Can Using Steroids Make Your Penis Shrink, Make Your Penis Grow, Or Will Your Penis Stay The Same Size?

A lot of guys ask this question before they use illegal steroids or legal steroids for the first time. The quick and easy answer is this: if you are over the age 21 and no longer in your natural growth cycle then NO, steroids will not make your penis grow. If you are under 21 and are still in the natural growth cycle then the answer is YES steroids can impact penis growth. This is one of the reasons why basically everyone will tell you that you should NEVER use anabolic steroids of any kind unless you are 21 years of age or older. Take anabolic steroids at a younger age can have a variety of effects many of which would be undesirable for most though some would be considerable desirable by most.

The science behind steroids on penis growth in the simplest terms goes like this, people who use Anabolic Steroids have to basic classes that they breakdown all steroids into; dry compounds and wet compounds. “Dry” steroidal compounds are the ones that do not convert to estrogen and the “wet” steroidal compounds are the ones that do convert and/or behave like estrogen in the body. There is no perfected science or understanding yet in the world of steroids but as far as we understand it if you are young enough and still growing, the use of dry steroids should increase the size of your penis, how tall your grow, etc. Conversely, the use of wet steroids should decrease the size of your penis, how tall you will grow, etc.

So to recap so far, if you are fewer than 21 years of age, we never suggest the use of steroids. Instead there is a proven supplement with loads of research behind it that safely and naturally shift your androgen levels towards a higher levels of DHT, which hypothetically could increase your penis size, height, etc. Any guesses? Start with the letter C…….that’s right, Creatine! Demonstrated safe, time and again for use from teens all the way to the very elderly creatine truly is a staple supplement that should be used by most everyone!
Steroids And Penis Size For Those Over 21? Will It Help? The Answer is…

No. This is a MYTH. You’re penis will not shrink or grow if you are over 21 and using steroids. This newer urban myth that steroids will make your penis shrivel up to the size of a raisin is because of the long known effect that steroids has on the testicles. FACT: When use steroids you’re balls do shrink up some. This testicular shrinkage is attributed to the natural “shut down” that happens in the body when steroids from the outside coming signal the body that they testies don’t need to keep making testosterone internally as normal. This shrinkage effect reverses in 1-2 months after a cycle or you can use PCT, Post Cycle Therapy, to speed up this recovery time when your body begins to make its own testosterone again.

Steroids Usage For Penis Enlargement

Today steroid drugs have different pharmacological forms. Steroid ointments act topically (on a particular area of the body), steroid tablets and pills work on the whole body. As you know, bodybuilders use special protein blends based on steroids. It helps them to build big muscles.

In the course of hormones intake occurs muscle increase as long as man carries on colossal trainings. When they do stop trainings, muscles turn into the ordinary fat. Thus, former bodybuilder becomes fat person.

The same steroids are used in poultry farms for hen engrossing. With steroids hens quicker grow and gain their weight. The same effects have hormonal medications over a man who takes them to increase penis size. In order to achieve good results in penis enlargement, it is necessary in the course of taking steroids to lead an active lifestyle and practice exercises at least 3 - 4 times a week.

However, remember that as soon as man stops practicing exercises, his penis stops increasing and its size gets back to the original one. About steroids intake in a man would speak his overweight and his deformed penis. Thus, in this situation exists only one way out – if you started to take steroids, you should do it necessarily in combination with physical exercises for all your life. It's up to you to decide.

Truth About Penis Widening

Although today do exist effective methods of penis widening, the question “Is there any need in penis widening?” still remains opened.

Indeed, with the help of surgery it is possible to thicken penis. However, penis widening not always solves male problem, for example, when the problem is not in penis girth but in poor sexual technique. Usually male with a normal penis girth seeks medical advice due to his partner complaints when she says his small penis size is the cause of their sexual problems. It is quite clear that after surgery the situation would not change because in such cases the reason of woman's complaints rather is partner's poor techniques. Also it is necessary to understand that thickened penis may be unsuitable for alternative sex because of its big size.

