The Mayo Clinic on PE

* - This must be true, it's from the Mayo Clinic. <wink, wink> ;)
They do offer some helpful advice, however: (1) lose weight, and (2) trim your pubic hair.
Nice!

Penis-enlargement scams: You're more normal than you think

Thinking about penis enlargement? Male-enhancement pills, pumps, exercises and surgeries can be expensive and dangerous. Consider some better options.

By Mayo Clinic staff

Penis-enlargement products and procedures aren’t difficult to find. Men’s magazines, radio shows and Internet sites are filled with ads for pumps, pills, weights, exercises and even surgeries that claim to increase the length and width of your penis. But be cautious.

No scientific research supports the use of any nonsurgical method to enlarge the penis — and no reputable medical society endorses penis surgery for purely cosmetic reasons. The techniques you see advertised can damage your penis, and some may even cause erectile dysfunction (impotence), so think twice before trying any of them.
Penis size: What’s normal, what’s not?

The fear that your penis looks too small or is too small to satisfy your partner during sex is a common fear. But a number of studies have shown that most men who think their penis is too small actually have normal-sized penises.

It’s highly unlikely your penis is outside of the normal range — and even if it is, it’s still possible to have a satisfying sex life and father children.

* The average penis measures between 3 and 4 inches (7.6 to 10.2 centimeters) when it’s not erect (flaccid) and between 5 and 7 (12.7 to 17.8) centimeters inches when erect.
* A penis is considered abnormally small only if it measures less than 3 inches (7.6cm) when erect, a condition called micropenis.

How partners view penis size

Advertisers would have you believe that your partner cares deeply about penis size.

* Many women say size is unimportant. In fact, having a penis that’s too large can be a disadvantage. During intercourse, the tip of a long penis can strike a woman’s cervix, causing her pain or discomfort.
* Advertisements would also have you believe that gay men are obsessed with penis size. But in most cases, penis size is a matter of personal preference for both you and your partner.

Unless your partner tells you otherwise, assume that you’re fine just the way you are. Understanding your partner’s physical and emotional needs and desires is more likely to improve your sexual relationship than trying to change the size of your penis.
Don’t believe the hype

Marketers offer many different types of nonsurgical penis-enlargement treatments, and often promote them with serious-looking advertisements that include endorsements from "scientific" researchers. But if you look and read closely, you’ll see that claims of safety and effectiveness aren’t proven. No reputable scientific research endorses or supports any type of nonsurgical penis enlargement. So, marketers rely on testimonials, skewed data and before-and-after photos that often aren’t authentic.

At the bottom of such advertisements, you’ll usually find a sentence such as "These statements have not been evaluated by the Food and Drug Administration (FDA)." Indeed, the FDA — the government agency that regulates medications and medical devices — has never approved any medications or devices for enlarging a penis.
Penis-enlargement gimmicks can be dangerous

Some advertised penis-enlargement methods are ineffective and can cause permanent damage to your penis. These include:

* Manual squeezing exercises (jelqing). These exercises use a hand-over-hand motion to push blood from the base to the head of your penis. Although this technique may be safer than other methods, it can lead to scar formation, pain and disfigurement. There are no scientific studies that indicate this technique is effective at increasing penis size.
* Stretching with weights. This technique, which involves wearing weights on the flaccid penis, may cause permanent damage to the penis. There’s no scientific evidence that this technique increases penis size.
* Vacuum pumps. Because pumps draw blood into the penis and make it swell, they’re sometimes used in the treatment of impotence (erectile dysfunction). Using a penis pump more often and for a longer time than it’s typically used for treatment of erectile dysfunction can damage elastic tissue in the penis, leading to less-firm erections. Using a vacuum pump may create an illusion of a larger penis, but results are seldom permanent.
* Pills and lotions. These usually contain vitamins, minerals, herbs or hormones that claim to enlarge the penis. None of these products has been proven to work, and some may be harmful.

Some surgeons have developed several different enlargement techniques, none of them endorsed by medical organizations. The American Urological Association, the American Society for Aesthetic Plastic Surgery and the Society of Plastic Surgeons (ASPS) have all issued policy statements against cosmetic surgical procedures to enlarge the penis.

