As per a recent meta-analysis study, penis enlargement surgeries are usually ineffective and can cause substantial psychological and physical damage to men. In one study, the ingredients of 58 products available for the treatment of ED without a prescription were analyzed. There is also an indirect risk of missing potential medical conditions in patients that bypass the healthcare system to purchase illicit PDE-5i. Exercises like jelqing and stretching aim to increase size by manipulating the penile tissue, but improper execution can lead to bruising, pain, or permanent damage. Non-surgical methods, such as penis enlargement pills and natural penis enlargement techniques, also present safety concerns. It combines plant and mineral extracts to boost libido and overall male performance, addressing enzymes related to sexual health. Ideal for men over 40, it promotes peak physical performance and vitality without artificial additives, making it a top choice for male enhancement. They claim to raise blood flow to the penis to increase the duration of an erection and boost overall arousal, endurance, and performance. The male enhancement supplements available today are frequently labeled as dietary additions. On his website, one of the Penuma doctors dismissed PhalloBoards as being populated by patients who ignored post-op instructions and said it was propped up by “opportunistic” competitors. Solomon directs his patients to wear a condom with a metal weight at its tip six hours a day. To counteract retraction and scarring after removal, some men engage in an elaborate penile rehab regimen. In the penis, a retractable organ, this new tissue can distort shape and mobility, causing the penis to shorten and curve. “Once this goes in, these men are never going to be the same again, because their penis is never the same again,” he said. Surgical enhancements provide more permanent results, while non-surgical options demand follow-up treatments. Innovations like microneedling techniques are also being explored for their potential role in stimulating collagen production in penile tissues. Non-surgical approaches, including injections and devices, provide temporary increases in girth or length. Whether considering this route for size, aesthetics, or functional improvement, understanding the procedures, risks, and realistic outcomes is crucial. Surgery is typically reserved for men whose penises don't work because of a problem present at birth or an injury. At worst, surgery can cause complications such as infection, scarring, and loss of sensation or function. But it does not change the actual length of the penis. There, he joined the vanguard of physicians who were treating impotence with a suite of novel procedures, such as injections and inflatable penile prostheses. It wasn’t until the late 1970s that a handful of researchers began demonstrating that erectile troubles, though occasionally psychogenic, were primarily vascular in cause. A man’s sexual function, or lack thereof, was largely considered a matter for psychoanalysts to puzzle over. “I’m so sorry for another email,” he wrote in December, “but I am freaking out about the fact I have zero sensitivity in my penis! Evidence-based ways to increase penile length Check out our guide to the best penis extender for more information. But with penis extension (unlike time at the gym), gains can be permanent. Over time, those tears heal and add tissue to the penis. Penis extenders gradually create microtears in the penile tissue, not unlike the muscular tears you create by lifting weights. The information provided does not guarantee specific outcomes and should be discussed with your healthcare provider.Both are found in some male enhancement pills and supplements, as well.Penile dysmorphophobic disorder is a psychological condition in which a man suffers from severe preoccupation with penis size despite having a physiologically normal penis.If confidence is part of a mental angle affecting your sexual performance, this might help.Consumers should approach these supplements with caution and consult healthcare professionals before use. Bird & Be’s Powers for Males is designed as a fertility supplement, but research into many of its ingredients supports the kinds of claims the average volume pill maker purports. Others have high doses of ingredients with scant research behind them. Some companies choose well-researched ingredients but deliver them in paltry quantities that undercut their potential. Clinical trials usually move through three phases, starting with small groups of people and progressing to larger studies that can involve thousands of people. If the studies are promising, the researchers can move to the next phase. All of these studies must adhere to rigorous standards called good laboratory practices, or GLP, to be accepted. As long as they keep their claims vague and don’t make any specific medical statements, they can sell whatever they like. And there’s no shortage of herbal supplements that claim to be able to help with that, usually through vague promises of increasing testosterone or increasing vitality. Social and community-based interventions—including group therapy, self-help groups, and community mental health services—can prevent and treat psychological disorders by addressing the social contexts in which they arise."It does promote penile blood flow, but you have no idea whether the supplement you're taking has too much or too little," warns Dr. O'Leary.Leading Edge Health has offered our readers specific discount codes you’ll find in the pricing sections for each of the products below.Clinically, micropenis is defined in adults as any penis being shorter than 3.66 inches when gently stretched.9 Many traction devices have base lengths of around 3.6 inches.They may also assist with treating other sexual dysfunction issues.Your body absorbs the components of oral supplements into the bloodstream after digesting them.Some sexual function supplements may contain potentially dangerous impurities or small amounts of hidden pharmaceutical drugs — like traces of PDE5 inhibitors, medications in the same class that includes prescription erectile dysfunction drugs like Viagra.The best way to understand how a male enhancement pill might work is to look at its ingredients and consider how they might work together.Just because they don’t work doesn’t mean they don’t have any effects.Zinc helps maintain optimal testosterone levels, which are vital for libido, sperm production, and overall sexual function. This gives you time to dry and in no way interferes with your foreplay or sexual experience. It effectively desensitizes the penis without making it too numb to enjoy intercourse. Studies show that it helps men last longer during sex, with some research showing a nearly two-fold increase in ejaculation latency. What’s