On the other hand, if the male is satisfied with his penis size and the only problem is individual anatomical incompatibility of both partners then it would be more reasonable to make an operation on vagina size reduction called labia reduction surgery (or labiaplasty) that is more simple and safe than transplantation of muscle flap for penis enlargement. Usually this occurs in women after childbirth.

More reasonable is surgery when a male wants to get big penis to not be ashamed when demonstrating it in sauna. The great advantage of penis widening is that penis not only becomes thicker but visually it looks longer in non-erected condition. The point is that muscle flap fixed on penile skin not allows penis to shorten in non-erected condition. Therefore stressful situation such as fright or chill would never lead to this reaction of cavernous body tissue and as a result to penis shortening.

In this connection before you decide to enlarge your penis you should weigh all pros and cons and understand that performance matters and not size.

Tips On Using Penis Extender

Clothes for penis extender
1. You should pay special attention on your underwear. Underpants should be large enough. If extender is down then tight underpants may pull it reducing tension of its bars. Also, tight underpants hardly allow to wear extender up.
2. Pants should be large especially when you intend to wear extender at office.

Sexlife
It is necessary to make sex frequently। Sometimes men may experience psychological problems resulting in problems with erection, especially when man is not pleased with his penis size. Moreover, erection not always occurs before you manage to undress and this aggravates stress even more.

On the back of stress, anger and fear man suffers from blood pressure increase, his vessels become narrow and as a result erection may not occur. However, this not means that this man suffers from statical erectile problem, because as a rule, during masturbation he has no problems with erection.

The problem may be solved by using special drugs containing inhibitors of type 5 phosphodiesterase (PDE-5) such as Cialis, Viagra and Levitra. First times when you use these drugs do not say about it to your partner. On the back of firm erection your fears will get away along with uncertainty in personal sexual inability. Although these drugs are sold without prescription, it is necessary consult your doctor before using them because Viagra, Cialis and Levitra have contraindications and side effects.

What to do if you have only 30 minutes – 1 hour daily for wearing extender? There are two variants for you to choose:
1. Follow general recommendations, except terms of increasing bars length. It should be 15 days instead of 10.
2. Alternative way of extender wearing. Each time set extender bars on maximum length and in 10 – 15 minutes after penis relaxing, bars should be set again on maximum length till the end of necessary time.

Useful Tips For Penis Enlargement

Extender Usage
1. Place extender on clean penis washed with soap. Penile skin should be dry. Plastic support and silicone strap should also be clean and preliminarily give them a swill with warm water and soap. This is extremely topical from the point of view of hygiene, this makes extender stay stick and not slide.

2. It may occur that when you wear extender once again, you cannot extend penis and fix it on last fixed bars length. Do not worry. Your penis might shrink but this is a normal phenomenon. In order to extend penis to original length, you should wear extender for 15 – 20 minutes at reduced length (you may screw additional bars by 2sm), and then you may continue to wear extender on the original bars length.

3. After surgery it is necessary to wear extender below for one month in order to extend maximally the inner part of the penis and stabilize the result of the surgery. If extender is worn alternatively below and above it is necessary to take into account that traction in both cases will be different. Equal length of bars makes traction stronger and the extender must be directed below.

4. In men after posthetomy is possible skin “siding over” on the back part of penis (where urethra runs) while wearing extender because penis leans over via extender base. This may occur because on the back part of penis after posthetomy (especially ritual) sometimes is left less skin. In these men during erection always draws scrotum skin and is formed “sail”. In order to avoid discomfort while wearing extender below you should after some time wear extender above and to screw skin with your hand, after this extender returns to the original position.

What Factors Influence On Penis Size?

In case of genetic mutations of sex chromosome (these mutations are called Klinefelter syndrome), genetic set of chromosomes in men has additional chromosome responsible for body formation of female type. These males usually are tall, have narrow shoulders and are slim, their penis has a small size and often scrotum hypoplasia.

