Before deciding on penis enlargement surgery, you need to answer two questions:
- 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 get maximum results?
The first question is purely organizational. If the extender holds well, 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 the suit or baggy pants.
The second question is more complicated. Based on the postulate that the final result depends on the original 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 penis size.
- If the penis is less than 12 cm, then there are medical indications for surgery, as 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 15cm, the operation should be performed for maximum results.
- If the length of the penis exceeds 15 cm, the operation is complementary.
Of course, this distribution is very arbitrary and in most cases the patient's wish is decisive.
It should 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 achieve the maximum result.
As for the use of hormones, in case of penile underdevelopment 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 normal limits and there are no disturbances in hormonal regulation, then it makes sense to use only ointments containing active testosterone (dihydrotestosterone).
The degree of genital stretch when using an extender depends on the following conditions:
- The original length of the penis. The longer the penis was originally, the better it stretched. That is, the more tissue involved in stretching, the better the result. Therefore, in some cases, a ligamentotomy operation is performed to increase the area of influence of the extensor.
- Correct penis anatomy. In other words, a lot depends on the tightness of the extender. 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 any case where it is not possible to hold other extenders.
- Patient persistence. Of course, it's best 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 50-60 year old man. The elasticity and stretch capacity of the tissues can be a significant factor.
- The absence or presence of hormonal problems. A small penis can 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 lengthening period.
Extender information
- The extender should be worn on a clean penis, preferably pre-washed with soap. The skin must be dry. This is very important from a hygienic point of view, moreover, in this way the extender will hold better and will not slip.
- It may happen that once again, wearing the extender, you will not be able to stretch the penis and fix it on the length of the barbell that was the last time. The penis may simply contract, this is normal. To pull it to its original length, just wear the extender for 15-20 minutes at a reduced length (additional 2cm rods can be unscrewed), then continue to wear to the original rod length.
- If the extender is worn alternately downwards and upwards, it should be borne in mind that the tension in the first and second cases will be different: with the same length of the rods, the tension will always be stronger if the extender is directed downwards.
- 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 appliance down due to the fact that the penis is folded over the base of the extensor. This may be due to the fact that on the posterior surface of the penis after circumcision (especially ritual) sometimes little skin remains - with an erection in these men, the skin of the scrotum is always stretched and a "veil" forms. To avoid discomfort when wearing the appliance downwards, after a while, turn the appliance upwards 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 an increase in blood circulation in the penis, the mechanism of action of these agents does not stand up to criticism from the point of view of the normal physiology and anatomy of the penis and its description is calculated on 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 does an erection have to last for its penis enlargement action to take place? And isn't it easier to use an extender? Also, while it is super erect, the penis can actually appear slightly larger than it used to be due to the maximum stretch of its tissues.
At the present stage of the development of medicine, the only tablet drugs effective for improving erection are drugs from the group of phosphodiesterase type 5 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 not for testosterone).
The use of testosterone in tablets is dangerous for the body, as this method of use has a negative effect on the liver. Also, testosterone should be used with caution in people over the age of 45, and after the age of 50 only after a special urological examination. Local application of ointments containing only testosterone is essentially useless: testosterone still has to be absorbed into the bloodstream, cross the metabolic pathways and become active. In addition, it will enter with the bloodstream evenly in all organs and tissues, and the meaning of local application will be lost.
It is recommended to apply locally an ointment containing only dihydrotestosterone for the purpose of a local metabolic effect on an organ susceptible to hormonal effects. Only relevant when 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 enlargement
- Particular attention should be paid to underwear. Underpants must be loose. If the extender is directed downwards, tight pants can lift it, reducing the tension on its rods. Also, in tight pants it is difficult or simply impossible to carry the extender over the top.
- Pants should be loose fitting. If the extender is used at work, it makes sense to wear sweatpants.
About sex during penis enlargement
Sex has to be done often. Sometimes a man can have psychological problems with an erection, especially if he doubts the size of his penis at rest and with an erection. Also, an erection doesn't always occur before you have to take off your clothes, which further aggravates the stress. Against the background of stress, constriction and fear, the pressure rises, the blood vessels narrow, and an erection may simply not come. Such an image in no way means that this man has organic problems with erection, as a rule, he has no problems with erection during masturbation. The solution to this problem can be drug support for erection with drugs - phosphodiesterase type 5 inhibitors. You just need to spend the first intercourse "on the pill", which the partner should not be aware of. Against the background of a confident erection, fears will pass and doubts about one's sexual inferiority will dissipate. Although these drugs are available for free in the pharmacy network, a doctor should recommend a particular drug and its dose for use.
What to do if there are only 30 minutes to use the extender - 1 hour a day
In this case, you need to follow the alternative way to wear the extender. Each time the device is rotated to the maximum and after 10-15 minutes, after relaxation of the penis, the barbells are unscrewed to the maximum possible length, at which the extender is "worn" 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 later than one year. As a rule, stretching occurs in terms of 3-6 months.
How to take care of the device
The extender is a construction that does not require special maintenance. However, it is recommended that you periodically rinse the band padding with warm soapy water and clean the base and temples with alcohol.