more, both products are likely to spread some of that numbing effect to your partner, significantly reducing their pleasure. But these products often contain higher concentrations of their anesthetics in the hopes that they’ll start working faster. Does Girth Matter? Safety varies depending on the product, but many supplements lack regulation and may contain undisclosed or harmful ingredients. They may improve erectile function temporarily but are unlikely to cause significant, lasting growth of the penis. Pills and supplements are the most accessible and non-invasive options but lack scientific validation and may pose health risks. The quest for penis enlargement involves weighing various options, each with its own advantages and drawbacks. The insurance services often include travel assistance, medical consultations, and post-treatment support, making the complex process of undergoing surgery in a foreign country more manageable. Could FastSize work on men of normal penile length? Calling the results "remarkable," Levine now prescribes the device to many of his Peyronie's patients and reports no significant complications. Evidence shows that these changes in themselves can have a positive effect on sexual function, Boyle says. Most importantly, erectile dysfunction may be an early predictor of heart disease. But a rapid or severe decrease in performance or libido can be a red flag. Be sure to talk to your healthcare provider in detail before trying any of the remedies listed above. Keep scheduled follow-up appointments with your healthcare provider. The type of procedure you had done will dictate how long you are home from work or school and how long you have to wait to be able to resume sexual activity. On the other hand, while natural supplements can offer benefits for some individuals, their efficacy is often less predictable, and their safety profiles can vary significantly. Importantly, these medications are prescribed by healthcare providers who can assess individual health conditions and determine the most suitable treatment options. While PDE5 inhibitors may come with some side effects, such as headaches, flushing, and gastrointestinal discomfort, they are generally well-tolerated when taken as directed. Consumer reviews and testimonials can provide insights into the effectiveness and safety of specific products. According to the Massachusetts Male Aging Study, 52% of men aged 50–70 have some degree of ED, a number that increases to upwards of 70% in men older than 70. Erectile dysfunction (ED) is a common problem and increases in incidence as men age (10). In one study attempting to estimate illicit sildenafil use, concentrations of sildenafil and sildenafil metabolites were measured in sewage treatment centers in the Netherlands. Between 2004 and 2008, 35.8 million counterfeit sildenafil tablets were seized in Europe, which is 7 times greater than the amount of all other counterfeited Pfizer products combined. In fact, for PDE-5i, the illegal market in industrialized countries approaches the size of that in developing countries. While there are male enhancement pills that may offer benefits, the market is saturated with products that pose safety risks. Common ingredients found in male enhancement pills include natural herbs such as ashwagandha, ginseng, and horny goat weed, along with amino acids like L-arginine. Understanding what male enhancement pills are, how they work, and the potential risks involved is crucial for anyone considering these products. These supplements typically contain a blend of herbs, vitamins, and minerals that are claimed to promote increased blood flow and tissue growth. Whether considering surgery, pills, or natural methods, individuals should prioritize their health and safety by seeking professional advice and thoroughly researching their options. For those seeking non-surgical options, penis enlargement pills and natural penis enlargement methods are popular alternatives. Discover the best and safest methods for penis enlargement, and make informed decisions about your health and wellness. That was thanks in large part to a television ad campaign that featured some not-so-subtle references to the size of a man’s golf club as a stand-in for penis size and rigidity. One- and 3-month supplies also come with free e-books covering nutritional approaches to improving sexual performance and exercises you can do to improve your stamina in the bedroom. It’s the only supplement in our guide containing ashwagandha, an extract that studies show can increase testosterone levels and reduce anxiety. Be sure to buy your enhancement pills directly from the supplier. The technique is utilized in most studies for patients with severe erectile dysfunction, Peyronie’s disease, and short length either due to curvature or after treating prostate cancer (radical prostatectomy or combination of hormonal therapy and radiotherapy) 30,31,32,33. To increase the actual penile length, Perovic et al. described the penile disassembly technique, during which the penis is separated into the neurovascular bundle (NVB) with glans, corpora cavernosa, and urethra . A study of 303 penile implants showed that the release of the suspensory ligament during an infrapubic insertion of an inflatable penile prosthesis may maintain or even increase penile length . A urethral catheter is left in situ and the penile skin graft is dressed and/or vacuum-assisted for 10–14 days . However, suction lipectomy alone is generally ineffective for the correction of a buried penis but can be successful in conjunction with panniculectomy. A small, blunt cannula is usually used when performing suction lipectomy at the base of the penis. Lipoplasty is usually performed alone or in combination with another procedure to manage a buried penis secondary to obesity. Popular Health Centers It is essential for young men to focus on healthy lifestyle choices, such as proper diet, exercise, and psychological well-being, rather than relying on unproven supplements promising dramatic results. The hormonal and physiological changes during adolescence mean that introducing herbal supplements or pharmacological agents could interfere with natural growth processes or cause unintended side effects. Most products are marketed towards adult men, and there is little to no research on their effects on younger individuals whose bodies are still developing. There have been reports of more serious issues such as liver toxicity, especially with products containing undisclosed or contaminated ingredients. Some herbal ingredients may interact negatively with prescription medications, particularly blood thinners or medications for heart conditions. People try jelqing because they think their penis is too small. Jelqing is a technique some people use to try to enlarge their penis. For tips on how to make