Supplements can interact with medications and cause serious harm. ED is one of the most common sexual problems men experience. Depending on their ingredients, they may have dangerous side effects. Many products claim to be herbal forms of Viagra and are available without a prescription. In 2023, as the National Library of Medicine reported, Italian researchers studied the effectiveness of some popular over-the-counter ED products. In addition, we describe in detail inclusion and exclusion criteria for patient selection and technical aspects of our surgical procedure which ensure reproducibility of our findings and should be adopted in future clinical studies of cosmetic phalloplasty. In Italy, there is no validated test for the measurement of patients’ satisfaction in cosmetic penoplasty and the absence of a measurement of patients’ satisfaction is also a limitation of our study. At the moment, we employ a surgical technique that keeps complications to a minimum and and results in great patients’ satisfaction. In our experience, cosmetic phalloplasty has evolved in time moving in a direction of increased safety. AFT is today a widely tested procedure, appreciated by patients and very widespread among plastic surgeons even for reconstructive surgery43,44,45,46,47,48,49 despite no consensus has been reached regarding the best technique or its success rate. “I didn’t get longer,” he shared, “but I got stronger, more present, and finally stopped comparing myself to airbrushed images. That gap enables widespread deception. Regulatory oversight of dietary supplements remains limited under the U.S. These are medical interventions—not “size pills.” Confusing therapeutic efficacy with anatomical augmentation fuels unrealistic expectations and delays appropriate care. Endothelial function, the central player in NO‑mediated vasodilation, is highly responsive to diet, exercise, and metabolic health. However, the same study reported considerable inter‑individual variation, with 30 % of subjects showing no measurable change. John, a 48‑year‑old accountant, has noticed that occasional stress, reduced sleep quality, and the subtle effects of aging are influencing his erectile performance. This scientific evidence indeed motivated physicians’ recommendation and improved patients’ compliance with the use of VED therapy after prostate cancer treatment. The following technology is not only innovative, but provides another therapy modality for infected penile implants and a tool for surgeons to provide better outcomes to their patients. Both patients were able to be re-implanted with a penile prosthesis and are satisfied with results without recurrence of infection. Stay hydrated and maintain a balanced eating schedule throughout your enhancement journey.After skeletal maturity—typically by age 18–21—penile tissue does not respond to systemic hormonal stimulation in ways that produce measurable, lasting increases in flaccid or erect length or girth.They discovered several that improved male sexual function.Problems such as erectile dysfunction and Low T can be more than physical challenges, affecting everything from personal relationships to general well-being.Recent studies with the use of a unique animal model and a newly designed VED for rats clarified the mechanism of vacuum therapy for penile rehabilitation after radical prostatectomy.And this can cause or worsen your erectile problems.Choose quality products, maintain healthy habits, and seek professional guidance when needed.The More You Know The more you know about erectile dysfunction, the more willing a man might be to find out the cause.The following gallery presents authentic medical photographs of patients who have received surgical treatments at Australia Plastic Surgery. How are supplements regulated? Usually, evaluation could be led by the presence or absence of a specific clinical picture, such as for acquired buried penis (ABP), which presents itself as a “false” micropenis. Data on flaccid, stretched, and/or erect penile length, as well as patient satisfaction and quality of life, were extracted when available. Review articles, editorials, commentaries, and research letters were included only if deemed to contain pertinent information on penile augmentation surgery. A systematic literature search of the PubMed, Web of Science, and Scopus databases was conducted in December 2023 to identify English-language papers on penile augmentation surgery published within the last 15 years. The following review aims to compare surgical outcomes, quality of life, and complications of non-invasive and invasive approaches to penile augmentation surgery. As for natural products, while some ingredients show potential, many claims remain anecdotal. It is certainly helpful to do your research before buying these products. Make sure to check that the particular company has responsive live support. Many of these herbs help to improve blood flow to the genital area. Many people prefer to use herbal supplements as they are considered to be safer. Australia Plastic Surgery Thus, what may seem small is probably normal. This has significant risks of resulting in uneven, lumpy appearance, and patient satisfaction is not assured. This exchange was posted on the Q&A section of bmj.com. This reversibility provides peace of mind that surgical alternatives cannot offer. These procedures can also be used to manage phimosis in patients who do not wish to undergo a full circumcision.In the meantime, for the