Male enhancement pills are pills that claim to enhance pleasure in sex, penis or erection size, or stamina in men. The only pills that are proven to have a positive effect are prescription medicines for erectile dysfunction (like Viagra, Sildenafil, Cialis, Spedra and Levitra) or natural supplements (like yohimbine). Pills advertised online are often illegal, unregulated, and potentially dangerous.
There are also traction devices which have been observed to cause small increases in length (1-2 cm overall) in some men. However, these devices are highly impractical, as they need to be worn for several hours every day in order to have an effect. You should consult a doctor before experimenting with any device to enlarge your penis, as there is a risk of side effects and injury if you don’t use it correctly. Evidence that using a traction device works is still limited.
Penile girth surgery can involve a range of controversial techniques, such as injecting fat taken from other parts of the body. Whilst some studies claim an increase in girth of between 1.4 and 4cm, patients frequently report scarring, disfigurement, lumpiness, even infection. The body usually reabsorbs the injected fat, so the penis soon returns to its original size.
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Instead of furtively turning to untested methods, men with persistent concerns should consider opening up about them with their doctors. That's because performance problems sometimes act as an early warning signal for serious health problems. Your doctor might be able to prescribe something that can really help, or least provide a valuable dose of perspective about what constitutes "normal" sexual performance.