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Using penile extenders involves hanging a weight off the penis for hours at a time, which doesn't increase size. To the contrary, this can cause tissue damage and there have been reports of it causing Peyronie's disease (curving of the penis). Rather than resulting in enlargement, using penile extenders could cause injury and have a negative effect on your ability to get an erection.
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Some dietary supplements purport to increase the size of the penis. However, aside from a surgical procedure, this is an impossible task for any pill to achieve. Three prescription oral medications are approved by the FDA to treat erectile dysfunction — sildenafil, tadalafil and vardenafil. These products are classified as drugs. However, the natural ingredients in male enhancement pills don’t have a proven track record. Some alternative treatments used to treat erectile dysfunction are of panax ginseng, yohimbine, ginkgo, L-arginine and dehydroepiandrosterone, or DHEA. Some of these dietary supplements are generally safe to use, while others are more dangerous. For example, DHEA may help men with low levels of testosterone, but the side effects can include acne and decreased high-density lipoprotein or “good” cholesterol levels. Before you self-treat with dietary supplements, talk to your treating physician.
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Oral supplements are another type of product popular for getting and maintaining a strong, satisfying erection. These options contain natural ingredients that jump-start the body’s hormone production, leading to an improved libido and better performance. As with any supplement, please consult with a medical professional before taking any dietary supplements.
The surgical treatments, the researchers found, were dangerous and had “unacceptably high rate of complications.” But among the nonsurgical methods, at least one appeared to help grow a man’s member: the “traction method,” in which a penile extender stretched the phallus daily, resulted in average growth of 0.7 in., or 1.8 cm, of the flaccid penis in one study. In another study of the same method, men reported an average increase of 0.9 in. (2.3 cm) in length while flaccid and 0.67 in. (1.7 cm) while erect.
Because of great risk and uncertainty, medical professionals are generally skeptical of penile enlargement and avoid attempting it.[2][4] Medical doctors do treat micropenis as a medical condition, however, usually by surgery, which can be warranted to improve urinary or sexual function.[5] Most men seeking penis enlargement have normal-size penises, and many may experience penile dysmorphophobia by underestimating their own penis size while overestimating the average size.[5]

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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