Bravary Basmalah

Penis Enlargement

There is so many of way to enlarge penis, there is so many of reason why do people likely care about that. In case of mans prestige and woman satisfying, the size is still importance, and most 75% females keep the argues.

Evenly there is any or much people says that “ size doesn’t mater “ or “ Love is Lives “ in real live we must realize that those word is doesn’t proof so much. The fact is there are to many issues that female will very glad to see their couple doing penis enlargement. Allot more of man says that their marriage or relation unhappy because to small of “size “

Unfortunately men’s doesn’t know how big the tool they should have to make some satisfaction relation with their couple. And it could make a bad mood relationship getting worse

In this new era, more of doctor or some call them self “ specialist “ , create their own way to get attention from these unhappy and or un confidence mans, who need help with their privet live. This Specialist would help that’s man to resolve their problem by some procedures that early we call it “ Penis Enlargement “. Penis enlargement procedures are techniques alleged to make the human penis larger. These procedures range from manual exercises to devices and medical interventions, with reports of successes and failures around the world, but, while some are known to be hoaxes, there is no popularly known scientific proof about their effectiveness in general.

As long as the history lives, Penis enlargement actually had been practiced long time ago and became a culture till day. Now the traditional method had been renewal by the modern method, but not all removed. Some people still use the traditional method to get cheapest, or may variance result as they need.

Surgical methods

Surgical techniques used for penis lengthening (enhancement phalloplasty) and penis widening (girth enhancement) have been in the urologic literature for many years. In a study conducted at St. Peter's Andrology Centre and Institute of Urology, in London, it was determined that most patients who underwent penis-lengthening surgery were unsatisfied with the results.

In contrast, it was determined in a study conducted at The European Institute for Uro-Genital Reconstructive Surgery, in Frankfurt, that 79% of patients who underwent penis-enlargement surgery were satisfied with their result.

Penis enlargement (girth) surgery

A related method involves injection of silicone, PMMA, and other materials into the penis and scrotum, to achieve girth enlargement. The results of the study into penile augmentation surgery mentioned above confirm that surgical techniques used to thicken the penis are far more effective than those designed to increase penile length. In the research sample of men studied, flaccid circumference following the above procedure had increased from an average of 3.1 inches to an average of 4.1 inches, whilst erect penile circumference increased from an average of 4.1 inches before surgery to 4.8 inches after surgery, but is effectively irreversible and may have side effects including loss of sensation, inability to perform penetrative intercourse, scarring, and deformation.

In 2006 the journal of European Urology reported autologous tissue engineering using biodegradable scaffolds as beneficial not only for men with penile dysmorphic disorder and for correcting severe penile shaft deformity after lipofilling but also an advanced, well-proven therapeutic approach for penile girth enhancement with remarkable safety, reproducibility, superior cosmetic results, low morbidity, and low incidence of post-operative complications. Unlike the high level of dissatisfaction with lengthening cited in the opening paragraph of this article, 81% of patients scored the results of autologous tissue engineering as "excellent" and "very good" with most experiencing a 4 cm (1.6 inches) permanent flaccid girth gain. Unlike the injection or implantation of foreign substances into the penis such as AlloDerm, silicone, and other substances, tissue culture leaves no residual foreign tissue around the penis after scaffold reabsorption by the body.

Although AlloDerm (treated cadaver flesh) is currently being used by some plastic surgeons, its manufacturer does not recommend it for penis enlargement phalloplasty. The U.S. Food and Drug Administration (FDA) regulates its use and has specifically not approved AlloDerm as a “void filler” nor for “cosmetic augmentation”. The manufacturer warns phalloplasty surgeons that it is: “important to clarify ... cosmetic augmentation phalloplasty does not fall within approved procedures for which LifeCell can promote AlloDerm”. The article Penile Suspensory Ligament Division for Penile Augmentation: Indications and Results provides a thorough review of the subject.

Penis enlargement (length) surgery

Approximately one-third to one-half of the penis is inside the body, and is internally attached to the undersurface of the pubic bone. Penis lengthening involves the release of the fundiform ligament and the suspensory ligament that attaches the two erectile bodies to the pubic bone (ligamentolysis). The suspensory ligament makes the penis arch under the pubic bone. Release of this ligament allows the penis to protrude on a straighter path, further outward to give more functional length. With the penis on stretch, the ligament is divided close to the pubic bone until all midline attachments have been freed. Once these ligaments have been cut, part of the penile shaft (usually held within the body) drops forward and extends out, enlarging the penis by 20-30 mm (0.78-1.18 in.). After surgery, part of the postoperative treatment includes stretching of the penis to prevent the severed suspensory ligament from healing shorter than it was previously. The article "Penile Suspensory Ligament Division for Penile Augmentation: Indications and Results" discussed the subject.

