Update 10/20/2019: A new metastudy done by scietists from Italy and the UK reviewed several non-surgical and surgical approaches to increase penis size and evaluated their risks. The results are fully in line with out own and support the statement that penis surgery and almost all of the devices and pums sold for enlargement present a high risk and very limited results.
“Lots of them are placebos and gimmicks that are sometimes semi-poisonous. But I also do believe that extended time exercising the penile muscles will lead to increased blood flow, and over time, this increase may not diminish. Permanent damage has been done in the pursuit of modification to the body that is not the one we were born with!” says Lovejoy. Male pride is a rascally creature, isn't it?
Holding your penis, firmly press the skin back into your body by placing both thumbs, nails touching, over the shaft and your remaining fingers underneath for support. Be sure not to cut off circulation to the penis. Hold for 10 seconds then relax and repeat. You want to maintain a continuous pump action. The farther back the penis is held, the better your results will be. Repeat once or twice daily for five minutes. This exercise can also be performed while semi-erect.
Consider ginkgo biloba. This herb is often taken to boost memory, but it also help with blood circulation and may enhance blood flow to the penis. According to a study conducted at the University of California, ginkgo is most effective at helping men on anti-depressants that can lead to sexual dysfunction. Another study found that gingko had no effect. Scientific data is inconclusive, but since gingko enhances memory and has relatively few side effects, it might be worth a try.
This doesn’t mean penis surgery isn’t a viable solution for various medical indications like e.g. a penile prosthesis in case of complete impotence (erectile dysfunction), circumcision in case of serious foreskin constriction (phimosis) but for enlagement only, there are less risky ways with good rewards as well. Responsible plastic surgeons only offer surgical penis enlargement for patients suffering from a very small penis or micro penis. In addition, there are only very few surgeons who have the skills and knowledge to safely perform this very special type of medical intervention. In my opinion, it should be the last resort if other conventional methods are not a promising option or failed.

This doesn’t mean penis surgery isn’t a viable solution for various medical indications like e.g. a penile prosthesis in case of complete impotence (erectile dysfunction), circumcision in case of serious foreskin constriction (phimosis) but for enlagement only, there are less risky ways with good rewards as well. Responsible plastic surgeons only offer surgical penis enlargement for patients suffering from a very small penis or micro penis. In addition, there are only very few surgeons who have the skills and knowledge to safely perform this very special type of medical intervention. In my opinion, it should be the last resort if other conventional methods are not a promising option or failed.
If you want to learn how to make your penis bigger at home naturally, you should not forget Ginkgo biloba. It can help you boost up blood circulation and improve your mind. Simply, add this nutrient to your daily diet and reap all of its benefits for sexual health, especially if you want to increase your penis size naturally at home without taking any drugs, pills or medications.
This penile exercise to increase size might be a little difficult for you to do since it needs to be done during an erection. Start by stretching it sideways, in different directions for 10 seconds. This needs to be done at least twice in the week if you want to see results. Note - try to avoid early ejaculation. This is one of the best penile exercises for erectile dysfunction.
Apart from the risks, penoplasty (surgical penile lengthening and girth enhancement, often by releasing the penile suspensory ligaments, so just an optical improvement) is the most expensive way for penile enhancement. According to About Health it ranges from $4000 up to $17000. If you are interested in surgical enhancement, we recommend reading the in-depth article on Medscape about possible surgical techniques and results. There is a less risky new method, the FDA-cleared Penuma implant developed by my collegue Dr. Elist (James Elist, MD) for flacid size enlargement, but the erect size lengthening is minimal and the cost is in the low five digits, too.

• Exercise counts. Exercise improves arterial health, allowing more blood into the penis. But exercising the penis itself is pointless. The sex media sometimes refer to the penis as the “love muscle,” implying that like the biceps, certain exercises can buff it up. But there are different kinds of muscle tissue. The penis contains smooth muscle, not the kind that gets bigger with exercise. Lose the big belly, because a big belly encroaches on the base of the penis, making the organ look smaller. Lose abdominal fat, and your penis looks larger.
That’s usually because they’re not getting enough blood flow to the penis, which could be the result of being overweight, smoking, increased cholesterol, high blood pressure, diabetes, or cardiovascular disease. So the first step in your penis-growing experiment should be to get the rest of your body healthy — especially your cardiovascular system. “What’s good for the heart is good for the penis,” says Fisch.
A new review in the journal Urology found that strengthening a man's pelvic floor—the muscles that surround the base of your penis and form a shelf across the bottom of your pelvis—can help diminish erectile dysfunction and premature ejaculation. How so? When you get hard, your pelvic muscles keep blood in your shaft. This helps to enhance and maintain your rigidity, says urological surgeon Andrew Siegel, M.D., the study's author and creator of pelvic floor exercise DVD Private Gym. And for premature ejaculators, squeezing those muscles can delay your orgasm. The stronger these muscles, the better the effect, Dr. Siegel says. 
A penis enlargement procedure may be indicated for a man who has experienced penile trauma or has a medical disorder that affects the function of the penis. In cases where penis size affects fertility or quality of life, penis enlargement may be considered under the direction of a urologist. These include surgical procedures known as penile augmentation (a.k.a. augmentation phalloplasty).
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