patients who received elongation phalloplasty, a 980 nm diode laser was used.Furthermore, another human study has shown that pomegranate juice consumption increased testosterone levels by 24% on average.A PubMed analysis as detailed in Methods was undertaken for the 21 active ingredients used across all supplements (Table 2).In the 20th century, the rise of surgical interventions offered a more definitive solution for those eager to see tangible changes.Hopefully, even using a smart phone app to control the Inflatable penile prosthesis (IPP) may be available in the very near future. In research, it was shown that VD inhibits the expression of inflammatory cytokines in monocytes, including interleukins-1, 6, 8, 12, and tumor necrosis factor-α 57,58. Ding et al revealed that VD supplement may protect the cells through suppressing inflammation factors and alleviating cell apoptotic death, as well to reproduction and T synthesis. The anti-inflammatory action might play an important role in addition to relaxation of penile smooth muscles. Sildenafil, one of the phosphodiesterase inhibitors used as first line treatment in ED, induces a significant acute decrease in levels of pro-inflammatory markers/mediators . These studies should also be conducted following standardized reporting criteria for surgical outcomes and complications, using uniform data collection and analysis, facilitating better comparisons. Previous reviews have also acknowledged the lack of valid methods for evaluating outcomes, particularly in procedures for aesthetic purposes 10,67,68. However, complications such as infection, hematoma, and dissatisfaction have been reported across different techniques, highlighting the need for cautious consideration. No FDA-approved oral medication exists to increase adult penile length or girth. Men seeking penile enhancement often encounter a saturated market of pills, creams, patches, and devices promising dramatic, permanent results. Loria Medical USA understands that the decision to enhance male sexuality is a personal one. Dermal fillers can be used to increase penile size. The soft tissue filling materials that have received US Food and Drug Administration (FDA) approval for cosmetic purposes since 2004 include polylactic acid, polymethylmethacrylate microspheres, hyaluronic acid (HA), and autologous fat obtained through excision or liposuction.14 The use of these fillers for penile girth enhancement is considered off-label. In some cases, surgical procedures are required for removal of silicone deposits and correction of deformities.12,13 Finally, there is no formal role or evidence for injection of platelet-rich plasma, stem cells, or other regenerative medical procedures for penile girth enhancement. Potential catastrophic complications of exogenous materials such as liquid silicone, paraffin, Vaseline, oils (motor, baby, cod liver), and other materials injected into the penis for girth enhancement have been reported and their use is not medically advised.5–11 Silicone for injectable use has been fraught with complications. Whatever the reason and/or the medical condition driving patients to seek penile augmentation surgeries, the decision to undergo penile enhancement surgery necessitates careful consideration. Might the supplement interact with other over‑the‑counter products? Continuous monitoring and periodic medical review are recommended for extended use. Long‑term (beyond one year) safety studies are scarce. Can these pills replace lifestyle changes? The penile length gain occurs in both flaccid and erect status and is mainly dependent on the flexibility of the NVB and urethra. These flaps can be harvested from several body areas including the scapula, radial forearm, buttock, and latissimus dorsi, but the most commonly used for good cosmetic results is the radial forearm flap. In general, two flaps are created from a body area and are used to form a neophallus around a neourethra that is formed (“tube within a tube” technique). In addition, Panax notoginseng saponins could restore the endothelial function in corpus cavernosum through the endothelial nitric oxide synthase (eNOS)/cGMP pathway (37). Oral gavage with Rg3 could protect the erectile capacity in diabetic rats by preventing the degeneration of neurons in dorsal penile nerves and reducing the oxidative stress in the corpus cavernosum (28). However, whether Herba Cistanche improves erectile function via this pathway needs further research. Aside from penile enlargement surgery or a non-surgical filler procedure called PhalloFill (which Kansal recommends), it’s dubious that any dick-expanding schemes (pumps, pills, or otherwise) actually work in the long-term. “Every patient wants a bigger penis,” says Dr. Jagan K. Kansal, co-founder of Down There Urology, so it’s understandable that there are so many products out there which claim they’ll help you achieve this. “Penis pumps are an easy, safe, and effective way to temporarily enhance the size and firmness of your penis,” says Rain Sunae, a sex educator and community manager for sexual wellness brand Lovers. How IV Therapy Can Boost Your Wellness and Recovery Spinach is high in nitric oxide and therefore, like other hard erection foods, helps arteries expand and fill up with blood. It is a food for a good erection because it dilates and relaxes the blood vessels, making it easier for blood to flow into the penis. Nitric oxide regulates the flow of blood and the tone of smooth muscle, including that