your penis look bigger with diet and exercise, read on! You could also take 1 gram of L-arginine supplements 3 times a day, which may help you get an erection after taking it for several weeks. More permanent natural solutions to increase its length and width include making dietary changes, getting more exercise, and losing weight around your midsection. But JES Extender is the only place to go if you have the money to burn and are determined to get the fanciest-looking penis extender on the market. If you or someone you love would like a penis extender in 24-karat gold, you won't find that option from Quick Extender Pro, but JES Extender has one for $350. Indeed, one of the more common complaints among customers we've spoken to — even those who were pleased that MaleEdge works and recommend it — was the fact that the penis extender can break over time. Nonetheless, MaleEdge didn't inspire as much confidence and trust in our testers as other penis extenders — and when you're fastening a device to your penis, you want to be confident in it. In our research, we found that many fertility supplements use higher doses that are closer to what’s clinically supported in the research, but they sometimes use fewer ingredients than the average volume pill. It may run counter to the efficacy goal, but our picks for safety tend to have an average amount of ingredients delivered in quantities at or around the lower range of doses used in clinical studies. And to help complete our understanding of these companies’ products and services, we became customers, ordering various volume pills in an effort to evaluate customer support quality, shipping logistics, and privacy. According to the “General Treatise on the Cause and Symptoms of Diseases”, it is proposed that ED occurs when there is insufficient blood in the penis, making it difficult to fill the tissues. The expected outcome of this trial is that the use of the herbal formula HIJG alone can improve overall sexual satisfaction (OS) in patients with mild to moderate ED, while also improving their traditional Chinese medicine symptom scores. This study aims to rigorously evaluate the effectiveness and safety of HJIG in mild to moderate ED cases, assessing improvement in both sexual function and TCM pattern alignment. We have been enlarging penises for decades and are the longest running clinic in the USA. Dr. Leary has also been involved in clinical trials for erectile dysfunction. Morganstern Medical offers innovative choices and combinations of products to accomplish permanent successful results. Many men look into volume pills based on one or more of the claims manufacturers tend to make. It frankly out-doses most volume pills in the most effective ingredient areas like zinc and B vitamins. It’s also why our top pick for volume pills happens to be marketed as a fertility supplement. Volume Pills sometimes runs discounts on its products, but there are also Innerbody discount codes you can use to save a little more than the company’s discounts provide. And one significant review looked at several ingredients common to traditional Chinese medicine and examined their influence on semen quality. More invasive surgical techniques up to total phalloplasty can be used to increase the effective length and width of the penis. Zhang et al. performed a suprapubic liposuction, penile suspensory ligament release, and insertion of a folded acellular dermal matrix between the corpora cavernosa and pubis symphysis in 15 men with a buried penis. In addition, penile shortening was reported in 4.7% of patients who had a release of the penoscrotal web vs. 83.8% who did not have the release . Miranda-Sousa et al. evaluated whether the release of the penoscrotal web would optimize patient perception and satisfaction regarding penile length after penile implant surgery. Scrotal septum detachment in men undergoing plication for Peyronie’s disease resulted in a perceived increased penile length (87.5% vs. no detachment, 77.3%) . Over the years, many of his patients had asked if he could make them bigger while he was down there. With the blockbuster launch of Viagra, in 1998, Elist feared that demand for surgical cures for erectile dysfunction would fall, and decided it was time to diversify. “If the penis is the antenna to a man’s soul, then James Elist must be the Marconi of medicine,” Hustler announced in a 1993 profile. Traction therapy can improve non-erect penis length in some men by up to 2 centimeters (a little more than ¾ of an inch). Using a vacuum device too often can damage the tissue of your penis and make your erections weaker. “You need to use a penis ring with this device. The device fits over your penis, and air is pumped out to create a vacuum. Vacuum pumps are used to treat men with erectile dysfunction (ED), a common condition in which you have trouble getting or keeping an erection. Recruitment began in March 2021, therefore 80 patients have been recruited.Penis size is an important issue for many, and men of all ages are concerned about length and thickness of their penises.Obesity increases the risk of erectile dysfunction, and heavy men who complain of loss of length may simply have inadequate blood flow to achieve adequate rigidity.It’s not available everywhere yet, says O'Leary, who has done the surgery and says he's been happy with the results.We have not found any research supporting the topical use of such ingredients and generally recommend against using the gel at this time.Many men report that this method causes an excellent stretch of the ligaments in the penis.Stress—the body's physiological response to threats—can severely damage physical health when prolonged, but individuals can manage it through expression, reframing, and emotion regulation rather than suppression. After being mobilized from the groin, the flap was tunneled under the pubic region to emerge at the base of the penis and then sutured to the subcoronal area and on either side of the spongiosum. Penile girth augmentation was also performed using a porcine dermal inteXen graft in a case series of 39 men with penile dysmorphophobia. Edema and congestion of the penis and scrotum were observed postoperatively, along with an area of sloughing on the dorsum of the penis, which re-epithelialized spontaneously . If they wish to improve a specific ailment, such as premature ejaculation or erectile dysfunction, approved drugs may be the best solution. They are generally created from plants, and they frequently contain several blended herbal supplements. The consequences of erectile dysfunction, however, can be eliminated with proper medications. For instance, patients should be aware of the recovery process and any necessary aftercare. For example, a person seeking a more proportional appearance might opt for girth enhancement to balance out length. On the