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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.

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

Suspensory ligamentThe need for penis-enlargement surgery is rare.

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.

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

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

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

Advertisers would have you believe that your partner cares deeply about penis size.

If you're concerned, talk to your partner.

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

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

Regular exercise can make a big difference.

Mayo Clinic does not endorse companies or products.

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

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

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

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

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

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

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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.

However, there's little scientific support for nonsurgical methods to enlarge the penis.

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Here are some of the most widely promoted products and techniques:Vacuum pumps.

These surgeries should be considered experimental.

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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Exercises.

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

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

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

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

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

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

In addition, there's no proven way to make a penis larger.

Although there's no guaranteed safe and effective way to enlarge your penis, there are a few things you can do if you're concerned about your penis size.

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

Ads for penis-enlargement products and procedures are everywhere.

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

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

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

Stretching.

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.

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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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Tempted by products that claim to increase penis size? Get the facts about what to expect from male-enhancement pills, pumps, exercises and surgeries.

Better physical conditioning may not only make you look better, but also can improve strength and endurance during sex.

Think twice before trying any of them.

Many men believe that increasing the size of their penis will make them a better lover or make them more attractive.

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

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

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

Get in shape and lose the belly fat.

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

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

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

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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.

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A vacuum pump can make a penis look larger temporarily.


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