If you decide to use male enhancement pills, make sure the seller is regulated and that the pills have been approved by appropriate organizations. With these advancements, penis enlargement surgery might become safer and more effective, benefiting from new technologies such as gene editing, stem cell therapy, nanotechnology, 3D printing, and mature biotissue engineering. Based on the noted results and complications, the scrotal dartos flap approach seems to be a viable treatment for penile girth enlargement. Therefore, the superficial circumflex iliac artery and vein flap is a reliable option for penile girth lengthening, and flap enlargement helps preserve the intrinsic blood supply, thereby improving viability and tissue thickness. “Your doctor can discuss any sexual concern you may have and determine if there is an underlying cause for your symptoms that needs to be treated.” “Do not self-diagnose and think that supplements are going to cure or prevent a problem from occurring,” Dr. Simone says. To learn more about supplements, visit the National Institutes of Health. But the rest of the ingredients may include drugs that are untested for safety or effectiveness. However, significant dissatisfaction was not found during patient follow-ups, and the erectile aspect of sexual function was not affected due to the independence of the PMMA implant from the corpora cavernosum and corpus spongiosum. Most patients (52%) reported nodularity, ridges, irregularities, indentations, or voids in the tissue fillers. Some irregularities in the implants were observed in approximately half of the patients, which did not cause any problems. It’s a cosmetic procedure, so it isn’t covered by medical insurance, he says. It’s not available everywhere yet, says O'Leary, who has done the surgery and says he's been happy with the results. That includes a procedure, recently approved by the FDA, called the pre-formed penile silicone block (Himplant, formerly called Penuma). Some surgical techniques change the appearance of your penis. The average penile girth measured before and after treatment was 9.5 and 12.1 cm, respectively. The authors noted that both HA and PLA fillers had significantly enhanced effects in patients with micro penile syndrome 24 weeks after HA and PLA injections, and encephalitis was a severe side effect without serious adverse effects. At 24 weeks, the average increase in penile girth was 2.1 ± 1.0 cm in the HA group and 1.6 ± 0.9 cm in the PLA group. In conclusion, this newly developed PLA filler caused significant penile enlargement for up to 18 months and was well tolerated without serious adverse effects. Although HA injections are becoming a popular modality for penile enlargement, relatively few reports of their side effects are available. But another study indicated that a similar approach makes no difference to testosterone levels in males who eat enough zinc. One study published in the Nutrition journal has shown that zinc supplementation in marginally deficient elderly men for six months resulted in almost a double increase in serum testosterone. Some vitamins and minerals are added to testosterone supplements. According to a review published in the Biomolecules journal, there’s a possibility that ginger extracts may also increase testosterone levels. After extensive research and personal trial, I believe that some supplements work if chosen carefully, but many are ineffective or outright scams. From what I’ve learned, the truth is nuanced; some supplements do deliver noticeable benefits, while others are simply scams designed to take advantage of our hopes. In my experience researching Male Enhancement Supplements Really Work Or Are They A Scam, I’ve often wondered if these products are truly effective or just clever marketing schemes. The P-Long® Protocol is designed to deliver gradual, natural gains in both length and girth—with results that last. Traction devices work by gently stretching the penis over time, encouraging new tissue growth. Do penis enlargement creams and pills really work? I’ve found that some supplements do offer real benefits, especially when backed by scientific evidence and used responsibly. In conclusion, my research on Male Enhancement Supplements Really Work Or Are They A Scam has shown that the landscape is a mix of legitimate products and outright scams. My advice is to research reviews, verify claims, and consult healthcare professionals if unsure. I believe that combining good nutrition, exercise, and proper sleep with supplements offers the best chance for lasting improvements. In my experience, some supplements can provide short-term benefits, but sustained long-term results depend on lifestyle changes too. Erth Wellness Review: Are Mushroom Gummies Healthy? Some testosterone boosters can contain ‘prohormones’ that mimic testosterone. People on TRT need to have their testosterone levels checked regularly. Topical testosterone gels and patches can also induce allergic reactions. People who inject testosterone may experience pain and swelling near the injection site. However, studies tend to produce conflicting results when it comes to testosterone levels. Therefore, patients must be informed about the practice statements of various medical associations regarding enhancement procedures. Although most of these patients have less trouble maintaining sexual function, many still undergo surgical treatment. The patients who underwent this treatment claimed various justifications for wanting to enlarge their penile circumference. This was true across all age categories but was most pronounced among males who thought their penis was average-sized (46%) or smaller than the average (91%) (18–65 years). However, the effect was different for the circumference of the penile head (9.3 ± 0.86 vs. 8.8 ± 0.66 cm).Improving your sexual health doesn’t always require medication or supplements.The physiological and psychological evaluations must be considered with patients' attitudes toward surgery to analyze the feasibility and effects of surgery and determine whether these can be achieved (Fig. 2).However, many products on the market are simply marketing tricks designed to exploit our hopes.Most patients (52%) reported nodularity, ridges, irregularities, indentations, or voids in the tissue fillers.In 2021, Khalil et al. investigated a new adjuvant surgical technique for graft-less penile girth restoration and thickening through assisted expansion of the tunica albuginea.This trial demonstrated that autologous fat is suitable for penile enlargement and has few adverse effects.Some testosterone boosters can contain ‘prohormones’ that mimic testosterone. I recommend approaching these supplements with a healthy dose of skepticism and focusing on products with transparent ingredient lists and positive reviews from verified users. 