other hand, penile augmentation focuses on increasing girth, typically achieved through the injection of fillers or fat. VigRX offers a delay wipe, as well, but for some reason, their wipes remove benzocaine altogether in favor of the natural ingredients zanthoxylum oil and peony extract. Research behind some of these ingredients supports claims of desensitization, though much more is needed. However, in reality, 97% of men and their sexual partners will not experience issues with either of these topical anesthetics. Hims also offers broader telehealth services of interest to many men, from primary care to talk therapy. It didn’t produce the same numbing effects as Promescent in our testing, even with an excessive application of sprays. However, an earlier 2007 study indicated that, while such drugs do improve sperm motility, they can negatively impact the acrosome reaction, the process by which sperm bonds with the egg during fertilization. A 2016 study found that anabolic steroids inhibit the secretion of both follicle-stimulating hormone and luteinizing hormone, which are both crucial to producing sperm. After all, research indicates that the symptoms of low testosterone include decreased libido, erectile dysfunction, and decreased energy. Over the past two decades, Innerbody Research has helped tens of millions of readers make more informed decisions to live healthier lifestyles. This isn’t the most inconspicuous or most comfortable penis extender on the market, but for most people, we believe it’s the best value. Here is our guide to the best penis extenders in 2026 — devices that can actually work. If you're reading this, you likely wish your penis was larger. In such cases, patients may benefit from psychotherapy. The aim of this review is to describe reported techniques and to provide available scientific data on the success of penis length procedures for cosmetic purposes. MedicineNet does not provide medical advice, diagnosis or treatment. Physical causes should be checked out, and any indications of mental health concerns should be investigated and addressed with the doctor. Take a close look at the ingredients in the pills you have your eye on, and talk to your doctor before starting it to make sure there are no unexpected risks to your health or potential contraindications with any of your current medications. Maca is a popular supplement ingredient that can only claim inconclusive results for men’s sexual function when looking at multiple studies.11 Beyond potentially boosting libido and fertility, it can positively affect mood and blood pressure.12 Many studies link zinc with testosterone levels.10 Since men lose testosterone production as they age, supplementing with zinc and other testosterone-boosting ingredients can improve various sexual functions. While it is possible for increased blood flow to the penis to result in an erection that’s marginally larger than you’re used to, the physical structures of your penis will not grow in any way. We have used soft medical-grade silicone to achieve the most natural feel possible. The Himplant® implant is designed to feel natural whether your penis is in a flaccid ("soft") or erect ("hard") state. There can be an initial retraction of the penis after removal of the Himplant®, and this rehabilitation process is critical to help regain any possible lost length. A high insertion of the penoscrotal junction on the penile shaft skin may be inborn or acquired from excessive removal of the foreskin during circumcision. This day case procedure involves an initial ventral slit made in the phimotic ring and exposing the penis. Westerman et al. described a ventral slit scrotal flap (VSSF) as a new surgical option for buried penis syndrome which avoids complex skin grafting. Other described skin flaps used to lengthen the penis include the lower abdominal Z plasty and the W-flap reconstruction . The penopubic skin can be advanced onto the penile shaft by an inverted V-Y advancement flap. Although the mechanisms of tissue expansion of the two fillers are different, there was no significant difference in the effects and stability of the two fillers in this study, consistent with the results of previous studies 13,14,15. The satisfaction level of the subjects on penile appearance and sexual life at 12 and 24 weeks post-injection significantly increased in both groups compared to that at baseline. The satisfaction levels regarding penile appearance and sexual life during the study period are summarized in Table 2. The secondary symptoms are skin and nail disorders, numbness or paralysis of limbs, dementia, mania, forgetfulness, abnormal local sensation, and a history of trauma or surgery. Other symptoms may include subcutaneous ecchymosis; blood separation; and a rough pulse that is hesitant, weak or absent. The study protocol obeyed the Standard Protocol Items for Randomized Trials statement,25 the Declaration of Helsinki,26 and the Good Clinical Practice guidelines. The SPIRIT schedule of tests and procedures for this study can be found in Figure 2. 🏥 Health and disability These patients should first undergo lipoplasty, and only in case of inadequate penis size should a further intervention be considered . Results from individual studies were synthesized and presented in tables, indicating mean/median preoperative and postoperative differences in penile length and girth. Clinical evaluation and the preliminary psychiatric evaluation can help in discerning those patients who would benefit from medical therapy or minimally invasive treatments from those who would benefit from surgery 12,15. For enlargement surgery, the circumference measurements of the flaccid and erect penis at the distal third of the shaft, just below the glans, at the middle third, and at the proximal third at the level of the penopubic junction are important to evaluate a possible gain on girth. Penile augmentation surgeries are primarily performed in men with sexual dysfunction caused by anatomical abnormalities, such as Peyronie’s Disease, or in men with true congenital micropenis (stretched penile length of less than 2.5 SD below the mean for age or stage of sexual development) . Male enhancement pills work by targeting three key areas of sexual function. A review in the Chinese Journal of Natural Medicines looked at this plant as a potential adaptogen of male sexual health. The product promises to make erections harder and stronger, increase sex drive, elevate your sexual stamina, and enhance overall sexual performance. Medical Professionals This seems generous at first, but when you consider that it can take 2-3 months for many of these ingredients to show any effects in your system, 30 days isn’t really enough. But Beli’s inclusion of shilajit and an increased dose of vitamin D help bring it in line with Bird & Be’s performance, especially where testosterone is concerned.29 Beli Vitality falls more in the fertility camp than traditional volume pills, but its collection of ingredients would give most of those volume pills a run for their money. Therefore, our study might help physicians choose the most appropriate type of filler.We are dedicated to improving the lives of our patients by providing excellent patient-centered care.Men wear traction and suction therapy devices for a little more than an hour a day to gently stretch the penile tissue in both length and girth.There’s likely a male enhancement pill suited to your needs, whether aiming to achieve firmer, longer-lasting erections, revitalize your libido, or improve sexual performance.It’s also why our top pick for volume pills happens to be marketed as a fertility supplement.Enlargement supplements typically contain a variety of herbal and natural ingredients believed to have beneficial effects on blood flow, sexual stamina, and tissue growth.