For most men experiencing soft or incomplete erections, or just looking to improve the hardness of their erections, the solution is simple: cardiovascular health. We know that probably isn't what you want to hear, but the number one cause of erectile dysfunction is poor cardiovascular health – so much so, in fact, that there seems to be a link between ED and heart disease. What does that mean for you? Simple: lose weight, improve your diet, and improve your cardiovascular performance. If you're a smoker, quit. Lifestyle factors are still the biggest threat to your erections, so get those in check ASAP.
Take the head of your dick in hand (if you have a foreskin than pull this back so it does not get in the way, remember you are pulling the penis NOT the skin). Then stretch it out directly in front of you, holding it for 10-15 seconds. You should be able to feel the stretch at the base of your penis. Repeat the action 4 or 5 times. After that, relax penile and massage the head to restore normal circulation now, take penile firmly in your hand and pull the penis to the right. Pull it to the right until you can feel a pressure on the left side of your penis.
Penuma is a permanent silicone that’s been cleared (though not yet fully approved) by the U.S. Food & Drug Administration (FDA) for penile enhancement. It’s made of malleable, medical-grade silicone, so it looks and feels like a natural penis. This relatively new procedure is currently performed only in select cities in the U.S., but we expect its popularity and availability to grow. Its manufacturer claims that clinical studies have shown very low adverse-event rates (infection in 3% of cases and seroma [fluid buildup] in 5% of cases) and high patient satisfaction.
Sure, you may encounter partners who may be turned off by that, as with any physical or sexual preference. But you’ll also find partners who are turned on by it, or who don’t care either way. It’s all about finding the right sexual compatibility with the right partner — and that might include adding more oral stimulation, manual stimulation, sex toys, and so on. It's 100% entirely possible to have an amazing sex life with any size penis (or, you know, none at all).

Some men seek injections of natural and synthetic fillers to increase the girth of the penis. Others seek surgery if a smaller penis size or penile abnormality (like hypospadias) is interfering with the ability to urinate or quality of life. Small penis size usually is not an indication for surgery to treat infertility. In such cases, assisted fertility procedures may be the better option.


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.
Especially strechers are aggressively marketed because manufacturing costs are only about $20 in China and they sell to consumers from $150 up to almost $500. Don’t believe it? Check chinese websites/marketplaces like Alibaba for wholesale prices. A profit margin of up to 2500% is something even many drug lords are envious of, so the companies selling extenders build shiny websites, pay medical personnel for fake testimonials or raving reviews of these useless and dangerous devices.

Penis enlargement is defined as all means and methods used to temporarily or permanently increase the size of the erect penis and its erectile tissue. Often the word is used in conjunction with a surgical penis enlargement, but it is not limited to surgical means and also includes manual training like jelqing, certain foods and supplements, devices and pumps to stretch the penis.
Manual penile exercises can be done without the need of special equipment. However, if you add extenders or pumps to a workout routine, you can enhance your gains. For beginners, it’s recommended to do one of the beginner-friendly exercises first (like stretching or jelqing) for a few months before doing combination routines with equipment. This ensures the penis has been fully-conditioned for the additional load caused by extenders or pumps.

V-Y plasty is a surgical technique in which the suspensory ligament that anchors the penis to the pelvic bone is severed, releasing the shaft and allowing it to extend forward. The procedure is so named because it involves a triangular incision, the edges of which are pulled together and sutured in a "Y" shape. While effective in elongating the penis, it also makes the penis less stable when erect.

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