The Doctor Says
By DR MILTON LUM

Concerns about the size of genital organs are often unwarranted.

MOST humans are concerned about the size of objects. For many, big is beautiful up to a point after which, it may become ugly. For others, small is beautiful again up to a point after which, it becomes unacceptable. Only a few of us have no views on size.

As it is with inanimate objects, so it is with the human body. Many adults are concerned about the size of their genital organs, particularly its relationship to sexual performance and satisfaction.

The paucity of information in the public domain, the gaps in consumers’ medical knowledge, misinformation and advertisements in the print and electronic media and the reluctance of many doctors and health care professionals in discussing such matters have contributed to misperceptions.

Men’s size

The male is fascinated with the penis from an early age. As boys become adults, many become convinced that it would be better if the penis is just a bit longer. Information from friends and advertisements reinforce the perception that there is a relationship between penile length and manhood.

Most females cannot understand this fascination or obsession. There are reports that chance remarks about small penile size, particularly in the bedroom, have led to impotence (erectile dysfunction).

When a male sees his penis, it is at an angle, which makes it appear to be shorter than it really is. But when he sees another male’s penis, there is no such foreshortening effect, so it appears that the other’s penis is longer.

One should remember the facts about penile size. Wessells and his colleagues reviewed publications on penile length in 1996. The average length of a flaccid penis, measured from the base to the tip, is 8.85 to 10.7cm while that of an erect penis is 12.89 to 15.5cm. During an erection, the shorter flaccid penile length of a male will increase more than that of another with a longer flaccid length.

It should be remembered that the vagina can accommodate any penile size as it is distensible because of its capacity to increase in length if an object is introduced gradually. There is no relationship between race, height and penile size. Neither is there a relationship between penile size and sexual performance and satisfaction. Some men have bigger penises than others, just as some men are taller or of bigger build than others but penile size is no indicator of virility.

Concerns about sizes

If one is unhappy about his penis size, it is advisable to consult a general practitioner or urologist. In most instances, reassurance that the penis size is normal is all that is necessary.

Many people advertise their claims of methods of increasing penis size. The expert opinions on the methods are:
Pills or patches – a complete waste of time
Penile enlargement exercises – probably futile
Penile suction devices – probably of little use
Penile enlargement surgery – uncertain value with risk of bleeding, infections and deformity.
Surgery may lead to the flaccid penis appearing longer but it makes no difference to the size at erection. There are reports of some modest improvement in length with penis stretchers (expanders). Some men may want to reduce the penis size. Although this can be done, there are risks of bleeding, infection and deformity. A urologist should always be consulted prior to the use of devices or surgery.

Female size

The vulva is the visible part of the female genital organs. It includes the clitoris, labia and urethral opening. It is not uncommon for women to be concerned about the size of their vulva and vagina as it plays a major role in their sexuality. A common myth is that a large vagina is associated with excess sex. This is incorrect as the frequency of sex has no impact on vulval and/or vaginal size.

Braun and Kitzinger in their publication Culture, Health and Sexuality put it succinctly: “With the construction of women’s genitals as problematic, the ‘private’ female body becomes a site for potential improvement. Socio-cultural accounts of vaginal size in the West construct a tight (but not too tight) vagina as desirable, and a ‘loose’ vagina as undesirable. In women talk, we found a curious pattern: women identified the cultural desirability of a tight vagina, and noted negative uses to which this is put (such as the positioning of women with ‘loose’ vaginas as promiscuous).

“However, when women described their personal concerns about vaginal size, these were couched in terms of anxiety about being too tight. We argue that constructions of vaginal size are problematic because they create another site of bodily concern for women, and are used to control and abuse women. We suggest that they also reflect a disregard of women’s sexual pleasure, and a lack of familiarity with the functions of the vagina.”

Weber and his colleagues studied the relation of vaginal anatomy to sexual function and concluded: “Vaginal anatomy measured by introital calibre, length and vulvo-vaginal atrophy does not correlate well with sexual function, particularly symptoms of dyspareunia (painful intercourse) and vaginal dryness.”

If a woman has not given birth, there is no way that her vulva or vagina is too big. However, childbirth affects vulval and vaginal size. The more babies delivered vaginally, the more likely the size will be increased. This is because the vaginal muscles and its supporting tissues are damaged during childbirth, particularly when labour is prolonged or difficult.

