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

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

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

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

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

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

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

These surgeries should be considered experimental.

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

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

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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.

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

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

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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.

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

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

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

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

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

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

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

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

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

Ads for penis-enlargement products and procedures are everywhere.

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

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

Think twice before trying any of them.

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

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

Stretching.

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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.

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

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

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

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

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.

Exercises.

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

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

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

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

A vacuum pump can make a penis look larger temporarily.

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

If you're concerned, talk to your partner.

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


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