which is in the penis. While the supplements mentioned above may not harm you (except for products sold as “herbal Viagra”), you are urged to consult us before trying them. Treating underlying health issues like high blood pressure, heart disease or diabetes can help improve sexual function. Doctors may recommend supplements in specific situations where patients are not getting enough nutrients from their diet or have a certain health condition. Ingredients in erectile dysfunction drugs, such as sildenafil in Viagra, can be dangerous when mixed with medications for treatment of other conditions. Explore this innovative solution at Dallas Men’s Health, along with other ED treatments like P-Shot™ and TRT. At Dallas Men's Health, our specialized IV RegeneGro therapy offers a targeted solution for men looking to optimize their health and well-being. Discover how medical weight loss at Dallas Men’s Health helps men regain energy, balance hormones, and lose weight with expert care and real results. Dallas Men’s Health offers personalized care that gets to the root cause. Learn what causes low T and how Dallas Men’s Health can help restore balance. This is a chemical that your body produces that relaxes muscles in the penis. For many people, a physical exam and answering some basic questions about your medical history is all that is needed. This is not only because erections take longer to develop, but also that other contributing factors may come into play. These fillers temporarily increase girth by adding volume to the penile tissue. In such instances, our male girth enhancement procedures could present a viable solution for your consideration. If you’re interested in natural male enhancement, talk to a healthcare professional to determine the best techniques for your needs. Some of these products contain various amounts of ingredients like those in prescription medicines. Your healthcare professional can find out if it's safe for you and can recommend the right amount to take. They also can affect other medicines and health conditions. But they haven't been studied or tested nearly as much as prescription medicines for ED. ED is common, and treatments such as prescription medicines are available. It causes it to become harder, longer, and bigger. But it doesn’t mean that there is nothing you can do about it. It’s not just about the embarrassment that comes with andropause. These numbers do not even account for individual distribution and consumption of illegal pharmaceuticals, not to mention the illegal operations that escape detection. Regardless, it is clear that counterfeit medications have reached an industrial level scale. In 2006, the WHO estimated that 10% of drugs worldwide were counterfeit, with the figure at 25% in developing countries, and as high as 50% in certain African and Asian countries (3). Legitimate pharmaceuticals must pass vigorous standards and undergo large, randomized trials before being formally approved for the public. As we noted earlier in this article, many people usually have natural supplements in mind when they talk of male enhancers. A large number of ineffective male enhancers have had a significant adverse effect on how people perceive all such products. Numerous offerings on the market are targeted at helping to improve male sexual health and performance. Ask medical experts, and most of them will write off male enhancers as scams and a waste of money. Men who have fertility issues may also benefit from male enhancement. Results of this study revealed an 88% success rate of 24/27 patients recovering from poor tumescence and rigidity Aschenbach et al. 2013. A recent study by Aschenbach and colleagues published data on embolization of the dorsal penile vein with a mixture of N-butyl-2-cyanoacrylate tissue adhesive and LIPIODOL ULTRA. Given the study’s low cohort of only 30 patients and short follow-up period of 30 days, larger scale controlled trials are needed before stents could be introduced as an option for patients with arteriogenic ED. Microsurgical vascular reconstruction for penile artery insufficiency as a treatment for ED was first attempted in 1973. Can lifestyle habits affect the effectiveness of these products? Some folks even go so far as to get their junk augmented surgically, like with penile implants, which can be expensive and complicated. Some trans people find penis pumps useful for encouraging clitoral growth over time. There are lots of reasons to want the best penis pumps beyond needing a prop for an Austin Powers Halloween costume. If we take a look at some of the pomegranate research, you quickly see why this antioxidant-rich fruit is like a godsend to hormonal health and circulation. All of the chili peppers have varying doses of capsaicin, an alkaloid responsible for the ‘heating’ effect of them. But how exactly does it work for penile girth enhancement? Originally harnessed for its incredible skin hydration and plumping properties, its application in penis girth enhancement is a testament to its multifaceted potential. For instance, dermal fillers, once primarily used for facial aesthetics, have found a pivotal role in male enhancement, offering a less invasive alternative to surgery. The advent of non-surgical male girth enhancement techniques marked a turning point. Many male enhancement supplements help improve focus by supporting blood flow and energy. Sexual enhancement supplements are a subset of dietary supplements, specifically marketed to address issues