📈 In clinical studies, patients reported increases in both length and girth with zero loss of sensitivity or erectile function. After attending LSU and building businesses of my own, I trained with Dr. Loria to bring advanced male enhancement to Tampa. Moreover, the application of fat, polylactic acid, HA, and dermal transplantation during the preparatory stages of penile enlargement surgery laid the foundation for emerging materials and technologies. Repeated penile girth enhancement using biodegradable scaffolds employing biopsy of previously formed tissue. Postoperative penile girth relaxation and erectile enhancement improved by 1.1 and 1.0 cm, respectively. Autologous tissue engineering on a biodegradable scaffold is a novel, safe, and effective treatment for penile enlargement. A 2021 study by Lei et al. used a novel autologous scrotal flap (scrotal flap method) reversal to increase penile girth by rotating the scrotal flap to a loose plane between the superficial penile fascia and Buck's fascia. Although most of these men had normal-sized penises, they tended to worry excessively and overestimate the average penises of other men. The first group of men experienced pain because they were insecure and unhappy with the size of their penis, fearing that it was not big enough to satisfy their spouses or themselves. Several studies have identified an increase in similar augmentation operations performed by medical experts, even though acceptability ratings for such surgeries are rarely recorded in the literature. An increasing number of men are self-conscious about the size of their penis given the constant media promotion of the penis' relationship with masculinity and manhood and the widespread cultural opinion that bigger penises are better. They may contain ingredients not mentioned in the label and the strength and concentration of the components may not also match the information on the label.It’s not available everywhere yet, says O'Leary, who has done the surgery and says he's been happy with the results.However, medical conditions like diabetes, kidney disease, and obesity can affect your penile tissues, or hide them, reducing your size.This term is used to describe the natural supplements advertised to boost your erection.Clinic Hunter insurance provides a valuable service by offering insurance coverage and assistance to men traveling abroad for penis enlargement procedures.But the rest of the ingredients may include drugs that are untested for safety or effectiveness.These products may not have evidence to back up their claims, and they could also lead to unwanted side effects.See your doctor before you buy any over-the-counter treatment for penis enlargement, says O’Leary.Supplements aren’t magic pills—they work best as part of a comprehensive approach including diet, exercise, and stress management. Meanwhile, a 2014 Mexican study regarding sexual dysfunction in young women highlighted that partner penile thickness/size was significant for female sexual dysfunction. In all the cohorts, patients with below-average penises were extremely rare, and most patients had normal penises.1,2 The second group of male patients seeks surgery because their penis is physiologically too small. Those who seek surgery and nonsurgical treatments for penile enlargement fall into 1 of 3 categories. In addition, it highlights the underlying motivations for penile enlargement and to provide an overview of the various medical, tractional, injectable, prosthetic, and reconstructive modalities commonly utilized in urology and plastic surgery (Table 1). Men are more concerned with their penis size and girth, and they seek methods to enhance their erections. With a myriad of products promising quick and permanent results, it’s essential to examine whether these pills are truly effective or merely marketing hype.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.Overall, pills are less predictable and generally less effective than mechanical or surgical methods, which should be considered only after thorough consultation with a healthcare professional.Most advertised penis-enlargement methods don't work.Overall, the safety profile of penis enlargement pills varies, and unregulated products can pose significant health risks.It is always advisable to consult a healthcare professional before starting any supplement regimen, especially for products marketed as penis enhancers.The normal penis size and the methods of determination of the normal penis size must be defined.Many of these supplement products are unregulated, posing risks because of inconsistent quality and purity.“You need to use a penis ring with this device. Welleco Review: Is Super Elixir Healthy or Not? Nevertheless, research suggests that some of these potential ‘testosterone-boosting’ ingredients may indeed help with hypogonadism. There is controversy surrounding testosterone supplements. What’s more, testosterone treatments appear to be effective at reducing depressive symptoms, as described in the JAMA Psychiatry journal. Testosterone supplements, or ‘testosterone boosters’, tend to be used when testosterone replacement therapy is not possible. Instead, focus on building a healthy lifestyle—exercise, diet, stress reduction—and consider supplements as an additional support, not a magic fix. Over the years, I’ve experimented with various supplements claiming to enhance male performance. I recommend choosing products that use natural ingredients backed by clinical research, such as L-arginine, ginseng, or horny goat weed. For men seeking real, lasting changes, proven medical procedures from a qualified physician offer predictable, safe outcomes. Beyond the lack of evidence, it’s critical to understand that these supplements carry serious risks. They can’t target and structurally alter these specific penile tissues. The penis consists of spongy tissue encased in a tough, fibrous sheath. These tactics create a sense of urgency and distract that there is no strong clinical data to support their claims of permanent enlargement. Never take any OTC male enhancement pills; they are not safe. Most male enhancement pills available over the counter (OTC) are not safe. These prescription male enhancement medications, however, are not appropriate for everyone, especially if you have heart problems, suffer from low blood pressure, or are taking nitrates. Representative figures of polylactic acid filler injection for penile augmentation. Although complications of HA injection are minor and rare, they emphasize the importance of preoperative preparation and surgical techniques and that these complications can affect postsurgical patient satisfaction. Signs of inflammation and serious adverse effects were absent in all cases. In homosexual relations, gay men predominantly achieve sexual climax through oral and anal sex. In some people, the supplement can cause side effects, including nausea, abdominal pain, diarrhea, and bloating. That’s because a product like L-arginine can reduce your blood pressure—which is great if it’s a bit too high, but not if you’re already bringing it down with meds. In fact, a study in the journal Andrology found that patients with severe or complete erectile dysfunction had L-arginine levels that were significantly lower than that of men with milder forms of ED. 