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.But even if you disregard animal studies and only look at the competition, you’ll find a 1,000mg cordyceps dose in Max Performer, which greatly eclipses Male Extra’s offering.Between 2004 and 2008, 35.8 million counterfeit sildenafil tablets were seized in Europe, which is 7 times greater than the amount of all other counterfeited Pfizer products combined. For patients whose treatment is too expensive in their country, a great alternative will be to do the treatment abroad. It is crucial for men considering surgery to consult qualified specialists, understand the potential risks, and set realistic expectations. Penile fillers, on the other hand, involve injecting biocompatible substances into the penile shaft to create a fuller appearance. Surgical interventions are typically considered when non-invasive methods fail to meet the expectations of men seeking significant enlargement. Some find that issues with libido, erection, or ejaculation are not just affecting their own sexual satisfaction and that of their partner, but also their ability to conceive a child naturally (which requires sexual intercourse and ejaculation). (Remember, herbal supplements — unlike most medications — do not have to be approved by the FDA, or have data to back up their use, in order to be sold.) However, there is some evidence that these supplements — or even prescription medications like Viagra — can have a negative effect on fertility. Social and community-based interventions—including group therapy, self-help groups, and community mental health services—can prevent and treat psychological disorders by addressing the social contexts in which they arise. Affect, emotions, stress, and motivations shape our behavior and health through physiological arousal, cognitive appraisal, and social factors, and can be managed through positive thinking, emotion regulation, and social support. Stress—the body's physiological response to threats—can severely damage physical health when prolonged, but individuals can manage it through expression, reframing, and emotion regulation rather than suppression. Many volume pills and fertility supplements also contain some kind of multivitamin complex. The specific ingredients in volume pills will vary wildly, but there are a few ingredients that have a lot of good scientific research behind them. For simplicity here, we'll continue to refer to the class as a whole as "volume pills," including fertility supplements. Penile girth enhancement has been a subject of increasing interest and significance in the field of urology and sexual medicine. Correction of curvature was observed in all patients, no erectile dysfunction was reported, and satisfaction of patients ranged between 90 and 100% 30,31,32,33,34,54,55. A newer technique, initially described by Rolle et al. in 2012, is the sliding elongation, during which several incisions of tunica albuginea are performed and, after a sliding between the parts created in the corpora cavernosa from the tunica incisions, the penile length is increased . Some of them also help improve sexual stamina or issues like premature ejaculation. Many men now struggle with low libido and issues like erectile dysfunction. Mental health can suffer with higher rates of anxiety and depression. It also reduces blood flow throughout the body. Constantly being in “work mode” takes a major toll on their health in many ways. Ingredients like shilajit, L-arginine, maca, and ginseng aren’t in the average multivitamin, and there is some clinical evidence that they can help with sexual function. The main drawback to using a multivitamin rather than a volume pill or fertility supplement is that some of those ingredients — the type you don’t often see in multivitamins — might make a real difference. When you see things like vitamin complexes, zinc, selenium, magnesium, and other vitamins and minerals in volume pills, you might reasonably ask yourself whether you’d be better off just taking a good multivitamin. That means they contain things like zinc and ashwagandha, which studies show can both improve testosterone36 and reduce anxiety.37 Penile surgery has come a long way and has done a world of good for men who truly need it, according to Dr. Karen Boyle, director of Reproductive Medicine and Surgery at Johns Hopkins Hospital in Baltimore.You’ll most often find these labeled as “male enhancement pills.”This study aims to rigorously evaluate the effectiveness and safety of HJIG in mild to moderate ED cases, assessing improvement in both sexual function and TCM pattern alignment.Look for natural ingredients backed by scientific research for their efficacy and safety.Although the composition of the PLA filler is different from that of the HA filler, the application methods and expected effects are identical.All of these studies must adhere to rigorous standards called good laboratory practices, or GLP, to be accepted. The key is to get real and tested tips and help from a known health person. “Non-surgical” can mean lots of things, from bad over-the-counter stuff to real medical acts, and sadly, very risky do-it-yourself tries. Usual minor side effects are short-lived, like puffiness, color change, or soreness where injected. While any doctor’s act has some risk, making it bigger without surgery, done right, is safe and easy for most when done by a pro in a clean place. Done by a well-trained health expert, using safe stuff like hyaluronic acid fillers is known by science to be safe and works for making it thicker for some time. It is crucial to start with light pressure and gradually increase the intensity as the tissues become accustomed to the stretching. These exercises involve gently pulling the flaccid penis in different directions to stretch the ligaments and tissues. However, it is essential to approach jelqing with caution, as