The increase in vulval and vaginal size can be prevented by adherence to pelvic floor exercises for six months after delivery. This involves tightening up the pelvic floor muscles, like trying to stop passing urine, holding the contraction for 10 to 15 seconds, relaxing for 10 to 15 seconds, repeating the contracting and relaxing for five to 10 minutes and doing the exercises three to four times a day.

Too big

The effects of too big a vagina include less than satisfactory vaginal intercourse for the female and/or male, air and/or water getting into the vagina and descent (prolapse) of the vagina, uterus and other pelvic organs in later life.

There are different treatment methods. Intensive pelvic floor exercises described above for six months will lead to improvement. Working at vaginal muscle developers for some time can also improve matters. A pelvic floor repair done by a gynaecologist brings together and tightens the weakened pelvic floor muscles and tissues.

Many women are concerned that the vulval lips (labia) are too large, too long or protrude unequally. If there are such concerns, a gynaecological consultation will be helpful. In most instances, reassurance that one is normal is all that is necessary. If there is a genuine abnormality, it can be corrected surgically.

Sometimes, a female may feel that her vulva and vagina are too small. They are statistically very rarely correct. A small vulva and vagina may be the result of surgery to the vulva and vagina. Too small a vagina can occur when there is a vaginal septum, which may lead to a double barrel-shaped vagina. The symptoms include inability to insert a tampon, pain on vaginal intercourse or total inability to have intercourse.

The vast majority of women with these symptoms have a normal sized vagina. However, many of them suffer from sustained contraction of the vaginal muscles whenever there is an approach to the genital organs (vaginismus). An internal examination will provide the answer to questions about smallness. A vaginal septum is easily treated surgically. The treatment of vaginismus is challenging and requires an expenditure of time and effort by both patient and doctor. If the vulva and vagina are genuinely small, it can be corrected surgically.

Whenever there are concerns about the size of the genital organs, it is advisable to consult a doctor. To do otherwise is risky and to have an untrained person do the job is to court disaster.
Dr Milton Lum is chairperson of the Commonwealth Medical Trust. This article is not intended to replace, dictate or define evaluation by a qualified doctor. The views expressed do not represent that of any organisation the writer is associated with. (source)

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Male enhancement industry has grown tremendously and continues to grow. This growth is attributed to the coming of age of the sexual awareness in men. Doctors and manufacturers of different male enhancement products are the main beneficiaries of this growth. While doctors perform surgeries and earn huge amounts of money, manufacturers create products.

However, before venturing into getting a new product or getting surgery done, is there a way of finding out about the safety measures and what other customers have to say about the products?

There are several much-talked about male enhancement products in the market. It would help to see how they are rated on the scales of safety, usability and effectiveness. This can be done by reading product reviews which can help you decide whether you should go in for a particular product.

Surgery: This is one of the most popular methods for people to enhance the size of their penis.
The techniques used to increase the penis size through surgery vary. One of the methods is based on cutting the ligaments that help attach the penis to the body and then injecting body fat under the skin of the penis.

The cost of surgery also has to be taken into consideration, as it can be anywhere between $4000 - $10000. This can prove to be expensive to many people as penis surgery is categorized as cosmetic surgery and cosmetic surgery is not covered by insurance.

Pills, patches, creams, ointments, lotions: These are things you should totally avoid as they really cannot help increase the size of your penis. Although, none of these products can make a penis longer or thicker, some of them can help achieve a better and fuller erection. If that is what you are looking for, then it is advisable to look for completely natural penis enlargement products, which are relatively safer than the others.

By and large, it is safer not to waste money on these products. You should also be cautious about the use of your credit card to buy these products. There are several unscrupulous people selling such products out there and it is better to pay through wire transfer or by check.

Traction devices, penis pumps and penis extenders: Penis pumps are being considered as being safer than the penis extenders that just don’t work. But penis pumps are only helpful in achieving a fuller erection just like the pills, patches and creams do. They can be used for the purpose of erection alone.

Traction devices and jelqing exercises are good tools that help increase the length and girth of the penis. Although, they have been seen to work in increasing the size of the penis, you should use them cautiously and not go overboard in the vain attempt of achieving greater results in a shorter time.

