Before deciding on penis enlargement surgery, two questions need to be answered:
- Will I have at least 4 hours a day to wear the extender for a long time?
- What else do I want to do to achieve maximum results?
The first question is purely organizational. If the extender holds well, then it can be used at work, if the work is not related to physical activity, or while sitting in the office. As a rule, it is not visible under suit or wide trousers.
The second question is more complicated. Based on the postulate that the final result depends on the initial length of the penis, you should consider the feasibility of the operation.
Indications for penis enlargement surgery
The indication for penis enlargement surgery is not only the patient's desire, but also the original size of the penis.
- If the penis is less than 12 cm, then there are medical indications for surgery, since we are talking about underdevelopment of the penis, and you have to fight for every millimeter.
- If the length of the penis is less than 15 cm, then the operation should be done to achieve maximum results.
- If the length of the penis exceeds 15 cm, the operation is complementary.
Of course, such a distribution is very arbitrary, and in most cases the patient's desire is decisive.
It must be remembered that the essence of the operation is to release the inner (hidden) part of the penis, which allows the extender to act on the entire length of the penis and ultimately get the maximum result.
As for the use of hormones, in the case of underdevelopment of the penis and hormonal disorders, their use is necessary for a complex effect on the tissues of the penis. In these cases, testosterone is given by injection. If the length of the penis is within the normal range, and there are no hormonal regulation disorders, then it makes sense to use only ointments containing active testosterone (dihydrotestosterone).
The degree of genital lengthening when using an extender depends on the following conditions:
- The original length of the penis. The longer the penis was originally, the better it lengthens. That is, the more tissue is involved in stretching, the better the result. Therefore, in some cases, a ligamentotomy operation is performed in order to increase the area of influence of the extender.
- Correct penile anatomy. In other words, a lot depends on how well the extender will hold. If the extender does not slip and "sits" well, there will be no problems with its use (put it on and forget it). The design of the modern extender allows it to be fixed in almost all cases when other extenders cannot be held.
- Patient persistence. Of course, it is better to wear the extender for 2 hours, not 30 minutes at a time, and 6-8 hours a day, rather than 1-2 hours.
- Age. A young man has more prospects than a man aged 50-60. The elasticity and stretch ability of tissues can be a significant factor.
- Absence or presence of hormonal problems. A small penis may be indirect evidence of a decrease in the production of testosterone - the male sex hormone. Therefore, in some cases, before lengthening the penis, a hormonal examination should be performed to decide whether it is advisable to prescribe hormone therapy for the period of lengthening.
About the extender
- The extender should be worn on a clean, preferably pre-washed penis with soap. The skin must be dry. This is very important from a hygienic point of view, in addition, this way the extender will hold better and not slip.
- It may happen that once again, putting on the extender, you will not be able to stretch the penis and fix it on the same length of the bar that was the last time. The penis could simply contract, this is normal. To pull it up to its original length, simply wear the extender for 15-20 minutes at a reduced length (you can unscrew additional 2 cm rods), and then continue wearing it at the original rod length.
- If the extender is alternately worn down and up, then it should be borne in mind that the tension in the first and second cases will be different - with the same bar length, the tension will always be stronger if the extender is directed downward.
- In patients after circumcision of the foreskin, it is possible to pull the skin along the posterior surface of the penis (where the urethra passes) when wearing the apparatus downward due to the fact that the penis is bent over the base of the extender. This may be due to the fact that on the back surface of the penis after circumcision (especially ritual) sometimes there is little skin left - with an erection in such men, the skin of the scrotum is always tightened and a "sail" is formed. To avoid discomfort when wearing the device downward, after a while, turn the device upward and tighten the skin with your hand, after which the extender returns to its original position.
About medicines
As for the use of various agents in the form of tablets or ointments, allegedly containing plant substances and components, and leading to increased blood circulation in the penis, the mechanism of action of these agents does not stand up to criticism from the standpoint of normal physiology and anatomy of the penis, and its description is calculatedon people without medical education. Of course, we can assume that against the background of a strong erection, there is, as it were, an extension of the penis from the inside. But how long should an erection last for its action to begin to be realized to lengthen the penis? And isn't it easier to use an extender? In addition, while super-erect, the penis can actually appear somewhat larger than it was due to the maximum stretching of its tissues.
At the present stage of the development of medicine, the only effective tablet drugs for enhancing an erection are drugs from the group of type 5 phosphodiesterase inhibitors, and the metabolically active substance that can have an effect on the penis is only active testosterone - dihydrotestosterone (there are receptors for dihydrotestosterone in the penis, and notto testosterone).
The use of testosterone in tablets is dangerous for the body, since this method of use has a negative effect on the liver. In addition, testosterone should be used with caution in persons over 45 years old, and after 50 years only after a special urological examination. Local application of ointments containing just testosterone is essentially futile - testosterone must still be absorbed into the bloodstream, go through the metabolic pathways, and become active. Further, it will enter with the blood flow evenly into all organs and tissues, and the meaning of local application is lost.
It is advisable to apply topically an ointment containing only dihydrotestosterone for the purpose of a local metabolic effect on an organ susceptible to hormonal effects. Relevant only while using the extender. If there are hormonal disorders, a decrease in testosterone levels and an underdevelopment of the penis, you should consult a specialist.
About clothes for penis lengthening
- Particular attention should be paid to underwear. The underpants must be loose. If the extender is directed downwards, then tight pants can pull it up, reducing the tension on its rods. In addition, in tight pants it is difficult or simply impossible to carry the extender up.
- Pants should be loose. If the extender is used at work, it makes sense to wear suit pants.
About sex during penile lengthening
Sex needs to be done often. Sometimes a man may have psychological problems with an erection, especially if he doubts the size of his penis at rest and with an erection. In addition, an erection does not always occur before you have to take off your clothes, which further exacerbates stress. Against the background of stress, constraint and fear, pressure rises, blood vessels constrict and an erection may simply not come. Such a picture in no way means that this man has organic problems with erection, as a rule, he does not have any problems with erection during masturbation. The solution to this problem can be medication support for erection with drugs - phosphodiesterase type 5 inhibitors. You just need to spend the first few intercourse "on the pill", about which the partner should not be informed. Against the background of a confident erection, fears will pass and doubts about their own sexual inferiority will dissipate. Although these drugs are freely available in the pharmacy network, a doctor should recommend a particular drug and its dose for use.
What to do if there is only 30 minutes to use the extender - 1 hour a day
In this case, the alternative way of wearing the extender should be followed. Each time the apparatus is twisted to the maximum, and after 10-15 minutes, after the relaxation of the penis, the barbells are unscrewed to the maximum possible length, at which the extender is "worn out" for the rest of the time. And so every time.
How long to use the device
The device should be used until the desired result is achieved, but no longer than a year. As a rule, lengthening occurs in terms of 3 to 6 months.
How to take care of the device
The extender is a construction that does not require special maintenance. However, it is wise to periodically rinse the strap pad with warm water and soap, and wipe the base and rods with alcohol.