improper technique or excessive force can result in bruising, pain, or even permanent damage to the penile tissue. As a category, male enhancement pills draw in men looking for more than just ED treatment. Those include zinc, vitamin B, and maca, to name a few.33 If you’re serious about addressing infertility issues, we encourage you to speak with a specialist before resorting to male enhancement pills, especially if time is a concern. But even the best candidates may struggle to find success with male enhancement pills and may need to try several formulas before seeing any results. Most other male enhancement pills explicitly list their doses and don’t rely on proprietary blends of any kind. Phalloplasty aims primarily at increasing the length of the penis, often involving complex surgical techniques such as skin grafting. It is crucial to understand the unique advantages and risks that will allow patients to make informed and safe decisions. Lip filler injections are increasingly being explored for girth enhancement, typically using hyaluronic acid-based fillers. Bird & Be contains 22 active ingredients, including higher doses of scientifically supported ingredients, such as vitamins A and C, a B vitamin complex, and more zinc than any other product in our guide. Bird & Be Power Prenatal for Males combines higher doses of clinically-backed ingredients compared to its competitors. And you’re just as likely to find ingredients in there that have little-to-know research to support them. It's also one of the most popular products among the men we've interviewed in the process of making this guide. For that reason, it’s our editor's choice as the best penis extender for most men in 2026. The market for penis extenders is crowded, and not all devices are the same. This is one of the most reliable testosterone-boosting ingredients you’ll find in men’s supplements.2 It isn’t in many male enhancement pills, but you should take note when it is. The general idea behind male enhancement formulas is that combining multiple ingredients can increase the odds of success by working on slightly different potential problems (i.e., hypogonadism, performance anxiety, and circulation issues). The best male enhancement pills combine various ingredients to improve sexual function, virility, and libido. If you have only mild symptoms (e.g., the ability to get mostly erect but not enough for penetration, or your erectile performance is mostly reliable but a tad inconsistent), male enhancement pills may be able to help. The growing demand for penile augmentation surgeries is driven by various factors such as increasing awareness about the availability of these procedures in combination with the availability of different techniques. The primary outcomes were changes in penile dimensions, specifically in terms of length and girth, as well as the incidence of surgical complications and the impact on quality of life. She has gained valuable experience by supporting patients from around the world—mainly the UK, Scandinavia, and the US—while also building strong relationships with clinics in Poland, Hungary, and Turkey. Male enhancement supplements are organic products designed to ease the symptoms of sexual dysfunction, such as low libido or difficulty getting erections. These products contain ingredients clinically shown to boost sexual function and relieve performance anxiety. There aren't enough studies of penis-enlargement surgery to give an accurate picture of risks and benefits. Serious risks include dangerous interactions with medications for blood... Many of these supplement products are unregulated, posing risks because of inconsistent quality and purity. If you’re facing a medical emergency, call your local emergency services immediately, or visit the nearest emergency room or urgent care center. This blog explores the latest advancements in penis enlargement, including surgery, pills, and exercises. Most patients pay $10,500–$19,000 for Himplant® cosmetic penile enlargement surgery. The Himplant® penile implant is introducing an era of personalized male enhancement with comfort at its core. Meet the world's first FDA-cleared penile implant for cosmetic male enhancement. When used as directed, penis extenders are very safe.8 You should follow the instructions on using your device to avoid potential bruising or discomfort. In the videos, we show how penis extenders are assembled and properly worn, using an anatomical penis model for illustrative purposes. To clear things up, we’ve made some helpful videos that walk you through the process with the two penis extenders we recommend most; many other extenders follow similar procedures. When you first unpack your penis extender, you might understandably be a bit confused about how to put it together or get it in place. Always research the ingredients, consult with a healthcare professional, and be skeptical of exaggerated claims made by manufacturers. Non-surgical methods, such as traction devices or exercises, can also contribute to penile enhancement. They will consider factors such as your overall health, medical history, and expectations to determine the most suitable approach for you. It was meant to dilate the heart’s blood vessels by blocking a protein called phosphodiesterase type 5, or PDE-5. WHEN VIAGRA HIT the market in 1998, if you were old enough to pay attention, the idea of needing what the internet now loves to call boner pills probably seemed remote. We encourage you to discuss any decisions about treatment or care with your health care provider. Think of these pills as supporters of your body’s natural functions rather than quick-fix solutions. The pills work gradually by supporting your body’s natural processes rather than providing instant results. These supplements take time to build up in your system. Third, they help reduce stress and anxiety that can interfere with sexual function. At present, methods for the treatment of PE include nonmedical therapy (behavioral therapy and psychotherapy), medical therapy (pharmacology and surgery), and combination therapy.Ultimately, while some over-the-counter male enhancement pills may offer legitimate benefits, consumers should be cautious and prioritize safety by choosing products from reputable manufacturers.It wasn’t enough for us to find the best option from among a pool of so-so supplements.Male enhancement pills are supposed to increase blood flow to the penis to help users get and maintain an erection, consequently boosting sexual desire and performance.Two of Male Extra’s most important ingredients are zinc and vitamin B3, also known as niacin.I developed the P-Long Protocol in response to the low level of satisfaction with current penis enlargement options.According to the “General Treatise on the Cause and Symptoms of Diseases”, it is proposed that ED occurs when