Penile hypoplasia results in endocrine control disorder in childhood or adolescence. These males may have problems with reproduction, however, sometimes reproductive function may not be affected. Major manifestation of low hormonal effect become small sizes of penis and psychological discomfort associated with this. Such people often delay for a long time visit to the doctor thinking that their problems are not connected with health but are just personal feature. So the main treatment problems are penis enlargement and social rehabilitation.

It is necessary to say that penis size depends not just on testosterone stimulation but also on genetic and geographical factors. For example, in Russia average penis size is 15cm in erection state, penis having 12cm is considered small and penis less than 10cm is called macropenis. On the other hand, average penis size in China is 9cm. That is considered an absolute pathology for Russian man.

Evaluation of genitals development in childhood is quite difficult, and into account are taken not just penis size depending on the age, but also testicles size and other anthropometric parameters. That is why it is recommended to consult periodically children's doctor - urologist or andrologist. Never try to define your child condition basing on tabular values of age-related measures of penis size and scrotum size.

Today question about penis enlargement and, respectively, elimination of possible mental disorders in these patients may be considered practically solved. Here the main methods are
1) hormonal replacement therapy that is effective at any age;
2) penis enlargement with the use of extending device along with operation and topical hormonal stimulation;
The more early treatment is started, the more frank result of penis size enlargement would be.

Restoration of reproductive function is a real problem. Most decisive factors in treatment of infertility is patient's age when male testicles yet not lost their ability to produce spermatozoids. In case of lack of contraindications is prescribed surge hormonal therapy that gives best results.

The main factor of treatment effectiveness is patient's age. Modern medicine in most cases is able not just to lengthen penis size but also to solve problems of infertility, and additionally helps in social rehabilitation of these men.

Medical Problems Of Penis Enlargement

Despite common saying that “the most important is quality of sex and not penis size”, most men anyway want to increase their penis length at least at several centimeters not depending on the initial penis length. This desire is quite reasonable and it may hardly be called cranky one, first of all because it is subconsciously put by the nature and expressed the more strongly, the more a man feels like a male or a leader in the community.

Insufficient penis length may cause male enchainment with women, loss of interest, diffidence and a number of complexes. So penis size becomes one of the major factors in realization of male as an individual as well as an important indicator that directly affects the quality of life.

Besides its social significance, penis size also reflects general men's health, particularly the condition of endocrine and reproductive system. The point is that penis length depends on the level of sex hormones (testosterone) at puberty, when occurs most intensive growth of external genitalia. Low testosterone level leads not just to slow growth of penile tissues, it also leads to further emergence of mental problems that may result in infertility because of lowering and finally full stopping of sperm cells production. The more earlier you detect the disease the more quickly you start its treatment.

Today are known about 20 congenital diseases characterized by breaking production of sex hormones and resulting in small penis length. In some cases it may even result in male infertility. Congenital diseases prevalence is high enough and it is about 1 in 500 newborn boys. It is necessary to make examinations of the child. Those examinations should be made by andrologist or endocrinologist that specializes at men's health.

Examinations should be made when the boy is achieved 14 years old, because at early age treatment of this pathology will be very effective. One of the most frequent causes of poor development of penis is Kallmann syndrome. Early stage of body development in this syndrome is characterized by dyspoiesis of brain hypophysis cells responsible for synthesis of hormone producing testosterone. As a result, diseased children of 3-4 years have no testes in the scrotum. After making corrective operation on testes omission, parents usually calm down thinking that problem is solved.

However, when boy achieves 18-25 years old and he compares himself with other boys he understands that he has evident problems with the development of penis and testicles. This may lead to development of inferiority complex, as a result boy reduces his social circle, he refuses from sports and swimming pool. Fear of being made fun of makes him refuse from communication with girls. As a result these boys become isolated and they chose professions that are not connected with frequent communication with people. In this case there is no talk about brilliant career of journalist, businessman, politician and lawyer.

Penis Enlargement Motivation

Changing the priority of public morality and consciousness in favor of humanization made the improvement of sexual life a major direction in modern medicine.

Quality of sexual life is one of the most important components of this notion. Today operations that help to increase penis length are very popular. 90% of men who make such operations have a normal penis length. What is their reason for making operation?