According to Nim Christopher, a urologist at St. Peter's Andrology Center in London, among men who have had the surgery, "the dissatisfaction rate was in excess of 70 percent".

Real penile lengthening (i.e.; lengthening of corporal bodies vs. ligamentolysis) is not a routine and safe procedure because of high risk of losing the ability to have an erection. It can be done safely only in patients with erectile dysfunction or Mb Peyronies concomitantly with implantation of penile prosthesis. The world's leading urologists specializing in the field of penis enlargement surgery use only ligamentolysis, liposuction of the pubic area, and skin redistribution. They state clearly that surgeons can only expose the penis more outside the body with especially visible results in obese patients and ones with different deformities of penile skin where the penis is layered.

Inflatable implants

A further method is to replace the two corpora cavernosa with inflatable penile implants. This is performed primarily as a therapeutic surgery for men suffering from complete impotence; an implanted pump in the groin or scrotum can be manipulated by hand to fill these cylinders from an implanted reservoir in order to achieve an erection. The replacement cylinders are normally sized to be direct replacements for the corpus cavernosa, but larger ones can be implanted.

One advantage to this surgery is that an erection can be created whenever desired, for as long as is desired and as firm as desired. The major negative to it is that this surgical procedure can never be reversed.

Self-applied methods

No scientific research supports the use of any nonsurgical method to enlarge the penis, and no reputable medical society endorses penis-enlargement surgery performed for purely cosmetic reasons.

Cosmetic

Rather than attempt to change the actual size of the penis, one may make it appear bigger, by trimming the pubic hair or by losing weight, which may be of particular use if one is overweight.

Pills

"Penis enlargement pills" or ointments are commonly offered over the Internet. Analyses performed by Flora Research of California and by the University of Maryland have uncovered harmful contaminants in a number of "penis enlargement" pills. Contaminants found included mold, yeast, dangerous E. coli bacteria, pesticides, and lead. Dr. Michael Donnenberg of the University of Maryland has described herbal pills marketed as having "heavy fecal contamination", possibly from animals grazing near the plants harvested for herbal ingredients. There may however be a placebo effect i.e. a psychological effect of making the user think he has a larger penis, and increasing his confidence, when there is no actual change to his penis size. Some people have also reported that such pills make them feel sexually aroused, and give them harder erections, but again, without any actual growth of the penis.

Patch


Penis Patch is used by people who does not have some much time to get self exercise, and most famous as Pills enlargement. Offered over the internet too, and some man's say that this method proof enough for them. It's sells with lot of package that interesting the consumers. usually the producer adding the pills enlargement, DVD training or let the customers get free joining for some commercial website. Its ingredient is natural plant that some of composition made from animals graze or pet supplement.

Penis pump

A penis pump is a cylinder that is fitted over the penis, with a manual or motorized pump to create suction. As the apparatus creates a vacuum around the penis, blood is drawn into the penis, helping it to become engorged. As vacuum increases, the difference between the inner blood-pressure and the pump pressure increases as well; excessive pressure causes vascular damage rather than a harder penis.

A penis pump with a transparent cylinder

Penis pumps, usually described in this context as vacuum pumps, have use in conventional treatment of impotence. The pump itself is essentially as described above, although often made to higher standards of quality with a much higher price, and arrangements for distribution by suppliers of medical equipment.

Flexible compression rings, commonly called cock rings, can be added. Fitted on the open end of the cylinder, then an erection is created by pumping. Then the rings are pushed by hand onto the base of the erect penis before releasing the vacuum. This restricts blood flow, enabling the erection to be held even in the presence of problems of the vascular or nervous system which would otherwise lead to immediate loss of erection. In the best circumstances erections can be maintained for a considerable time, but manufacturers' literature recommends that, for safety, rings should be removed after no more than 30 minutes. Having rough sex can also result in the bursting of a blood vessel.

Pumping must be done very carefully to avoid injury. Over-enthusiastic pumping can burst blood vessels and form blisters. In some cases the testicles can be unexpectedly pulled into the cylinder and cause severe pain and injury. It is also believed that the rim of the cylinder can cut into the skin and over time cause damage to the ligaments surrounding the penis. Impatiently pumping without reading explanatory material can produce too much suction (any pressure lower than 10 torr) and cause permanent injury. Attempts at using vacuum cleaner units for this purpose have resulted in severe injury as the machine produces far too much suction.

Penis pumps are also used for masturbation. In August 2006, Oklahoma district court judge Donald Thompson was sentenced to four years in prison for repeatedly having masturbated with a penis pump while presiding over court cases.