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. Clinic Hunter insurance provides a valuable service by offering insurance coverage and assistance to men traveling abroad for penis enlargement procedures. Penuma implants are silicone-based devices surgically inserted beneath the skin of the penis, providing a more permanent increase in girth and, in some cases, length. Pills are often marketed as a convenient, non-invasive solution for penis enlargement, but they typically offer limited and temporary benefits. It is always advisable to consult a healthcare professional before starting any supplement regimen, especially for products marketed as penis enhancers. A large penis has long been celebrated as an indication of masculinity, power, prestige, fertility, and stamina. Penis enlargement medications, elongation devices, surgical procedures, and other methods are widely accessible, but many lack the necessary oversight and are thus illegal. Lifestyle changes can be effective in treating sexual problems. Your doctor can also help you determine which supplements, if any, might help you,” Dr. Simone says. According to a review in Obesity Reviews, testosterone is a key hormone in the development of obesity and metabolic diseases, such as insulin resistance and dyslipidemia. Data from health surveys have shown that consumption of sugar-sweetened beverages is a significant contributor to hypogonadism in young, adult men. Eating too much, or not enough, of certain macronutrients may also affect your testosterone levels. A diet rich in fruit, vegetables, lean protein and healthy fats is the first line of defense against systemic inflammation. Nutrition plays an indirect yet important role in regulating testosterone levels. What’s more, testosterone treatments appear to be effective at reducing depressive symptoms, as described in the JAMA Psychiatry journal.“Do not self-diagnose and think that supplements are going to cure or prevent a problem from occurring,” Dr. Simone says.Instead, focus on building a healthy lifestyle—exercise, diet, stress reduction—and consider supplements as an additional support, not a magic fix.Never take any OTC male enhancement pills; they are not safe.This lack of data is why the search for the best penis enlargement pills is often fruitless, leading only to disappointment.The aforementioned studies using autologous fat augmentation and dermal fat grafting demonstrated considerable changes in the average penile circumference.SOME SUPPLEMENTS MAY help your overall health, which could, in turn, benefit your sexual health.The fear that your penis looks too small or is too small to satisfy your partner during sex is common. Testosterone supplements tend to combine DHEA with D-aspartic acid. DHEA is one of the most researched over-the-counter ingredients. Androstenedione is a weak anabolic steroid used to boost testosterone levels. But how effective they are may depend on the individual taking them, dosage and duration of the treatment. They may also contain plant extracts, herbs and other nutrients deemed to increase the production of this hormone. So, if you carry a bit of extra fat in the pubic area, losing it can help you reclaim some penile length. It always pays to lead a healthy life. If you aren’t happy with your size, then the first step is to understand that this doesn’t mean you are abnormal or have a problem. Testosterone supplements include the use of controlled substances like androstenedione and androstenediol, as well as over-the-counter remedies like dehydroepiandrosterone (DHEA) and D-aspartic acid (DAA). However, this approach is not recommended for individuals with prostate cancer, blood-clotting problems and severe cardiovascular disease. TRT (or androgen replacement therapy) works by directly delivering synthetic testosterone into the body. Individuals with poor stress management skills and unstable social relationships may experience more fluctuations in their testosterone levels. Certain medical conditions and treatments can also result in hypogonadism. In this article, we’ll take a deep dive into the world of testosterone supplements. “Symptoms of low testosterone range from depression and brain fog to low sperm count and decreased libido, so maintaining healthy testosterone levels is important for overall health. Experts reveal the science behind testosterone boosters and whether testosterone supplements really work Vitamin D3 supplementation has been clinically shown to increase total testosterone levels by over 25%. Like other supplements, their effectiveness remains scientifically unproven, and their ingredients may vary significantly between brands. Any concerns about sexual health or development should be discussed with a qualified healthcare provider who can recommend safe and appropriate interventions. 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. “Some men try shaving or waxing their pubic hair, and that may make your penis just stand out more,” he says. These treatments don't work and can sometimes be dangerous, he says. Doctors do this operation on men whose penises point straight down when they have an erection. Baoquan Han With a focus on transparency and clarity, we aim to dispel myths and shed light on important topics like penile enlargement. In this comprehensive article, we will address the most prevalent myths related to penile enlargement, providing factual information to help you separate fact from fiction. In a society obsessed with physical appearances, it’s no surprise that penile enlargement is a topic surrounded by myths and misconceptions. Not all pills deliver what they promise—understanding the reality behind male enhancement supplements is key, especially when considering options abroad. This article delves into the science, ingredients, safety, and alternatives to penis enlargement pills, providing a comprehensive overview for those considering such options. Researchers from King’s College Hospital NHS Foundation Trust and King’s College London have reviewed the use of surgery and other treatments to enlarge penis size. Traction devices, non-surgical methods, and some surgeries are the only treatments with evidence showing a potential increase in