A few different techniques are used to lengthen a penis. All of them are experimental. There aren’t enough studies of penis-enlargement surgery to give an accurate picture of results and risks of complications.

One procedure to lengthen the penis involves severing the suspensory ligament that attaches the penis to the pubic bone and moving skin from the abdomen to the penile shaft. When this ligament is cut, the penis may look longer because more of it hangs down. But cutting the suspensory ligament can cause an erect penis to be unstable and position itself at odd angles, particularly when erect.

Another operation moves a skin flap from the pubic area onto the penis. This procedure can lead to severe deformities, such as hair growth on the base of the penis, scarring and other problems.

Some procedures to make the penis thicker involve suctioning fat from a fleshy part of the body and injecting the fat into the penis. Another technique is simply to cut fat from the buttocks or abdomen and graft it onto the penile shaft. Some practitioners use tissue from cadavers.

None of these techniques has been proven to be safe or effective. The ASPS considers injecting fat into the penis of unproven benefit and unknown safety. Potential risks of these techniques include infection, loss of sensation in the skin, excessive bleeding and loss of penile function. While this may increase penis girth, the body can reabsorb the fat over time and cause irregular penis shape.
Surgery is risky, costly and may not work

Studies have shown that the majority of men who undergo penis-enlargement surgery aren’t satisfied with the results. Surgery may at best add an average of half an inch (1.3 centimeters) to the length of the flaccid penis. Surgery may not add any length to the erect penis — and some surgeries have actually reduced penis size.
When surgery may be an option

The need for penis-enlargement surgery is rare. It may be considered for a man whose penis doesn’t function normally because of a birth defect or injury. Although cosmetic penis enlargement is offered by some surgeons, it’s controversial and is generally considered unnecessary and potentially harmful.
A few things that might actually help

While there is no safe, effective way to enlarge your penis, there are a few things you can do if you’re concerned about your penis size:

* Communicate with your partner. It may be hard to break old habits or to have an open dialogue about your and your partner’s sexual preferences. But you’ll be glad you did — and you may be surprised at the spark it puts back in your sex life.
* Get in shape. Enhance your appearance in other ways. Regular exercise can make a big difference. Better physical conditioning may not only make you look better, but can also give you more strength and endurance during sex.
* Lose the belly. The place that size might help the most is less belly — not more penis. If your lower abdomen hangs over your genitalia, you might look as if you have a shorter, smaller penis than you actually do. Fat can obscure some or much of the upper part of the penis. For this, the best treatment is to achieve a healthy weight.
* Trim your pubic hair. A lot of pubic hair around the base of your penis can make your penis look shorter. Trimming may make your penis look bigger. It may also increase sensitivity around the base of your penis.

Talk to your doctor or a counselor. Feeling unhappy about the size of your penis is a common problem. A certified counselor, psychologist, psychiatrist or your family doctor can help. Many men feel better with reassurance that they are "normal" or with advice about how to better satisfy their partner without resorting to cosmetic penis enlargement.
The bottom line

Many men think they have a small penis and that increasing the size of their penis will make them a better lover or make them more attractive. But chances are your penis is within the normal size range. Even if your penis is smaller than average, it may not matter as much as you thought. Consider other options before you resort to time-consuming, expensive or dangerous techniques that will be minimally effective at best. The most effective solution may be as easy as open communication with your partner, talking with a professional counselor or enhancing yourself in other ways.

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I’m pretty sure this was posted here before.

C’mon we all know pe doesnt work and were all just here because we have nothing better to do. At least that’s how the medical field sees it.

I’ve skimmed the Mayo clinic article, couldn’t be bothered to read it thoroughly. Pretty sure I’ve seen this once before too. With regard to jelqing, stretching, hanging, I did not see anywhere where it says that these do not work. They state “There are no scientific studies that indicate this technique is effective at increasing penis size”. That’s quite different than saying they do not work. Their wording regarding pumping and pills, etc. are much stronger though… and rightly so!

They don’t take into account the form of controlled damage we’re doing here, so it’s normal for them(in an ignorant way) to negate any possible benefits from doing PE, because otherwise you will surely see men doing very aggresive routines and/or using high pressure/high weights even from the start on the base that it works and the more you work the more you gain.

