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At the end of the six-month study, which was funded by the maker of the FastSize Extender, Levine found increased penile length and reduced curvature in every man and increased girth in seven of the men.

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Bob, New Jersey.

The FastSize Extender device promises results, but it's far from quick and easy.

Nonpresciption methods of male enhancement and male enlargement range from the possibly effective to the downright dangerous.

"All the pills, topical creams, and gels are worthless.

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The device cost $298, but Richard says the effect on his self-confidence has been priceless: "It made a world of difference to me.

"I didn't feel manly enough," he tells WebMD.

)The Internet is rife with scammers who seek to prey on men's insecurities, Levine says.

He felt embarrassed in gym locker rooms and when standing naked before his wife.

Sometimes men with erection problems or a diminished libido have low levels of testosterone, Boyle says.

Steven Lamm, MD, assistant professor of medicine, New York University and author, The Hardness Factor.

Does working out give it a boost?You will receive your first newsletter with our next scheduled circulation!© 2005 - 2019 WebMD LLC.

In public bathrooms, he'd use the handicapped stall.

A 2006 study found that only 35% of men were satisfied with the outcome of surgery, which added only half an inch, on average, to length.

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Many men would clearly rather spend $20, $50, $100 on the Internet than go to the doctor and get real information.

"The small blood vessels that go to the penis can become diseased much earlier than the [larger vessels that go to the heart," Karen Boyle, MD, a urologist at Johns Hopkins School of Medicine, tells WebMD.

The most sensitive nerves in the vagina are found close to the surface, Lamm notes, and the clitoris is found on the vagina's outside.

But a rapid or severe decrease in performance or libido can be a red flag.

All it took was 25 months and over 2,600 hours wearing the device, typically five hours a day, seven days a week.

Just ask Bob, a retail manager from New Jersey.

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But ever since he was a young boy, Richard couldn't get over the feeling that his penis was too small.

"In some cases, men are harming themselves in the pursuit of a bigger penis.

Levine, MD, professor, Rush University Medical Center and director of male sexual function and fertility, Chicago.

She also says the lengthening has enhanced their sex life, though she had no complaints before.

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"I was afraid my girlfriend would think I was a freak, but she was supportive because she felt a difference in her satisfaction and I felt more confident in myself," Bob tells WebMD.

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"They need reassurance from a physician that everything is OK," she says.

The American Urological Association says a common form of lengthening surgery (involving cutting the suspensory ligament of the penis) has not been shown to be safe or effective.

Calling the results "remarkable," Levine now prescribes the device to many of his Peyronie's patients and reports no significant complications.

Evidence shows that these changes in themselves can have a positive effect on sexual function, Boyle says.

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It's a testimony to men's abiding insecurities about sexual performance.

Richard began wearing the device almost eight hours a day, every day.

"In younger or younger middle-aged men, ED is often the first sign of atherosclerosis.

The remedies persist for men who can't get their hands on prescription drugs like Viagra or who prefer "natural" cures.

"If a woman can have a breast enlargement and it makes them psychologically feel better," he reasons, "then perhaps we should have the same thing for men.

Levine cites "jelqing," a technique involving hours and hours of intense stroking.

For men with performance issues who are physically healthy, Boyle often prescribes counseling, such as marriage counseling for men with relationship issues or psychiatric help for men who are preoccupied with a problem in penile appearance.

What men don't know about it.

Lamm has endorsed an herbal remedy, marketed under the Roaring Tiger label, that combines horny goat weed and other herbal extracts with the amino acid L-arginine.

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But Lamm says these remedies may be appropriate for men who have experienced a decline in sexual performance but do not suffer from a diagnosable sexual problem.

Boyle tests for testosterone levels and prescribes it as a topical gel, though she warns it is only safe when prescribed and monitored by a physician.

WebMD does not provide medical advice, diagnosis or treatment.

For young men with sexual performance problems and no signs of physical problems, Boyle may prescribe counseling and a low dose of Viagra as they work out issues of insecurity.

After four months of wearing the device, he says his flaccid penis has stretched from 3 inches to over 5 inches; erect, he has gone from less than 6 inches to over 7 inches.

"The FastSize Extender, though not extensively tested, has received some validation from mainstream medical sources.

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(Have you tried or considered trying a male enhancement product? Talk about it on the Men's Health: Man to Man message board.

Nonprescription testosterone, such as the kind used by some bodybuilders, is dangerous, she warns.

WebMD Medical News: "Penis-Lengthening Surgery Questioned," "Small-Penis Syndrome Questioned.

)Could FastSize work on men of normal penile length? Levine says it might.

When Boyle's patients come to her with bottles of herbal supplements, she tells them she cannot vouch for their safety or effectiveness unless the FDA has reviewed the claims on the label.

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