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But using one too often or too long can damage elastic tissue in the penis, leading to less firm erections.

Sometimes called jelqing, these exercises use a hand-over-hand motion to push blood from the base to the head of the penis.

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But studies have shown that most men who think their penises are too small actually have normal-sized penises.

corg," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.

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Stretching.

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The most widely used surgical procedure to lengthen the penis involves severing the suspensory ligament that attaches the penis to the pubic bone and moving skin from the abdomen to the penile shaft.

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Regular exercise can make a big difference.

Keep in mind that understanding your partner's needs and desires is more likely to improve your sexual relationship than changing the size of your penis.

These surgeries should be considered experimental.

Another technique for increasing width is grafting tissue onto the shaft of the penis.

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There aren't enough studies of penis-enlargement surgery to give an accurate picture of risks and benefits.

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Although this technique appears safer than other methods, there's no scientific proof it works, and it can lead to scar formation, pain and disfigurement.

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If your penis is about 13 cm (5 inches) or longer when erect, it's of normal size.

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Studies of available surgical techniques to lengthen the penis have found mixed results in safety, effectiveness and patient satisfaction.

But cutting the suspensory ligament can cause an erect penis to be unstable.

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A plethora of pumps, pills, weights, exercises and surgeries claim to increase the length and width of your penis.

Look closely — you'll see that claims of safety and effectiveness haven't been proved.

At worst, surgery can result in complications such as infection, scarring, and loss of sensation or function.

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Dietary supplements don't require approval by the Food and Drug Administration, so manufacturers don't have to prove safety or effectiveness.

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Although some surgeons offer cosmetic penis enlargement using various techniques, it's controversial and considered by many to be unnecessary and in some cases permanently harmful.

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And no reputable medical organization endorses penis surgery for purely cosmetic reasons.

None of these procedures has been proved safe or effective and can even affect potency and your ability to obtain an erection.

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When this ligament is cut, the penis appears longer because more of it hangs down.

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Most advertised penis-enlargement methods are ineffective, and some can cause permanent damage to your penis.

When the suspensory ligament is cut, the penis may look longer because more of it hangs outside the body.

Surgery is typically reserved for men whose penises don't function normally because of a birth defect or injury.

Stretching involves attaching a stretcher or extender device — also referred to as a penile traction device — to the penis to exert gentle tension.

A procedure to make the penis thicker involves taking fat from a fleshy part of the body and injecting it into the penis shaft.

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If those steps don't help, try talking with a professional counselor about your concerns.

Results may be disappointing, however, because some of the injected fat may be reabsorbed by the body.

But chances are your penis is within the normal size range.

At best, surgery such as division of the suspensory ligament may add half an inch (1 centimeter) to the appearance of the flaccid penis but does not change actual length of the penis.

Larger, more-rigorous research is needed to establish safety and effectiveness.

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