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 an extended period of 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, when work is not associated with physical activity, or while sitting in the office. As a rule, it is not visible under a suit or baggy trousers.
The second question is more complicated. Based on the postulate that the end result will depend on the original length of the penis, consider the feasibility of the operation.
Indications for penis enlargement surgery
The indication for penis enlargement surgery is not only the patient's wish, but also the original size of the penis.
- If the penis is less than 12 cm, then there are medical indications for surgery because it is an underdevelopment of the penis and you have to fight for every millimeter.
- If the length of the penis is less than 6 inches, surgery should be performed for 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 wish is decisive.
It must be remembered that the essence of the operation is to expose 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 underdevelopment of the penis and hormonal disorders, their use is necessary for a complex effect on penile tissues. In these cases, testosterone is given by injection. If the penis length is in the normal range and there are no hormonal regulation disorders, it makes sense to only use ointments with 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 elongates. That is, the more tissue involved in the stretch, the better the result. Therefore, in some cases, ligamentotomy surgery is performed to increase the extender's sphere of influence.
- Correct penis anatomy. In other words, a lot depends on how well the extender is holding up. If the extender does not slip and "sits" well, there are no problems using it (put it on and forget it). The design of the modern extender allows it to be attached in almost all cases where other extenders cannot be held.
- Patient persistence. Of course, it's better to wear the extender for 2 hours, not 30 minutes straight and 6-8 hours a day, instead of 1-2 hours.
- Age. A young man has more prospects than a man between 50 and 60 years of age. The elasticity and extensibility of tissues can be a major factor.
- The absence or presence of hormonal problems. A small penis can be an indirect indicator of a decrease in the production of testosterone - the male sex hormone. Therefore, in some cases, a hormonal examination should be carried out before penis enlargement to decide whether hormone therapy is useful for the period of penis enlargement.
About the extender
- 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, it also holds the extender better and doesn't slip.
- It may happen that when you put the extender back on you cannot stretch the penis and fix it on the last length of the dumbbell. The penis could just contract, that's normal. To pull it back to its original length, simply wear the extender at a reduced length for 15-20 minutes (you can unscrew additional 2 cm rods) and then carry it on with the original rod length.
- If the extender is worn alternately up and down, then it should be noted 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 when the extender is directed downwards.
- For patients who have had the foreskin circumcised, it is possible to pull the skin down along the back surface of the penis (where the urethra runs) while wearing the device as the penis is bent over the base of the extender. This may be due to the fact that there is sometimes little skin left on the back of the penis after circumcision (especially ritual) - with an erection in such men the skin of the scrotum is always tightened and a "sail" is formed. To avoid inconvenience when carrying the device downwards, after a while, turn the device upwards and tighten the skin with your hand, and the extender will return to its original position.
About medication
When using various active ingredients in the form of tablets or ointments, which allegedly contain herbal substances and components and lead to increased blood flow to the penis, the mechanism of action of these active ingredients is not worthy of criticism from a normal point of view, physiology and anatomy of the penis, and its description is applied to peoplecharged without medical training. Of course, against the background of a strong erection, we can assume that there is, so to speak, an extension of the penis from the inside. But how long should an erection take before its penis enlargement effect sets in? And isn't it easier to use an extender? In addition, while super erect, the penis may actually appear slightly larger than it was due to the maximum stretching of its tissues.
At the current stage of development of medicine, the only effective tablets for increasing an erection are drugs from the group of phosphodiesterase type 5 inhibitors, and the metabolically active substance that can act on the penis is only the active testosterone - dihydrotestosterone (There are receptorsfor dihydrotestosterone in the penis and not for 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 people over 45 years of age, and after 50 years only after a special urological examination. Local application of ointments containing only testosterone is essentially pointless - testosterone has yet to be absorbed into the bloodstream, go through the metabolic pathways and become active. In addition, with the flow of blood, it evenly penetrates all organs and tissues, and the importance of local application is lost.
It is advisable to apply an ointment containing only dihydrotestosterone topically for a local metabolic effect on an organ susceptible to hormonal effects. Only relevant when using the extender. In the event of hormonal disorders, a drop in testosterone levels and underdevelopment of the penis, you should consult a specialist.
About penis enlargement clothing
- Particular attention should be paid to underwear. The underpants must be loose. When the extender is facing down, tight pants can pull it up and relieve tension on its bars. In addition, it is difficult or even impossible to carry the extender up in tight pants.
- Pants should be loose. If the extender is used at work, it makes sense to wear suit trousers.
About sex during penis enlargement
Sex has to be done often. Sometimes a man can have psychological problems with an erection, especially if he has doubts about the size of his penis at rest and with an erection. Plus, an erection doesn't always happen before undressing, which adds to the stress. Against the background of stress, compulsion and fear, the pressure increases, the blood vessels constrict and an erection simply cannot come. Such a picture in no way means that this man has organic erection problems, as a rule, he does not have erection problems during masturbation. The solution to this problem can be drug support for erection with drugs - phosphodiesterase type 5 inhibitors. You only need to spend the first few intercourse "on the pill", which the partner should not be informed about. Against the background of a confident erection, fears will pass and doubts about one's own sexual inferiority will disappear. Although these drugs are freely available on the pharmacy network, a doctor should recommend a specific drug and its dosage.
What to do if you can only use the extender for 30 minutes - 1 hour a day
In this case, the alternative way of carrying the extender should be followed. Every time the device is rotated to the maximum, and after 10-15 minutes, after the penis has relaxed, the dumbbells 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 not more than a year. Usually the extension takes place in the form of 3 to 6 months.
How to care for the device
The extender is a construction that does not require any special maintenance. However, it is advisable to periodically rinse the belt pad with warm water and soap, and wipe the base and rods with alcohol.