You should also remember to do all the exercises that come with the products you buy. This is the only way of achieving results as claimed by the manufacturer. btw if you’re interested in penis enlargement exercise programs, then check out Penis Development exercise program

These are the products available in the market and the only way you can get the results you are looking for is understand the products well, including their side effects if any. Being completely safe is the only way you can increase the size of your penis.

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If the age of 30s shows a decrease in the testosterone and several physical and emotional changes in a man, imagine what the 40s can do. It sounds scary, but the fact is that for most men, it is the end of their active life. No more parties, no more active life and life gets slower and brings with its memories of a bygone fun-filled life.

These changes more often than not lead to depression. Everything that was enjoyable earlier now takes a backseat and their place is taken by the negative feelings of anxiety and depression as well as the andropause, which is a debatable topic.

Men should realize that their state of mind is very important and just because they are getting on in life, they don’t have to give up on things they have forever enjoyed, including sex.

Experiencing problems in the area of sex is quite common, but fortunately, there are ways of overcoming the problem of good sex. There are several penis enlargement solutions that stimulate the male libido and compensate the decrease in testosterone. There are some solutions that are based on increasing the blood flow to your penis. This helps people whose blood flow has been affected either due to smoking, drinking or even by constriction of blood vessels due to age.

These things can help men overcome the negative changes and help them lead a normal sex life. At 40-years of age, a man still has plenty of life ahead of him to enjoy sex and does not have to give up on sex at this age. He should be able to deal with the problems he has, in the knowledge that many years of enjoyment lay ahead of him.

A penis that is not exercised usually starts losing tissue mass once a man reaches 40. This is where penis enlargement exercises, pills and traction devices can help in keeping the penis in good shape.
For men who lose their self-confidence as they age, it is important to understand that while there are women who prefer younger men, there are many women that prefer an older man for his compassion and their understanding of how to give the best to a woman.

Men are still desirable when they reach their 40s. They still retain the capacity to attract women and this should be reason enough to not give up and ensure they keep their penis in shape with exercises and other penis enlargement techniques.

There is certainly nothing wrong in resorting to the penis enlargement solutions. It is a natural thing to do and in fact, it is appreciable that men are keeping themselves fit to be more desirable. They don’t have to talk about this to their women. Keeping oneself fit and perfect to be able to enjoy life and feel confident, is the only way to lead a happy life and give happiness to the partner.

Men lacking in self-confidence are those that are unable to accept the problems they face and refuse to do anything about the issues. Smart men are those that are willing to take control out of their lives and in turn enjoy sex throughout their lives.

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Is it nature’s curse? Or is it just the man making an issue over nothing? The latter may be true medically but psychologically, it hits a man hard, rendering him ineffective in more ways than one. Other insecurities tend to pale in comparison.

The phenomenon of the “small penis” began in history and continues to haunt man to this day. No amount of modernity could change the fact that a man wishes to please a woman. While this is a good thing in many ways, it is not, when it comes to the size of the penis.

Men with a small penis have been seen to prefer rejection to being accepted. Acceptance brings with it a number of apprehensions of how a woman would feel of the small penis. These men start forming a barrier, keeping intimacy at bay.

Men develop preconceived notions and imagine that women would not wish to be associated with them. They also tend to keep away from situations where their small flaccid penis may be noticed by others, such as in the locker rooms.

Men with a small penis lack in confidence and do not believe even when a woman admits to have been satisfied with their lovemaking. There are several husbands who have complained that their wives are faking pleasure. Over a period of time, this has an effect on their private and social lives as well.

The desperation men feel with having a less than average penis is understandable. While it is important to do something about an existing problem, it is even more important to not let those issues take over one’s life. Life is all about being satisfied with what you are. Men believe their self worth is based on the size of their penis. This is the reason the penis enlargement industry is thriving.

The best way this feeling of inadequacy can be alleviated, is by building confidence and learning to sexually satisfy women just by being yourself. You may be surprised to hear this, but for all the women that prefer a big penis, there are those that consider men with big penises bad lovers. Who knows, you may find a woman who feels that way. Try and learn techniques and approaches so that your woman will not even notice the size of your penis.

Last but not the least, just remember that there are several other things that can make a woman achieve satisfaction sexually and emotionally, and penis size is not all that important. Imagine having a huge penis but not being able to satisfy your woman. There are several such men.

Your confidence will make you a better lover and a better lover is a more confident lover.

You will be surprised at what life has to offer when you find the right person. When you are filled with love for each other, nothing else matters, least of all the size of the penis. Love and friendship overtake all other feelings of inadequacies in both men and women.

