Commonly called a "penis pump", a vacuum erection device, or VED, creates negative pressure that expands and thereby draws blood into the penis.[13][14] Medically approved VEDs, which treat erectile dysfunction, limit maximum pressure, whereas the pumps commonly bought by consumers seeking penis enlargement can reach dangerous pressure, damaging penis tissue.[15] To retain tumescence after breaking the device's airtight seal, one must constrict the penis' base, but constriction worn over 30 minutes can permanently damage the penis and cause erectile dysfunction.[16] Although vacuum therapy can treat erectile dysfunction sufficiently to prevent penis deterioration and shrinkage,[14] clinical trials have not found it effective for penis enlargement.[17][18]
Here's why sexologists say size doesn't matter. Any size penis can provide great pleasure for the man it's attached to. An estimated 95 percent of penises are average size (3 to 5 inches flaccid, 5 to 7 inches erect). Very few are significantly larger or smaller. When women have been surveyed about what they want in a lover, they consistently mention attractiveness, kindness, caring, listening, sense of humor, and shared interests and values. Very few mention penis size. Finally, sex therapists report that women clients almost never complain about their partner's size. As a result, most sexologists say size doesn't matter.

According to Dr. Tobias Kohler, assistant professor of urology in Southern Illinois University School of Medicine, “Most guys would be proud to know that their penis is twice as long as they think it is.” This is because half of the length of the penis is actually inside a man’s body. Men do not commonly see the entire length of the penis because it is attached to the pubic bone and tucked up inside the pelvis.[9]

Good sex is certainly not about performance. Worrying about your penis size is falling victim to performance anxiety, which can lead to erectile difficulties and other sexual problems. For more information on Erectile Dysfunction, visit our ED Clinic for advice or a free assessment. Good sex is about being relaxed, in the moment, not focused on other things apart from enhancing thoughts and enjoying the physical sensations you experience with your partner.
Unfortunately, whenever it’s recognised that people feel insecure about an aspect of themselves, such as their appearance or sexuality, there will be unscrupulous types who’ll try to turn it into a money-making opportunity. This is why ads for miracle ‘cures’ for the small penis abound – on the internet, in magazines, in your inbox – not because they work, but because the advertisers know that millions of men hope these claims just might be true.
 The penis consists of 3 chambers of spongy tissue which absorb blood that reach the penis from the circulatory system. As these chambers fill with blood, it leads to the erection of the penis. When exercises are done continuously, in a right way, it will cause an expansion in the size of the chambers. Then, it will become able to absorb larger amounts of blood and this will lead to an increase in the size of the penis, and the purpose of these exercises is to create a tensile strength by stretching the tissues that are responsible for erection of the penis and this tensile strength will lead to an increase in the growth of those tissues, gradually. 
Would I do it again? Hell no, its not worth it. After my penis injury scare I realized that its more embarrassing having to go to the hospital and tell them that I broke my dick in a penis pump than it is to have a average sized dick. After I got laid for the first time at 20 (late bloomer) I realized dick size didn’t even matter to most women and if it did that they aren’t the type of person I would want a relationship with anyways. I now have more self confidence than I did but I don’t contribute any of that to my magnum dong.
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For the best results, calculate three to six months for significant results. The success of penis exercises varies, some guys are really lucky and see a measurable growth in just a few weeks, for some guys it takes a little longer. Don’t give up if you don’t get fast results, every penis is a little different, but jelqing already worked in ancient egypt, so it will work for you, too. Todays techniques and exercises are a lot more sophisticated than in the beginning, tested by thousands of men who successfully enlarged their penis this way, so it’s really only a matter of time. It works for everybody, without exceptions. It’s no easy way, like training in the gym: Cheating yourself, skipping exercises or being lazy and neglecting your training means it will take longer till you notice results. Do it!
Almost all men have a normal size penis – although many young men are concerned that their penis is too short or too small. Sometimes they believe this because they have compared themselves with friends or classmates in a common shower or locker room, or maybe someone teased them or made a hurtful comment. Or they might have seen pornographic pictures or movies and compared themselves with the porno “stars” (many of whom have unusually large genitalia).

• Exercise regularly. Exercise improves arterial health, allowing more blood into the penis. But exercising the penis itself is pointless. The sex media sometimes refer to the penis as the "love muscle," implying that like the biceps, certain exercises can buff it up. But there are different kinds of muscle tissue. The penis contains smooth muscle, not the kind that gets bigger with exercise.

According to the website of one such product, the safe application of traction encourages tissue cells to divide and multiply, a process called cytokinesis. Over time and with great effort this will lead to tissue growth. The FDA considers these low-risk devices (Class 1) and so provides only general controls intended to be followed by manufacturers.
“I’ve seen a lot of shifts over the years,” Big Al says after explaining a reverse kegel called the DLD Blaster. “When I first started, most guys were just looking for raw size — length and girth.” As time has passed, though, he’s given much more attention to things like erection quality, sexual confidence and addiction to porn. In fact, these days, four out of five of Big Al’s clients are self-diagnosed porn addicts.
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• This can be done by using a measurement tape to measure the penis circumference during an erection in the area that represents the midpoint of the penis length. If a measuirng tape is not available, use a piece of string. Place a knot near the end of the string. Wrap the string around the erect penis and hold the string adjacent to the knot. Place the string on a ruler by continuing to hold the string where first grasped and determine the length of the string from that grasping point to the knot. This will give you the circumference.
Erect Girth also varies for different factors. To measure your erect girth length you have to use measuring tape or piece of sting (then put it on the ruler). The measurement of erect girth length is different for various people because different people measure girth from different positions. We recommend you to measure your erect girth from the center of penis shaft. This will give you correct measurement.
In my opinion, I think stretching is the most effective way to enlarge the penis. The issue is, manual stretches can give you some gains when you first start (some of those early games is just stretching the ligaments attached to your penis, bring it “out” more). but after that, it takes a lot more time to get more and more gains. So extenders are useful, you wear them under your clothes and such, but are uncomfortable, annoying, difficult to fit, and expensive.
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