Jelqing and clamping

Jelqing is a method intended to enlarge the penis by increasing the blood pressure in the penis, with the goal of permanently increasing the maximum erect size of the penis. This technique, also called "milking", involves wrapping the thumb and index finger around the penis while semi-erect and repeatedly drawing them away from one's body to force blood into the glans, thus encouraging more vascularity in the corpus cavernosa and associated tissues. Whether jelqing actually works or not is a subject of controversy.

Risks that exist from this exercise are; burst blood vessels, sometimes causing bleeding from the urethra (which can lead to infection and other complications if not taken care of), and temporary erectile dysfunction.

There are many products (tools, instructions, etc.) that one can buy; however, much of what they offer (instructions) is available on forums and free websites.

Jelqing is typically preceded by a warm-up with a hot compress on the genitals, and concluded the same way.

Clamping is a technique that uses a constricting device, such as a shoe string, cable clamp, or a tight cock ring. The clamp is firmly tied, clamped, or put, respectively, on the base of the erect penis while "edgeing" (extended masturbation) with a firmly erect penis. Extreme caution should be used to prevent permanent damage to the tissue, and never use a metal cock ring, as they can become impossible to manually remove due to trapped blood i.e. engorging of the penis.

Stretching and hanging

Stretching consists of attaching a penis stretcher or "extender" device to the penis for set periods of time. The device exerts a constant traction on the penis, which, in theory, lengthens and widens the penis. The traction supposedly causes the cells in the penis to "split" and then reform and expand. Whether or not penis extenders actually work is subject to debate - much like all methods of penis enlargement.

Hanging is perhaps the oldest self-applied method of penis enlargement, with evidence suggesting it was practiced by certain African tribes as long as 2000 years ago. Weight hanging consists of attaching a device (usually a rope or a strap) that grips the glans or just behind the glans and allows a weight to be suspended for specific amount of time.

The idea behind weight hanging is to stretch the tunica albuginea and other various tissues of the penis. The general effect is to elongate the penis, although widening can also occur. Weight hanging, however, can also carry serious risks, which include chronic pain, scarring, and impotence.

Human penis size refers to the length and width of human male genitalia. Interest in larger penis sizes has led to an industry devoted to penis enlargement.

Compared to other primates, even larger primates such as the gorilla, the male human genitalia are remarkably large. The human penis is both longer and thicker than that of any other primate both in absolute terms and in relative size compared with the rest of the body.

Measuring the penis

To get the most accurate measurements for an individual's penis size, it has been recommended that several measurements be taken at different times, preferably with different erections on different days. Then average these figures together. This is to account for what may be natural variability in size due to factors such as arousal level, time of day, room temperature, frequency of sexual activity, and unreliability of the measurement methods.

Length

The length can be measured with the subject standing and the penis held parallel to the floor. The penis is measured along the top, from the base to the tip. Results are inaccurate if the measurement is taken along the underside of the penis, or if the subject is seated or prone.

Circumference

Penis girth is the measurement of the circumference of the completely erect penis. It is variously quoted as an average of three measurements: just below the glans penis, in the middle of the shaft, and at the base.

Problems

A penis must be completely erect in order to obtain an accurate measurement. This may be difficult to achieve in a clinical setting. At least one Brazilian doctor resorted to injecting penises with drugs to induce erection, which gave more consistent results. Some clinicians measure the penis by stretching the flaccid penis as far as comfortably possible. Self-reported measurements tend to be unreliable because men often want to report a larger penis size.

Studies on penis size

While results vary across studies, the consensus is that the average human penis is approximately 12.9–15 cm (5.1–5.9 in) in length with a 95% confidence interval of (10.7 cm, 19.1 cm) (or, equivalently, 4.23 in, 7.53 in). The typical girth or circumference is approximately 12.3 cm (4.85 in) when fully erect. The average penis size is slightly larger than the median size (or, put another way, most penises are below average in size).

Size at birth

Frequency graph of LifeStyles data

Percentile plot of LifeStyles data

Plot of LifeStyles data of circumference

Percentile plot of LifeStyles data of circumference

The average stretched penile length at birth is about 4 cm (1.6 in), and 90% of newborn boys will be between 2.4 and 5.5 cm (0.9 and 2.2 in). Limited growth of the penis occurs between birth and 5 years of age, but very little occurs between 5 years and the onset of puberty. The average size at the beginning of puberty is 6 cm (2.4 in) with adult size reached about 5 years later. W.A. Schonfeld published a penis growth curve in 1943.

Size with aging

Age is not believed to negatively correlate with penis size. “Individual research studies have ... suggested that penis size is smaller in studies focusing on older men, but Wylie and Eardley found no overall differences when they collated the results of various studies [over a 60 year period].”

