It's ironic that the male preoccupation with enhancement seems to be independent of the needs of women, the supposed benefactors of improved sexual performance. A recent study found that 85% of women are pleased with their partner's penis proportions, but 45% of men say they want a larger penis. Given that the vast majority of men fall within a certain penis size -- about 5.5 to 6.2 inches long when erect -- most men fall within the normal range.
If you notice a change in the angle of your erections, see a urologist who specializes in sexual medicine. Your doctor can prescribe an intervention, such as a penile traction device or vacuum device, which can essentially stretch contracted scar tissue back to its normal length, says Walsh. They won’t do much for healthy penis tissue, which is probably as elastic as it can be already, he says.

you are right, both approaches are based on the fact that healing micro fissures slowly grow new tissue. At first glance, they are similar, but there are huge differences in the force applied. When jelqing, no matter if wet or dry jelqs, you are just using your thumb and index finger most of the time (“ok” sign) pulling softly and applying light pressure, usually no longer than 20 minutes. You got full control. Same with Kegel exercises, you can’t do any harm with them. A stretching device is totally different, while the pulling force can be regulated for some of these devices, it’s pulling much stronger, in just one direction, without interruptions and for hours, with your glans locked in the device. You don’t have control.
All consultations with Big Al are done remotely via Skype, which he conducts from his home office in Central Florida (out of earshot of his wife and young kids). His wife is aware of what he does and is totally cool with it, so long as he’s helping people. Which he appears to be doing from the looks of dozens of seemingly legit testimonials on PEGym, a sexual improvement site for men. Dear Ambellina, for example, says he made some “good and easy newbie gains” before hitting a wall, but Big Al kept him motivated to reach his desired length of 7.5 inches. “A huge part of penis enlargement is mental discipline,” Ambellina explains. “A coaching service like Big Al’s is invaluable because you’re much more likely to follow through when a passionate professional is monitoring your progress and pushing you to achieve.”
Herbal remedies, Kegels (pelvic floor exercises — learn more here), and exercises have all been mentioned as potential ways to make your penis bigger. However, we’ve searched and searched for medical evidence that these techniques will work to grow your penis, but there’s simply zero, zilch, nada, no evidence. You may find lots of unverified anecdotes, which come from a sample size of one, but they simply cannot be trusted. After all, no one on the internet knows you’re a dog (or liar). We recommend that you avoid these techniques.
One of the questions that gets asked a lot is about finding something that will permanently extend the size of your penis. Nothing, other than painful and not always successful surgery, can permanently extend the size of your penis.  The American Urological Association [6] does not promote penis augmentation surgery as effective or beneficial. Sometimes, these surgeries even leave the penis smaller than before [7].

For men trying to figure out how to get a bigger penis, innovative surgical techniques for lengthening the penis and enhancing girth have sparked interest. Male genital corrective surgery is becoming a more popular request by patients, but there’s not a lot of long-term data and patient-related satisfaction details surrounding surgical intervention as a method for penis enlargement [15]. Penile elongation surgery is an option for restoring the penis to functional size for satisfactory sexual intercourse, although it’s generally only recommended as a treatment for micropenis [16]. Currently, reputable medical organizations do not endorse surgical intervention for purely cosmetic reasons [4].

Big pharma companies don’t publish what’s going on in their secret labs, but we are sure they would come up with some sort of enlargement pill if it would be possible. Viagra was a sensational success for Pfizer, any medication for penile enhancement would become a bestseller, too, a patent worth billions. Doesn’t look like this will ever happen, there is no imaginable way how a pill could increase size.

Herbal remedies, Kegels (pelvic floor exercises — learn more here), and exercises have all been mentioned as potential ways to make your penis bigger. However, we’ve searched and searched for medical evidence that these techniques will work to grow your penis, but there’s simply zero, zilch, nada, no evidence. You may find lots of unverified anecdotes, which come from a sample size of one, but they simply cannot be trusted. After all, no one on the internet knows you’re a dog (or liar). We recommend that you avoid these techniques.
So, does a bigger penis mean better sex? The simple answer is, no, after all, ‘it’s what you do with it that counts’. Regardless of how many times that cliché is used, many men firmly believe that their penis is too small and that if they had a bigger penis, they would have more confidence in relationships and be better lovers. 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. If you have wavering self-confidence and poor body image, these kinds of comments can deepen those feelings and lead to the belief that, ‘your penis is inadequate. Therefore, you are inadequate’. Sadly, this kind of misbelief can lead men to avoid dating, relationships and any kind of sexual intimacy, for fear of rejection or humiliation.
Professor Ralph at UCL believes that some clinics are feeding patients’ unrealistic expectations. “Initially, they don’t see doctors, they see sales people. It’s a hard sell: ‘We can get you an extra inch or two.’ I’ve been practising in the NHS for 30 years: if it was that easy to increase the length of a normal penis, I’d be in the Mediterranean on my cruise liner now.”
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.

