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Penis enlargement, or male enhancement, is any technique aimed to increase the size of a human penis. Some methods aim to increase total length, others the shaft’s girth, and yet others the glans size. Techniques include surgery, supplements, ointments, patches, and physical methods like pumping, jelqing, and traction.
Surgical penis enlargement methods can be effective; however, such methods carry risks of complications and are not medically indicated except in cases involving a micropenis. Noninvasive methods have received little scientific study, and most lack scientific evidence of effectiveness. However, limited scientific evidence supports some elongation by prolonged traction.[1] Some quack products may improve penis erection, mistaken by consumers for penis enlargement.
Supplements
Penis-enlargement pills, patches, and ointments are sold online. Such products are generally considered ineffective.[16]
Physical techniques
Physical techniques involve extension devices, hanging weights, and vacuum pressure. There is also significant overlap between techniques intended to enlarge the penis and techniques intended to achieve other, related objectives, such as reversing impotence, extending the duration of erections, or enhancing sexual climax.
Pumping
Commonly called a "penis pump", a vacuum erection device, or VED, creates negative pressure that expands and thereby draws blood into the penis.[17][18] Medically approved VEDs, which treat erectile dysfunction, limit maximum pressure, whereas the pumps commonly bought by consumers seeking penis enlargement can reach dangerous pressure, damaging penis tissue.[19] To retain tumescence after breaking the device’s airtight seal, one must constrict the penis’ base, but constriction worn over 30 minutes can permanently damage the penis and cause erectile dysfunction.[20] Although vacuum therapy can treat erectile dysfunction sufficiently to prevent penis deterioration and shrinkage,[18] clinical trials have not found it effective for penis enlargement.[21][22]
Jelqing
The latinized name "jelqing" is the corrupt form derived from the Persian jalq zadan (جلق زدن), jalq meaning "to masturbate" followed by an auxiliary verb zadan meaning "to strike, hit or throb". Performed on the halfway tumescent penis, jelqing is a manual manipulation of simultaneous squeezing and stroking the shaft from base to corona. Also called "milking",[23] the technique has ancient Arab origins.[24] Despite many anecdotal reports of success, medical evidence is absent.[25] Journalists have dismissed the method as biologically implausible,[26] or even impossible, albeit unlikely to seriously damage the penis.[27] Still, if done excessively or harshly, jelqing could conceivably cause ruptures, scarring, disfigurement, and desensitization.[25][26]
Traction
Main article: Penis extender
One type of traction device
Traction is a nonsurgical method to lengthen the penis by employing devices that pull at the glans of the penis for extended periods of time. As of 2013, the majority of research investigating the use of penile traction focuses on treating the curvature and shrinkage of the penis as a result of Peyronie’s disease, although some literature exists on the effects on men with short penises.[28]
Scientific evidence supports some elongation by prolonged traction.[1] However, there are also medical studies that indicate that the lengthening effects can be negligible.[29]
Reasons for seeking penis enlargement
Some men seeking penis enlargement have normal-sized penises, and many may experience penile dysmorphophobia by underestimating their own penis size while overestimating the average penis size.[15] Other men may want a larger penis to enhance their sex lives, even if their penis is average or above average in size already. Individuals may desire to enlarge their penis size if they have a fetish for large penises. A larger penis may also play into BDSM and S&M, with a dominant male intentionally having a large penis to inflict pain upon his partner during sexual intercourse.
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