Androgen Deprivation Therapy – Androgen deprivation therapy is used to eliminate as much testosterone as possible in the body to treat prostate cancer. This may be done with GnRH or LHRH agonists, which reduce the amount of testosterone in the body or with anti-androgens, which block the use of testosterone by cancer cells. Unfortunately, the reduction of testosterone can cause genital shrinkage [21]. While other treatments are available if you’re worried about shrinkage, it’s important to weigh the pros and cons with your medical professional when making a decision.
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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.
Thomas Modecai, 37, a teacher from Crewe, has struggled with the size of his penis for most of his life. “When I was 14, I shot up to 6ft but my penis stayed the same,” he says. “I felt like a man with a child’s penis. And it’s affected everything: my relationships, my confidence, even my desire to have children. I worried they might have the same issue.”
So in 1997 he pivoted to the penis full-time, flexing his male enhancement chops by answering questions in web forums, Usenet groups and AOL chat rooms. Whatever he didn’t know, he learned, combing medical journals and consulting urologists to base his methodology on sound research. He was frustrated, though, by a dearth of information on natural, exercise-based male enhancement training and says the majority of online communities at the turn of the millenium were only focused on pumping. (Both jelqing and penis pumping force blood to the penis but do so differently. Imagine a tube of toothpaste: Starting at the bottom and squeezing the toothpaste out is jelqing; sucking the toothpaste out is pumping.)
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Doing exercises and staying on track can sometimes be tedious and requires motivation. If you tend to procrastinate things, it can be helpful to have someone coaching you, someone who knows how penis enlargement works, someone who already helped thousands of guys to get a bigger penis, more stamina and and overall better sex. The most famous male enhancement coach, who was even featured on CNN, MSNBC and sites like Men’s Health, is AJ Alfaro, also called “Big Al”. He is one of the few real male enhancement experts worldwide who offers 1 on 1 coaching, helping you to get exactly the penis you want, no matter if your problem is length, girth or a curvature. This personal coaching called “MeCoach” costs a little more than a normal at home training program without additional support, but is inexpensive anyway, starting at about $25 a month depending on the package you choose (1 month, 3 month or 3 month with additional weekly calls by phone and direct access to your coach via Skype). So, if you are insecure if you can exercise correctly with a guide or you need additional information, some extra motivation and documentation of your progress, this program is what you are looking for. Of course, absolute discretion is guaranteed.
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.”
that’s quite a lot of products you tried, I’m sorry to hear that you learned it the hard way. A shortcut would be awesome, but there isn’t any, there is no secret growth formula or herb mix, there is no unicorn. Enlargement takes small steps and while some (single ingredient) supplements like the amino acid L-arginine to trigger growth hormone secretion may help a little combined with the right exercises, the scientific proof of an effect is controversial. A lot of websites promote it as a proven solution, but just because a lot of people are writing about it (copying others writing about it), it doesn’t become true. Same for products increasing testosterone. Testosterone is imporant for penis growth till you are an adult, that’s proven, but as an adult, it’s different.
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].
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.

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If you’re shorter than average, you still have options to please your partner and enjoy sex yourself. Riding high bringing the base of the penis against the clitoris while grinding against the pubic bone instead of thrusting can work well for you. This focuses on the rocking motion, and it won’t matter how long or short you are when you’re not thrusting.
There are also traction devices which have been observed to cause small increases in length (1-2 cm overall) in some men. However, these devices are highly impractical, as they need to be worn for several hours every day in order to have an effect. You should consult a doctor before experimenting with any device to enlarge your penis, as there is a risk of side effects and injury if you don’t use it correctly. Evidence that using a traction device works is still limited.
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.”
In this part of this how to get a bigger penis fast with your hands guide I am going to show you exercises of each penis enlargement technique and give you workout routine so you can follow it without any problem. If you want faster results then I recommend you to combine this penis exercise routine with 2-step biochemical method offered inside Penis Enlargement Bible.
When we asked over 2,000 women across the world what was important to them in the bedroom, what consistently came across in their answers was that women care a lot more about things like foreplay, intimacy and a sense of connection than something like your size. So the conclusion: no, she doesn’t really care about the size of your penis. She probably cares a lot more about you.

The sheer symbolism of what’s in a man’s pants may be a factor. As Harrison Pope and Katharine Phillips write in their book on male body obsessions, The Adonis Complex, genitals have been equated with “virility, procreative potency, and power” throughout history. This has been compounded by an apparent rise in general masculine vanity. Figures from the British Association of Aesthetic Plastic Surgeons show the total number of male procedures doubled between 2005 and 2015, with breast reduction, rhinoplasty and neck lifts especially popular. For those in need of rejuvenation, surgery is cheaper and more easily available than ever.


Penile size differs between men of different ethnic backgrounds and large studies of penis girth and length have been conducted by condom manufacturers. What many men perceive as a short penis actually falls into normal range size. Based on many published charts, scientific articles, and self reported web based surveys, 95 % of Caucasian men will fall into one of the following categories of size:
Seriously this product does NOT work. I ordered 4 bottles and rook the max dosage recommended for two months. I saw ZERO gains physically and observed no change in libido or sensation. Absolutely ZERO health benefits. Drink a glass a water instead. Save money and time. I got a FULL REFUND after filing a dispute with my CC. Yes, My VISA saw my side and got my refund faster then you or me can THINK we will be the next Ron Jeremy using this junk. Sorry "jimmy" better luck next time.
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Doing exercises and staying on track can sometimes be tedious and requires motivation. If you tend to procrastinate things, it can be helpful to have someone coaching you, someone who knows how penis enlargement works, someone who already helped thousands of guys to get a bigger penis, more stamina and and overall better sex. The most famous male enhancement coach, who was even featured on CNN, MSNBC and sites like Men’s Health, is AJ Alfaro, also called “Big Al”. He is one of the few real male enhancement experts worldwide who offers 1 on 1 coaching, helping you to get exactly the penis you want, no matter if your problem is length, girth or a curvature. This personal coaching called “MeCoach” costs a little more than a normal at home training program without additional support, but is inexpensive anyway, starting at about $25 a month depending on the package you choose (1 month, 3 month or 3 month with additional weekly calls by phone and direct access to your coach via Skype). So, if you are insecure if you can exercise correctly with a guide or you need additional information, some extra motivation and documentation of your progress, this program is what you are looking for. Of course, absolute discretion is guaranteed.
Popping Pills. This is another method which should be given a mention since there are so many "penis pills" out there claiming size gains are possible by simply popping pills. These do actually have their place as there are effective herbs out there that will increase size, but once again it is only temporary. The other catch is that the size is most noticeable in the state of erection. That is the effective penis pills (and there are a lot of non-effective pills out there as well) will make your erections much harder and stronger. This results in even more blood being pumped up creating larger looking erection size as well as a much more "veiny" look.
Thanks for your insight. I spent hours on research on male enhancement and your site is the first one I’m really happy with. There is an abundance of website on PE, but most list treatment options (mostly surgery, not my preference), facts, but without any feasible recommendations. I think coaching instead of a written guide is exactly what I need, I’ll report back.
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.

How To Get Penis Enlargement

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