there is insufficient blood in the penis, making it difficult to fill the tissues. Lifestyle changes can help boost sexual activity without medication. A study of L-arginine's effect on heart attack survivors had to be stopped early after six people taking the supplement died. So when it comes to supplements, buyer beware! Some male enhancement pills contain ingredients that can improve the motility and egg-penetrating ability of your semen. The short answer is “not really.” Even the best male enhancement pills won’t add tissue to your penis to make it physically larger. Whether male enhancement pills work depends on what you want them to do and what ingredients they contain. VigRX Plus comes from a brand that offers a slew of male sexual health products, including pills designed exclusively for fertility and sprays and wipes to help men overcome premature ejaculation. In addition to the intellectual property rights that counterfeiters violate, the products they make can place consumers in danger. However, taking illicit PDE-5i may harm consumers directly, as many illicit products contain detrimental contaminants and inaccurate amounts of the active ingredient without the appropriate warnings. Others seek to bypass the legitimate healthcare system due to either embarrassment of the underlying condition or desire for cheaper alternatives. These products often combine multiple active ingredients to enhance their effectiveness and expedite the onset of action. However, some products, like Ro Sparks, are designed for rapid action, providing effects within 15 minutes of consumption. Ingredients such as L-arginine and ginseng may support improved blood circulation and sexual arousal, but they typically do not work instantaneously. This discussion can help identify the best approach to managing erectile dysfunction and ensure that any compounded medication used is appropriate for their specific health needs. ✋ Touch and body position Most important is to perform a full genital exam with specific attention paid to examining the penile shaft for fibrosis or plaques. Shortening of the penis can be a result of weight gain and the deposition of fat around the pubic area. Making matters complex is the fact that supplements are not regulated or routinely tested in the United States. Surgical options, such as penile lengthening surgeries or filler injections, tend to provide more permanent results but come with higher risks and costs. Penile extenders are devices worn over extended periods to stretch the penis gradually, with some clinical evidence supporting their effectiveness for modest lengthening. Consumers should be cautious with herbal pills and gummies, as they may not undergo the same rigorous quality control as pharmaceutical drugs. Gummies may also contain added sugars or artificial flavors, raising concerns about overall health and safety. It is crucial for consumers to consult healthcare professionals before starting any supplement regimen, especially if they have pre-existing conditions or are taking other medications. Our 2026 reviews tell you if PeniMaster Pro can make your penis bigger without discomfort and for a good price. Our 2026 reviews tell you if Phallosan Forte makes your penis bigger. After comparing our own hands-on testing to all of the scientific evidence and anecdotal reports we’ve encountered, it’s safe to say that penis extenders work. A neo glans can be formed usually some months after the formation of neophallus/neourethra, and the final third stage is usually the insertion of a penile prosthesis. The penile parts are assembled, and the procedure can also be combined with ligamentolysis and plasty of the penopubic angle. The most widely used technique is the one where the suspensory ligament of the penis is incised to release the penis from the pubis. Web-based companies such as Hims and Roman, in particular, focus on male sexual health, offering guys the ability to consult with a healthcare professional and fill their prescriptions all from the comforts of home. Safety is a serious concern with regard to dietary supplements promoted for ED or sexual enhancement. No complementary health approaches have been shown to be safe and effective for sexual enhancement or treating ED. Moreover, the combination and dosages of these ingredients vary widely among products, often without standardized clinical testing to validate their safety and efficacy. Maca root is believed to increase libido and overall vitality, while horny goat weed is thought to support erectile function. Saw palmetto is often used for prostate health but is also included in some formulas for its purported hormonal balancing effects. Furthermore, the stigma surrounding male insecurities often discourages men from discussing their concerns openly, making private solutions like pills more appealing. Additionally, feelings of insecurity or dissatisfaction with their body image can push men to explore various methods of enlargement, including pills, pumps, or surgical procedures. At 3 months, an increase in penile length was reported in 83.7% of patients who had a release of the penoscrotal web vs. 2.7% who did not have the release. These procedures can also be used to lengthen the penis during penile curvature surgery for Peyronie’s disease and inflatable penile prosthesis insertion . The characteristics of studies on the techniques for increased penile length are summarized in Table 1. Penile enlargement surgery can result in the following complications. Over time, the body can reabsorb the fat, returning the penis to its former size. Jelqing is a pulling exercise aimed at increasing the blood circulation in the tissues of the penis, which ultimately makes the penis look larger; however, this technique too lacks scientific evidence. Certain vacuum devices such as pumps are also used for penis enlargement. Male enhancement pills are supposed to increase blood flow to the penis to help users get and maintain an erection, consequently boosting sexual desire and performance. Here is what you should know about male enhancement pills and male fertility, including which common ingredients in erectile dysfunction supplements can be damaging and which are sperm-safe. Often labeled as dietary supplements, male enhancement pills claim to boost sexual performance by increasing testosterone levels, improving erections, enhancing the libido, and more. If you’re hoping that male enhancement products will increase the size of your penis, a penis extender would be a far better option. With its blend of natural ingredients, it aims to provide men with harder, longer-lasting erections, increased sexual stamina, and improved reproductive health. Erectonol is a natural male enhancement supplement designed to address common issues like erectile dysfunction and low libido. Viasil is a 100% natural male