penis size. At Brandeis MD, we are committed to providing reliable and evidence-based information to help individuals make informed decisions about their health. As trusted experts in health and wellness, we are here to uncover the truth behind these common misconceptions. They may contain ingredients not mentioned in the label and the strength and concentration of the components may not also match the information on the label. Certain herbs and spices may potentially act as testosterone supplements. According to a review published in the Experimental Gerontology journal, DHEA may help increase testosterone levels. According to a review published in the Molecules journal, it’s an effective testosterone supplement, but it produces side effects. So, what do we know about common testosterone supplements? Your penis has some of the smallest blood vessels in your body, meaning they more easily get clogged up. SOME SUPPLEMENTS MAY help your overall health, which could, in turn, benefit your sexual health. It's not clear what you could be putting in your body, and there's always the chance it could harm your overall health—including your sexual health. WebMD does not provide medical advice, diagnosis or treatment. “I work with them to help them realize that it’s not about how big your penis is, but your sexual function and quality of intimacy," he says. If you’ve ever searched “how to make my penis bigger”, you’re not alone. Now working alongside Dr. Zebrowski, I’m focused on delivering safe, effective treatments that help men gain confidence and improve their quality of life. Our board-certified physicians specialize in safe and effective treatments for men ready to invest in a lasting solution. At Best Man Medical, we move past the hype and focus exclusively on clinically proven medical procedures that deliver real, measurable results. The FDA has issued warnings about hundreds of male enhancement pills that are available in OTC and online. You should talk to your doctor before taking any male enhancement pills. The safest way to buy male enhancement pills is to see a doctor, get yourself checked by them, and buy the pills they prescribe for you, at a certified drugstore. Herbal male enhancement pills are touted to be natural alternatives to prescription drugs, but they are not safe. There is no scientific evidence that male enhancement pills really work. The FDA regulates dietary supplements but does not approve them for specific health claims like size increase.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.“Don’t be afraid to bring up a sexual health concern,” says Dr. Simone.Similarly, some women may experience more stimulation and pleasure with a larger penis, which may enhance their libido and sexual function.The truth is that these treatments tend to have modest, if any, results, experts say.Penis enlargement pills are all hype.Certain herbs and spices may potentially act as testosterone supplements. Clinical studies have shown modest length gains with the consistent use of traction devices, whereas pills have not. You should always discuss any new supplement with a clinician to ensure it won’t interact with your health conditions or medications. This includes any patient taking nitrates, anticoagulants (blood thinners), or blood pressure medications. At Best Man Medical, we focus on treatments backed by clinical data and professional experience. The key is to be informed, cautious, and realistic about what supplements can achieve. In conclusion, my research on Male Enhancement Supplements Really Work Or Are They A Scam has shown that some products do deliver real benefits, but many are scams. Don’t fall for miracle claims or products promising overnight results. Based on my experience, I recommend starting with reputable brands that disclose their ingredients and have positive reviews. I advise anyone interested to research thoroughly, look for genuine reviews, and consult health professionals before starting any new supplement regimen. It is crucial for men considering surgery to consult qualified specialists, understand the potential risks, and set realistic expectations. These treatments are less invasive but often require maintenance or repeated procedures to sustain desired results. 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. Surgical options, such as penile lengthening surgeries or filler injections, tend to provide more permanent results but come with higher risks and costs. One case of penile hematoma and one case of glans numbness were reported, both of which resolved without medical intervention. In a 2005 study by Aghamir et al., 27 patients received vacuum erection device treatment. Notably, most of the literature on penile enhancement comes from China, Korea, and Mexico. Injectable implants designed to increase penile circumference are becoming more widely utilized (Fig. 4). Patients had an average girth increase of 3.5 cm after 1 to 3 injections. In contrast, mechanical devices like pumps and extenders have been studied more extensively and can produce measurable, if modest, increases in size over time.Despite the popularity of these ingredients, there is limited scientific evidence confirming their effectiveness for permanent penis enlargement.Some of these products are actually dubious.As reported in the Sports Medicine journal, after the age of 40 men’s testosterone levels decline by 1%-3% per year.Of course, the risks depend on the treatment performed, with more invasive options like surgery having higher risk than things like stretching, but there are always risks nonetheless.If you are in good health and not overweight, then a lifestyle change will not increase your penis size.A pill can’t trigger the biological mechanisms required for permanent penis enlargement.This is where the comparisons between enlargement pills, surgery, and traction devices become critical for making an informed choice. Perovic et al. performed the surgery on 204 men with a mean age of 26.77 years. By creating new functional tissues from somatic cells, the circumference of the penis can be enlarged. This enlargement exceeded that of most previously published surgical procedures. Is Dubai Chocolate Healthy? A Dietitian Answers However, limited scientific evidence is available to support the effectiveness of these uncontrolled medicines, elongation devices, or surgical therapies in increasing penile size.In studies regarding female orgasms, 62% thought vaginal intercourse was the best trigger for orgasm.With a focus on transparency and clarity, we aim to dispel myths and shed light on important topics like penile enlargement.The review, which investigated penile enhancement methods in men without penile abnormalities, found a low level of evidence in favour of penile extenders.For most