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.

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.
Lengthening the penis. The most common procedure is to cut the ligament that connects the penis to the pelvic bone. This allows a little more of the shaft -- on average less than an inch -- to become visible outside the body. It's not really lengthening the penis so much as revealing more of what's usually hidden. To prevent the ligament from reattaching, a guy would need weights or stretching devices daily for about six months.
Length can be added by division of the penile suspensory ligament that tethers the penis to the pubic arch. This sounds like a simple solution, but remember the ligament was there for a reason. Dividing it will allow the penis to fall away from the pubis, giving some length (a couple of centimetres), but at a loss of the normal “angle” at erection. Also, this does not lengthen the skin, and so the peripenile pubic skin is often pulled onto the shaft of the penis, resulting in pubic hair growing from the penile shaft.
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.

O’Connor says he had no concerns beforehand (“My main worry was having the anaesthetic – I’m scared of needles”) and no regrets afterwards. The pain was manageable and there were no complications. He views the procedure as akin to working out. “I’m not obsessed by my body – I have too many other things going on in my life,” O’Connor says. “But I’m proud of it and I like that it’s in good shape – every part of it.”
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Of all the sex-related topics out there, the one surrounded by the most myth is definitely penis enlargement. If you’re a guy who’s ever checked their spam folder, you’ll see reams and reams of emails promising more inches with pills, creams, surgery and more. Don’t trust them, obviously — however, there are so many who are trying to sell people on having a bigger penis that there must be more to it, right?

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.


Another option for an “emergency” short term size increase is simply having a warm bath, a shower, wrapping your penis with a wet and warm towel or simply pulling it by hand. The blood flow increases and the flaccid size increases, too. The effect only lasts for minutes, but there are situations this may become handy, especially if you were in a cold environment before and your penis size has “shrunk” to even smaller than usual.
Neither food nor any supplements influence penis growth or size. That’s the reason why all the so called penis pills offered on the internet simply don’t work at all, don’t believe all the fake promises. All those pills increase the blood flow only, which may cause a harder erections, but the effect instantly stops once you stop taking those pills. So, a lot of wasted money for non-permanent effect. It’s tempting, the sellers of those pills will show you doctors smiling from their websites, pseudo scientific studies from India they paid for, raving testimonials from famous pornstars but it’s just a huge scam scheme. It’s an extremely profitable business, selling cheap herbs for astronomical prices, combined with often shady long term recurring billing that’s hard to cancel. Bottom line: Penis pills are pure “snake oil” often made of cheap ingredients importet from China, overpriced and even potentially harmful for you health. Especially the contamination with heavy metals and carcinogenic colorings is a possible problem. Some sellers claim their products are manufactured in FDA approved laboratories, but this doesn’t mean the product itself is controlled by the FDA, like prescription drugs.
"Some men are confused (or rather not as educated on the matter) and they believe that the outside skin get’s longer and thicker. That’s false. However, some men have false expectations; they think using a penis pump once will cause them to have a bigger penis permanently, and that’s false. As in the gym example before, you have to keep at it, and you have to practice to see results. Yes, early on you will see results like any newbie in the gym, but if you don’t keep at it you will see those results diminish,” says Dubois.
What is important to remember is that there is wide natural variation in penis size, as in height, weight, and many other human physical characteristics. Thus, what may seem small is probably normal. Surgery is fraught with uncertainties about results, and, like other forms of medically “unnecessary” cosmetic surgery, people often have unrealistic expectations and are disappointed as a result.
A study in the Journal Of Urology researching new therapies for erectile dysfunction found that "neovascularisation using vascular growth factors have been demonstrated to be feasible in animal models". So if you inject growth factors into a human penis, it'll grow new tissue and blood vessels and you will end up with a cock the size of a horse (probably).
In an offshoot to the FDA crackdown on “male enhancement” pills, an FDA advisory panel concluded Sept. 17 that testosterone replacement therapies should be reserved for men with specific medical conditions that impair testicle function. Prescriptions for "Low T" — as low testosterone is typically described in TV commercials — have surged in recent years as middle-aged men seek to stall the natural effects of aging.
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.

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.
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.
There has never been an FDA-approved device for a penile extension, but devices that allow men to attach weights to their penises with the objective of stretching out a couple more inches have been advertised. A medical device called the Extender may improve penile length for men with Peyronie's disease, which is a change in the size or shape of the penis due to injury, but this device has not been studied in men without Peyronie's.
As the name implies, the traction method involves the phallus being placed in an extender and then stretched daily. One team of researchers quoted in the study reported average growth of 0.7 inches (flaccid) in participants who used the method for four to six hours each day over four months. Another team reported an average increase of nearly an inch (0.9 inches, flaccid) plus some slight improvement in girth after similar treatments lasting a course of six months.
Men dealing with erectile dysfunction (ED) have a higher risk of dealing with penile shrinkage. One study that included 1,027 adult men looked at normal adult men and ED patients with no differences in height, race, weight, and age. The ED patients have a significantly shorter penis length, showing an association between ED and shrinkage [29]. Another case-control study also found that both diabetic and nondiabetic men with ED dealt with a decline in penile dimensions, and the decline was even more prevalent in diabetic patients [30]. Working with your doctor to find an effective treatment for ED may help prevent shrinkage due to ED, and if you have comorbidities like diabetes along with ED, effectively managing both may be important to prevent a decline in penile dimensions.
Dr Schulman also notes that it's a millennial phenomenon, with men aged between 20-35 requesting it the most. "The Kardashians have fuelled the increase in the procedure. Plus, Instagram has made us very conscious of how our body looks and there are plenty of photos of ideal butts." A reality show changed the beauty aesthetic of the United States and started a body modification trend that has trickled down to men. At a recent Hollywood party, the prevailing look for women was thin with a big derriere, stuffed into a tight dress.
A high-quality penis sleeve can provide extra length and girth. “It can also be of help when a man has difficulty maintaining an erection. The problem with many sleeves [...] is that they are made of toxic chemicals and/or are porous, so they can hold bacteria and germs, even HPV. If a man is with multiple partners, these would not want to be shared. My client with lifelong ED swears by his silicone sleeve. Even with his penile implant, he says his wife enjoys the extra length,” says Yelverton.
That’s usually because they’re not getting enough blood flow to the penis, which could be the result of being overweight, smoking, increased cholesterol, high blood pressure, diabetes, or cardiovascular disease. So the first step in your penis-growing experiment should be to get the rest of your body healthy — especially your cardiovascular system. “What’s good for the heart is good for the penis,” says Fisch.
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.
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.
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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.
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“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.’”

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Is It Actually Effective? There’s conflicting evidence about this, and it’s mainly anecdotal. Some reports suggest success, but more suggest permanent damage was incurred as a result of the procedure. The only major medical research body to give this topic any real consideration eventually decided that there was no evidence that the penis can be permanently enlarged, and that most men would not want to go ahead with the surgery if they knew the risks and dangers involved.
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.”
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.
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If there is one unifying factor, it is a lack of confidence about what nature has provided. The average length of a British penis is, according to a 2016 King’s College London study, 5.16in erect and 3.67in flaccid. Only 0.14% of men have what one University of California study defined as a “micropenis” – that is, less than 2.5 inches when erect. Nonetheless, study after study shows dissatisfaction remains widespread among men.

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.

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