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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.
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She also says the lengthening has enhanced their sex life, though she had no complaints before.
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He says he has patients who have developed Peyronie's disease due to violent stretching of the penis through jelqing.
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Then, in the back of a weightlifting magazine, he saw an ad for the FastSize Extender, a device that claims to make the penis longer and fatter through traction.
Just ask Bob, a retail manager from New Jersey.
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That's because performance problems sometimes act as an early warning signal for serious health problems.
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"The small blood vessels that go to the penis can become diseased much earlier than the [larger vessels that go to the heart," Karen Boyle, MD, a urologist at Johns Hopkins School of Medicine, tells WebMD.
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Many men would clearly rather spend $20, $50, $100 on the Internet than go to the doctor and get real information.
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In public bathrooms, he'd use the handicapped stall.
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When Boyle's patients come to her with bottles of herbal supplements, she tells them she cannot vouch for their safety or effectiveness unless the FDA has reviewed the claims on the label.
Atherosclerosis, a condition in which fatty deposits build up inside arteries, may restrict blood flow to the penis and cause erection difficulties.
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"If a woman can have a breast enlargement and it makes them psychologically feel better," he reasons, "then perhaps we should have the same thing for men.
Richard began wearing the device almost eight hours a day, every day.
WebMD does not provide medical advice, diagnosis or treatment.
"In some cases, men are harming themselves in the pursuit of a bigger penis.
The group also refuses to endorse surgeries that inject fat cells in the penis with the goal of increasing penile girth.
Richard, New York.
(Levine has also worked as a paid consultant to FastSize Extender.
Levine cites "jelqing," a technique involving hours and hours of intense stroking.
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.
Many doctors question whether the benefits of lengthening surgery outweigh the risks.
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.
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.
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After four months of wearing the device, he says his flaccid penis has stretched from 3 inches to over 5 inches; erect, he has gone from less than 6 inches to over 7 inches.
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.
The FastSize Extender device promises results, but it's far from quick and easy.
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But ever since he was a young boy, Richard couldn't get over the feeling that his penis was too small.
But a rapid or severe decrease in performance or libido can be a red flag.
It's a testimony to men's abiding insecurities about sexual performance.
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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.
Most importantly, erectile dysfunction may be an early predictor of heart disease.
"Penis-lengthening surgery is also an option for men, but it is a highly controversial procedure.
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See additional information.
"I didn't feel manly enough," he tells WebMD.
These men should be also be controlling their weight and cholesterol level, limiting their alcohol intake, and quitting smoking.
He has a loving wife who has always enjoyed their sex life.
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.
But many doctors are wary of traditional medicines.
WebMD archives content after 2 years to ensure our readers can easily find the most timely content.
) SOURCES: Karen Boyle, MD, assistant professor of urology and director of reproductive medicine and surgery, Johns Hopkins University School of Medicine.
Richard's wife has also been supportive.
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He felt embarrassed in gym locker rooms and when standing naked before his wife.
)The Internet is rife with scammers who seek to prey on men's insecurities, Levine says.
Testosterone deficiencies can also affect mood and energy levels.
(Have you tried or considered trying a male enhancement product? Talk about it on the Men's Health: Man to Man message board.
It's ironic that the male preoccupation with enhancement seems to be independent of the needs of women, the supposed benefactors of improved sexual performance.
The remedies persist for men who can't get their hands on prescription drugs like Viagra or who prefer "natural" cures.
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Most are a waste of money, and some are downright dangerous, doctors say.
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He says he's gained over 2 inches of erect length.
"They need reassurance from a physician that everything is OK," she says.
All it took was 25 months and over 2,600 hours wearing the device, typically five hours a day, seven days a week.
A recent study found that 85% of women are pleased with their partner's penis proportions, but 45% of men say they want a larger penis.
Calling the results "remarkable," Levine now prescribes the device to many of his Peyronie's patients and reports no significant complications.
"I was afraid my girlfriend would think I was a freak, but she was supportive because she felt a difference in her satisfaction and I felt more confident in myself," Bob tells WebMD.
Men who are overly preoccupied with penis length tend to have unrealistic expectations of surgery and should seek counseling instead, the authors wrote.
Given that the vast majority of men fall within a certain penis size -- about 5 to 2 inches long when erect -- most men fall within the normal range.
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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 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.
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