related to sexual health and performance. As cGMP levels increase, more blood can reach your penis, and you have firmer erections that last longer. Most Users Experienced Increased Sexual Satisfaction† Zinc is vital for testosterone, sperm health, and libido. Healthy levels assist the blood vessel dilation and circulation necessary for performance. Calcium helps with muscle contractions, nerve signals, and hormone release vital for erections. Maca also has stress-relieving properties, which can alleviate performance anxiety. Maca is a performance enhancer that stimulates desire and improves sperm count and fertility levels. In the absence of more definitive human data, patients should be cautioned before considering ED-S use, particularly in light of the availability of highly effective FDA-approved drugs and increasingly affordable therapeutic options. Although consumer reviews hosted on ED-S online product pages prominently tout product efficacy, primary evidence supporting positive effects of these products on ED symptoms is lacking. Furthermore, we acknowledge that for users who actually did have ED, we had no information on the severity of their ED symptoms to evaluate whether ED-S use resulted in clinically significant improvements. If you’re currently taking medication, it’s best to consult your healthcare provider before adding PeakErect® to your routine, just to be safe.Researchers caution that any observed benefit in younger cohorts (30–40 years) may not extrapolate directly to older populations without dedicated studies.Since 2004, Himplant® has been successfully implanted in thousands of patients.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 .It’s designed to support healthy blood flow and circulation, which can improve erection quality and fullness while you’re using it.Your healthcare provider can recommend appropriate solutions based on your specific situation.Safety and quality concerns regarding over the counter sexual enhancement products sold in the USA market pose a major health risk to the general public. Some herbs claim to help erectile dysfunction. 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. Mayo Clinic does not endorse companies or products. As you get older, erections might take longer to start and might not be as firm. Erectile dysfunction can result from a problem with any of these. Factors to Consider When Choosing a Doctor for Penile Girth Enhancement Most patients are advised to avoid sexual activity and self-stimulation for approximately one week after each PhalloFILL® treatment session. The hyaluronic acid filler is placed in anatomical layers that preserve nerve function and blood flow. No, PhalloFILL® enhancement does not negatively impact sexual function or sensation. Talk to your doctor before trying a sexual enhancement supplement. The market for men’s sexual health supplements is growing as many men turn to them to tackle sexual issues. We process personal information and consumer health data to provide you with our products and services and maintain essential website functionality. For 10 minutes, magnetic stimulation at 40% intensity and 20 Hz frequency, 50 seconds on and 50 seconds off, led to gradual increases in length and diameter until full erection was achieved; the penis became firm, rigid and pulsatile. Their study included 32 patients with neurogenic ED and 20 healthy volunteers. The technology and its applicability at present are intriguing and may soon provide a minimally invasive procedure to help patients achieve erection in addition to oral pharmacotherapy. 6. Techniques for Increasing Penile Girth The lack of specificity regarding dosages is important, given the variable ingredient compositions of the supplements.Second, it is possible to criticize the study design, which uses an active control rather than a placebo control.Provided by Dr. Loria and Loria Medical USA‘s team of doctors, these treatments will boost your confidence.UroFill™, predominantly composed of hyaluronic acid, offers a state-of-the-art approach to girth enhancement.Therefore, esthetic PGE should not be performed in patients with psychiatric disorders, and a multidisciplinary approach, including psychological counseling, is necessary.This is particularly significant given a string of recent investigations revealing that some “natural” supplements contain active pharmaceutical ingredients.13,40–43 Patients should also be counseled that these ingredient concerns are not unique to herbal or natural supplements targeted at ED. Consequently, the incremental benefit of buffalo male enhancement pills may be more pronounced in individuals with suboptimal lifestyle habits but less evident in those already adhering to a heart‑healthy regimen. Buffalo male enhancement pills are marketed as natural supplements containing extracts from buffalo (Bubalus bubalis) placenta, gelatinized collagen, and a blend of herbal ingredients such as tribulus terrestris, L‑arginine, and tongkat ali. We found that many reviewers reported improved erection strength (36%), improved ability to maintain an erection overall (29%), increased sexual satisfaction (32%), increased enjoyment with sexual intercourse (27%), increased satisfaction with sex life (27%), and improved erection confidence (31%). Explore how nicotine affects erectile dysfunction and sexual health. Discover how proper hydration supports blood flow, hormone balance, and sexual health for better erectile function Importantly, no devices or