No herbal remedy can restore erections like Viagra and its prescription counterparts, says Steven Lamm, MD, an assistant professor of medicine at New York University and author of The Hardness Factor. But Lamm says these remedies may be appropriate for men who have experienced a decline in sexual performance but do not suffer from a diagnosable sexual problem. Lamm has endorsed an herbal remedy, marketed under the Roaring Tiger label, that combines horny goat weed and other herbal extracts with the amino acid L-arginine. (The supplements are made by the same company that makes the FastSize Extender.)

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.”
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.

Not all operations leave happy customers – infections and scarring are both potential side-effects (“This is the same as an operation of any kind,” Viel says). Some men report a decline in angle after the suspensory ligament is cut, but according to David Ralph, a professor of urology at UCL, “By and large, patients don’t complain about that. The operation doesn’t change the erect length at all – this is only for men who have anxiety about how they look in the changing rooms. The average increase in size is 1.3cm, less than the diameter of a 1p coin. In my clinics, I show patients one of these and ask if they still think it is worth it. Less than 5% decide to, and of those who do, the satisfaction rate is just 20%.”
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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.
This method is necessary before trying any penis enlargement exercise because it increases the blood flow through penile tissues. Additionally, it helps the skin become more flexible and easier to perform the exercise and simultaneously reduce the occurring of bruises. Actually, this is one of the best ways on how to increase penis size fast and naturally that you should not look down.

It is vitally important that you follow all patient care instructions provided by your surgeon. This will include information about care of your drains if placed, taking an antibiotic if prescribed and the level and type of activity that is safe. Your surgeon will also provide detailed instructions about the normal symptoms you will experience and any potential signs of complications. It is important to realize that the amount of time it takes for recovery varies greatly among individuals.
• This can be done by using a measurement tape to measure the penis circumference during an erection in the area that represents the midpoint of the penis length. If a measuirng tape is not available, use a piece of string. Place a knot near the end of the string. Wrap the string around the erect penis and hold the string adjacent to the knot. Place the string on a ruler by continuing to hold the string where first grasped and determine the length of the string from that grasping point to the knot. This will give you the circumference.

Chicago urologist Laurence A. Levine, MD, director of the male fertility program at Rush University Medical Center, tested the FastSize Extender on 10 men afflicted with Peyronie's disease, which can cause bending and shrinkage of the penis. At the end of the six-month study, which was funded by the maker of the FastSize Extender, Levine found increased penile length and reduced curvature in every man and increased girth in seven of the men. Calling the results "remarkable," Levine now prescribes the device to many of his Peyronie's patients and reports no significant complications. (Levine has also worked as a paid consultant to FastSize Extender.)


Penis-lengthening surgery is also an option for men, but it is a highly controversial procedure. The American Urological Association says a common form of lengthening surgery (involving cutting the suspensory ligament of the penis) has not been shown to be safe or effective. The group also refuses to endorse surgeries that inject fat cells in the penis with the goal of increasing penile girth.
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.
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