black Pepper Extract (95% Piperine) (Fruit). Other Ingredients: Soy Bean Oil, Gelatin, Glycerin, Purified Water, Beeswax, Soy Lecithin, Caramel Color and St. John's Bread.

There are literally hundreds of advertisements and articles on penis enlargement, and your email inbox probably suffers as a result. They talk about the amazing, "unbelievable" results that can be achieved, but the only honest word here is "unbelievable." Save your money. Nothing currently on the market has been shown to permanently increase penis size.
In July 2017, the 55-year-old decorator, from London, became one of a growing number of British men to have a surgical penis enlargement. Talk of enhancement was once the preserve of promotional spam mail for bizarre-looking pills and pumps; now, it is serious clinical business. British clinics, which have taken consultancy rooms in Harley Street and in UK cities including Manchester, Sheffield, Birmingham and Leeds, report record numbers of patients calling on their services. One practice, the London Centre for Aesthetic Surgery, has gone from performing a handful of penis procedures annually when it opened in 1990 to more than 250 in 2017. Between 2013 and 2017, members of the International Society of Aesthetic Plastic Surgery carried out 45,604 penis enhancements worldwide. Previous numbers are unknown; the procedure was considered such a minority concern that it wasn’t included in surveys. This increase in demand seemingly caters to a growing anxiety about penis size, but it is by no means a risk-free procedure. For Alistair, dreams of a larger penis were overtaken by infections, lumps and an erection that no longer rises above a 45-degree angle. And he is not alone. In recent years, the General Medical Council has recorded stories of “wonky penises” and erectile dysfunction following surgery. In Stockholm, last summer, a 30-year-old man died after suffering a cardiac arrest following an operation to enlarge his penis.
The best ways to make the penis bigger naturally are to lose weight in the groin area and for men to do Kegel exercises. “There is almost as much penis inside the body (as an anchor) as there is visibly outside of the body. When a man loses weight, the exterior portion will actually be longer. I believe it is about 1/2"-1" for every 10 lbs lost. It is why often skinny guys seem to be more well-endowed,” says Yelverton. Kegel exercises strengthen the pelvic floor and the majority of men in studies report longer and stronger erections (which men often equate to size).

It's not clear if "Stiff Nights" is a "dietary supplement" as its maker claims, or a bad b-movie title, but in either case the FDA says men looking to "regain the thunder" should stay clear because the pill really contains sulfoaildenafil, an untested chemical similar to the active ingredient in Viagra, which can interact badly with nitrates and cause low blood pressure.
Most of these products that are available over the counter feature herbal and natural ingredients. They are considered safe for use [12], but you should contact your physician if you are taking medications, are under 18, or have any chronic conditions. Even some natural ingredients can interfere with prescription medications [13]. A small minority of people, including males, can also have reactions to products such as enhancements, even though they are natural. As with any other supplement or food you consume, use your due diligence to make sure there are no ingredients you are allergic to in the products you choose to take.
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.

This is not some fanciful idea, or is it theoretical hogwash. Evidence from one study of 367 military personnel, all men, and no one older than 40, found those who felt most satisfied in terms of male genital self-image had lower levels of sexual anxiety and better sexual functioning. And what about the self-doubting ones, those who disliked the appearance of their member? The researchers found the opposite to be true in some (though not all) cases. Dissatisfaction led to anxiety, which led to sexual difficulties — a vicious cycle.
The clinical scientific study available for VigRx Plus is the primary factor that pulls VigRX into our Top 3.  There is a ton of information available on their website regarding the reputable study, but this table below is perhaps one of the most telling. In comparison to the placebo, there was a 71.43% increase in sexual and intercourse satisfaction.
Even those penile extenders and stretchers that claim to work over time would actually just be stretching your flaccid length, and that has absolutely no correlation to how big you get when hard, says Fisch. So don’t waste your money on a product or service that swears it can give you five more inches. “There’s no actual scientific study that they rely on."
How Does it Work? There are a few different types of penis enlargement surgery based on different principles and on the desired outcome. One method is to transplant fatty tissues from elsewhere in the body into the shaft of the penis – this can be successful but is described as being “visually odd”, and the results often disappear within a year as the fat is metabolized. Another technique is to disconnect some supporting ligaments. Reports suggest that this can offer a few fractions of an inch in length, but leave the erection pointing down and not up.
You Will See Noticeable Results - If your follow our exercise routine correctly, you will see flaccid or limp growth within two to three weeks, and erect growth a week or two later. Using our penis exercises you will quickly grow out to your current max length and in combination with our penis stretches grow further still! Remember to contact use so your Personal Trainer can help you with any issues after the first month. By then you should have seen a bit of growth and they will help you keep growing, or if you did not see as much as you wanted, they get you growing.
There are many variations of stretching and jelqing exercises available over the internet, but exercises that mention above are enough to give you a stronger and bigger penis. You don’t need to search around for how to get a bigger penis naturally as everything is already mentioned on this page. By performing these exercises, you will achieve your desired penis size.

