Male Enhancement: Is It Worth A Try?

Nonpresciption Methods Range From The Possibly Effective To The Downright Dangerous

(WebMD)  Our email inboxes fill up every day with advertisements for pills, ointments, supplements, and contraptions aimed at enhancing penis size, sexual stamina, or libido. It’s a testimony to men’s abiding insecurities about sexual performance. The question is, do any of these “male enhancement” techniques really work?

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.

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.”

The FastSize Extender, though not extensively tested, has received some validation from mainstream medical sources. But that makes it a true rarity among the nonprescription methods of male enhancement. Most are a waste of money, and some are downright dangerous, doctors say.

Instead of furtively turning to untested methods, men with persistent concerns should consider opening up about them with their doctors. That’s because performance problems sometimes act as an early warning signal for serious health problems. 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.

Links Between Sexual And Overall Health

Sexual performance declines naturally as men age, doctors say. But a rapid or severe decrease in performance or libido can be a red flag. Most importantly, erectile dysfunction may be an early predictor of heart disease.

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, M.D., 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.”

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

The Quest For A Bigger Penis

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.

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. “I see a more confident man in front of me from using this product,” she says. She also says the lengthening has enhanced their sex life, though she had no complaints before.

Chicago urologist Laurence A. Levine, M.D., 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. “If a woman can have a breast enlargement and it makes them psychologically feel better,” he reasons, “then perhaps we should have the same thing for men.”

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. A 2006 study found that only 35 percent of men were satisfied with the outcome of surgery, which added only half an inch, on average, to length. Men who are overly preoccupied with penis length tend to have unrealistic expectations of surgery and should seek counseling instead, the authors wrote.

Herbs and Male Enhancement

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.

No herbal remedy can restore erections like Viagra and its prescription counterparts, says Steven Lamm, M.D., an assistant professor of medicine at New York University and author of The Hardness Factor. 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 Way to Happiness in Bed

The Internet is rife with scammers who seek to prey on men’s insecurities, Levine says. “All the pills, topical creams, and gels are worthless. Many men would clearly rather spend $20, $50, $100 on the Internet than go to the doctor and get real information.”

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.

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. A recent study found that 85 percent of women are pleased with their partner’s penis proportions, but 45 percent of men say they want a larger penis. Given that the vast majority of men fall within a certain penis size - about 5.5 to 6.2 inches long when erect - most men fall within the normal range.

And there’s plenty of debate on whether size matters at all. 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. So there should be plenty of ways to satisfy your partner that have nothing to do with pills, creams, surgery, or devices.

[tnt1954]

as ali baba and his forty wives, twelve inches
is what most women need, ten times a day.
its how nature made them. scientific american
has done all sorts of studies why women, even in
apes, go off for an extra pair copulation. it takes
just such for a woman to get relief. women are
so frustrated in their search for the perfect
lover. for women its like when a man just can''t
get any satisfaction, same for women as men.
what if you had to go around constantly frustrated.
physiologically women need more than men. most
women are just resigned to being frustrated and
just try and forget all about it. channel it into
other areas. just an opinion, everyone has one.

[Snerdguy]

This "FastSize" device just seems like a new twist on an old method. People use to something like that with some soft yarn, a weight and a bit of tape. It''s traction. It works. But, it''s not a method to be used recklessly. Cut off circulation and one could be in a serious amount of trouble.

[michellem99-2009]

Gramma Dear I use the term as it means a person who is simple living, in the sticks, country folk.common sense.My late aunt say we be Maine hillbillies. It is a way of life.
It would be nice if the men understand they have E.D. and they can just live with it. Plus he can''t be blamed for what he did not do. He is still a man.
S E X isn''t everything..It is nice when we can be happy as the people we are. As a woman I feel it is rude when men cat call,make asre of themselves when they see us.
It did not address the health issues of E.D. or men''s health. They run ads for medicines etc for men to use and I have to ask how safe,who paid the men to say what they do.. They say they combat E.D. Men have to be careful. If IT sounds too true..then IT IS.

[scottyusa]

You go to love with the *** you have not the *** you want.

[Misterdemanian]

love an older/mature woman and you''ll know that size does not matter

[missingamerica]

$298? Wow...I could turn a decent profit mailing off a rock and a rope.

[grammawhamma]

Nope Michelle...I don''t consider myself a hillbilly (but I do live on a hill). I just tell it like I see it and I believe in common sense.

[conserva-2009]

Here''s a ''dangling'' participle...I am 55 and need no enhancing or help. I am a life long vegan. It has been a wonder. I made a MUSIC CD about the whole vegan thing, and it is funny and entertaining. Life healthy and love healthy.
www.vegantunes.com

[cassandragop]

Oh that kind of male enhancement,...I was hoping the article would address the issue of enhancing males to the point where they said nice things to when they weren''t ***** and didn''t giggle when they passed gas. Now that would be male enhancement.

[michellem99-2009]

Gramma, are ye a hillbilly Dear..I can''t understand why a gent would fall that sfuff that is a waste of money and pain. Men age. Some get E.D. due to health reasons..Heart,diabetes.. To set the record,Men worry about the size of their pe*nis..Women..the size of our breasts..So what..it does what is suppose to..Ihere are girls with bigger breasts than me,I am still a woman..It does not matter..We should not stare there anyway..

[ssm9451]

Why would a man want to increase his ''brain'' size, he would still be just as stupid!!

[drummer94]

It''s not the size of the boat, it''s the motion of the ocean. Now, if you''ll excuse me, my ol'' lady needs some motion.

[jjp735i]

Is this an ad for the FastSize Extender? WebMD almost makes it sound like it works! This is not a fact filled article and was not worth reading. We all know people spend tons of money on fake cures. This really did not answer a single health question.

[old5hita55]

I dont nedd one them things because it dont matter what the woman thinks about ti she ort not have no say anyhow about that kind of stuff because shes suppost to be humble and be a help mate to the man. Why some one wants to wear so dang girdle thing around to pull his hot dog all day just dont make no sense no way.

[grammawhamma]

ATTENTION MEN: The size of the bait doesn''t matter...it''s how you wiggle your worm.

[brianbwb-2009]

Free your mind, and your thang will follow, the kingdom of heaven is within...

[michellem99-2009]

As I read it I wondered if men would be fall for the items. I think we place too much on the size and if he suffer from E.D. Men should realise there is more to life and he should be loved for the person he is. We place too much on the act rather caring about him The TV plays ads for this/that for E.D. We all have our hang ups both male and female. A man asked me what is E.D. I said you can''t get a stiff to him.He is 60. In my last post after computer I forgot to type user.

[missingamerica]

Deer ***: Get Bambi, and run.

[griking]

So was this supposed to be a news story or an advertisement? I really can''t tell.

[michellem99-2009]

A waste of money. I am a woman and I am the computer and really you gents have no idea of a small pe*nis. My room mate has one. When it soft ,it is so small it is inside his body,that he must sit to **** or if he stands he can''t aim it where needs to go. He is a grown man with what I call a child size pe*nis. Don''t laugh. He knows I am posting this.