All this might be leading to more than simple image anxiety; some have pointed to a new mental-health issue they term penile dysmorphic disorder. “It is a minority of men – and we don’t know how many – but it certainly exists and it’s as damaging as any other body dysmorphia,” says Professor David Veale, of King’s College London, an authority on health anxieties. “These men might seek out surgery, and for a few months they will be happy with the results. But then the same anxieties reappear. So, they seek out further surgery. It becomes a circle. But you cannot keep making your penis bigger. This requires therapy.”
In Warshak's case, the government had used a retrospective process to gain access to prospective messages. The SCA does allow the government to issue "preservation" requests, but these apply only to existing records that might be at risk of deletion; they do not apply to future messages. The Department of Justice's own surveillance manual made this clear even at the time, reminding agents that preservation requests "have no prospective effect....[Preservation] letters can order a provider to preserve records that have already been created, but cannot order providers to preserve records not yet made."
Editor's note: A federal appeals court later found the government had violated Warshak's Constitutional rights by forcing his Internet service provider to turn over the emails without getting a search warrant first. This was a very big important precedent for the protection of online privacy. The case against Warshak, however, was not overturned due to the extent of evidence obtained through the physical raid on Berkeley headquarters.
Veale’s theory chimes with the experience of a retired sales manager I meet in a drab Sheffield consultancy room. A lifelong bachelor, Eric Bell, 68, is charming and well-dressed, if, with a beard tinted blue, a touch eccentric. He is also preparing for his third penis enlargement – an operation that, judging from the sizeable member already between his legs, is unnecessary. “I’d just like it a bit fatter here,” he explains, circling thumb and middle finger around the top of his shaft. “I’m single, but it makes me happy knowing I have something eye-opening down there.” We spend five minutes discussing the merits of this before he asks his own question: “Can I put it away now?”
Surprised customers routinely demanded an end to auto-ship, and they wanted refunds. In late 2003, Warshak told his staff to remove the company's return shipping address from the label on its own products. "Let's make them call—work some deals," he said, telling call-center staff to convince unhappy customers to accept other "nutraceuticals" in lieu of cash refunds or credit.

The FastSize Extender device promises results, but it's far from quick and easy. Just ask Bob, a retail manager from New Jersey. He says he's gained over 2 inches of erect length. All it took was 25 months and over 2,600 hours wearing the device, typically five hours a day, seven days a week. "I was afraid my girlfriend would think I was a freak, but she was supportive because she felt a difference in her satisfaction and I felt more confident in myself," Bob tells WebMD.
• Exercise counts. Exercise improves arterial health, allowing more blood into the penis. But exercising the penis itself is pointless. The sex media sometimes refer to the penis as the “love muscle,” implying that like the biceps, certain exercises can buff it up. But there are different kinds of muscle tissue. The penis contains smooth muscle, not the kind that gets bigger with exercise. Lose the big belly, because a big belly encroaches on the base of the penis, making the organ look smaller. Lose abdominal fat, and your penis looks larger.
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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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The government obtained convictions, but the case was appealed to the Ninth Circuit in San Francisco and then to the Supreme Court in Washington, DC. Olmstead's key contention was that his Fourth Amendment rights had been violated by the warrantless wiretaps. The government argued, however, that its phone taps had occurred outside Olmstead's office building; therefore, it had not "searched" his person, property, or possessions. No warrant was needed.
Atherosclerosis, a condition in which fatty deposits build up inside arteries, may restrict blood flow to the penis and cause erection difficulties. "The small blood vessels that go to the penis can become diseased much earlier than the [larger] vessels that go to the heart," Karen Boyle, MD, a urologist at Johns Hopkins School of Medicine, tells WebMD. "In younger or younger middle-aged men, ED is often the first sign of atherosclerosis."
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