The results of the research show that the main reason for doing penis enlargement operation is malaise with quality of sexual life. Thus, it is known that penis length has no influence on achieving vaginal orgasm by partner. Moreover, greater importance for coitus may have penis density of coverage during frictions, or in other words, penis diameter. Therefore, the desired density is much easier to achieve by making relatively simple surgery that narrows vagina.

So it is clear that the main motivation for penis enlargement is male wish to correspond to the image of sexuality and masculinity. This image has been developed historically and now is promoted by the media.
One more important reason is that big penis is an additional visual erogenous stimulation factor. Here may be made an analogy with the size of the mammary glands, for their increase is made implantation of endoprosthesis.

Medical indications for making operation to increase penis length are not determined and in most cases the only indication for penis enlargement is patient's wish.

Social Aspects Of Penis Enlargement

Health is a condition of full physical, mental and social well-being and nut just absence of diseases and physical defects.

Men's wish to change external look of penis is main indication to esthetic corrections.

The problem of penis enlargement traces its roots from ancient phallic cults. In trade and sculptural pictures of ancient Hindu prevailed males with very big penises. On Corsica Island were found phallic monuments of Bronze Age having length of 15-25cm.

Extremely big penis is the main theme of numerous Japanese “night books” used over ages as an visual stimulant. In Europe in Renaissance period in vogue were male left flypiece. D. Richards explains this phenomenon: “Penis size is very important for a man. In penis is concentrated all male great pride. In penis lives the greatest part of male “ego”.

Therefore, exists a particular cultural and social tendency for big penis worship. Research workers claim that exists huge documented information proving that feeling of disappointment caused by distress of soul, their anxieties, matrimonial problems, along with mental disorders result from ignorance and lack of exact information about sex and genital organs.

Recent years was increased popularity of penis enlargement operations and it requires statistic researches. Wessels H., et al. (1998) tried to establish mathematical relationship between penis length in rest state and penis length in erected state. According to the results, relationship between penis length in rest state and in erected state is not so great to use it for prognosis.

The increase of penile length compared with the initial size is more frank for small penises, but anyway the difference can not be considered statistically significant. The most accurate length of penis during erection can be predicted by the maximum tension.

The popularity of this kind of researches once again proves that big penis is firmly associated in public mind with domination and this certainly is an important argument in favor of a more delicate attitude to genital surgery.

What Is A Normal Penis Length?

Normally, erect penis length is from 12 to 18cm and non-erected is from 7.5 to 10.5cm. Thickness of a normal penis is 3-3.5cm. Erected penis is called small when its length is less than 12cm and penis called micropenis when its length is less than 8-10cm.

In a non-erected state the length of penis is determined by the degree of blood filling in cavernous bodies. Cavernous bodies are a spongy mass consisting of many small vessels and bladders which, like other vessels, are able to respond on action of active substances in the blood and on effects of temperature factors. So, when the temperature lowers, in a penis occurs vessel constriction which leads to blood admission into cavernous bodies and thus leading to penis decrease.

Rising of temperature causes a reverse reaction. Vessel constriction and penis length decrease also may be caused by adrenalin ejection into the blood in response to fright and other stressful situations. That is why penis, that usually is big during erection, multiply decreases in non-erected state.

Erect penis length is limited by fibrous tunic that is a texture having in its structure firm connective tissue which is responsible for limiting of penis stretching during erection.

Today is considered that testosterone level during puberty plays the main role in penis development because it determines penis length. Small penis length (less than 8-10cm) may indirectly speak about serious endocrine disorders linked with low production of male hormones. On the other hand, the big difference in measures of penis length (12 and 18cm) depends on personal differences in inguinal region anatomy and namely it depends on correlation between insidious and open parts of cavernous bodies and surrounded fibrous tunic.

There is an opinion that normal level of hormones and normal development of cavernous bodies in different males due to individual characteristics showed differently developed insidious parts of cavernous bodies that are responsible for cavernous bodies attachment to pubic bones and penis fixation.

