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In the world of penis enlargement there are generally three types of options available: surgical procedure, manual exercises, and external devices. While the herbal enhancement supplements and topical solutions available can create a slight increase in size over time, the results are more of an indirect (though beneficial) side effect since their main function is to enhance performance.


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Such breakthroughs call to mind the myriad of alternate products — some legit, many not — that men attempt to use before they take traditional erectile dysfunction medications or undergo erectile dysfunction surgery. So how do you discern the truth from the hype when it comes to non-medical erectile dysfunction treatments? We asked experts to weigh in on what works and what's a waste.
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.
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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.
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.
No herbal remedy can restore erections like Viagra and its prescription counterparts, says Steven Lamm, MD, an assistant professor of medicine at New York University and author of The Hardness Factor. But Lamm says these remedies may be appropriate for men who have experienced a decline in sexual performance but do not suffer from a diagnosable sexual problem. Lamm has endorsed an herbal remedy, marketed under the Roaring Tiger label, that combines horny goat weed and other herbal extracts with the amino acid L-arginine. (The supplements are made by the same company that makes the FastSize Extender.)

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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.
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