Top Rated Male Enhancement Pills of 2018 – Do they Really Work?

The supplements are made by the same company that makes the FastSize Extender. Some guys are genuinely smaller than that. Recommended for use among men 35 years of age and up, Tavros is a male enhancement supplement that promises a wealth of sexual function and performance benefits. Nonprescription testosterone, such as the kind used by some bodybuilders, is dangerous, she warns. Erectile dysfunction is more common in older men.

How Small Is a Small Penis?

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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. In some cases, erectile dysfunction -serious. Still, common sense doesn't stop size-obsessed guys from trying very sketchy treatments on a vital part of their anatomy -- and risking a lot in the process.

The typical erect penis is usually 5 to 6 inches long with a circumference of 4 to 5 inches. There's more variation in the size of flaccid penises. Some guys are genuinely smaller than that. In rare cases, genetics and hormone problems cause a condition called micropenis -- an erect penis of under 3 inches.

Sometimes Peyronie's disease or prostate cancer surgery can reduce a guy's size. But studies show that most of the guys seeking penis enlargement are average-sized. They just think they're below average. Part of it is perspective. It's very hard to gauge the size of your own penis -- looking down, you've got a bad angle. Psychology plays a role, too. Some average-sized guys become obsessed with the idea that they're too small.

There's even a psychiatric diagnosis: It's similar to the perceptual distortion of anorexics who think they're fat no matter how thin they get.

According to one study, the majority of men who get penis enlargement surgery have this condition. They're also the least satisfied with the results.

Losing weight will reveal more of that hidden shaft that's buried beneath belly fat. It doesn't actually increase your size, but it will look that way. For guys who would rather have a surgical procedure than eat less, liposuction of the fat pad around the penis can work. Still, the effects aren't permanent -- if you don't change your eating habits, your penis will once again sink into your belly, like a pier at high tide.

The American Urologic Association states that these procedures have not been shown to be safe or effective for increasing the thickness or length of the penis in an adult. One newer -- and possibly lower-risk -- procedure may work for certain men. In some cases, the scrotum attaches high up on the shaft of the penis.

Partially disconnecting the scrotum can reveal more of the shaft, making the penis look longer. The surgery takes 20 minutes and can be done on an outpatient basis, O'Leary says. Before you take out a penile improvement loan and unbuckle your pants, consider the risks of lengthening or widening surgery.

There are no well-studied approaches. No major medical organization approves of these surgeries. Some guys opt to travel to other countries for treatments that aren't approved in the U.

If that thought has crossed your mind, slow down -- it's time to have a frank talk with your doctor about the risks you'd be taking. The side effects of lengthening surgeries are numerous and include infections, nerve damage , reduced sensitivity, and difficulty getting an erection.

Perhaps most disturbing, scarring can leave you with a penis that's shorter than what you started with. Widening the penis is even more controversial. Side effects can be unsightly -- a lumpy, bumpy, uneven penis. The few studies that have been done aren't encouraging. Half went on to get more surgery. For men with ED who are at risk of heart disease , prescribing Viagra or its cousins isn't enough, Boyle says. These men should be also be controlling their weight and cholesterol level, limiting their alcohol intake, and quitting smoking.

Evidence shows that these changes in themselves can have a positive effect on sexual function, Boyle says. 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. 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.

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.

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, hours wearing the device, typically five hours a day, seven days a week. 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.

Richard's wife has also been supportive. She also says the lengthening has enhanced their sex life, though she had no complaints before. Chicago urologist Laurence A. 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. At the end of the six-month study, which was funded by the maker of the FastSize Extender, Levine found increased penile length and reduced curvature in every man and increased girth in seven of the men.

Calling the results "remarkable," Levine now prescribes the device to many of his Peyronie's patients and reports no significant complications. Levine has also worked as a paid consultant to FastSize Extender. Could FastSize work on men of normal penile length? Levine says it might. Penis-lengthening surgery is also an option for men, but it is a highly controversial procedure. 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 group also refuses to endorse surgeries that inject fat cells in the penis with the goal of increasing penile girth. Many doctors question whether the benefits of lengthening surgery outweigh the risks. Men who are overly preoccupied with penis length tend to have unrealistic expectations of surgery and should seek counseling instead, the authors wrote.

Thousands of years before Viagra, men were consuming everything from horny goat weed to powdered rhino horn in hopes of boosting sexual performance. The remedies persist for men who can't get their hands on prescription drugs like Viagra or who prefer "natural" cures.

But many doctors are wary of traditional medicines. When Boyle's patients come to her with bottles of herbal supplements , she tells them she cannot vouch for their safety or effectiveness unless the FDA has reviewed the claims on the label.

But Lamm says these remedies may be appropriate for men who have experienced a decline in sexual performance but do not suffer from a diagnosable sexual problem. 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.

The supplements are made by the same company that makes the FastSize Extender. The Internet is rife with scammers who seek to prey on men's insecurities, Levine says.

In some cases, men are harming themselves in the pursuit of a bigger penis. Levine cites "jelqing," a technique involving hours and hours of intense stroking. He says he has patients who have developed Peyronie's disease due to violent stretching of the penis through jelqing.

The Quest for a Bigger Penis