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

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

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

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Regular exercise can make a big difference.

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

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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.

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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.

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

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

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

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

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

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

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

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

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

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

A vacuum pump can make a penis look larger temporarily.

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

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

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

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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.

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

These surgeries should be considered experimental.

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

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

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

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

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

Exercises.

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

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

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

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

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.

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

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

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

Suspensory ligamentThe need for penis-enlargement surgery is rare.

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

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

Check out these best-sellers and special offers on books and newsletters from Mayo Clini.

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

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

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

Get in shape and lose the belly fat.

Stretching.

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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.

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

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