Before deciding to have penis enlargement surgery, two questions need to be answered:
- Will I have at least 4 hours a day to wear the extender for long periods of time?
- What else do I want to do for maximum results?
The first question is purely organizational. If the extender holds up well, then it can be used at work, if the work does not involve physical activity, or while sitting in the office. As a rule, it is not seen under a suit or wide-legged pants.
The second question is more complicated. Based on the postulate that the final result depends on the initial length of the penis, you should consider the feasibility of the operation.
Indications for penis enlargement surgery
Indications for penis enlargement surgery are not only the patient's desire but also the initial size of the penis.
- If the penis is smaller than 12 cm, then medical surgery is indicated, because we are talking about underdevelopment of the penis, and you have to fight every millimeter.
- If the length of the penis is less than 15 cm, surgery should be performed to achieve maximum results.
- If the length of the penis exceeds 15 cm, the operation is additional.
Of course, such a distribution is very arbitrary, and in most cases the patient's wishes are decisive.
It must be remembered that the essence of the operation is to release the inner (hidden) part of the penis, allowing the extender to work the entire length of the penis and ultimately obtain maximum results.
As for the use of hormones, in the case of underdevelopment of the penis and hormonal disorders, their use is necessary to have a complex effect on the tissues of the penis. In these cases, testosterone is given by injection. If the length of the penis is within normal limits and there are no hormonal disturbances, then only an ointment with testosterone activity (dihydrotestosterone) should be used.
The extent of genital elongation when using a stretching machine depends on the following conditions:
- Initial length of the penis. The longer the original penis, the longer it grows. That is, the more tissue involved in the stretching process, the better the outcome. Therefore, in some cases, a ligamentectomy is performed to increase the area of influence of the stretcher.
- Accurate penile anatomy. In other words, depends heavily on the extender's holding capacity. If the extender doesn't slide out and "lay" well, there should be no problems with using it (put it on and forget it). The design of the modern extender allows it to be fixed in most cases when it is not possible to hold other extenders.
- 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 man has more prospects than a man aged 50-60. The elasticity and stretchability of tissues can be an important factor.
- The absence or presence of hormonal problems. A small penis may be indirect evidence of decreased production of testosterone - the male sex hormone. Therefore, in some cases, before penis enlargement, it is necessary to conduct a hormonal test to decide whether hormone therapy to prolong the time should be indicated.
About the extender
- The extender must be worn on a clean penis, preferably washed first with soap. Skin must be dry. This is very important from a hygienic point of view, in addition, in this way the extender will hold better and will not slip.
- It may happen that again, when wearing the extender, you will not be able to lengthen the penis and fix it on the barbell length last time. The penis can only shrink, this is normal. To pull it back to its original length, simply wear the extender for 15-20 minutes at the reduced length (you can add 2 cm bars), then continue wearing it at the original bar length.
- If the extender is alternately worn down and up, it should be noted that the tension in the first and second cases will be different - for the same length of rods, the tension will always be stronger than if the extenderdownwards .
- In post-circumcised patients, skin can be pulled along the posterior surface of the penis (where the urethra passes) when the device is worn downward because the penis is curved relative to the base of the extender. This may be due to the fact that on the posterior surface of the penis after circumcision (especially ritual) very little skin is sometimes left - during erections in such men, the skin of the scrotum is alwaysstretch and form "sails". . To avoid discomfort when wearing the device downwards, after a while, rotate the device upwards and tighten the skin with your hands, then the extender returns to its original position.
About medicine
As for the use of various agents in the form of tablets or ointments, which are believed to contain plant substances and ingredients, and lead to increased blood circulation in the penis, the mechanism of action of the agentsThis is not criticized from the casual point of view. physiology and anatomy of the penis, and its description is calculated on people without medical qualifications. Of course, we can assume that against the background of a strong erection, as it were, an extension of the penis from the inside. But how long should an erection last before its action begins to be taken to lengthen the penis? And isn't it easier to use an extender? Also, during a super erection, the penis can actually appear to be a little larger than it was originally due to its tissues being maximally stretched.
At the current stage of medical development, the only tablet drugs that are effective for enhancing erections are drugs from the class 5 phosphodiesterase inhibitors, and their active metabolites can affect erections. to the penis is only active testosterone - dihydrotestosterone (there are receptors for dihydrotestosterone in the penis, and not for testosterone).
The use of testosterone in pill form is very dangerous for the body, since this method of use has an adverse effect on the liver. In addition, testosterone should be used with caution in people over 45 years of age and only after age 50 after a urological examination. Applying testosterone-only topical ointments is essentially useless - testosterone still has to be absorbed into the bloodstream, pass through metabolic pathways, and become active. Furthermore, it will enter with even blood flow to all organs and tissues, and the sense of local application will be lost.
Ointments containing only dihydrotestosterone should be applied topically with the aim of having a local metabolic effect on organs sensitive to hormonal action. Only relevant when using an extender. If there are hormonal disorders, decreased testosterone levels and an underdeveloped penis, you should consult a specialist.
About clothes to lengthen the penis
- Special attention should be paid to underwear. Underwear should be loose. If the extender is facing downwards, the tights can pull it up, relieving the tension on its bars. Also, for tight pants, it is difficult or simply impossible to get the stretcher on.
- Pants should be loose. If stretchers are used at work, you should wear tight-fitting pants.
About sex during penis enlargement
Sex should be done regularly. Sometimes a man can have psychological problems with an erection, especially if he doubts the size of his penis at rest and erection. Also, an erection doesn't always happen before you have to undress, which further exacerbates the stress. Against the background of stress, bondage and fear, pressure increases, blood vessels constrict and an erection may not occur. Such an image does not mean that this man has organic problems with an erection, as a rule he does not have any problems with an erection during masturbation. The solution to this problem may be to support erections with drugs - phosphodiesterase type 5 inhibitors. You only need to spend the first few intercourses "taking the pill", about which the partner should not be informed. . Against the background of erection confidence, their fears will pass and doubts about their sexual incompetence will disappear. Although these drugs are freely available in the pharmacy network, your doctor should recommend a specific drug and dosage.
What to do if you only have 30 minutes to use the extender - 1 hour a day
In this case, the alternative way of wearing the extender should be followed. Each time the device is turned to maximum, and after 10-15 minutes, after the penis is relaxed, the barbell will be turned to its full length, at which point the extender will "wear out" for the remaining timeagain. And so every time.
How long do you use the device?
The device should be used until the desired results are achieved, but not more than one year. As a rule, elongation occurs in the period from 3 to 6 months.
How to take care of the device
The extension is a special maintenance-free construction. However, you should periodically wash the strap liner with warm water and soap, and wipe the base and bar with alcohol.