men, adopting a healthy lifestyle and focusing on sexual performance rather than size may be the most effective and safest approach.Researchers from King’s College Hospital NHS Foundation Trust and King’s College London have reviewed the use of surgery and other treatments to enlarge penis size.They may improve erectile function temporarily but are unlikely to cause significant, lasting growth of the penis.The following are some of the more commonly used male enhancement drugs.However, penile prosthesis surgery does not affect the size of the penis but may indirectly help the penis grow larger.Over the past 2 decades, the “The bigger the penis, the better” mentality has been reinforced by an explosion of media content focused on expanding the size and thickness of the male penis. “Don’t be afraid to bring up a sexual health concern,” says Dr. Simone. Talk to your doctor before trying a sexual enhancement supplement. “Most supplements for sexual function have not been studied scientifically,” says Luigi Simone, MD, a primary care physician at Scripps Clinic in Encinitas. These products may not have evidence to back up their claims, and they could also lead to unwanted side effects. While it may be tempting to buy pills and bottles to boost your sexual performance, you might want to think twice before putting down your money. The blood then flows into the penis and is prevented from flowing out using a constriction ring at the base of the penis, thereby facilitating the maintenance of an erection during sexual activity. The off-label use of these products in patients who want to enhance their penile function should be approached with caution. Consequently, evidence-based clinical guidelines regarding dermal fillers for penile girth enhancement are non-existent. In my personal journey, I’ve tried a handful of male enhancement supplements over the years. Ultimately, I’ll explore whether male enhancement supplements really work or are they a scam, providing insights from my own journey and research. If you’re serious about increasing your penis size the safe, proven way, you need a medical expert—not a YouTube ad or anonymous blog. The P-Long Protocol is the first non-surgical method clinically shown to increase penis size—safely, gradually, and permanently. At BrandeisMD, we offer real, medically supervised options backed by clinical data and designed to improve both penis length and girth without surgery. We may earn commission from links on this page, but we only recommend products we back. With a lifelong passion for all things health and wellness, Ashley enjoys writing about topics to help people live happier and healthier lives. Pharmaceutical testing reveals those for approved drugs, but supplements don't undergo review in this way. The review will inform clinicians treating patients with Body Dysmorphic Disorder (BDD) or Penile Dysmorphic Disorder (PDD), anxiety disorders which can have serious detrimental effects on health. Working about the best penis enlargement option for you is a complex task. Another common misconception is that penis enlargements are generally safe. Mayo Clinic does not endorse companies or products. If you are a Mayo Clinic patient, we will only use your protected health information as outlined in our Notice of Privacy Practices. Even if your penis is smaller than average, it may not matter to your partner. There's no guaranteed safe and proven way to enlarge your penis. When the suspensory ligament is cut, the non-erect penis may look longer because more of it hangs outside the body. A 2002 study surveying perceptions of penis size among 375 sexually active women found that 32% of women thought penis length was less significant than penis girth. Many unproven methods to increase penis size are available on the Internet; these include lotions, pills, stretching devices, vacuum pumps, and home massage techniques. Growing dissatisfaction among males regarding their penis size is driving the popularity of penile augmentation procedures that may lengthen or widen the male reproductive organ. Even males with average-sized penises wished to have larger penises, with studies revealing that males are often dissatisfied with their penile look, which is correlated with the frequency they overestimate their penis size. Yes, there are various non-surgical clinical treatments that increase penile volume and size. There is no evidence supporting claims that penis enlargement creams and pills work. Arguably the biggest myth is that penis enlargement treatments don’t work. While there are many penis enlargement supplements sold online, they are not backed by scientific evidence. 6. Vacuum erection devices And be sure to talk to your doctor before taking them if you have heart problems, kidney disease, high blood pressure, or other health conditions, Dr. Starke says. “I always attempt to temper expectations when utilizing supplements for sexual performance,” says Dr. Tsambarlis. “Diet and exercise have consistently outperformed supplements and have a significant and reliable impact on sexual performance,” says Dr. Tsambarlis. "Thus, anything that benefits heart health can also benefit sexual health. A good diet, exercise, and maintaining a good body weight can all help as well.” Skin flaps are considered superior to autografts due to the uninterrupted blood supply. The adjuvant incision enlarged the penile circumference by 50% (from 8.0 to 12.0 cm). The remaining 20 men formed the control group and received only penile implants. Of these, 15 (enhancement group) also underwent venous ligation of the posterior coronary plexus, deep dorsal veins, and cavernous veins. After prosthetic implantation, 72% of patients reported a decrease in length. This definitely answers the question, “Do penis enlargement pills work? This lack of data is why the search for the best penis enlargement pills is often fruitless, leading only to disappointment. Most formulas are a cocktail of amino acids, herbs, and stimulants that have effects unrelated to permanent penis enlargement. Manufacturers of male enhancement pills operate in a competitive market that’s estimated to hit over 7 million in 2030. This guide examines the bold claims made by manufacturers, analyzes common ingredients, and reviews the actual clinical evidence for penile enlargement pills — or the lack thereof. The quest for improved self-esteem and confidence can make these pills an attractive option, despite the lack of scientific evidence supporting their efficacy. The media’s portrayal of an ideal male physique can create pressure, leading men to seek solutions to enhance their perceived inadequacies. Many men experience anxiety about their size, often influenced by media portrayals and societal expectations. It also found no consensus regarding when