Male Enhancement: Is It Worth a Try? (cont.)
The Quest for a Bigger Penis
The FastSize Extender device promises results, but it's far from quick and easy. Just ask Bob, a retail manager from New Jersey. He says he's gained over 2 inches of erect length. All it took was 25 months and over 2,600 hours wearing the device, typically five hours a day, seven days a week. "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.
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. Richard's wife has also been supportive. "I see a more confident man in front of me from using this product," she says. She also says the lengthening has enhanced their sex life, though she had no complaints before.
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.)
Could FastSize work on men of normal penile length? Levine says it might. "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."
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.
Many doctors question whether the benefits of lengthening surgery outweigh the risks. 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. Men who are overly preoccupied with penis length tend to have unrealistic expectations of surgery and should seek counseling instead, the authors wrote.
Herbs and Male Enhancement
Thousands of years before Viagra, men were consuming everything from horny goat weed to powdered rhino horn in hopes of boosting sexual performance. The remedies persist for men who can't get their hands on prescription drugs like Viagra or who prefer "natural" cures.
But many doctors are wary of traditional medicines. 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.
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.)
The Way to Happiness in Bed
The Internet is rife with scammers who seek to prey on men's insecurities, Levine says. "All the pills, topical creams, and gels are worthless. Many men would clearly rather spend $20, $50, $100 on the Internet than go to the doctor and get real information."
In some cases, men are harming themselves in the pursuit of a bigger penis. Levine cites "jelqing," a technique involving hours and hours of intense stroking. He says he has patients who have developed Peyronie's disease due to violent stretching of the penis through jelqing.
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. 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. Given that the vast majority of men fall within a certain penis size -- about 5.5 to 6.2 inches long when erect -- most men fall within the normal range.
And there's plenty of debate on whether size matters at all. The most sensitive nerves in the vagina are found close to the surface, Lamm notes, and the clitoris is found on the vagina's outside. So there should be plenty of ways to satisfy your partner that have nothing to do with pills, creams, surgery, or devices.
SOURCES: Karen Boyle, MD, assistant professor of urology and director of reproductive medicine and surgery, Johns Hopkins University School of Medicine. Laurence A. Levine, MD, professor, Rush University Medical Center and director of male sexual function and fertility, Chicago. Steven Lamm, MD, assistant professor of medicine, New York University and author, The Hardness Factor. Richard, New York. Bob, New Jersey. WebMD Medical News: "Penis-Lengthening Surgery Questioned," "Small-Penis Syndrome Questioned."
Reviewed on September 14, 2007
Last Editorial Review: 2/11/2008