Erect length

Several scientific studies have been performed on the erect length of the adult penis. Studies which have relied on self-measurement, including those from Internet surveys, consistently reported a higher average length than those which used medical or scientific methods to obtain measurements.

The following staff-measured studies are each composed of different subgroups of the human population (i.e. specific age range and/or race; selection of those with sexual medical concerns or self selection) which may meet the definition of possible sample bias.

A study published in the September 1996 Journal of Urology concluded that average erect length was 12.9 cm (5.08 in) (measured by staff). The purpose of the study was to “provide guidelines of penile length and circumference to assist in counseling patients considering penile augmentation.” Erection was pharmacologically induced in 80 physically normal American men (varying ethnicity, average age 54). It was concluded: “Neither patient age nor size of the flaccid penis accurately predicted erectile length.”

A study published in the December 2000 International Journal of Impotence Research found that average erect penis length was 13.6 cm (5.35 in) (measured by staff). Quote: "The aim of this prospective study was to identify clinical and engineering parameters of the flaccid penis for prediction of penile size during erection." Erection was pharmacologically induced in 50 Jewish Caucasian patients who had been evaluated for Erectile dysfunction (average age 47±14y). Patients with penis abnormalities or whose ED could be attributed to more than one psychological origin were omitted from the study.

A study conducted by LifeStyles Condoms found an average of 14.9 cm (5.9 in) with a standard deviation of 2.1 cm (0.8 in) (measured by staff). The purpose of this study was to ensure properly sized condoms were available. 401 college students volunteered to be measured during 2001 Spring Break in Cancún, Mexico, of which 300 gained an erection to be clinically measured (without pharmacological aid). The 300 effective measurements makes this study double the size of any prior study that uses medical staff to measure penis size.

Erect circumference

A study conducted by LifeStyles Condoms during 2001 Spring Break in Cancún found an average of 12.6 cm (5.0 in) with a standard deviation of 1.3 cm (0.5 in).

Similar results exist regarding studies of the circumference of the adult fully erect penis, with the measurement taken mid-shaft. As with length, studies that relied on self-measurement consistently reported a higher average than those with staff measuring.

Flaccid length

One study found the mean flaccid penis length to be 3.5 inches (8.9 cm) (measured by staff). Length of the flaccid penis does not necessarily correspond to length of the erect penis; some smaller flaccid penises can grow much larger, and some larger flaccid penises cannot grow much larger.

The penis and scrotum can contract involuntarily in reaction to cold temperatures or nervousness, referred to by the slang term "shrinkage", due to action by the cremaster muscle.

Penis enlargement surgery

Surgical techniques used for penis enlargement (enhancement phalloplasty) -- penis lengthening and penile widening (girth enhancement) -- have been in the urologic literature for many years.

There are two basic ways of enlarging the penis:

Penis lengthening surgery involves the release of the fundiform ligament and the suspensory ligament that attaches the 2 erectile bodies to the pubic bone. Once these ligaments have been cut, part of the penile shaft (usually held within the body) drops forward and extends out, enlarging the penis in 2-3 cm.

Penis widening with PMMA injection. This method involves injection of silicone, PMMA and other materials into the penis and scrotum, to achieve girth enlargement.

Perceptions of penis size

Historical perceptions

Fresco of Priapus from Pompeii. Depicted weighing his large erect penis against a bag of gold. Unlike the Greeks, Ancient Romans admired the large penis of Priapus, although they had a sense of humor about it.

In ancient Greek art, it is common to see smaller male genitalia than one would expect for the size of the man. Renaissance art also followed this aesthetic; note Michelangelo's David. According to Kenneth Dover's landmark study "Greek Homosexuality", Greek art had extreme interest in the genitals, but was not obsessed with size.

The weekly Q&A column "The Straight Dope" deduces, based on pornographic Greek art work and Dover's aforementioned study, that in ancient Greece an uncircumcised and small penis was culturally seen as desirable in a man, whereas a bigger or circumcised penis was viewed as comical or grotesque (at least in the high-brow view), usually being found on "fertility gods, half-animal critters such as satyrs, ugly old men, and barbarians."

CBC radio has suggested, based on several sources, that ancient Romans had a viewpoint contrary to that of the Greeks.

Modern perceptions and sexual preference

Males may quite easily underestimate the size of their own penis relative to that of others, because of the foreshortening obtained from looking down, or because of the accumulation of fat at the base of the penis. A survey by sexologists showed that many men who believed that their penis was of inadequate size had average-sized penises. Another study found sex education of standard penile measurements to be helpful and relieving for patients concerned about small penis size, most of whom had incorrect beliefs of what is considered medically normal. One source of continued debate is the extent to which women actually prefer certain penis sizes.

