First of all, we have to define what small really means and what statistics apart from any personal impressions and taste actually say: The flaccid size is irrelevant, some men have a rather small penis growing to enormous size when erect, on the other hand there are men with a rather impressive flaccid penis that just erects itself when aroused and doesn’t grow much in girth or length. Flaccid and erect size don’t correlate.

Last but not least, the biggest problem of a small penis isn’t the penis itself, but guy attached to it. Every penis is different and unique, you can have a wonderful and sexually fulfilled life even if your size is below average. Always keep in mind that the majority of sexual stimulation a women feels during intercourse comes from her clit, not her vagina. Additionally, there is much more about being a man than the size of what you are carrying around between your legs. That’s probably the most important and valuable advice we can give: Try to relax, a large penis doesn’t automatically or magically make you happier or more adorable for women. Don’t let your penis size control your self-esteem.


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.
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Exercise your pelvic floor. You may not be able to build up the penis itself through exercise, but if you strengthen your pelvic floor your body will be better able to hold blood in your penis. The pelvic floor presses on the vein that keeps blood from leaving the penis during erections. You can strengthen your pelvic floor using Kegel exercises. A trial conducted in Britain concluded that men who performed Kegel exercises experienced better sexual function than those who made other lifestyle changes but didn't perform the exercises.[8]
Streching devices and penis pumps are increasingly popular, often selling for hundreds of US dollars. We recommend staying away from these devices, because using them can lead to permanent damage of the cavernous body and blood vessels of your penis. In worst case, the usage of penis extenders can result in erectile dysfunction, the inability to get and maintain an erection. Although many surgeons, including our advisory team, keep warning about them, these warnings are unheard and ignored by many men. Reconstructive surgery for a penis damaged by excessive and wrong use of streching devices is very expensive and rarely results in full recovery.
• 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.
The vacuum pump. This is a cylinder that sucks out air. You stick your penis in and the resulting vacuum draws extra blood into it, making it erect and a little bigger. You then clamp off the penis with a tight ring -- like a tourniquet -- to keep the blood from leaking back into your body. What are the drawbacks? The effect only lasts as long as you have the ring on. Using it for more than 20 to 30 minutes can cause tissue damage. This is sometimes used as a treatment for erectile dysfunction, but has not been proven to actually increase the size of the penis.
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