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Male enhancement supplements work by increasing the amount of blood flow the genital region receives and the volume of blood that it can retain. In a flaccid state, the penis, like any other part of the body, receives a normal amount of blood flow. When an erection occurs, the penis is surged with a rich supply of blood which is then trapped in the spongy tissues of the Cavernosa and Spongiosum.
The primary function of prescription drugs like Viagra and Cialis is to combat erectile dysfunction and, to a lesser extent, premature ejaculation. However, the main goal of most over-the-counter male performance supplements is to not only provide better quality erections and staying power, but to increase erection size and enhance pleasure as well.
One of the questions that gets asked a lot is about finding something that will permanently extend the size of your penis. Nothing, other than painful and not always successful surgery, can permanently extend the size of your penis.  The American Urological Association [6] does not promote penis augmentation surgery as effective or beneficial. Sometimes, these surgeries even leave the penis smaller than before [7].
Richard, the mechanic from New York, got results faster than Bob, but still wore the device under his clothes for about eight hours a day. Richard's wife has also been supportive. "I see a more confident man in front of me from using this product," she says. She also says the lengthening has enhanced their sex life, though she had no complaints before.
Atherosclerosis, a condition in which fatty deposits build up inside arteries, may restrict blood flow to the penis and cause erection difficulties. "The small blood vessels that go to the penis can become diseased much earlier than the [larger] vessels that go to the heart," Karen Boyle, MD, a urologist at Johns Hopkins School of Medicine, tells WebMD. "In younger or younger middle-aged men, ED is often the first sign of atherosclerosis."
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