A 2005 study found only 55 percent of men were satisfied with their penis size, whereas 85 percent of women said they were "very satisfied" with the size of their partner's penis, and only six percent of women rated their partner as smaller than average. In the same data set, 70 percent of women expressed dissatisfaction with their breasts, whereas the majority of men (56 percent) were satisfied with their partner's breasts and only 20 percent of men wished their partner had larger breasts.

A study published in BMC Women's Health, surveyed women's preferences concerning penis size and concluded that width rather than length is a more important factor of sexual stimulation.

Similar results were found in a cover story published in Psychology Today, which surveyed 1,500 readers (about 2/3 women) about male body image. Many of the women were not particularly concerned with penis size and over 71 percent thought men overemphasized the importance of penis size and shape. Details were examined among the women with a size preference. Generally women cared more about width than men thought, and less about length. "...the number one reason women preferred a thicker penis was that it was more satisfying during intercourse." It's suggested this is because a wider penis provides more friction to the clitoral area while a longer penis reaches an area less stimulable. The same article comments that there is a strong correlation whereby “Women who rated themselves as more attractive were particularly concerned with larger size. Of women describing themselves as "much more attractive than average," 64 percent cared strongly or moderately about penis width and 54 percent cared about penis length. Women who rated their own looks as average were about 20 percentage points lower."

Another study, conducted at Groningen University Hospital, asked 375 sexually active women (who had recently given birth) the importance of penis size and concluded: "Although clearly in the minority, a nevertheless considerable percentage of the women respondents attached substantial importance to the size of the male sexual organ".

A study undertaken at Utrecht University found that the majority of homosexual men in the study regarded a large penis as ideal, and having one was linked to self esteem.

The term size queen is slang terminology for a person of either sex who prefers a larger-than-average penis on their sexual partner(s).

Popular culture

Culturally, widespread private concerns related to penis size have led to a number of folklore sayings and popular culture reflections related to penis size. These include beliefs that it is possible to predict the size of someone's penis by observing other bodily features such as the hands, feet, nose or height, and in some cases so-called "penis panic" - a form of mass hysteria involving the believed removal or shrinking of the penis, known as genital retraction syndrome. Penis size, and sexual anxiety generally, have led to products such as penis pumps, pills, and other dubious means of enlargement becoming some of the most marketed products in spam mail.

The media has equated a man's penis size with both power and masculinity. Furthermore the perception of having a large penis is linked to higher self esteem.

The suggested link between penis size, foot size and height has been investigated by a relatively small number of groups. Two of these studies have suggested a link between penis size and foot size, while the most recent report dismissed these findings. One of the studies suggesting a link relied on the subjects measuring the size of their own penis, which may well be inaccurate. The second study found statistically significant although "weak" correlation between the size of the stretched penis and foot size and height.

A potential explanation for these observations is that the development of the penis in an embryo is controlled by some of the same Hox genes (in particular HOXA13 and HOXD13) as those that control the development of the limbs. Mutations of some Hox genes that control the growth of limbs cause malformed genitalia (hand–foot–genital syndrome). However the most recent investigation failed to find any evidence for a link between shoe size and stretched penis size. Given the large number of genes which control the development of the human body shape, and the effects of hormones during childhood and adolescence, it would seem unlikely that an accurate prediction of penis size could be made by measuring a different part of the human body.

Other studies correlating the size of the human penis with other factors have given intriguing results. Notably one study analysing the self-reported Kinsey data set found that homosexual men had statistically larger penises than their heterosexual counterparts. One potential explanation given is a difference in the exposure to androgen hormones in the developing embryo. The study author's opinion is that evidence points towards both orientations being equally likely to exaggerate.

Recently, there has been greater media attention to the issue of penis size and women being more vocal about their preferences. Television shows such as Sex and the City and Ally McBeal popularized the penis-size issue when characters in these TV shows stated their preference for well-endowed men and rejected men who had only average endowment. Sex and the City has also shown a character expressing displeasure over her partner having too large a penis, described in comic hyperbolic terms. The media have also been criticized for making penis size into a male body issue equivalent to Cosmopolitan magazine being criticized for their coverage of women's weight.

Penis size and female genital response

According to some sex researchers and therapists, several misconceptions have developed surrounding penile-vaginal intercourse. Many men exaggerate the importance of deep vaginal penetration in stimulating a woman to orgasm.

The most sensitive area of the female genitals includes the vulva, clitoris, and the section of vagina closest to the outside of a woman's body, which is roughly 10 centimeters (4 in) in length. Research has found that portions of the clitoris extend into the vulva and vagina. Given that the median penis size is above this length, the majority of penises are of sufficient length to satisfy their partners.