performance enhancer designed to help you fight back against erectile dysfunction and improve your sexual performance. Male Extra is one of the leading, most trusted male enhancement products on the market. Extenze is one of the top-rated sexual enhancement pills which promises to give you additional sexual energy, vitality, and to increase the strength of your erections. Penis extenders When it comes to finding the perfect male enhancement pill, there are some considerations that should be most important to you. Some sexual function supplements may contain potentially dangerous impurities or small amounts of hidden pharmaceutical drugs — like traces of PDE5 inhibitors, medications in the same class that includes prescription erectile dysfunction drugs like Viagra. But what about the claims that over-the-counter supplements can increase your libido or sexual endurance? At Advanced Urology Institute, we perform penis enhancement surgery on a regular basis to correct congenital and acquired micropenis. Only in very rare cases can the doctor recommend surgery to increase the length or width of the penis. 🧑🤝🧑 Client-centered therapy techniques Jelqing pushes blood to the tip of the penis. If you’d rather try another non-invasive treatment, consider using a penis ring, which fits over your penis and helps retain blood so it stays hard. Separating fact from fiction is crucial when it comes to penile enlargement. Penile size alone does not determine sexual pleasure or the quality of sexual experiences. In the paperwork Mick had initialed on the day of the surgery, a clause said, “The clinic highly discourages seeking information elsewhere as the information provided can be false, misleading, and inaccurate.” One day, though, Mick opened Google and searched “Elist,” “Penuma,” “numb.” But the numbness of his penis reminded him of having a limb fall asleep, indefinitely. He displayed a slide highlighting an ad by Victor Loria, an osteopath and erstwhile hair transplant specialist headquartered in Miami, whose permanent penile filler injections were on sale for $14,950. Still, he tried to alert local news stations, the Better Business Bureau, the FBI, the district attorney, malpractice lawyers, the California medical board. An FBI agent in his early 30s said that he was afraid he would never date again, let alone start a family, because his penis had shrunk to a stub. Foster Johnson, one of the Augmenta attorneys, also tracked down some of the patients who’d posted horror stories online. As both teams began conscripting high-volume implanters as allies and expert witnesses, the fraternity of sexual medicine was sundered into warring camps. The previous year, Cornell had asked to learn about the Penuma “expeditiously,” saying that he saw a “real opportunity to expand the level of service” he offered to patients. Some penis extenders are built to deliver results after 6-12 months of gradual, low-impact usage. The best penis extender for you might not be one of our top choices, but a different device, depending on a few factors in your life. We also gathered opinions from numerous customers who gave us their own reviews of the penis extenders as well, in order for us to develop a picture of broad user satisfaction and success. Ginkgo Biloba enhances blood flow to the penis, facilitating stronger, longer-lasting erections. It has garnered attention for its potent blend of natural ingredients designed to invigorate sexual wellness. These natural elements aim to target vital physiological processes involved in achieving and maintaining satisfactory sexual performance. Finally, penile girth enhancement may be performed using soft tissue fillers, grafting procedures, biodegradable scaffolds, and Penuma®. Papers discussing surgery in animal models and case reports were excluded from the present study unless further evaluated in a follow-up case series. This systematic review aims to summarize the available evidence on outcomes, complications, and quality of life after penile augmentation surgery, examining both minimally invasive and more radical techniques. Yes, Clinic Hunter provides insurance coverage and support services for men undergoing penis enlargement procedures internationally, helping protect against complications and unforeseen issues. Pumps and extenders have some clinical support for modest size increases and are more reliable with proper use. Sexual performance declines naturally as men age, doctors say. The FastSize Extender, though not extensively tested, has received some validation from mainstream medical sources. 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. 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. Magna RX+ represents a holistic approach to male enhancement, helping you unlock more satisfying sexual experiences. With its well-established efficacy, low price point, and positive user testimonials, ExtenZe is a top choice among the best male enhancement pills. As you consider the pros and cons of each male enhancement pill on our list, remember there is no one-size-fits-all solution. If you’re willing to spend enough to buy a year’s worth of pills, Volume Pills and Semenax offer the best bargains. That may introduce some bias, and the study population was under 100 men, but it’s rare to see any company subject its product to such scrutiny. A few of those studies are in animals without a clear conversion rate to humans, so dosing is hard to pin down in those categories. However, the size of the flaccid girth (compared to that of the erect girth) was likely the cause of distress for men reporting a small penis 6,20. These results were comparable with those of previous studies 7,10,11,15, and both fillers seemed safer than surgery 14,21,22. An interesting finding of one study of men reporting a small penis was that only 3.6% chose to seek PA after undergoing structured management and counseling . Satisfaction with penile appearance significantly increased within approximately one month after both filler injections. Our study and the previous two studies have also shown similar clinical courses after the HA and PLA filler injections 7,15. Ten patients dropped out (four withdrew informed consent and six were lost to follow-up), leaving 64 subjects (32 each in the HA and control groups) who completed the trial (Fig. 1). Of the 78 subjects who were screened, 4 who met the exclusion criteria were excluded; thus, 74 subjects were enrolled in the study and randomly assigned to the HA or control group. Between-group comparisons, including differences in the change in mean penile girth, satisfaction level, PEP score, and self-estimated IELT, were analyzed by analysis of covariance using the injected volume of filler as a covariate. The primary outcome was the difference in the change in mean penile girth in the HA and PLA groups at each follow-up visit.