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WebMD Medical News: "Penis-Lengthening Surgery Questioned," "Small-Penis Syndrome Questioned.

A recent study found that 85% of women are pleased with their partner's penis proportions, but 45% of men say they want a larger penis.

"PaginationHere's what guys should watch out for.

Calling the results "remarkable," Levine now prescribes the device to many of his Peyronie's patients and reports no significant complications.

Richard, the mechanic from New York, got results faster than Bob, but still wore the device under his clothes for about eight hours a day.

"The FastSize Extender, though not extensively tested, has received some validation from mainstream medical sources.

"For men with ED who are at risk of heart disease, prescribing Viagra or its cousins isn't enough, Boyle says.

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Many doctors question whether the benefits of lengthening surgery outweigh the risks.

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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He was shocked to notice a difference within a few days.

WebMD archives content after 2 years to ensure our readers can easily find the most timely content.

"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.

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"Penis-lengthening surgery is also an option for men, but it is a highly controversial procedure.

All it took was 25 months and over 2,600 hours wearing the device, typically five hours a day, seven days a week.

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She also says the lengthening has enhanced their sex life, though she had no complaints before.

Atherosclerosis, a condition in which fatty deposits build up inside arteries, may restrict blood flow to the penis and cause erection difficulties.

"I didn't feel manly enough," he tells WebMD.

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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.

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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 FastSize Extender device promises results, but it's far from quick and easy.

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.

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These men should be also be controlling their weight and cholesterol level, limiting their alcohol intake, and quitting smoking.

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.

Levine cites "jelqing," a technique involving hours and hours of intense stroking.

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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.

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Most are a waste of money, and some are downright dangerous, doctors say.

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.

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Sometimes men with erection problems or a diminished libido have low levels of testosterone, Boyle says.

Steven Lamm, MD, assistant professor of medicine, New York University and author, The Hardness Factor.

The group also refuses to endorse surgeries that inject fat cells in the penis with the goal of increasing penile girth.

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"They need reassurance from a physician that everything is OK," she says.

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.

The most sensitive nerves in the vagina are found close to the surface, Lamm notes, and the clitoris is found on the vagina's outside.

For men with performance issues who are physically healthy, Boyle often prescribes counseling, such as marriage counseling for men with relationship issues or psychiatric help for men who are preoccupied with a problem in penile appearance.

Thousands of years before Viagra, men were consuming everything from horny goat weed to powdered rhino horn in hopes of boosting sexual performance.

For young men with sexual performance problems and no signs of physical problems, Boyle may prescribe counseling and a low dose of Viagra as they work out issues of insecurity.

"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.

It's ironic that the male preoccupation with enhancement seems to be independent of the needs of women, the supposed benefactors of improved sexual performance.

Instead of furtively turning to untested methods, men with persistent concerns should consider opening up about them with their doctors.

(The supplements are made by the same company that makes the FastSize Extender.

Levine, MD, professor, Rush University Medical Center and director of male sexual function and fertility, Chicago.

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Men who are overly preoccupied with penis length tend to have unrealistic expectations of surgery and should seek counseling instead, the authors wrote.

Nonprescription testosterone, such as the kind used by some bodybuilders, is dangerous, she warns.

But a rapid or severe decrease in performance or libido can be a red flag.


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