While many women find penile stimulation of the cervix to be uncomfortable or painful, others report it to be the key to orgasm. The cervix may be confused with the anterior or posterior fornix, the deepest point of the vagina, above and below the cervix, respectively. The cervix and fornix are close to each other, making it possible for there to be indirect and/or simultaneous stimulation between them.

The fornix is said to be another possible orgasm trigger area. Tests have shown that pressure on this area causes the vagina to lubricate very quickly. The area of sexual response in the anterior fornix has also been called the epicentre, T-Spot, AFE-Zone, AFE or A-Spot; while in the posterior fornix it has been called epicenter (as well) or cul-de-sac (since the cul-de-sac, also known as the rectouterine pouch, may be indirectly stimulated by pressure on the posterior fornix).

During arousal, the vagina lengthens rapidly to an average of about 4 in (8.5 cm), but can continue to lengthen in response to pressure. As the woman becomes fully aroused, the vagina tents (last ²⁄₃ expands in length and width) while the cervix retracts. The walls of the vagina are composed of soft elastic folds of mucous membrane skin which stretch or contract (with support from pelvic muscles) to the size of the penis. This means (with proper arousal) the vagina stretches or contracts to accommodate virtually any size penis, from small to large.

So there still importance to keep some more attention to get the most wanted result from Penis Enlargement method, enlarge doesn’t mean must to be giant. So much men till now doesn’t understand what female wanted bout their satisfy. Much men just do this more and more exercise or other method without think or ask their couple, that how much size do they like.

Other variance in penis size

Micropenis

An adult penis with an erect length of less than 7 cm or just over 2 inches but otherwise formed normally is referred to in a medical context as having the micropenis condition. Some of the identifiable causes are deficiency of pituitary growth hormone and/or gonadotropins, mild degrees of androgen insensitivity, a variety of genetic syndromes, and variations in certain Homeobox genes. Some types of micropenis can be addressed with growth hormone or testosterone treatment in early childhood.

A news post on New Scientist dated December 6, 2004 reads "A new surgical procedure has allowed men with abnormally short penises to enjoy a full sex life and urinate standing up, some for the first time.

Tiny "micro-penises" have been enlarged to normal size without losing any erogenous sensation, say UK doctors."

Environmental influence on penis size

It has been suggested that penis size differences between individuals is caused not only by genetics, but also by environmental factors such as culture, diet, chemical/pollution exposure, etc. Alarmingly, endocrine disruption resulting from chemical exposure has been linked to genital deformation in both sexes (among many other problems). Chemicals from both synthetic (e.g. pesticides, anti-bacterial Triclosan, plasticizers for plastics, etc...) and natural (e.g. chemicals found in tea tree oil and lavender oil) sources have been linked to various degrees of endocrine disruption.

Race and penis size

Many of the studies conducted on this subject have been subject to some sample selection bias and other flaws in the scientific method, especially considering the psychological nature of this specific subject and the ramifications of acquiring accurate data. To date, there has been no conclusive study linking penis size and race.

Family Health International states "The World Health Organization bases its specifications for condom width on consumer preference and penis size, citing three studies. The studies used varying methods of measurements between sources, such as maximum circumference (US measurements) instead of base circumference (Thai measurements)." The Kinsey reports were based on subjective, self-reported results from African and Caucasian Americans.

Taken together, the studies show the most significant variations in penis size are within the population groups themselves, and in general. However, the difference between Caucasian and African American penis size found in these subjective tests was insignificant. The Kinsey reports also found that homosexual men reported larger penises than heterosexual men, which underscores the questionability of these studies and self-reported survey methods. The WHO document referred to only specifies whole-population data for the US, Australia and Thailand, and not races in general.

According to FHI, "Among the African sites, breakage rates were slightly higher and slippage was slightly lower for the smaller of the two condoms being compared." The data from the Asian sites was inconsistent. FHI concluded that "almost none of the differences in breakage and slippage rates from either the Indian or African sites were statistically significant. Thus, results from these studies pertaining to penis size and condom failure were inconclusive."

One of the earliest researchers on the subject, Frantz Fanon, covers this subject in some detail in Black Skin, White Masks (1952), where he tends towards the view that the supposed positive correlation between penis size and African ancestry is erroneous.

In an article concerning penis size, Dr. David Delvin, GP and family planning specialist, states that there is no correlation between penile size and race.