However, for most men are important their own ideas about a normal penis length that is based on personal sexual experience or on the attempt to be better than others. Statistics here is not taken into account.

How To Measure Penis Length?
Penis length should be measured in room temperature. For that purpose should be used a ruler. Penis should be measured in a erected state by its back (dorsal surface) from pubis to the end of penis head. This is the most adequate way of measure because it reflects functional penis length. Such factors as extra subcutaneous fat depot in pubic region and insufficient erection may influence on functional penis size making penis smaller.

Ideal Penis Size

Penis sizes do differ as male growths। When we talk about penis size, we mean its size in erected state. Penis sizes may be divided according to the next criteria:
1. statistical indicators – average/small/big sizes
2. growth proportions – penis size makes up 10% of male growth

As penis sizes do vary in a relatively wide range, so during research it was established the average statistical penis size. Penis, according to its size, may be divided into average, small and big sizes. According to the results of the research, the average penis size is from 6 to 7.2 inch (15-18cm), and diameter 5.2 inch (13cm). Penis having size less than 6 inch is considered small, and penis with the size more than 7.2 inch is considered big. Most men (70%) have penis size more than 6 inch when erected!

Human body is proportionate. Those proportions are strictly taken into account when drawing a man. Penis size also has particular proportions: proportion between size and diameter, head size towards whole penis and proportion of penis and male growth.

Ideally, erected penis must be 10% of male growth, and in a relaxed state it must have 2cm+5% of male growth. So man with growth 72 inch should have penis 7.2 inch when erected, and 4.4 inch in relaxed state. In a man having growth 76 inch may have average penis size is 6.4 inch which visually looks small, but penis with 7.6 inch will be proportionate to his growth.

Ideal Penis Size
When defining parameters of ideal penis size it is necessary to take into account all parameters mentioned above along with penis shape, foreskin, proportion between penis head size and penis body, and also anatomic and functional factors. The ideal penis is long and thick enough, it has well-developed foreskin and penis head, with right placed urethra and firm erection.

There are not many men with ideal penis. As well as many men try to make athletic build in a gym it is necessary to improve penis in order to bring it to the ideal.

What Should You Know About Penis Size

It is considered that a normal penis size of erected penis is from 12 to 18 cm, and in relaxed state average penis size is 7,5 - 10,5 cm। The width of penis in erected state is 3 - 3,5 cm.

Penis of less than 12 cm in erected state is considered small, penis of less 8-10 cm is considered micro penis. According to bookish data, the size of the most big penis is 25 - 30 cm having 15-18 cm in diameter. Naturally, there is a big doubt about the ability of proper use of such penis.

In relaxed state, penis size is defined by degree of filling with blood of cavernous bodies. Cavernous bodies are a kind of spongy lumps consisting of lots of vessels and cavernas, which are able to respond to activity of the active substances existing in blood and also they respond to influence on temperature factors. So when air temperature lowers, then occurs vessel constriction of penis which leads to lowering of blood admission into cavernous bodies and lowering of penis size. When temperature of air rises then occurs reverse reaction.

Vessel constrictions and lowering of penis size occurs when adrenaline is ejected in blood as a reply to fright and other stress situation. That is why occurs such thing as penis, big during erection, is lowered multiply and is decreased at rest. The size of erected penis is limited by fibrous tunic – a texture consisting of strong connective tissue which limits traction of penis during erection.

It is considered today that level of testosterone during sexual development plays main role in penis development by defining its size. Small sizes of penis (less than 8-10cm) can indirectly indicate serious endocrine disorders connected with low production of testosterone. Quite great dispersion of measures of penis normal size (12 cm and 18 cm) can be result of individual differences in anatomy of inguinal region.

There is an opinion that men with normal level of testosterone and normal development of cavernous bodies owing to individual differences have frank latent part of cavernous bodies which are responsible for their attachment to pubic bones and also for penis fixation.

However, for most men most important thing is their own ideas about normal penis size which are formed by personal sexual experience or by the wish to be better than others. Here overall average data as a rule is not taken into consideration.

