There are several surgical treatments, most of which carry a risk of significant complications. Procedures by unlicensed surgeons can lead to serious complications. Risky surgical treatments include subcutaneous fat injection, division of the suspensory ligament, and the injection of dermal fillers, silicone gel, or PMMA. The American Urological Association (AUA) and the Urology Care Foundation "consider subcutaneous fat injection for increasing penile girth to be a procedure which has not been shown to be safe or efficacious. The AUA also considers the division of the suspensory ligament of the penis for increasing penile length in adults to be a procedure which has not been shown to be safe or efficacious." Dermal fillers are also not approved by the US Food and Drug Administration (FDA) for use in the penis.
Sometimes men with erection problems or a diminished libido have low levels of testosterone, Boyle says. Testosterone deficiencies can also affect mood and energy levels. Boyle tests for testosterone levels and prescribes it as a topical gel, though she warns it is only safe when prescribed and monitored by a physician. Nonprescription testosterone, such as the kind used by some bodybuilders, is dangerous, she warns.
But many (most?) men feel very differently. They've compared themselves to the huge penises they've seen in porn and have concluded: Mine's much smaller. They've received countless junk emails for enlargement products. They've seen casual sex personal ads looking for men with huge ones. Men are convinced that size is key to women's pleasure and orgasm because a big one stretches the vagina more and penetrates deeper. And if you add up all the authoritative information men receive about size, it amounts to a thimbleful of water in a vast ocean of porn whose message is that hot sex is all about having a huge penis.
Lawyers at the Electronic Frontier Foundation were jubilant. "Today's decision is the only federal appellate decision currently on the books that squarely rules on this critically important privacy issue," wrote EFF lawyer Kevin Bankston. "When the government secretly demands someone's e-mail without probable cause, the e-mail provider can confidently say: 'Come back with a warrant.'"
Richard, a mechanic from upstate New York, is a muscular, athletic guy. He has a loving wife who has always enjoyed their sex life. But ever since he was a young boy, Richard couldn't get over the feeling that his penis was too small. In public bathrooms, he'd use the handicapped stall. He felt embarrassed in gym locker rooms and when standing naked before his wife. "I didn't feel manly enough," he tells WebMD.