Before deciding on penis enlargement surgery, two questions need to be answered:
- Will I have at least 4 hours a day to wear the extender for a long time?
- What else do I want to do to get maximum results?
The first question is purely organizational. If the extender is well kept, it can be used at work, if the work is not related to physical activity, or can be done while sitting in the office. As a rule, it is not visible under suits or wide trousers.
The second question is more complicated. Based on the assumption that the final result depends on the original length of the penis, you should consider the feasibility of the operation.
Indications for penis enlargement surgery
The indication of penis enlargement surgery is not only the desire of the patient, but also the original size of the penis.
- If the penis is less than 12 cm, then there are medical indications for surgery, because we are talking about underdevelopment of the penis, and you have to fight for every millimeter.
- If the length of the penis is less than 15 cm, then the operation should be done to get maximum results.
- If the length of the penis is more than 15 cm, the operation is complementary.
Of course, such a distribution is very arbitrary, and in most cases the will of the patient is decisive.
It should be remembered that the essence of the operation is to release the inner (hidden) part of the penis, which allows the extender to act over the entire length of the penis and ultimately achieve maximum results.

As for the use of hormones, their use is necessary for a complex effect on the tissues of the penis, in case of underdevelopment of the penis and hormonal disorders. In these cases, testosterone is given by injection. If the length of the penis is within the normal range, and there are no hormonal regulation disorders, then it makes sense to use only ointments containing active testosterone (dihydrotestosterone).
The degree of genital lengthening when using the extender depends on the following conditions:
- The original length of the penis. The longer the penis is originally, the longer it will be. I. e. the more tissue involved in the stretching, the better the outcome. Therefore, in some cases, a ligamentotomy to increase the area of effect of the expanderThe operation is performed.
- Correct penile anatomy. In other words, a lot depends on how well the extender will hold. If the extender does not slide and "sit" well, there will be no problem with its use (put itAnd forget it). The design of modern extenders allows it to be fixed in almost all cases when other extenders cannot.
- Patient persistence. Of course, it is better to wear the extender for 2 hours, not 30 minutes at a time, and 6-8 hours a day instead of 1-2 hours.
- Age. A young person is more likely than a person aged 50-60. Tissue elasticity and stretchability can be an important factor.
- The absence or presence of hormonal problems. A small penis can be indirect evidence of a decrease in the production of testosterone - the male sex hormone. Therefore, in some cases, a hormonal exam should be performed to determine whether, before the penis is elongatedWhether it is appropriate to prescribe hormone therapy for a longer period.
about the expander
- The extender should be worn with soap on a clean, preferably already washed penis. The skin should be dry. This is very important from a hygienic point of view, moreover, in this way the extender will hold better and will not slip.
- It may happen that once again applying the extender you will not be able to stretch the penis to the length of the barbell that it did last time. The penis can easily shrink, this is normal. To stretch it to its original length, Simply wear the extender on the shorter length for 15-20 minutes (you can unwrap an additional 2cm of rods), and then continue to wear it at the original rod length.
- If the expander is worn down and up alternately, it should be borne in mind that the tension in the first and second cases will be different - with the same length of the rod, the tension when the expander is directed downwards is alwayswill be strong.
- In post-foreskin circumcision patients, it is possible to stretch the skin along the posterior surface of the penis (where the urethra passes) when the instrument is worn down, due to the fact that the penis is bent at the base of the expander. This may be due to the fact that after circumcision (particularly ritual) there is sometimes a little skin left on the back surface of the penis - with erections in such men, the skin of the scrotum always tightens andA "sail" is formed. . To avoid discomfort when wearing the device downwards, after a while turn the device upwards and tighten the skin by hand, after which the extender returns to its original position.
about drugs
As for the use of various agents in the form of tablets or ointments, allegedly containing plant substances and components, and increasing blood circulation in the penis, the mechanism of action of these agents does not stand up to criticism from a general point of viewPhysiology and anatomy of the penis, and its description is calculated on people without medical education. Of course, we can assume that against the background of a strong erection, the penis expands from the inside. But the penisHow long should an erection last for you to feel its action to prolong? And isn't the extender easy to use? In addition, when super-erect, the penis may actually appear somewhat larger due to the maximum stretching of its tissues.
At the current stage of drug development, the only effective tablet drugs for increasing erection are drugs from the group of phosphodiesterase type 5 inhibitors, and the metabolically active substance that can have an effect on the penis is the only active testosterone - dihydrotestosterone ( dihydrotestosterone in the penisreceptors, not testosterone).
The use of testosterone in pills is dangerous for the body, as this method of use has a negative effect on the liver. In addition, testosterone should be used with caution in persons over 45 years old, and after 50 yearsShould only be done after a special urological examination. Only topical application of ointments containing testosterone is essentially pointless - testosterone must still be absorbed into the bloodstream, pass through metabolic pathways, and be activated. , it will enter all organs and tissues with the same blood flow, and the meaning of local application will be lost.
It is advisable to apply ointments containing dihydrotestosterone only aimed at the local metabolic effect on the organ susceptible to hormonal effects. Relevant only when using the extender. If there are hormonal disorders, a decrease in testosterone levels and underdevelopment of the penis, you shouldA specialist should be consulted.

About clothes for penis enlargement
- Particular attention should be paid to underwear. Underwear should be loose. If the expander is directed downward, tight pants can pull it up, reducing the tension on its rod. Also, tight pants should have the expander in place. It is difficult or impossible to move up.
- Pants should be loose. If expanders are used at work, it makes sense to wear suit pants.
About sex while penis lengthening
The need to have sex frequently. Sometimes a man may have psychological problems with an erection, especially if he doubts the size of his penis at rest and with an erection. Also, before you take off your clothesThere is not always an erection, which further aggravates the tension. Against the background of tension, inhibition and fear, the pressure rises, the blood vessels constrict and an erection cannot occur. Does not mean that this man has biological problems with erections, as a rule, he has no problems with erections during masturbation. The solution to this problem may be drug support for erections with drugs - phosphodiesterase type 5 inhibitors. You just need to spend the first few intercourse "on the pill", about which the partner should not be informed. Against the background of a confident erection, fears will dissipate and doubts about your sexual inferiority will be dispelledAlthough these drugs are freely available in the pharmacy network, the doctor will recommend a specific drug for use and its dosage. Should do it
What to do if you only have 30 minutes to use the extender - 1 hour a day
An alternative method of wearing the extender must then be followed. Each time the device is rotated to the maximum, and after 10-15 minutes, the penis is relaxed, the barbell is opened to the maximum possible length at whichThe extender is "worn out" for the rest of the time. And so on every time.
how long to use the device
The device should be used until the desired result is achieved, but not more than a year. As a rule, the length is in 3 to 6 months.
how to take care of the device
The extender is a construction that does not require special maintenance. However, it is wise to periodically rinse the strap pad with warm water and soap and wipe down the base and rod with alcohol.














































