Before deciding on penis enlargement surgery, two questions need to be answered:
- Will I have at least 4 hours a day to wear the expander for a long time?
- What else do you want to do to get maximum results?
The first question is purely organizational. The expander holds up well, can be used at work if the work is not related to physical activity, or while sitting in the office. As a rule, it does not appear under a suit or wide pants.
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.
Tips for penis enlargement surgery
The indication 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, there are medical indications for surgery, because we are talking about the underdevelopment of the penis, and you have to fight for every millimeter.
- If the length of the penis is less than 15 cm, the operation should be performed for maximum results.
- If the length of the penis is more than 15 cm, the operation is complementary.
Of course, such a distribution is very arbitrary, and in most cases the patient's desire is decisive.
We must not forget that the essence of the operation is to release the inner (hidden) part of the penis, which allows the expander to move along the entire length of the penis and ultimately achieve maximum results.
When it comes to the use of hormones, in the case of underdevelopment of the penis and hormonal disorders, they are needed 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 normal and there is no hormonal disorder, it makes sense to use only ointments containing active testosterone (dihydrotestosterone).
The degree of elongation of the genitals when using an expander depends on the following conditions:
- The original length of the penis. Initially, the longer the penis, the better it stretches. That is, the longer the tissue is stretched, the better the result. Therefore, in some cases, a ligamentotomy is performed to increase the area of influence of the expander.
- Straight penis anatomy. In other words, a lot depends on how good the expander will be. If the expander does not slip and "sits" well, there will be no problems with its use (put and forget). The design of the modern expander allows it to be corrected in almost all cases where other expanders cannot be caught.
- Patient persistence. Of course, it is better to wear the expander for 6-8 hours, not 30 minutes at a time, 2 hours, 1-2 hours a day.
- Age. A young man has more prospects than a man in his 50s and 60s. The elasticity and elongation of the 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 the male sex hormone testosterone. Therefore, in some cases, a hormonal examination must be performed before penis enlargement to decide whether long-term hormone therapy is appropriate.
About the expander
- The expander should be applied with soap on a clean, preferably pre-washed penis. The skin should be dry. This is very important from a hygienic point of view, in addition, in this way the expander will hold better and will not slip.
- You may not be able to stretch your penis and adjust it to the length of your last barbell by wearing an expander once. The penis can simply wrinkle, which is normal. To pull up to the original length, wear the extension in the reduced length for 15-20 minutes (you can remove the extra 2 cm rods) and then continue to wear the original rod length.
- We must take into account that if the expander wears up and down in turn, the voltage in the first and second positions will be different - with the same length of rods, the tension will always be stronger if the expander is directed downwards.
- After circumcision, it is possible to remove the skin along the posterior surface of the penis (where the urethra passes) as the patient extends the apparatus downward. This may be due to the fact that after circumcision there is sometimes less skin left on the back of the penis (especially ritual) - in such men, the skin of the scrotum is always compressed by an erection, and a "sail" is formed. . After a while, turn the device upside down and squeeze the skin with your hands to avoid discomfort when putting the device down, after which the extender returns to its original position.
About medicines
When it comes to the use of various substances in the form of tablets or ointments, which contain plant-based substances and components and cause increased blood circulation in the penis, the mechanism of action of these substances is not subject to criticism from a normal point of view. the physiology and anatomy of the penis and its description are calculated on people without medical education. Of course, against the background of a strong erection, we can assume that the penis is an elongation from the inside. But how long does it take for an erection to take place for the penis to lengthen? And isn't the expander easier to use? In addition, when super established, the penis may actually look a little larger due to the maximum elongation of the tissues.
At this stage of medical development, the only effective tablets to increase erection are drugs in the group of phosphodiesterase type 5 inhibitors, and the only metabolically active substance that can affect the penis is active testosterone - dihydrotestosterone (the penis has receptors for dihydrotestosterone, not testosterone).
The use of testosterone in tablets is dangerous for the body, because this method of use has a negative effect on the liver. In addition, testosterone should be used with caution in individuals over 45 years of age and only after 50 years after a special urological examination. Topical application of ointments containing only testosterone is actually useless - testosterone must still enter the bloodstream, pass through metabolic pathways and be active. In addition, it will enter all organs and tissues equally through the bloodstream, and the meaning of local application is lost.
It is advisable to apply an ointment containing only dihydrotestosterone to have a local metabolic effect on an organ sensitive to hormonal effects. Applies only when using an expander. If you have hormonal disorders, a decrease in testosterone levels and underdevelopment of the penis, you should consult a specialist.
About clothes for penis lengthening
- Special attention should be paid to underwear. Underwear should be loose. If the expander is pointing down, it can pull it up by reducing the tension in the narrow pants straps. In addition, it is difficult or simply impossible to lift the expander up in tight pants.
- Pants should be loose. If the expander is used in work, it makes sense to wear suit pants.
About sex during penis elongation
Sex should be done often. Sometimes a man may have psychological problems with an erection, especially if he doubts the size of the penis at rest and erection. In addition, an erection does not always occur before you take off your clothes, which further increases the stress. Against the background of stress, restraint and fear, blood pressure rises, blood vessels constrict, and an erection may simply not come. Such a picture does not mean that this person has an organic problem with erection, as a rule, there is no problem with erection during masturbation. The solution to this problem may be medication support for erections with drugs - phosphodiesterase type 5 inhibitors. You only need to "pause" the first few contacts, without informing the partner. With a confident erection, fears will pass and doubts about their sexual weakness will disappear. Although these drugs are freely available in the pharmacy network, the doctor must recommend a specific drug and dose for use.
What to do if you only have 30 minutes to use the expander - 1 hour a day
In this case, an alternative method of inserting the expander should be followed. Each time the device is bent to its maximum and after 10-15 minutes, after the penis has relaxed, the rods are removed to the maximum length possible, and during this time the extension is "worn" for the rest of the time. And every time.
How much to use the device
The device should be used until the desired result is achieved, but not more than a year. As a rule, procrastination occurs between 3 and 6 months.
How to care for the device
The expander is a construction that does not require special repairs. However, it is wise to periodically rinse the belt pad with warm soap and water and wipe the base and rods with alcohol.