Before deciding on penis enlargement surgery, two questions need to be answered:
- Do 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 organization alone. If the extender holds up well, then it can be used at work, if the job is not related to physical activity, or while sitting in the office. As a rule, it should not be seen under a suit or wide pants.
The second question is more complicated. Based on the proposition that the end result depends on the original length of the penis, you should consider the possibility of surgery.
Indications for penis enlargement surgery
The indication for penis enlargement surgery is not only the desire of the patient, but also the natural size of the penis.
- If the penis is less than 12 cm, then there are medical indications for surgery, because we are talking about an underdeveloped penis, and you have to fight every millimeter.
- If the length of the penis is less than 15 cm, then surgery should be performed to achieve maximum results.
- If the length of the penis exceeds 15 cm, surgery is complementary.
Of course, such a distribution is very arbitrary, and in most cases, the patient’s wishes are very decisive.
It should be noted that the essence of the operation is to release the inside (hidden) of the penis, which allows the extender to act on the entire length of the penis and ultimately get maximum results.
As for the use of hormones, in the event of penile deterioration and hormonal disorders, its use is necessary for complex effects on penile tissue. In this case, testosterone is given by injection. If the length of the penis is within normal limits, and there is no disturbance of hormonal regulation, then it makes sense to use only ointments that contain active testosterone (dihydrotestosterone).
The degree of elongation of the genitals when using extensions depends on the following conditions:
- Original penis length. The longer the penis initially, the better its length. That is, the more tissue involved in stretching, the better the results. Therefore, in some cases, ligamentotomy surgery is performed to increase the area of influence of the elongator.
- Proper penis anatomy. In other words, a lot depends on how good the extender retainer is. If the extender doesn’t glide and "sit" well, there won’t be a problem with its use (wear and forget). The modern extender design allows it to be improved in almost all cases when other extensions cannot be held.
- Patient perseverance. Of course, it’s better to wear an 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 stretching ability of the tissue can be important factors.
- Absence or presence of hormonal problems. The small penis may be indirect evidence of decreased production of testosterone - the male sex hormone. Therefore, in some cases, before lengthening the penis, a hormonal examination should be done to decide whether it is advisable to prescribe hormone therapy for an extended period of time.
About the extender
- The extender should be worn on a clean penis and better washed with soap. The skin must be dry. This is very important from the point of view of hygiene, moreover, this way the extender will be better and not slip.
- It may happen that again, by wearing an extender, you will not be able to stretch the penis and correct it at the length of the barbell which is the last time. The penis can only shrink, this is normal. To pull it to its original length, wear the extender for 15-20 minutes at a lower distance (you can release an extra 2 cm stem), and then continue to wear it on the original stem length.
- If the extender is alternately worn down and up, then it should be remembered that the tension in the first and second cases will be different - with the same length of the rod, the tension will always be stronger if the extender is directed downwards.
- In patients after foreskin circumcision, it is possible to pull the skin along the posterior surface of the penis (where the urethra passes) when wearing the tool down due to the fact that the penis is bent at the base of the elongator. This may be due to the fact that on the posterior surface of the penis after circumcision (especially ritual) there is sometimes little skin left - with an erection in such men, the skin of the scrotum is always tightened and a "screen" is formed. To avoid discomfort while wearing the tool down, after a few seconds, turn the apparatus upwards and tighten the skin by hand, after which the extender returns to its original position.
About medicines
For the use of various agents in the form of tablets or ointments, which allegedly contain plant substances and components, and cause increased blood circulation in the penis, the mechanism of action of these agents is not resistant to criticism from the point of view of normal physiology and anatomy of the penis, and its evidence is calculated in people who do notget a medical education. Of course, we can assume that against the background of a strong erection, there is, as it were, elongation of the penis from within. But how long can an erection last until its action begins to be realized to lengthen the penis? And isn't it easier to use an extender? In addition, even in an upright position, the penis can appear somewhat larger than at maximum stretching of the tissue.
At the current stage of medical development, the only effective tablet drug to improve erections is a drug from the phosphodiesterase type 5 inhibitor group, and the only metabolic active substance that can affect the penis is active testosterone - dihydrotestosterone (there is a receptor for dihydrotestosterone in the penis, and notfor testosterone).
The use of testosterone in tablets is harmful to the body, because this method of use has a negative effect on the liver. In addition, testosterone should be used with caution in people over 45 years of age, and after 50 years only after a typical urological examination. The use of topical ointments containing only testosterone is essentially futile - testosterone still has to be absorbed into the bloodstream, through metabolic pathways, and become active. Further, it will enter with blood flow evenly to all organs and tissues, and the meaning of local application is lost.
It is best to use topical ointments that contain only dihydrotestosterone for the purpose of local metabolic effects on organs exposed to hormonal effects. Only relevant when using the extender. If there are hormonal disorders, decreased testosterone levels and underdeveloped penis, you should see a specialist.
About clothes to lengthen the penis
- Particular attention should be paid to underwear. Underwear must be loose. If the extender is directed downwards, then the tights can pull it upwards, reducing the tension on its rod. In addition, with tight pants, it is difficult or impossible to lift the extender upwards.
- Pants must be loose. If an extender is used at work, it makes sense to wear appropriate pants.
About sex while lengthening the penis
Sex needs to be done regularly. 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. Also, an erection doesn’t always happen before you have to take off your clothes, which will add stress. Against a background of stress, restraint and fear, increased pressure, narrowing blood vessels and an erection may not come. Such a description does not mean that this man has organic problems with erections, as a rule, he has no problems with erections during masturbation. The solution to this problem can be drug support for erection with medication - phosphodiesterase inhibitors of type 5. You only need to spend the first few intercourse "on the pill", of which the partner can not be told. With a background of confident erections, fears will pass and doubts about their sexual inferiority will disappear. Although these medications are freely available in network pharmacies, doctors should recommend specific medications and their dosages for use.
What to do if there are only 30 minutes to use the extender - 1 hour a day
In this case, an alternative way of wearing the extender should be followed. Each time the tool is rotated to the maximum, and after 10-15 minutes, after relaxation of the penis, the barbell is released to the maximum possible length, at which point the extension tool "wears out" all the time. And all the time.
How long to use this device
The device should be used until the desired result is achieved, but not for more than one year. As a rule, prolongation occurs within 3 to 6 months.
How to take care of the device
Extenders are construction that do not require special maintenance. However, it is wise to rinse the binding strap periodically with warm water and soap, and wipe the base and stem with alcohol.