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 achieve maximum results?
The first question is purely organizational. If the extender holds well, then it can be used at work, if the work is not related to physical activity, or while sitting in the office. As a rule, it is not visible under the suit or skirt.
The second question is more complicated. Based on the postulate that the end result depends on the original length of the penis, you should consider the possibility of surgery.
Indications for penis enlargement surgery
The indicator for penis enlargement surgery is not only the patient's desire but also the original size of the penis.
- If the penis is less than 12 cm, then there are medical indications for surgery, as we are talking about penis underdevelopment, and you have to fight for every millimeter.
- If the length of the penis is less than 15 cm, then surgery should be done to achieve maximum results.
- If the length of the penis exceeds 15 cm, surgery is complementary.
Of course, such a distribution is very arbitrary, and in most cases the patient's desire is crucial.
It should be remembered that the essence of the operation is the release of the inner (hidden) part of the penis, which allows the extender to act along the entire length of the penis and ultimately get the maximum result.
As for the use of hormones, in the case of underdevelopment of the penis and hormonal disorders, their use is necessary for 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 regulation disorders, then it makes sense to use only oils that contain active testosterone (dihydrotestosterone).
The degree of elongation of the genitals when using an extender depends on the following conditions:
- The original length of the penis. The longer the penis is initially, the better it lengthens. That is, the more tissue involved in the stretch, the better the result. Therefore, in some cases, a ligamentotomy operation is performed in order to increase the area of influence of the extender.
- Accurate anatomy of the penis. In other words, a lot depends on how well the extender will hold. If the extender does not slip and "sit" well, there will be no problems with using it (set it and forget it). The design of the modern extender allows it to be adjusted in almost all cases where other extenders cannot be held.
- 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, than 1-2 hours.
- Age A young person has more perspective than a man aged 50-60. Elasticity and the ability to stretch tissues can be an important factor.
- Absence or presence of hormonal problems. A small penis may be indirect evidence of a decrease in the production of testosterone - the male sex hormone. Therefore, in some cases, before penis enlargement, a hormonal examination should be performed to decide if it is advisable to prescribe hormone therapy for the prolongation period.
About the extender
- The extender should be worn on a clean penis, preferably pre-washed with soap. The skin should be dry. This is very important from a hygienic point of view, in addition, this way the extender will hold better and will not slip.
- It may happen that once again, by placing the extender, you will not be able to stretch the penis and adjust it to the length of the barbell that was the last time. The penis can simply contract, this is normal. To pull it up to its original length, just wear the extender for 15-20 minutes at a reduced length (you can remove the extra rods of 2 cm), and then continue to wear it at the original length of the rod.
- If the extender is worn alternately down and up, then it should be borne in mind that the tension in the first and second case will be different - with the same length of rods, the tension will always be stronger if the extender is directed downwards.
- In patients after foreskin circumcision, it is possible to pull the skin along the back surface of the penis (where the urethra passes) when wearing the apparatus down due to the fact that the penis is bent at the base of the extender. This may be due to the fact that on the back surface of the penis after circumcision (especially ritual) sometimes a little skin is left - with a gathering in such people, the skin of the scrotum is always tight and a "sail" is formed. To avoid discomfort when wearing the camera down, after a while, turn the camera up and tighten the skin by hand, after which the extender returns to its original position.
For medicines
Regarding the use of various agents in the form of tablets or oils, which are supposed to contain plant substances and ingredients, and which lead to increased blood circulation in the penis, the mechanism of action of these agents does not stand up to criticism from the point of view of normalphysiology and anatomy of the penis, and its description is calculated in people without medical education. Of course, we can assume that against the background of a strong erection, there is, so to speak, an extension of the penis from the inside. But how long should an erection take for his action to begin to take place to lengthen the penis? And isn’t it easier to use an extender? In addition, while it is super erect, the penis may actually look somewhat larger than it was due to the maximum stretch of its tissue.
At the present stage of drug development, the only effective drugs for erection enhancement pills are drugs from the group of phosphodiesterase inhibitors of type 5, and the metabolically active substance that can have an effect on the penis is only active testosterone - dihydrotestosterone (hasdihydrotestosterone receptors in the penis, and not testosterone).
The use of testosterone in tablets 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 of age, and after 50 years only after a special urological examination. Topical application of testosterone-only oils is essentially futile - testosterone must still be absorbed into the bloodstream, pass through metabolic pathways, and become active. Further, it will enter the bloodstream evenly into all organs and tissues, and the sense of local application is lost.
It is usually advisable to apply an ointment topically that contains only dihydrotestosterone in order to have a local metabolic effect on a body sensitive to hormonal effects. Relevant only when using the extender. If there are hormonal disorders, a drop in testosterone levels and an underdevelopment of the penis, you should consult a specialist.
About clothes for penis lengthening
- Special attention should be paid to the interior. Shoes should be loose. If the extender is directed downwards, then tight pants can pull it upwards, reducing the tension on its rods. In addition, in tight pants it is difficult or simply impossible to hold the extender up.
- Pants should be loose. If the extender is used at work, it makes sense to wear suit pants.
About sex during penis lengthening
Sex should be done often. Sometimes a man can have psychological problems with erection, especially if he doubts the size of his penis at rest and with an erection. In addition, a gathering does not always occur before you have to remove clothes, which further exacerbates stress. Against the background of stress, tightness and fear, the pressure rises, the blood vessels constrict and the collection simply can not come. Such a picture in no way means that this man has organic problems with erection, as a rule, he does not have any problems with erection during masturbation. The solution to this problem may be to support medication for erection medication - type 5 inhibitory phosphodiesterase. You just need to switch the first intercourse "on the pill", about which the partner should not be informed. Against the background of a safe gathering, the fear will pass and the suspicions about their sexual inferiority will disappear. Although these drugs are freely available on the pharmacy network, a physician should recommend a specific medication and its dosage for use.
What to do if there are only 30 minutes to use the extender - 1 hour a day
In this case, the alternative way of dressing the stretcher should be followed. Whenever the device is twisted to the maximum, and after 10-15 minutes, after relaxing the penis, the dumbbells are tightened to the maximum possible length, at which the extender is "consumed" for the rest of the time. And so every time.
How long should you use the device
The device should be used until the desired result is achieved, but not more than one year. As a rule, the extension occurs in terms of 3 to 6 months.
How to take care of the device
Extension is a construction that does not require special maintenance. However, it is wise to periodically rinse the belt cushion with warm soapy water and wipe the base and bars with alcohol.