However, after more than a century of generally dubious and sometimes lunatic penis enlargement attempts, there's still not much you can do. Sure, there are lots and lots of supposed options out there -- penis pills, creams, brutal stretching exercises, horrific-looking devices, and penis surgery. Almost none of it works. The few approaches that can work often have modest benefits and serious side effects. How serious? In some cases, erectile dysfunction-serious.
And speaking of reconstructive surgery, this is a huge risk as well. I'm not qualified to speak knowledgeably about this topic. But my understanding is this kind of surgery is usually only an option for medical need. Completely non-functioning penis, reconstruction after serious injury, sex changes, that kind of thing. If you were to do this for purely cosmetic reasons, for example because you want a bigger member, if you found a doctor who was willing to do this for you my understanding is that you'll trade this off with a loss of sensitivity. Depending on the methods used, you could wind up with nerve damage, or even areas of no sensitivity. And sensation is one of the major mechanisms for many men to achieve an erection. I have heard tell of men who got such surgeries only to wind up with a larger penis that didn't perform.
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Warshak argued that his company was simply the victim of its own success, overwhelmed with orders and run by people with no real experience in business at this scale. Berkeley's "operational deficiencies," as Warshak's lawyers called them, were simply "a byproduct of unsophisticated business practices in Berkeley's formative years and Berkeley's virtually unprecedented growth, rather than the result of criminal fraud." As evidence, they noted that the company had finally abandoned its undisclosed auto-ship program after several years and had installed an automated system to record all calls with customers. It even set up a compliance department, which at one point had nearly fifty employees, to ensure that customer interactions were aboveboard.
• Forget surgery. The full monty, lengthening and girth enhancement, is expensive (around $15,000) and problematic. Lengthening surgery cuts the ligament that makes an erection stand up. This adds an inch, but erections no longer salute. They just hang between your legs and must be manually directed into erotic openings. Girth enhancement takes fat from the buttocks and injects it under the penis skin. Sounds good, but quite often, the result is a lumpy, deformed-looking penis.
This didn't seem possible. Warshak's e-mail provider, NuVox, deleted his messages from its servers after Warshak's computer grabbed a copy of them. To get access to the messages, the feds should have had to (1) infiltrate Warshak's computer or (2) wiretap Warshak's Internet connection to look for e-mail on the wire. But there had been no software subterfuge and no Internet wiretap. Instead, government lawyers had sent NuVox a letter on October 25, 2004, demanding that the company "preserve" copies of Warshak's future e-mails. The company complied without notifying Warshak, maintaining a private cache of all his messages rather than deleting them when his computer downloaded copies. The feds then returned twice in 2005 with court orders — but not with the much-harder-to-get warrants — to collect the e-mails that had been "preserved" for them.
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.