How to measure penis length?
Penis should be measured with a ruler at room temperature. Penis is measured in erected state on its backside (dorsal surface) starting from pubis till the end of penis head. This is the best way of measure because it reflects functional penis length. Such factors as concretion of subcutaneous fat in pubis region and bad erection can influence on functional penis length making it smaller.

What Else Can You Do For Penis Enlargement

First of all, you should understand that the only way to enlarge an anatomically normal penis with a normal erection is a permanent penis traction on a special device called extender with the help of which occurs not just tissue compliance increase but also foreskin growth – all that leads to a real penis enlargement when erected। Besides penis enlargement also it is possible to make penis widening by elasticity increase in albuginea and common blood pressure on the walls of penis during erection by hydrodynamics laws.

So, what you can do to achieve the best result in penis enlargement?
1. Penile ligament surgery
You should know that the final result totally depends on the original penis size, because penile ligament surgery enlarges only the length which will be enlarged on extender. So after the surgery penis enlargement will be more effective in case you use extender.

2. Penis enlargement vacuum pumps
The pump has no major importance in penis enlargement because the extender is more handy. You can put the extender on and mind your work. When the talk is about pump you are “attached” to it. It is hard to imagine that you should find free hours every day for using a pump.
However, exercises with pump are reasonable enough before extender usage as physiotherapy in order to “heat” penis and to pull it before you put extender on penis. You should use pump just for 10-15 minutes.

3. Self-made system for penis enlargement
Let us see the main point here. You can make a special band with a rubber from one side. The band must be fastened with hook and loop around penis head. From the band goes a rubber which goes through a fixing on the knee ending with a special irons dressed on foot. Both fixing and irons can be made of non-crushing medical bandage. So when walking, your penis is always in traction. You may use this system when it is impossible to use extender. Also you may use it when you drive in your car at your work and then in office you may use extender.

4. Sex
You should have sex regularly. Do not forget about it.

5. Hormonal therapy (ointment)
Use ointment which contains just active testosterone for local metabolic effect on penis, which is sensitive to hormonal action. This may be effective only if you use extender. In case you have hormonal dysregulations and low testosterone level, after you consult the endocrinologist it would be reasonable to take a course of hormonal injection therapy.
Ointment local administration containing just testosterone has no sense, because testosterone should absorb into blood and pass pathways in order to become active. After that it hits though the blood commonly into all organs and tissues, so the sense of local administration is lost.

As to usage of different drugs such as pills and ointments containing natural components and ingredients that intensify penis blood circulation, it should be said that mechanism of action of those drugs doesn't stand up to scrutiny from a perspective of normal physiology and penis anatomy – it works out for people having no medical education।Today the most effective pills to increase erection are Viagra, Levitra and Cialis, and the metabolic drug substance acting on penis is active testosterone. Sure, you can think that against strong erection happens penis traction from the inside. How much time should last erection to get its action started for penis enlargement? Isn't it easier to use extender? Besides that, against super erection penis may really seem bigger than it was by maximum traction of penis tissues.

Pills containing testosterone are virulent for the body because their usage destroy liver. Men over 45 years should be careful when taking testosterone.

Prognosis for Penis Enlargement

The level of penis enlargement on extender after penile ligament surgery or without it depends on the following factors:
1) Original penis size
The more longer is penis initially, the more better it enlarges. It means that the more tissues are involved in traction, the more better is result. That is why it is necessary to make penile ligament surgery to help enlarge penis length that will be enlarged on extender.

2) Right penis anatomy
With other words everything depends on how well extender is placed. If extender is not sliding down and it placed good – then there will be no problems in its usage (you have placed it on your penis and feel yourself comfortable). In case extender is placed bad and as a result is sliding down, and in order to fix it you pull over extender strap and so balanus is constricted, then extender usage can become a horror for you and maybe it is more wiser to refuse from the idea about penis enlargement.

3) Patient's insistence
Certainly, it is better to use extender for 2 hours and not just for 30 minutes at a time, and for 6-8 hours a day and not just 1-2 hours.