techniques for penile girth enhancement have undergone rigorous, prospective, long-term study to ensure their safety over an extended period. Common complications of autologous fat injection are well documented and include pain, nodular hyperplasia/hypertrophy of fat, fat atrophy, contracture, scars, and hematoma/wound complications.21,22 Critically, there is a case report of a fatal fat embolism in a 30-year-old man following aesthetic penile surgery involving autologous fat injection for girth enhancement.23,24 The injection of fat cells into the penis is not safe or reproducibly effective. Therefore, further research targeting different components of electro- and pharmacomechanical couplings of cavernous smooth muscle cell arise as new targets for the development of promising drugs for the treatment of this disease. Balance among flaccidity and penile erection depends on the timing between the contraction and relaxation processes of cavernous smooth muscle cells. In this sense, the use of calcium-sensitive Maxi-K ion channel gene (hSlo cDNA) was evaluated in clinical phase I studies, demonstrating a good safety of use, however, there was no improvement to the use of PDE inhibitors, limiting clinical progress (Melman, 2006). Another approach considered in the function of cavernous smooth muscle cells is to promote the opening of potassium channels, which would lead to a reduction in the intracellular concentration of calcium and, consequently, to relaxation. 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. A variety of techniques have been developed for enhancing the length and girth of the penis, each with its own set of advantages and disadvantages. Men’s sexual function and satisfaction are affected by their discomfort with genital size, which motivates them to seek out invasive and non-invasive penis augmentation options . In recent years, the popularity of penile augmentation surgery has increased significantly . It is not intended to substitute for the medical expertise and advice of your health care provider(s). The Clearinghouse does not provide medical advice, treatment recommendations, or referrals to practitioners. People with diabetes, high blood pressure, high cholesterol, or heart disease often take drugs containing nitrates, and men with these conditions frequently have ED. For example, some of them may interact with drugs that contain nitrates, leading to a dangerous decrease in blood pressure. Supplements that support stamina and focus help bring this confidence to life. When men feel strong and have energy, they often feel more positive, focused, and sure of themselves. We’ll also look at ways to use these supplements safely and how to fit them into a balanced lifestyle. Your doctor can also help you determine which supplements, if any, might help you,” Dr. Simone says. To learn more about supplements, visit the National Institutes of Health. Different types of fillers have varying biochemical and clinical characteristics . Although several types of fillers have been introduced for PA, the ideal filler has not yet been established 7,10,11,12,13,14. Soft tissue fillers have been used, but their clinical utility has not yet been clearly demonstrated for PA, and no filler has been approved for PA in the United States 7,8. Many men are dissatisfied with their penile size and desire a larger penis . Food and Drug Administration (FDA) in 2003, it has become the filler of choice in the dermal filler market and clinical practice . The mean increase in girth was 22.74±12.60 mm and 20.23±8.73 mm in the HA and control groups, respectively. The information provided on this website is for general informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. A placebo-controlled randomized trial demonstrated that even a single large dose of VD improves endothelial function in patients with type 2 diabetes and VDD . Men with ED have an increased prevalence of endothelial dysfunction, and VD may improve endothelial function . Indeed, one of the most significant mechanism of VD on erectile function seems to work via endothelial integrity 30,35. Since the latest literature showed the importance of VD on erectile function, Fernandes-Lima et al investigated the effects of VD restricted diet on Wistar rats offspring penis morphology. Suchexisting remedies should be subjected to rigorous scientific scrutiny experimentally(in laboratory animals) and clinically (in humans), in order to establish theirsafety, efficacy, quality, mechanisms of action, side effects, and possibly also,their contra-indications.At Dallas Men’s Health, we understand the unique challenges men face when it comes to your health and well-being and are dedicated to helping you live a stronger, healthier life.How quickly does the P-Shot work for erectile dysfunction?Loria Medical USA understands that the decision to enhance male sexuality is a personal one.Prior to the operation, the patients were photographed while standing.Additionally, significant changes were not observed in the physical examination results, vital signs, and laboratory examination results.The total sewage load was back calculated to estimate total sildenafil consumption, and it was found that greater than 60% of identified sildenafil was not accounted for by legal prescriptions (9).Many patients have experienced an increase in girth of 1-2 inches.If you have persistent trouble getting or keeping an erection, you might have erectile dysfunction. Sexual enhancement tablets are a type