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."
“Operations are very safe,” says Viel, who founded the London Centre for Aesthetic Surgery with his twin brother Maurizio. “Perhaps 95% of our patients are very happy. Where they are not, it is often to do with expectations. Some men want 10 inches when nature gave them four or five. I have to say, gently, ‘This is not possible. I am not a miracle worker.’”

Those who do not like the idea of taking a tablet every day can take liquid supplements. Liquid supplements contain the same ingredients found in the tablets. Instead of taking a single capsule every day, you simply drink a small amount of the liquid. Nutritional supplements come in several flavors, including a traditional flavor and a citrus flavor. You can drink the male enhancement liquid straight from the bottle, but some men prefer mixing the liquid supplement with water or another drink. The liquid products have the same benefits as the tablets and capsules.
One of the things I took away from dating him is how insecure men can be about their penis size. So whenever I date anyone, I always tell them the very specific details in how I love their penis. I never lie – that would be too tough to maintain long-term – but I always find something. Huge girth. Love the way it curves. The hardest I’ve ever been with. I can barely fit it in my mouth. Whatever. I don’t understand the penis-insecurity but I am going to do my best to rid this world of penis insecurities, one cock at a time.
The team at Morganstern Medical strongly suggests that you do extensive research on any doctor and every technique before you get agree to get your penis enlargement surgery. Dr. Steven L. Morganstern, M.D. is an internationally acclaimed board certifies Urologist and Surgeon who has invented a guaranteed solution for penile size. Over the past 25 years he has successfully performed over 4,000 penis enlargement surgeries. Dr. Morganstern is a pioneer in the men’s health field and was on the front lines of Erectile Dysfunction (ED) therapeutics. He served as a leading media spokesperson and expert on ED before others were even talking about it. Additionally, he was chosen as the only private clinician to be included in the original trials for Viagra. To put it in simpler terms: He “was reversing ED-when ED wasn’t even cool.” To schedule an appointment with Dr. Steven L. Morgenstern in his Atlanta office please call or send a request through our contact form. If traveling to Atlanta is not an option we can set up a phone consultation or you can send in a request to be put in contact with other physicians in your area that perform the Morganstern Penis Enlargement Surgery.
There’s also another way that makes you harder, longer and thicker by around 15-20% that doesn’t require stretching, surgery or pills; wear a cock ring like the popular TOR™ 2 penis ring. The size-enhancing effect of cock rings are simple and immediately effective: it works by restricting the blood flow in your penis, and provides a fuller appearance while worn.

This evaluation is something all clinics I speak to insist on. It involves a patient meeting with a surgeon or psychologist to have their general mental wellbeing assessed. If there is any hint of underlying concerns, problems or mental health issues, the operation does not go ahead. But, given that such a refusal would mean clinics losing £5,000 a pop, one does wonder how rigorous these assessments are. Is the entire industry just profiting off insecurity bordering on dysmorphia?
At his Harley Street clinic, Dr Roberto Viel is explaining how a typical enlargement works. First, surgeons sever the organ’s suspensory ligament, causing it to hang an inch or two lower, giving the impression of extra length. They then extract fat from the patient’s stomach and inject it into the penis shaft, increasing girth by around two inches. Erect, it’s worth noting, it remains roughly the same size, suggesting the motives for many men are not necessarily to enhance either their – or a partner’s – sexual experience.

Shaking your penis. This is another simple and effective method, and perhaps the quickest of them all. Instead of tugging or stretching, just give your penis several gentle shakes. Think of it as "waking your penis up". Just like any other body part that becomes stiff or remains stagnant for long periods of time, we like to shake these parts, wake them up, and in turn they go from stiff to stretched out and elongated. Same thing works for your penis. Shake him out some and not ony does the tissue become stretched, but blood flow will increase some which also creates larger size.
Dermal fillers or surgery are a way to increase penis size. “I do a lot of dermal fillers simply because many men, understandably, don’t want to go under the knife. Consistent with other nonsurgical procedures which use dermal fillers, male enhancement works by way of injection. Depending on the patient’s goals, a filler is chosen and then injected into the corpus cavernosa of the penis. The filler is then worked through the penis to achieve a uniform increase in length and girth. Dermal fillers are an excellent option for male enhancement because they require no downtime and patients can return to sexual activity the same day. Filler are less of a risk than surgery and, because they are temporary, carry no long-term undesired effects," says Dr. Mirza.
Male enhancement supplements work by increasing the amount of blood flow the genital region receives and the volume of blood that it can retain. In a flaccid state, the penis, like any other part of the body, receives a normal amount of blood flow. When an erection occurs, the penis is surged with a rich supply of blood which is then trapped in the spongy tissues of the Cavernosa and Spongiosum.
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.”

Those who do not like the idea of taking a tablet every day can take liquid supplements. Liquid supplements contain the same ingredients found in the tablets. Instead of taking a single capsule every day, you simply drink a small amount of the liquid. Nutritional supplements come in several flavors, including a traditional flavor and a citrus flavor. You can drink the male enhancement liquid straight from the bottle, but some men prefer mixing the liquid supplement with water or another drink. The liquid products have the same benefits as the tablets and capsules.