surgery should be undertaken, if ever. And most don't do anything at all to increase penis size. At best, surgery may give a slight increase in girth to the penis. “A four inch increase in waist size can increase your chances of having low testosterone by up to 75%.” In a recent pilot study of acellular collagen matrix grafts, Xu et al. observed 78 patients treated with prostaglandin E and ADM. At the 3-month follow-up, the mean increase in penile girth was 1.1 cm. In 2012, Alei et al. performed a procedure to increase penile girth in 69 patients utilizing porcine dermal decellularized grafts. Regarding injectable treatments for penile girth enhancement, perhaps the foremost area of historical and contemporary research is penile subcutaneous injection therapy. In addition, a Canadian study found that penis size tends to be larger in gay than in heterosexual men, with a preference for larger sizes noted within the gay community. In male-male sexual activity, which primarily involves oral (mouth-to-genital) and anal (anal-genital) sex, the size of the penis is closely linked to sexual satisfaction. The authors highlighted several advantages of decellularized dermal matrix grafts for penile girth augmentation over autologous dermal fat grafts. At the 1-year follow-up, the mean flaccid and erect penile circumferences were 11.3 cm (8.2–13.2 cm, mean increase of 3.1 cm) and 13.2 cm (8.8–14.5 cm, mean increase of 2.4 cm), respectively. These extensively utilized methods for penile enlargement demonstrate effectiveness and yield high patient satisfaction. At the 6-month follow-up, significant increases in flaccid, extended, and erect penis lengths were observed, with mean increases of 1.7, 1.3, and 1.2 cm, respectively. Beginning in 2007, Casavantes et al. administered PMMA injections to enhance penile girth in 752 men and conducted follow-up reports over 7 years. Furthermore, for the first time, they demonstrated significant improvement in psychological distress among patients with micro penile syndrome. Among these patients who received HA treatments, 4.3% experienced complications such as subcutaneous bleeding, subcutaneous nodules, and infection throughout the 6-month follow-up period. This concludes that HA is a safe and effective method for penile body enlargement. ANOTHER SUPPLEMENT THAT is good for overall health and wellness, including erectile health, is folic acid or B9. She adds that the longer you maintain low levels, the more effects you might see, including potential ED. Basically, blood flow issues that affect your system can also raise your risk of ED. “Nitric oxide is involved in vasodilation (widening and opening up of blood vessels), which can begin and maintain the erectile response,” says Michael Eisenberg, M.D., a urologist at Stanford Medicine. According to a review published in the Molecules journal, it’s an effective testosterone supplement, but it produces side effects.However, studies tend to produce conflicting results when it comes to testosterone levels.Over-the-counter creams, as well as supplements, vitamins, or mineral pills that claim to increase penis size, simply don’t work.In my personal journey, I’ve tried a handful of male enhancement supplements over the years.Impeded blood flow is bad for erections, so anything that improves blood flow is good.Another new type of scrotal incision implantation involves making a 1- to 2-cm longitudinal incision in the upper scrotum on the left or right base of the penis.And no trusted medical organization endorses penis surgery for purely cosmetic reasons.“Most supplements for sexual function have not been studied scientifically,” says Luigi Simone, MD, a primary care physician at Scripps Clinic in Encinitas. Over-the-counter creams, as well as supplements, vitamins, or mineral pills that claim to increase penis size, simply don’t work. Some supplements can increase erection size by improving blood flow or arousal, but only to a maximum determined by the existing size of the penis. The brand failed to cite any research or provide any proof of this claim, and we haven't come across any clinical studies suggesting that oral supplements can permanently increase penis size. We'll explain whether or not a dietary supplement can really increase penis size, give our take on whether Cialix is likely to cause side effects, and share our concerns about the brand generally. We recommend that patients follow their doctor’s guidance in regard to male enhancement supplements. From what I’ve learned, ingredients like L-arginine, ginseng, horny goat weed, and maca are supported by some scientific evidence. The key is doing your homework and avoiding products that make unrealistic promises or lack transparency. Some Male Enhancement Supplements Really Work Or Are They A Scam depend on the ingredients, quality, and your individual response. MedicineNet does not provide medical advice, diagnosis or treatment. Get a medical checkup to see if there are any underlying health issues and have them treated. Unlike drugs, herbal supplements are not regulated stringently by the FDA, hence the ingredients and their dosages may not always match those on the label. Prescription drugs for erectile dysfunction do work by improving blood circulation to the penis and help achieve and maintain an erection. The pleasure of anal sex primarily comes from stimulating the densely packed nerve endings in the anus and rectum of the receptive partner, as well as indirect stimulation of the male prostate, leading to pleasure and potential climax. In studies regarding female orgasms, 62% thought vaginal intercourse was the best trigger for orgasm. During intercourse, the penis helps remove foreign bodies and bacteria from the vagina, thereby improving the ability of a woman to withstand infections. A study including 15,521 men noted that, on average, penises in the flaccid and erect states were 9.16 and 13.12 cm long, respectively. Summary of clinically relevant studies on different penile girth augmentation methods. However, limited scientific evidence is available to support the effectiveness of these uncontrolled medicines, elongation devices, or surgical therapies in increasing penile size. Various medical, tractional, injectable, and surgical modalities have been investigated for penile augmentation. An increasing number of men with healthy and normal penises want to enlarge their penis. Penis enlargement pills are all hype. L-ARGININE IS AN essential amino acid that can be good for both heart health and erectile issues, Dr. Brahmbhatt says. While you can get your omegas from supplements, getting them from foods such as fatty fish is your best bet. That can help boost your blood flow. By contrast, omega-3 fatty acids can have the opposite effect because they lower inflammation