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.
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.
The side effects of lengthening surgeries are numerous and include infections, nerve damage, reduced sensitivity, and difficulty getting an erection. Perhaps most disturbing, scarring can leave you with a penis that's shorter than what you started with. Widening the penis is even more controversial. Side effects can be unsightly -- a lumpy, bumpy, uneven penis.
Penis-lengthening surgery is also an option for men, but it is a highly controversial procedure. The American Urological Association says a common form of lengthening surgery (involving cutting the suspensory ligament of the penis) has not been shown to be safe or effective. The group also refuses to endorse surgeries that inject fat cells in the penis with the goal of increasing penile girth.
Chicago urologist Laurence A. Levine, MD, director of the male fertility program at Rush University Medical Center, tested the FastSize Extender on 10 men afflicted with Peyronie's disease, which can cause bending and shrinkage of the penis. At the end of the six-month study, which was funded by the maker of the FastSize Extender, Levine found increased penile length and reduced curvature in every man and increased girth in seven of the men. Calling the results "remarkable," Levine now prescribes the device to many of his Peyronie's patients and reports no significant complications. (Levine has also worked as a paid consultant to FastSize Extender.)
The clinical scientific study available for VigRx Plus is the primary factor that pulls VigRX into our Top 3. There is a ton of information available on their website regarding the reputable study, but this table below is perhaps one of the most telling. In comparison to the placebo, there was a 71.43% increase in sexual and intercourse satisfaction.
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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.