The BBC reported an Indian Council of Medical Research study finding that "about 60% of Indian men have penises which are between three and five centimetres shorter than international standards used in condom manufacture." However, the study also stated that "data collected in Mumbai till 2001 showed that 60% of the participants measured 126 to 156 mm [5 to 6.1 inches] in length and 30% between 100 and 125 mm [4 to 5 inches]." The international size standard for condom length is 150 to 180 mm (6 to 7 inches), larger than the average human penis size; thus, the average human penis falls short of international condom size standards.

In a 2005 study, "Penile measurements in normal adult Jordanians and in patients with erectile dysfunction," the purpose of the work was to determine penile size in adult normal (group one, 271) and impotent (group two, 109) men. In group one mean midshaft circumference was 8.98±1.4 cm (3.54±0.55 in), mean flaccid length was mean 9.3±1.9 cm (3.66±.75 in), and mean stretched length was 13.5±2.3 cm (5.31±.91 in). In group two, mean flaccid length was 7.7±1.3 cm (3.03±.51 in), and mean stretched length was 11.6±1.4 cm (4.57±.55 in).

Penis size and condom use

Various studies have examined condom breakage. Ninety-two monogamous heterosexual couples (aged 18 to 40 for women, 18-50 for men) were enrolled in a prospective study of Durex Ramses condoms.[68] At each sexual encounter, a diary was completed which included information on condom use, and breaks and slips. In France a random telephone survey of 20,000 individuals drew on 4,500 sexually active people, of whom 731 had used a condom in the previous year and 707 provided information on difficulties of use. In Australia 3658 condoms were used by 184 men in a study which looked, among other things, at penis size as a factor for breakage or slippage.

Although the most common type of condom, those made of latex, have great ability to stretch, they are vulnerable to dry friction (ie, the dry rubbing motion of sexual activity when there is tight pressure or a lack of smooth lubricated movement) as well as other mistakes of usage. For example, in a separate study of people practicing anal sex, condom breakage was linked more to excessive friction (in this case due to low usage of a sexual lubricant) than to penis size per se.

The rate of condom breakage for correctly used condoms was 1.34% and of slippage 2.05%, with a total failure rate of 3.39%. Penis size did not influence slippage, but penis circumference and broken condoms were strongly correlated, with larger sizes increasing the rate of breakage.

The Enlarge Surgery Issues

In a new study of men who got penis-lengthening surgery, most patients weren’t satisfied with the results.

The surgery added half an inch, on average, to penis length. That’s based on the length of the flaccid, stretched penis.

“Overall, only 35 percent of the patients were satisfied with the outcome of surgery,” write urologist David Ralph, BSc, FRCS, and colleagues in European Urology.

The researchers work in London at St. Peter’s Andrology Centre and Institute of Urology. They studied 42 men who got penis-lengthening surgery from September 1998 to January 2005.

The surgical technique used was division of the penile suspensory ligament. This is the most common penis-lengthening surgery and allows the penis to hang lower.

Some men also got a spacer inserted to prevent the ligament’s reattachment. Three patients also had excess fat removed from the pubic area. The use of the spacer seemed to bring the best results, but didn’t change the findings, the researchers note.

Unrealistic Expectations

Most of the men who were studied actually had normal-sized penises and were preoccupied with the idea that their penises should be longer, the researchers note.This preoccupation with an imagined problem in penile appearance is called penile dysmorphic disorder.

“The most common scenario in patients with penile dysmorphic disorder consisted of anxiety and embarrassment arising from changing in front of others, that is, the ‘locker room’ syndrome,” Ralph’s team writes.

Men with penile dysmorphic disorder were particularly likely to be dissatisfied with the surgery’s results. The study shows that only 27% of those men reported being content with the surgery’s outcome.

“Men with penile dysmorphic disorder often have unrealistic expectations regarding the outcome of surgical intervention and should be encouraged to seek psychological help primarily, with surgery reserved as the last resort,” write Ralph and colleagues.

They add that before penis-lengthening surgery, “all patients should have a psychiatric assessment” and a clear understanding of the procedure’s limits.

Second Opinion

A journal editorial praises the study, calling penile enlargement “a very controversial procedure” that needs more scientific study.

“The size of the male genitalia has been a source of anxiety among men throughout history,” writes editorialist Yoram Vardi, MD, of Rambam Hospital in Haifa, Israel. “Men often feel a need to enlarge their penis in order to improve their self-esteem or to satisfy and impress their partners,” he continues.

“My personal conviction, especially after reading this manuscript [Ralph’s study], is that men who are dissatisfied with the appearance of their genital organ should think very carefully before requesting these procedures,”

“A better option may be to seek the counsel of psychologists; often men simply need to be reassured that they are ‘normal’ or need advice on how to better satisfy their partner without resorting to cosmetic surgery,” he continues.