So how can we be sure it really exists? “Because the number of men seeking surgery, or the growth of this strange industry selling pills and other so-called enlargement remedies, these numbers do not map up with the numbers of men who actually have a significantly smaller penis than average,” Veale says. “So, these men are worrying about – and seeking solutions for – a problem they do not have.”
One of the most popular users of penis pumps is Ellis Lacy, a former X Factor contestant who started sharing his experiences in using the device. The Yorkshire native attests on his video testimonial on how his member gains 3 inches through regular use of pump. You can check his video below, which so far break the 11 million views as of this writing.
Biomanix contains Tongkat Ali, L-Arginine, Muira Puama, and Maca Root. These key ingredients, when combined with our proprietary blend, creates the best male enhancement formula that easily outshines every other male enhancement product today. Each ingredient is absorbed and utilized to its full potency to give you the best and most intense sex you’ve ever had.
There are several penis extender enlargement devices on the market, but the PenisMaster stands out as one of the best traction-based penis stretching device. This penis enlarger device is effective at slowly stretching the tendon that is most closely related to penis lengthening. And unlike the cheaper extenders, the wide fastener belt on the PenisMaster …

Penis extenders and traction devices are other options often advertised to make your penis bigger, and they are designed to stretch the penis by exerting traction on it. One small study done on 23 men saw a small increase in both flaccid penile length and stretched penile length after using a penile extender [7]. Another small study on 15 patients saw more significant gains in length after six months of using penile extenders, along with improvements in erectile function [8]. It’s important to note that both of these studies are very small, and while they look promising, further studies on penis extension and penis stretching are needed.

“Hi Vacu-tech: I just wanted to take time to say THANK YOU. First for sending my order out to me so quickly. ( I couldn’t believe how fast you got my order to me.) And secondly to tell you how much I love these new Ellipitical Restriction rings of yours. They are very comfortable and damn fun to wear. I send you high praises at Vacu-tech and being a serious pumper wanted again to say thank you. By the way, Vacu-lube is now the only lube I use. “
“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.
He married, had children and learned to live with his unease. Then, four years ago, after separating from his wife, he asked a new partner how he measured up to her ex-husband. “It was a stupid question,” Alistair admits. “It’s pathetic that I cared at my age – but I did. To start with she told me it was fine, but I kept pushing and, eventually, she just told me: his was bigger.”
Most of these products that are available over the counter feature herbal and natural ingredients. They are considered safe for use [12], but you should contact your physician if you are taking medications, are under 18, or have any chronic conditions. Even some natural ingredients can interfere with prescription medications [13]. A small minority of people, including males, can also have reactions to products such as enhancements, even though they are natural. As with any other supplement or food you consume, use your due diligence to make sure there are no ingredients you are allergic to in the products you choose to take.
Vacuum pumps are often used to treat erectile dysfunction because they draw blood into the penis, causing it to swell. Some men have tried to use vacuum pumps to increase size, but routinely using a penis pump or using it longer than typically used to treat ED can result in damage to the elastic tissue of the penis, resulting in less-firm erections. Although a vacuum pump may create the illusion of a larger penis at the time, the results are not permanent [4].
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.
Many doctors question whether the benefits of lengthening surgery outweigh the risks. A 2006 study found that only 35% of men were satisfied with the outcome of surgery, which added only half an inch, on average, to length. Men who are overly preoccupied with penis length tend to have unrealistic expectations of surgery and should seek counseling instead, the authors wrote.

There’s a pill for everything, whether you want to remove stress or ditch some weight. So it should be no surprise that there’s a pill for penis enlargement as well. “Men spend millions on these every year and it is a complete waste of money,” says Tiffany Yelverton, a Sex Educator, Sex Coach, Speaker, and founder of the Sexual Wellness company, Entice Me. “A pill is not going to make the penis larger. Neither are herbs or supplements. It may temporarily make the man feel like he has a stronger erection, but it won't be longer or bigger. Calcium will not increase size or strength and actually too much calcium can cause the opposite effects,” says Yelverton.
Instead of furtively turning to untested methods, men with persistent concerns should consider opening up about them with their doctors. That's because performance problems sometimes act as an early warning signal for serious health problems. Your doctor might be able to prescribe something that can really help, or least provide a valuable dose of perspective about what constitutes "normal" sexual performance.
Admittedly, most everything Big Al teaches can be found in various pockets of the internet, he just packages them in a program that would be difficult to replicate on your own. Like a trainer at a gym, most of Big Al’s value comes from his knowledge, access and willingness to hold clients accountable. Less valuable is his nonexistent medical expertise. “I have no formal medical training,” he admits. “But I’ve studied many journals.” And Wikipedia pages like this one, which he says includes “sound scientific principles” that informs the majority of meCoach’s enlargement methodology.

Panic is the anti-answer, so let’s end that now. Like any situation, this one demands some straight up facts, so let’s begin there. The first and most important fact is to forget what you’ve seen in photographs, in movies, or on the web. Based on a sample of 1,661 guys, the average self-reported erect penis length is 5.6 inches. Technically, according to the Mayo Clinic, a penis is not even considered small unless it measures less than three inches when erect.
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