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Companies offer many types of nonsurgical penis-enlargement treatments, and often promote them with serious-looking advertisements that include endorsements from "scientific" researchers.

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Similarly, studies suggest that many men have an exaggerated idea of what constitutes "normal" penis size.

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This can lead to penile curvature or asymmetry and an irregular looking penis.

If you're concerned, talk to your partner.

These surgeries should be considered experimental.

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The length of a non-erect penis doesn't consistently predict length when the penis is erect.

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

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

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

A few small studies have reported length increases of half an inch to almost 2 inches (about 1 to 3 centimeters) with these devices.

A penis is considered abnormally small only if it measures less than 3 inches (about 5 centimeters) when erect, a condition called micropenis.

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Because pumps draw blood into the penis, making it swell, they're sometimes used to treat erectile dysfunction.

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Think twice before trying any of them.

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

Many men feel better with reassurance that they are "normal" or with advice about how to better satisfy their partner without resorting to cosmetic penis enlargement.

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

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

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

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

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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.

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

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

Severing the suspensory ligament is sometimes combined with other procedures, such as removing excess fat over the pubic bone.

The solution to your concerns about penis size may be as easy as talking with your partner or getting in shape.

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

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

A vacuum pump can make a penis look larger temporarily.

Most of the techniques you see advertised are ineffective, and some can damage your penis.

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

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Even if your penis is smaller than average, it may not matter to your partner.

Suspensory ligamentThe need for penis-enlargement surgery is rare.

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


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

The fear that your penis looks too small or is too small to satisfy your partner during sex is common.

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

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If you're overweight and have a "beer gut," your penis might appear shorter than it is.

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

Marketers rely on testimonials, skewed data and questionable before-and-after photos.

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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