• Forget surgery. The full 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 or so, 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. Not to mention if overtime it could cause problems.


Amr Raheem is an andrology specialist (meaning his focus is on medicine relating to men) at University College London Hospitals, as well as a surgeon at International Andrology, a private clinic in the capital. Over the past 15 years, he has carried out more than 250 enlargements. “There is no typical patient,” Raheem says. “All professions, all ethnicities, married, single, gay, straight, rich, poor. It’s across the board. And all ages. I’ve worked on men in their 60s – I don’t know if they go out and use it afterwards. Early 20s, I won’t do. These are still boys. They must get to know it before they change it.”
In a last brief conversation with Alistair, he asks if I would ever consider going under the knife. I tell him I’ve seen such a bewildering array of shapes and sizes over the past few weeks, I don’t even know what normal is any more. If it does the job nature intended, I say, that should be enough. For many men wanting an enlargement, it’s probably not so much about what’s in their pants as what, somewhere along the way, has got into their minds – and that can’t be fixed by a fat injection and a severed ligament.
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.

In 10 years as a sex therapist and 20 years as a marital therapist, I've had gobs of complaints from women whose partners were too big for comfortable sex. I've only had 2 in 20 years about her partner being too small. The first woman had a vaginal laxity after childbirth (previously, he had been "just right" and the second woman had marvelous orgasms with the small man but had a mental block.


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Then, in the back of a weightlifting magazine, he saw an ad for the FastSize Extender, a device that claims to make the penis longer and fatter through traction. Richard began wearing the device almost eight hours a day, every day. He was shocked to notice a difference within a few days. After four months of wearing the device, he says his flaccid penis has stretched from 3 inches to over 5 inches; erect, he has gone from less than 6 inches to over 7 inches. The device cost $298, but Richard says the effect on his self-confidence has been priceless: "It made a world of difference to me."
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