Stimulate, don’t annihilate. :D

“Advertisements would also have you believe that gay men are obsessed with penis size. But in most cases, penis size is a matter of personal preference for both you and your partner.”

HA! Yes they are. Most guys wouldn’t base a relationship decision on dick size, but I find that the only ones they really find worth talking about and ones they seek out from an aesthetic perspective are the larger ones. Average guys are just noise and small guys are not worth bothering with. Even most guys I know that says size doesn’t matter balk at the idea of being in a relationship with someone under 5”.

Maybe speak for yourself, not for ‘most guys’. I know for a fact Westla and I would disagree strongly.

Haney right?

Which part of my comment are you disagreeing with?

yeah !

And even when a study shows effectiveness of enlargement, the issue of permanence usually derails the validity of the study (in the eyes of the medical establishment).

Take for instance the Lawsuit against Dr. Chartham

…the court accepted Dr. Richards' findings from his own 3-month study involving 64 test subjects. Dr. Richards recorded gains "ranging from 2.4 cm. to 3.6 cm. (.94 in. - 1.4 in.) in length and from 1.4 cm. to 3.1 cm. (.55 in. - 1.2 inc.) in girth (Tr. 142; RX-5)."

"* Dr. Richards recorded gains among the twenty-eight remaining subjects ranging from 2.4 cm. to 3.6 cm. (.94 in. - 1.4 in.) in length and from 1.4 cm. to 3.1 cm. (.55 in. - 1.2 inc.) in girth (Tr. 142; RX-5). No changes of any significance were found in the measurements taken of the control subjects (Tr. 145, 146). He reported the success rate as 87.5 percent in the test group (Tr. 143). In Dr. Richards' opinion, the study was conducted in accordance with prevalent medical and scientific standards (Tr. 142).
* The report of Dr. Richards' study has been accepted for publication in the British Journal of Sexual Medicine (Tr. 143)."

Those are some good gains! In only 3 months, length gains were about 1" to almost 1 1/2" and girth gains were about 1/2" to almost 1 1/4 inches.

However, Richards himself said he wasn’t satisfied about the permanence of those gains, pending some long-term studies. That seemed to be part of what screwed Dr. Chartham. According to the experts, Chartham made claims which could not be substantiated, therefore he lost the case.

Of course, I posted the Mayo article in an ironic way, but you can also see that some of the paranoia around here that is observed, from time to time, suggesting that the docs want to dismiss PE so they can sell phalloplasty is untrue. Read the comments of the article regarding penis enlargement for cosmetic reasons - they do not support that practice.

The medical establishment sees this issue from a hypertrophy perspective (like bodybuilding). Since the penis is not comprised of striated skeletal muscle they reject it out of hand. In the rare instance of a Chartham study (with an 87% success rate), they cite the lack of long term follow-up, permanence, etc. Actually, gains are not *permanent* (mine certainly weren’t), but they’re pretty damn long-term. Vastly more than pumping - which is only a matter of weeks, if not days. And far more permanent than muscle gains from gym workouts. I held nearly 90% of my PE gains for some years before they started to wane. Then my shrinkage accelerated until I am almost at my starting size; that was after a complete absence of workouts for several years.

I’m going to guess the blanket statement parts.

Wadzilla, you have incorrectly misquoted my words!

I had originally said:

Nothing in this quote was originally intended by myself to refer to pumping. Nothing whatsoever!

In your edited quote you omitted my most crucial words; “With regard to jelqing, stretching, hanging”. That’s a significant omission, changing the meaning of what I originally said.

The rest of your post goes on about a vacuum pumping process (the “Chartham Method”), and nothing to do with jelqing, stretching, or hanging. Your use of the edited quote implies that it also refers to pumping. That is an entirely inappropriate misuse and totally misrepresents what I had originally said with those words.

In no way should that edited quote have been used in your post, it does not belong there, and no longer represents my original words meaning.

Kindly be more cautious about how you quote others in future, thank you!

The Mayo clinic forgot to link to the scientific studies showing that exercises don’t work.

Which means that by their own standards, they’re full of shit.

Amusing, yes. :)

The only blanket part was when I said that people wouldn’t base a relationship decision on if their partner was big or not. The rest were direct anecdotes from my own personal experiences. I guess he’s gone so its irrelevant anyway, but anyway….