of dietary supplement that is taken by mouth with the goal of improving sexual experiences. Walgreens has an assortment of sexual enhancement tablets available to meet your needs and will ensure that your order is shipped discreetly to your door. If you're struggling to feel confident and in control during intimate moments, sexual enhancement tablets may help to improve your experiences and deepen your satisfaction. Based on the evidence from bench and bed, it was shown that VD is important for erectile function. Dermal fillers such as Hyaluronic Acid, can increase collagen production which in turn increases tissue size. Fortunately, our non-surgical procedures for penis enlargement in Orlando can increase its length, width, and overall size. Consulting a healthcare professional before combining supplements helps mitigate risk. A PubMed analysis as detailed in Methods was undertaken for the 21 active ingredients used across all supplements (Table 2). Ginseng was present at an average of 254 ± 420 mg per dose, with a range of 20–1,000 mg across the 6 supplements. These supplements, including manufacturers, cost per unit, and ingredient profiles, are listed in Table 1. Comments that receive the highest number of “helpful” clicks are presented on the first 2 pages of reviews. Experiencing hair thinning despite being healthy?Prostate enlargement is an issue that is more common among older men.A new approach to corporal preservation after penile prosthesis explantation secondary to infection has been investigated by Swords and colleagues at the University of South Florida.Despite the great therapeutic success of these drugs, about 30–40% of the men affected by erectile dysfunction do not respond to this first line of treatment.Information and statements about products are not intended to be used to diagnose, treat, cure, or prevent any disease or health condition.During the study period, treatment-related AEs were assessed through vital signs, physical examination, and medical history obtained at each visit.Introducing the P-Shot (Priapus Shot), an innovative procedure that can increase sensation, improve sexual performance, treat erectile dysfunction, and reshape one’s manhood.Pharmacomechanical mechanism of contraction in the cavernous smooth muscle by activation of Gq/11-PLCβ1 pathway. If medications aren't effective, your doctor may recommend a vacuum penis pump. Taking medications does not automatically produce an erection. But once you talk to your doctor, you'll find that it's common, and a diagnosis can happen quickly. And this can cause or worsen your erectile problems. However, as you get older, your risk can increase. For more information about the relationship between Hone and the medical practices, click here. An overactive and underactive thyroid can lead to serious health issues—as well as problems downstairs. If you haven’t just gotten out of a cold plunge, smaller-than-normal gonads are often a sign of hormone imbalance. Research-backed tools, tactics, and techniques to maximize your health, delivered to your inbox every Monday. The safety and effectiveness of these supplements also haven’t been adequately studied. The FDA warns against supplements for treating ED because supplements are regulated and could contain harmful ingredients. One of the best-known side effects of PDE5 inhibitors is priapism—an erection that lasts longer than four hours—though this is rare. It’s important to discuss your individual medical history with your doctor before starting treatment. The remarkable differences in the penile measurements reported by various authors can be explained by the methodological differences and the variety of the characteristics, even ethnic, of the populations studied (Tables 1 and 2). We present a retrospective study of 355 cases of phalloplasty performed between 2012 and 2014. Male genital image is correlated, albeit not in a necessarily linear manner1, to overall body image, psychosocial variables and sexual health2; in turn, sexual health is correlated to genital image3. 2 Inches in Average Girth Gain & huge boost in confidence Natural male enhancement is an effective and safe way to improve sexual function and performance. A study by the Oxford University found that the effect of flavonoid-rich foods reduced the chances of erectile dysfunction by between 9-11%. A study found that men who sipped between 170 and 375 milligrams (mg) of caffeine each day, or 2-3 cups approximately, had lower rates of erectile dysfunction. The combination of these natural erection foods, natural testosterone optimization, and basic lifestyle improvements (more sleep, weight loss, proper training) should normalize erection function – heck supercharge it – in the majority of men suffering from erectile dysfunction (ED). Many patients have experienced an increase in girth of 1-2 inches and potential improvements in flaccid length. 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. Explore careers at Himplant® and help make male penile enhancement accessible to everyone. Experience a revitalizing triple increase in nitric oxide levels in just 7 days, bringing renewed vigor and zest. A majority of users reported heightened sexual enjoyment within the first week of using PeakErect®. A significant portion of users reported experiencing firmer erections within the first week of using PeakErect®. A large portion of PeakErect® users reported noticeable increases in testosterone levels shortly after starting the supplement.