Many doctors question whether the benefits of lengthening surgery outweigh the risks. A 2006 study found that only 35% of men were satisfied with the outcome of surgery, which added only half an inch, on average, to length. Men who are overly preoccupied with penis length tend to have unrealistic expectations of surgery and should seek counseling instead, the authors wrote.
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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.
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Women who prefer deep vaginal stimulation want larger than average penises . Deep vaginal stimulation is the path to the desirable vaginal orgasm which differs from the clitoral orgasm she can get by herself any time she wants. One study showed that a “considerable percentage” of the women participants felt size of an erection was important  for her sexual satisfaction.
Sometimes men with erection problems or a diminished libido have low levels of testosterone, Boyle says. Testosterone deficiencies can also affect mood and energy levels. Boyle tests for testosterone levels and prescribes it as a topical gel, though she warns it is only safe when prescribed and monitored by a physician. Nonprescription testosterone, such as the kind used by some bodybuilders, is dangerous, she warns.