“Unfortunately, there will always be people willing to undergo ‘beautifying’ surgical procedures in an attempt to feel better … self-confidence and beauty come from the inside and no surgery is deep enough to change that,”

In Asian culture, Traditional method is continuously used by most whole of peoples, since the modern way is bringing out a lot of budget and expensive, they chose this alternative and most men’s said that its work for them much. They use Leech oil, or maybe some massage to optimizing the next result

Lecch Oil is contains enzymes of Hirudo Medicinalis (Medicinal leeches). Modern medicine uses Hirudo Medicinalis (Medicinal leeches) to treat blood clotting for skin grafts. Another lesser known of the leech is the strengthening and enlargement of the male organ. The original formula was developed by the Javanese community.

For hundred of years the native man of Malaya/Java - the elite and adepts who usually keep 4 wives - have been using a special ointment to care for their penis and maintain its virility.

This traditional method and remedy have a striking similarity with the practice of desert Arab men known for their sexual prowess as explained in Sir R F Burton's translation of Sheikh Umar el-Nefzawi book entitled "Rawd at-Tirr" or in English, The Perfumed Garden. In chapter 17 of this classical Tunisian-Arab sex-journal of the 16th century, it expounded on how the penis can be made bigger and stronger with this massage oil:

" Prescriptions for Increasing the Dimensions of Small Members and for Making Them Splendid ....a fourth remedy is based upon the use made of leeches (Hirudo Medicinalis) but only of such as live in water (sic). You put as many of them into a bottle as can be got in and fill it up with oil. Then expose the bottle to the sun until the heat of the same has effected a complete mixture. With the fluid thus obtained, the member is to be rubbed several consecutive days and it will, by being thus treated, become of a good size and of full dimensions. The efficacy of all these remedies is well known and I have tested them."

The original Javanese recipe differs from that mentioned in Karma Sutra. The original Javanese recipe indicates that the leech and other herbs must be cooked inside fresh green coconuts and boiled over charcoals. This concoction eventually becomes a concentrated oil which is dark and thick.

Hirudin is a enzyme derived from the medicinal leech Hirudo Medicinalis, once used by doctors for bloodletting. Hirudin is often used following microsurgery (e.g. the replacement of a severed finger) to restore blocked or collapsed blood vessels and encourage the growth of new capillaries. The anticoagulants in the saliva of this and other species are now being investigated for the treatment and prevention of thrombosis.

This preparation is suitable for those who:

1. have problems in maintain and prolonging an erection.
2. want to increase/enhance their manhood.
3. want to avoid early release
4. want to strengthen the walls and the chambers weak urinary tract
5. develop and correct misplaced veins and poor blood flow

Advantages of this oil :

1. Increase the size
2. Strengthens the walls, veins, muscles and chambers
3. Recover elasticity of urinary tract and seminal tract
4. Recover 6,666 vital veins
5. Smoother urinary flow

This oil is formulated using botanicals, herbs and oils that are well known for their special properties. The oil is further enhanced with Hirudo Medicinalis. The anticoagulant effect of Hirudin, along with the natural herbs and oils, encourages the natural process of regeneration of blood vessels along the length of the penis. If there are any obstructions in the blood vessels, the natural effect of the oil will clear them.

In cross section, the penis is divided into 3 compartments. Most of the penis is filled by 2 identical zones that are the ramrod- like corpora carvernosa (CC) that become erect when blood is trapped in thousands of sponge like spaces. The long thin compartment that runs along the underside of the penis in the middle is the corpus spongiosum (CS) that is the nerve center. When you start to get an erection, blood flows into these compartments causing the penis to enlarge. This happens because of physical or psychological stimulation. As blood enters these compartments, there is a temporary reduction in the rate and volume of blood leaving the penis.

This special oil is applied along the entire length of the penis. The massaging of the oil will improve blood flow into the corpora carvernosa (CC) resulting in more blood being trapped in its sponge like spaces. Male vigor and stamina is returned to the user as the natural process of regeneration of blood vessels allows for a better blood flow into these compartments, hence an enhanced erection. Most importantly, this oil is also used for esoteric massage to delay aging and to enhance mental faculty. Herein lies the key to an extraordinary control of ejaculation. When the veins are engorged with blood and energy, the physical exercises (included) trains the control of all major muscles along the penis. With regular use of the oil and the accompanying exercises, the user can learn to control these muscles to ejaculate at will. Thus, the can control if he wants an ejaculation, thus wasting precious energy, or to withhold the ejaculation and prolong the sexual encounter. The man with supreme control of these penile muscles can also experience multiple orgasm by with-holding ejaculation at the precise moment just before ejaculation. Through such controls, which becomes at will with practice, a man can have multiple orgasms as well as satisfy his female counterpart.

at Saturday, July 05, 2008