So you might be thinking he’s still not technically as big as some of my past lovers, and that’s true, but he is sure as hell a lot harder than any of them. That HARDWEAR does something to a penis that makes it like iron, every vein jumping up and pulsing, and that hardness and the extra size takes the sex to a new dimension of intensity, better than any I’ve ever had. Previous lovers were bigger, yes, but limper too. My HARDWEAR-man can do pushups with no hands he’s so hard, and there’s nothing I like more than when he’s doing those penis pushups on top of me, even though sometimes the sex is so intense now that I’m sore for hours afterward (God I love it). So that’s my story, I just wanted to thank you from the bottom of my heart for giving me and my soon-to-be husband the fix our sex life needed. There’s nothing out there that I’d recommend more highly than HARDWEAR to any couple that wants to experience souped-up bigger dick, harder dick, sex.

Occasionally, the cut ligament leaves genitals lopsided when flaccid, and pointing off to the left or right when erect, as Francis Tilley, director of London clinic Androfill, explains. “Ligaments are there for a reason,” he says. “If you start cutting at them, the stability of the penis will be reduced: the erection will be lower and less straight.” Tilley’s practice offers the operation, but its website clearly identifies it as high risk.
Professor Ralph at UCL believes that some clinics are feeding patients’ unrealistic expectations. “Initially, they don’t see doctors, they see sales people. It’s a hard sell: ‘We can get you an extra inch or two.’ I’ve been practising in the NHS for 30 years: if it was that easy to increase the length of a normal penis, I’d be in the Mediterranean on my cruise liner now.”
As you rise to the occasion, your penis contains spongy erectile tissue that fills with blood, thus determining the size of your erection. Unfortunately, the tissue isn’t easily changed, according to Walsh. "These fibrous cylinders are fixed to the pelvic bone, and by virtue of being fixed to the pelvic bone, they are not easily manipulated,” he says. “They are fixed in place, and for most men, the length of the penis that they achieve through puberty becomes their maximum length.”

You can also try penis traction, a clinically tested method with a penis extender. “A penis extender applies traction to your penis and stretches it over a longer period of time — up to six hours per day. The constant stretch to which the penis is exposed, called cytokinesis, causes natural cell division, which results in a longer and thicker penis,” says Stacy Rybchin, founder & CEO of My Secret Luxury. Once your cells have grown and your penis size has increased, you will keep your extra penis length and girth forever.
When I personally talk with John Collins and tell him my situation he suggests me to combine penis exercises with his 2-step method which makes sense to me. So after combining my penis exercise routine with Collin’s two-step method I gained 2.3 inches in 6 months and whenever I say anyone that I gained 2.5 in 6 months they get desperate to know about my penis enlargement secret.
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.
Penile enlargement pills and patches are devices that you see advertised on-line lots. They promise to become very convenient and discreet solutions if you need to make your penis bigger. However, you have to be conscious of research about the efficacy of those pills and patches are consistent in showing that these pills are ineffective and they are purely offered for profit. Every current brand of pill I know of may also be not FDA approved, so anybody’s researching their claims of safety and efficacy.
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]
Peyronie’s disease refers to an abnormal curvature of the penis that is caused by scar tissue, also called a plaque, in erectile tissue [31]. Peyronie’s disease has the ability to make your erection shrink or become deformed. Prompt treatment for the disease is important and can include treatments like vitamin E, steroids, collagenase, and verapamil. In some cases, surgical intervention is required, although conservative therapies should be exhausted before turning to surgical procedures [32]. Other studies have found that administration of these ED medications for penile fibrosis is not only safe, but these medications have anti-fibrotic properties that may relieve fibrotic plaques in localized and widespread fibrosis in penile tissue [33].

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Penile girth surgery can involve a range of controversial techniques, such as injecting fat taken from other parts of the body. Whilst some studies claim an increase in girth of between 1.4 and 4cm, patients frequently report scarring, disfigurement, lumpiness, even infection. The body usually reabsorbs the injected fat, so the penis soon returns to its original size.
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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.”
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.
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