4) Age
It is clear that a young man has more prospect than a man of 40-50 years. Elasticity and ability of tissues to tension can be the determinate factors.

5) Lack or existence of hormonal problems
Small penis can be an indirect proof of low testosterone production (male sex hormone). That is why in some cases before penis enlargement it is necessary to undergo hormone examination to decide whether is reasonable to use hormonal therapy.

According to statistics penis having 14cm length can be enlarged in average on 2.8cm.

However, are known cases when 12 cm penis was enlarged up to 19.5 cm after penile ligament surgery and one year of extender usage. But also are known cases when during half-year extender usage, penis was enlarged just 0.5cm. There were also cases when patients could not use extender more than half-hour a day, so they achieved the result of 2cm with extender usage for one year.

Too rarely occurs that penis not enlarges that is connected with the lack of tissue reaction and with closing of growing zones.

Penis enlargement and your important decisions

Before you decide to lengthen your penis, you should answer the next questions:
1) Will you have about 4 hours a day to wear extender during a long period of time?
2) What else I want to do to achieve maximum result?
First question bears just organizational character. If extender will be kept well, you can bear it at your job in case it is not connected with physical activity, or staying in the office. When you are dressed in slacks, other people don't see extender. Besides that, slacks do not interfere with extender wearing and do not draw it up bringing traction to nought.

The second question is more complicated. Proceeding from postulate that the final result depends on the original penis length, it is important to consider the advisability of operation.

The surgical indication is not only patient's desire but the original penis length.

If penis is less than 12cm, then it is necessary to make operation because here the talk is about penis hypoplasia and we have to fight every single millimeter.
If penis is less than 15cm, then operation should be made to achieve maximum result.
If penis length is 15-18cm, it is wiser to make operation.
If penis length is more than 18cm, then there is no reason to make operation.

Certainly, this classification is quite relative and in majority of cases patient's desire is determining factor.

You should remember that penile ligament surgery increases only the length that will be enlarged on extender, in other words, it helps extender to act upon inner (latent) side of penis.

As to usage of hormones, in case of penis hypoplasia and hormonal dysregulations, they should be used for integrated effect on penis tissues. In these cases testosterone injections are prescribed. If penis length is normal and there is no hormonal regulation dysplasia, then you should use only creams containing active testosterone (dihydro-testosterone).

The idea consists in local action of active testosterone upon organ sensitive to it. During penis traction on extender growing zones are activated and local action of dihydro-testosterone can help this process. Moreover, that is actual for patients with small penis and paucity of skin after cutting of foreskin.

Administration of dihydro-testosterone in form of creams is not causing testosterone rise, so there is no suppression of own testosterone production. Besides that, testosterone does not become estradiol – female sex hormone.

Penis Enlargement Strategy

The main idea of penis enlargement is in his permanent static traction with a special orthopedic device called extender. Modern extenders do not have fundamental functional differences except their list of equipment and the way of their fixing.

Strategy of enlargement is a creation of prolonged conditions for penis traction with equal force by increasing of bar lengths on regular intervals. First it is necessary to define starting point – the initial length of bars from which starts penis enlargement.

According to instruction to some models of extenders, “starting point” is defined randomly as maximum bar lengths, then 1-2cm are subtracted. That is to say, the talk is about primary extender wearing on invariably smaller length. Also an important role plays preparatory period (1-2 months) during which the device should be worn on a reduced length that is necessary to let penis “get used” to traction.

It should be said that this approach is inadmissible if there was made penile ligament surgery. In this case the length of bars should be maximum because it allows to fix penis in forward condition. Here the “starting point” is defined as maximum admissible bar lengths. Then bars are established on equal lengths with equal intervals.

The need of preparatory period can also be in doubt, even if there was no operation. If keeping 10-days interval on increasing of extender bars, then first 10 days will be enough for preparatory penis traction.

Specialists say that minimal interval of increasing of bars is 10 days and average addition to the length is 5mm. The construction of modern extenders allows to enlarge bars by putting small bars (5mm) from set on them.

