For men with performance issues who are physically healthy, Boyle often prescribes counseling, such as marriage counseling for men with relationship issues or psychiatric help for men who are preoccupied with a problem in penile appearance. For young men with sexual performance problems and no signs of physical problems, Boyle may prescribe counseling and a low dose of Viagra as they work out issues of insecurity. "They need reassurance from a physician that everything is OK," she says.
Some surgical methods have the most evidence of effectiveness, whereas others have fairly frequent complications, sometimes severe, including scarring that lead, ultimately, to penis shrinkage or erectile dysfunction. Noninvasive methods have received little scientific study, and most lack scientific evidence of effectiveness, although scientific evidence supports some elongation by prolonged traction. Some quack products may improve penis erection, mistaken by consumers for penis enlargement.
Richard, a mechanic from upstate New York, is a muscular, athletic guy. He has a loving wife who has always enjoyed their sex life. But ever since he was a young boy, Richard couldn't get over the feeling that his penis was too small. In public bathrooms, he'd use the handicapped stall. He felt embarrassed in gym locker rooms and when standing naked before his wife. "I didn't feel manly enough," he tells WebMD.