that might be affecting blood vessels, while also reducing blood clotting. That’s why, at first, it might not make sense that many blood pressure medications list erectile dysfunction as a side effect, he adds. Many men, hoping for a simple solution, search online for the best penis enlargement pills, only to be met with confusing claims. See your doctor before you buy any over-the-counter treatment for penis enlargement, says O’Leary. If you’re interested in surgery to treat penis size or your erections, make an appointment with a urologist, says Bajic. Talk to your doctor before you try any penis enlargement device or treatment. Therefore, when receiving patients with penile thickening, a thorough physiological and psychological evaluation must be performed. Veale et al. conducted a systematic review pooling data from 20 studies measuring penile length and girth during flaccidity and erection, and subsequently derived nomograms for men of all ages and races (Fig. 1). Studies have been published worldwide to evaluate and establish normal penile sizes. The term “small penis syndrome” describes this illness in the medical literature. High-quality clinical penile enlargement pills evidence doesn’t show that any oral supplement can permanently increase penis length or girth. Certain individuals should steer clear of these unregulated supplements entirely because of the risk of male enhancement pills side effects and dangerous drug interactions. Understanding the potential male enhancement pills side effects is critical before considering any of these products. The vacuum erection device involves inserting the penis into a cylinder and applying a vacuum to create negative pressure. None of the patients reported any pain after the anesthetic effect had worn off. In 2003, Yacobi et al. employed a series of subcutaneous injections of liquid silicone as the primary enhancement procedure in 324 men under local anesthesia. Although no perfect penile injectable material exists, PMMA microspheres appear to be safe, stable, and effective, and patient satisfaction is high. Penis size has many intricate complexities and considerations, and has it been a topic of interest for centuries? His work is dedicated to making complex medical information understandable and actionable for everyday readers. Is committed to guiding his readers on a journey toward better health, stronger bodies, and happier lives. Is the founder of DrJamesD.com – The Best Health Tips, a comprehensive blog dedicated to helping people live healthier, more balanced lives. However, many products on the market are simply marketing tricks designed to exploit our hopes. Therefore, penile size has additional significance for both heterosexual and homosexual relationships. In addition, in the context of gay culture, penile size may influence sexual attractiveness, particularly among men who have sex with men. The pleasure from anal sex involves the stimulation of nerve endings and the stimulation of prostate gland, and is related to penis size. Any treatment method for SPA must encompass significant psychological components, because the treatment of SPA is not merely physiological, but a complex interplay of psychological and physical factors. In the future, more precise and efficient surgical and nonsurgical therapies may be developed, thereby expanding the range of options for patients with SPA. These technologies aim to achieve enhancements in precision and durability. Innovations such as Penuma and assistive technology for the penile tunica albuginea, along with their potential for tissue engineering, are steering the field toward more promising directions. Findings in patient presenting to the clinic with complaints of a small penis. The micropenis is defined as less than 2.5 standard deviations from the average stretched length for age, mainly due to congenital endocrine dysfunction. These men were embarrassed to have others look at their penis, especially when flaccid. Numerous studies have shown that men who believe their penis is small are not only unhappy with their physical appearance but also have a lower sense of self, which manifests itself in their relationships. Among 25,592 surveyed men, most respondents wanted a larger penis, and around a third wanted a longer penis. Many people will experience problems with testosterone levels at some point in their life. Hypogonadism is a condition that occurs when the body doesn’t produce enough testosterone. “Testosterone is important for a range of body functions,” says Dr Shaan Patel, medical doctor and a medical director at Ted’s Health. At BrandeisMD, we do not recommend surgery as a first-line approach unless medically necessary. Most men are within this range—but that doesn’t mean you can’t safely improve your size, especially girth, which often matters more for satisfaction. Finally, some users mistake a temporary improvement in erectile firmness for a permanent size increase. Also, men who haven’t received a proper medical diagnosis for erectile dysfunction shouldn’t self-medicate with these pills, as ED can be a warning sign of a more serious underlying condition. Your body absorbs the components of oral supplements into the bloodstream after digesting them. Therefore, the primary purpose of this review was to conduct a literature search to evaluate the efficacy of surgical and nonsurgical treatments for penile enlargement. Over the past 2 decades, the “The bigger the penis, the better” mentality has been reinforced by an explosion of media content focused on expanding the size and thickness of the male penis. Losing weight, reducing stress and a healthy lifestyle have all been shown to increase testosterone levels in men, Dr. Simone says. Open communication, emotional connection, and exploring various sexual techniques can play crucial roles in achieving sexual satisfaction for both partners. These non-invasive approaches have been reported to show improvements in both length and girth. It’s important to consult with a qualified medical professional who can assess your specific needs and provide personalized recommendations. When provided, counselling was found to be effective, with the majority of men coming to understand their penis was normal and unwilling to undergo any further treatment. Some men reported a size increase; however, complications were frequent, and none of the techniques were externally validated. It found overall treatment outcomes were poor, with low satisfaction rates and significant risk of major complications, including penile deformity, shortening, and erectile dysfunction. The review, which investigated penile enhancement methods in men without penile abnormalities, found a low level of evidence in favour of penile extenders. Quite simply, there are no natural substances