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Every manufacturer of a penis enlargement products claims that their product works wonders and it is the best. How does one decide which one is actually genuine, with hundreds of such products in the market?

The one thing that could help men with their decision is the clinical studies, which are unfortunately almost non-existent at this point in time. There are no legitimate scientific studies on penis enlargement products that men can fall back upon.

Even the earlier positive results of exercises that showed that the length and girth of a penis can be changed, have been derived through experimentation of individuals who went to the extent of trying out new unknown techniques. This means all the talk revolving around natural exercises and stretching is based on reviews given by numerous people who have experienced results.

There is one known study conducted by a doctor in the UK, Dr. Brian Richards. He has also authored many books and written several articles on subjects related to sex. This study was performed as far back as in the 1970s and the focus of the study was on penis enlargement using the “Chartham Method.”

The results of the study revealed that after 3 months of following this method, 87.5 % of the men reported gains of 0.94 inches – 1.4 inches in length and 0.55 inches – 1.2 inches in girth. Dr. Richards concluded the study as being successful and that the Chartham Method can indeed help a large percentage of men enlarge their penis size, in both the length and girth.

Unfortunately, that study does not help us today as that method is no longer in use, due to the other modern solutions making their entry. However, the problem with these solutions is the lack scientific proof of their efficacy.

There is always that one person who chooses to do something that has not been done before. The owners of the PenisHealth program, Lativio LLP, have decided to conduct studies on their own product and reveal the results to the public.

They aim to prove to the non-believers and skeptics that genuine and well-designed penis enlargement exercises do produce substantial positive results. This shows the company’s confidence in the high-quality of its products and its commitment towards truly helping people achieve what is promised.

Let us take a look at the study details. The Lativio LLP study will work with 50 volunteers, who will be participating in the study for 4-6 months. The study is aimed at focusing on the increase in penis size, both in flaccid length, erect length, girth, hardness of erection, frequency of erections, libido, sexual stamina, control over ejaculations and confidence levels.

Volunteers are expected to perform exercises for 40 minutes each day, 4 times a week. Volunteers will perform these exercises at their homes and report the results to the clinic twice weekly. They will also be filling questionnaires and providing feedback to all the questions asked by the experts. Penises of the volunteers will be measured every month and all measurements studied.

If they can indeed prove that their penis enlargement exercises bring about substantial changes in the penis size, it would be the first clinically proven study in modern times and would help in erasing all the doubts men tend to have about the efficacy of the penis enlargement exercises – due to lack of scientific proof.

An official stamp on these exercises will give men the much needed confidence to use PenisHealth products and other exercises by and large.

Did you know that women can read us guys very easy, just like books? Yep, they have those ultra sensors where they can in a blink of an eye spot if you’re less confident. It is believed that having less confidence can be linked to having a small penis, so there you go… women can spot that as well. It’s hard to believe that, but it’s true!

The very first thing a woman notice about you is your levels of confidence, because that is what interests them the most! I mean think about it: women want strong and confident guys who will take care of them and protect them from incoming dangers (just like animals). So if a woman sees a stoop-shouldered guy with a depressing look on his face, there’s a very little chance that this guy will get a date from this lady.

Woman love to see a guy who walks with a swagger, with confident look in his eyes. And I’m talking about any women, not just those that look for dates. All women love these kind of guys! And I can tell you, nothing gives a man more confidence than the fact that he has big penis and he can walk around having that “I don’t have a care in the world” irresistible aura! I mean there certainly are benefits of bigger penis, and you’re just about to discover them.

All women think: “If he looks that much confident, then there must be something in his life that makes him so confident! Hmmmm, I wonder what it is”. And believe it or not, one of the first things she thinks about is that you might have a big penis! Trust me, women love big penis!

Just imagine what bigger and meatier penis will mean to you: super-confident levels, flirting with ANY lady in a bar on a night out, increased sexual stamina in bed etc… When you add 1 or 2 inches to your penis (using one of the penis enlargement methods), you can say bye bye to low self-confidence.

Women will be impressed by new and much bigger You and other guys will be wondering how you went from guy with low self confidence to a guy who can have any girl that he wants to…. And you will know the answer is: bigger penis!

Here’s an interesting article related to this topic: Penis Size and Male Dominance. Read it!