How it happens in ideal case?
In a period of 40 days from the beginning, bars are lengthened on 2cm.
In a period of 80 days, bars are lengthened on 4cm.
In a period of 120 days (4 months)– on 6cm.

The level of penis enlargement on extender when maximum traction usually is ahead of 2-3 times of enlargement when penis erected.

Really, using maximum traction on device penis is more longer and thinner than it is when erected. The point is that during traction occurs not only growth of penile skin but also increase of its elasticity. When intense erection the blood equally strongly acts on all sides of penis that is why penis enlargement can result in its widening and not decrease of its thickness.

So if you established a maximum starting point at 6cm, that means you can get penis increased 2-3 times when erected.

That is why if you follow all recommendations and keep this strategy, in 6 months you can get you penis enlarged 2 times that is a very good result. An average result is 2.5-3.5cm. Maximum result is 4-5cm.

Everything mentioned above describes an ideal situation.
The initial length of penis is about 15cm when erected (average standard).
Condition of wearing – 8 hours a day.
Interval of bars increase – 10 days.
Each step – 2mm.

Penile Suspensory Ligament Surgery

The idea of operation is to remove the ligaments fixing the inner hidden part of the penis (that can be quite long) to the pelvic bones।

By itself, this surgery does not make penis larger and penis remains the same as before, because the operation bears auxiliary character and it has no effect without use of extender. The operation is only to improve the final result of lengthening of the penis with use of this devise.

The point is that the result depends entirely on the original length of the penis. Penile ligament surgery enlarges only part of penis that will be enlarged on extender, that allows the extender to react from the inside of the penis.

Initially the operation was carried out through the cut in the pubic region. It would seem that such an approach allows more quickly and easy to access the ligament. However, that is not so. Penile ligament surgery through pubic lasts for a long while and during operation a great cut is made. The operation results in noticeable scar in pubic region, excessive damage of tissues and of subcutaneous fat and, most importantly, makes it difficult wearing of the device.

Nowadays penile ligament surgery is holding in the cod region on its median joint that is slightly more difficult for the surgeon, but much easier for patients. The method is fine enough, the approach is minimal and the cut heals leaving no scar.

After the operation it is necessary to use extender. This devise should be used within a few months (3 or more) every day for several hours (4 or more).

The period of hospitalizing is 2-3 days. The term of the total rehabilitation is 8-10 days. In fact, sex can be made immediately, the only discomfort at that period is a bandage on the scrotum and a slight pain in the pubic region.

Enlargement of penis

Unfortunately, the operation which safely and effectively enlarges the normal penis, does not exist.

Of course, you can hold a one-stage operation of penis ligament cutting and make a plastic operation of penile skin where the penis is layered, but this lengthening would inevitably lead to the loss of natural erection because this cutting involves dissection of the deep tissue of the penis and is combined with his prosthesis - the operation, during which anatomy of the penis is violated that excludes physiological erection. In addition, the distensibility of urethra, blood vessels and nerves do not allow simultaneous enlargement of penis by more than 1-1.5 cm Moreover, a normal penis with a normal erection can not be separated from his ends of hip bones and moved forward. Theoretically, such operation is possible, but it would include cutting of blood vessels of the penis and urethra, and will be combined with his prosthesis.

It is clear that surgical intervention is not acceptable when we are talking about lengthening of the penis with normal size and keeping the erection.

The only safe method for surgical lengthening of the penis is ligamentotomy access through cod with the following usage of a special device called extender. As for the conservative (without surgical intervention) lengthening of the penis without any loss of its functions, the only way is to use the extender, which helps to increase penile skin and tissue due to the continuous mechanical action.

This method is called extension. Its effectiveness is proved by numerous observation of people practicing extension of different parts of the body: tribes of long-necked people in Africa, who since childhood bear rings on the neck, which leads to a significant increase in its length, or the talapoins pulling ears, length of which reaches the shoulders. The penis makes no exception. Indeed, his tissues are responding the same to a permanent mechanical action, as well as skin, muscle and connective tissue.

That is why to enlarge the penis both in rest and in the erected state, there was proposed method of extension of the penis with a special device called extender.