or herbs that are proven to increase in penis size. Based on my experience, I believe that the answer to ‘Do male enhancement supplements really work or are they a scam? From what I’ve found, the best male enhancement supplements have scientific backing, clear labels, and positive user feedback. Some surgeons offer cosmetic penis enlargement using many techniques. Or surgery may add a slight appearance of increased length to the non-erect penis. Companies offer many types of nonsurgical penis-enlargement treatments. Understanding your partner's needs and desires is more likely to improve your sexual relationship than changing the size of your penis. Penile pumps, which create a vacuum to draw blood into the penis, can temporarily improve erectile function and may lead to slight, reversible elongation if used regularly. In contrast, mechanical devices like pumps and extenders have been studied more extensively and can produce measurable, if modest, increases in size over time. The marketing claims for these products are often exaggerated, promising quick and permanent enlargement, which is not supported by scientific evidence. Chronic psychological stress is another potential cause of low testosterone levels, as suggested by scientists from the Physiology & Behavior journal. Chronic alcohol abuse also leads to lower testosterone levels, as described in Alcohol Research & Health. As described in the Expert Review of Endocrinology & Metabolism journal, not eating enough zinc, magnesium, vitamin D and polyphenols can disrupt the brain-testicles communication and increase the risk of hypogonadism. Diet may also play an important role in regulating testosterone. As reported in the Sports Medicine journal, after the age of 40 men’s testosterone levels decline by 1%-3% per year. “If you have sexual side effects from medication you can ask your doctor if you can change your medication. Always talk to your doctor about any sexual health problems you may be experiencing. Since the FDA does not approve supplements for treating medical conditions, companies cannot market them for that purpose. Improving your sexual health doesn’t always require medication or supplements. Treating underlying health issues like high blood pressure, heart disease or diabetes can help improve sexual function. While many of these products say they can increase sexual desire or performance, it’s unclear if they are safe or actually work. Doctors may recommend supplements in specific situations where patients are not getting enough nutrients from their diet or have a certain health condition. The market for men’s sexual health supplements is growing as many men turn to them to tackle sexual issues. Both of the products recommended in this section are free of ingredients that we consider unhealthy. The active ingredients in Cialix are mostly safe and well-studied, however, the fact that the brand fails to publish the individual ingredient dosage increases the risk of side effects in our opinion. Visit brandeismd.com for reliable resources and expert advice to navigate the world of penile enlargement and other health-related topics. It’s important to prioritize overall sexual well-being rather than solely focusing on penile size. Very often, the actual composition and strength of the ingredients in the herbal pills are also not known, so it is impossible to determine how long their effects last, or the entire gamut of side effects. Men with Peyronie’s disease may have trouble getting an erection, but there are treatments that can help. This condition causes scar tissue buildup on the penis, causing it to bend and, in some men, shorten. About 6 in 1,000 men have a micropenis, or a penis that's less than 2.8 inches long when stretched. Bajic notes that satisfying hetero sex, for most women, “doesn’t begin with male penetration and end with male orgasm. If you’re unhappy with your penis size, consider sex therapy before you seek surgery or any other treatment, both urologists advise. Testosterone supplements are often marketed as an easy way to boost testosterone levels, increase your sex drive, improve sexual performance and help with building muscle. To the credit of the brand, they have removed some of the unscientific claims about penis size enhancements since our initial publication of the article. As we explained in our VigorNow review article on another supplement for penis size, it seems logically impossible for an oral supplement to alter the length and girth of the penis. Upon our initial publication of this article, the Cialix website suggested that the supplement could increase penis size. Another type of surgery is suspensory ligament release. Bajic says some men are “growers, not showers,” which means their penises may seem small to them when they’re not erect. Possible complications include infection and scarring after surgery, O'Leary says. “It is a silicone implant, a silicone sleeve about two-thirds the length of the penis, which is implanted under the skin to make the penis thicker," he says. But studies show there's not as much impact on penis length. Drummond and Filiault examine the increasing significance of penis size among men who have sex with men. A study conducted in the United States in 2011 revealed that mutual masturbation, oral sex, and anal sex were the preferred sexual behaviors among gay and bisexual men.23,39 In male-male anal intercourse, the penis is inserted into the partner's rectum. The impact of the penis on female sexual function is predominantly through the stimulation and sexual pleasure from intercourse. The physiological and psychological evaluations must be considered with patients' attitudes toward surgery to analyze the feasibility and effects of surgery and determine whether these can be achieved (Fig. 2). The normal penis size and the methods of determination of the normal penis size must be defined. Finally, we’ll contrast these pills with evidence-based alternatives that can safely change dimensions, exploring the enlargement pills vs surgery debate. Pill ingredients may temporarily improve blood flow for better erections, but don’t create structural size changes. That’s because heart-healthy changes are geared toward improving blood flow and increasing the size of blood vessels, he says. This is an exercise where you place your thumb and index finger over your non-erect penis and pull on it repeatedly to increase the size. Pumps and extenders have some clinical support for modest size increases and are more reliable with proper use. Safety varies depending on the product, but many supplements lack regulation and may contain undisclosed or harmful ingredients. Pills and supplements are the most accessible and non-invasive options but lack scientific validation and may pose health risks.