The challenge was how to properly extract the tissue and also how to resolve three related problems. For a number of years some plastic surgeons performed “fat grafts” as a technique for penile enhancement. However, such approaches were known to eventually deteriorate into a clumpy, unhealthy form. Additionally, the body tended to reabsorb the bulk of that implanted tissue causing a loss of increased size. Finally, the technique offered no opportunity to increase penile length – a common patient request with augmentation.
In terms of what constitutes small, big and average, a 2007 study from British urologists Kevan Wylie and Ian Eardley revealed that the average erect penis is 5.5 inches in length and 4.7 inches in girth. According to Wylie and Eardley, most men who suffer from small penis syndrome (i.e., the anxiety of thinking their penis is too small even though it isn’t) have nowhere close to what scientists define as a micropenis. Not to mention, according to one of the studies cited, 85 percent of women surveyed said they were satisfied with their partner’s genitals, whereas only 55 percent of men were happy with what nature had given them. In other words, almost half of the men surveyed would like to have a bigger dick.

How do penis extenders work? There are two fastening points: “One at the base of the penis and one just before the glans," says Rybchin. These connect to bars or rods that "extend the length of the extender. The bars or rods are lengthened by the wearer to stretch the penis over time. Where design differences come into play is the mechanism by which the rods are lengthened and the comfort features (such as padding) of the device itself."
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.
Before starting penis enlargement exercise, you have to measure your penis both in flaccid state and erect state. Also, you need to keep a logbook to track your gains. While measuring your penis, you need to round down your measurements, this way when you see gain you will not think it is because you didn’t measure correctly. Measure your penis size once a month, if you measure your penis everyday, it will lead to inaccurate results, and it will become harder to motivate yourself.
Now that you know how to be all you can be, guys, I'm here to explain that men hung up on penis size are clueless about good sex. Any size penis can bring its owner great pleasure. But the best way to impress women erotically is to give them pleasure without using your penis. Only 25 percent of women are consistently orgasmic during vaginal intercourse no matter what the man's size, so for the vast majority of women, vaginal stretching and deep penetration are not direct routes to pleasure and orgasm. Most women need--and appreciate--gentle, patient, sensual clitoral stimulation with fingers, tongue, or toy.
• Eat less meat and cheese, and more fruits the vegetables. A diet high in animal fat raises cholesterol, which narrows the arteries, including those that carry blood into the penis. Try going a day or two a week without meat or cheese. And eat five to eight daily servings of fruits and vegetables. They contain antioxidants that help keep the arteries open.
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.

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.”


Penis pumps. These plastic tubes create a partial vacuum around the penis. The vacuum draws blood into the organ, resulting in temporary size enhancement. Models differ, but all include a plastic tube and a pump operated by a hand bulb. You squeeze the bulb, which evacuates air from the tube, drawing a little extra blood into the penis. Just remember, the effect is modest and temporary.
“Big Al and I are kind of the kings of the male-enhancements space,” explains Michael Salvini (aka “Double Long Daddy”), the namesake of the aforementioned DLD Blaster reverse kegel and founder of the natural penis enlargement website MattersofSize.com. (The $159.95 “Maximum Gains Package” includes a lifetime membership to MoS forums; “the World’s First and Only Penis Enlargement DVD”; MoS Titan Pills “to intensify your workout by 200%”; and a patented stretching tool “to get the most intense stretch possible out of every workout.”) “We’ve been around since the beginning, and there’s really nobody else out there who survived.”

According to the website of one such product, the safe application of traction encourages tissue cells to divide and multiply, a process called cytokinesis. Over time and with great effort this will lead to tissue growth. The FDA considers these low-risk devices (Class 1) and so provides only general controls intended to be followed by manufacturers.
Is it effective? Yes and no. With a penis pump, your penis really does grow – noticeably so. However as soon as you release the vacuum, your penis goes right back to original size. There’s no evidence of long-term benefits, but they do have one advantage for sufferers of erectile dysfunction: since the vacuum draws blood into the penis, you can quickly roll on a gently constricting cockring after removing the pump, thereby ‘trapping’ the penis in an erect state. While some people who have tried this technique report positive findings, we suggest consulting a doctor first.
For men who do have concerns about their penis size, doctors suggest that they start by losing weight. Although your penis won’t actually get bigger, losing weight can reduce this pad of fat around the pubic bone, exposing more of the penis and making it appear larger [17]. Even though it might not make your penis look longer, changes in your body can make it look that way.

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.
The FastSize Extender device promises results, but it's far from quick and easy. Just ask Bob, a retail manager from New Jersey. He says he's gained over 2 inches of erect length. All it took was 25 months and over 2,600 hours wearing the device, typically five hours a day, seven days a week. "I was afraid my girlfriend would think I was a freak, but she was supportive because she felt a difference in her satisfaction and I felt more confident in myself," Bob tells WebMD.
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.
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.
Stretching exercises not only make your penis longer in erect state but the length of flaccid penis will also increase. Stretching exercises are completely safe if you do warm exercise before them and use common sense. For stretching exercises you don’t need to apply lubricant on your penis. If you gain erection while performing these exercises you have to stop and let erection subside, then continue with exercise.
Penis length surgery involves cutting the ligament with which the penis is attached to the pubic bone and grafting added skin to the base to increase length. This will increase the size of the flaccid penis by up to 2cm, but it doesn’t affect the size of the erect penis. The cut ligament may also not provide the support it originally did, which means that you might find your erections less satisfactory as a result. There is also a risk that this type of surgery may cause the side effect of pain during sex.
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.
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.

Another surgical technique known as a dermal implant can increase girth and length. This procedure transplants fat cells from other parts of the body to the penis. As the size of the head of the penis cannot be increased, the results can lead to a penis with an unusual shape. And sometimes the distribution of the grafted cells results in clumping and gives far from smooth results. Many urologists will not perform this type of surgery unless there are good therapeutic reasons.
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