How Penis Enlargement Works

By Anthony J. Rigliosi

How does natural male enhancement work? Is there a biological basis to improving penis size? If yes... What is it, and why does it work? What about the avalanche of articles and the assortment of online offers that promise ridiculous anatomical improvements in super short order? Are they fact... or 100% fantasy and fiction instead? And if they do work... HOW? Any of these questions sound familiar? In this article we are going to take a quick and easy look at the natural male enhancement industry, and shine a bright light on what medical science DOES know about size, and how it can be augmented and improved. Interested? Continue reading as we take a closer look in the paragraphs below.
Q: Isn't penis size based on biology? Can it REALLY be changed with practice, or pills or any sort of artificial means?

A: Good question. And the truth is, while there has been anecdotal evidence for years that some types of natural male enhancement really DOES work, the standard scientific line has been, at least relative to penis size, that what you are born with, and what evolves with your body as you go and grow... is pretty much what nature wants you to have forever.
The only known exemption to this rule?
Phalloplasty, or surgical augmentation. While this is not the path most men take, we have known for decades that this specific procedure could radically change penis size, regardless of where you began!
The problem of course with going this route for MOST men is simple. It's a very dangerous procedure and one that can cost upwards of 20 thousand dollars if done in the USA.
In addition, phalloplasty has the highest rate of patient dissatisfaction of ANY elective cosmetic procedure in the world... a fact that turns many men off who can afford it. (note: A very small percentage of surgical male enhancements are in fact done for men who are so "small" as to be considered "deformed," which can present a health challenge later in life. While rare, this does happen, and is a real reason to consider phalloplasty)
Enlargement surgery is usually done with silicone injections, or even saline (like breast augmentation) both of which offer the appearance of enhanced size.
What about natural enhancement without surgery? Does it work?
I think most medical opinions now suggest that YES, it does. Of course many PE products, processes and programs are a scam... but there is now overwhelming evidence the natural enhancement does work.
The big change over the last 10 years in terms of the science of enhancement is actually pretty simple, and very exciting if you are insecure about your size.
There is now a lot of evidence that certain types of natural exercise, and medical grade interventions CAN in fact increase penis size in a dramatic way, without drugs or danger. (drugs, by the way... are another method proven NOT to work)
So how does genuine male enhancement work?
Very simply. The spongy tissue in the male anatomy is "stressed" either through exercise or a similar strategy like a tension apparatus. This leads the spongy tissue in the corposa cavernosa to break down and regrow. When this happens, the cells in the tissue multiply (as happens elsewhere in the body as well) causing what is called "tougher tissue," which can lead to increased blood flow (which affects erection size) as well as a denser, and more robust overall appearance.
The truth is, there is only 1 genuine way to affect the size of your penis without surgery or augmentation: To increase the size and density of the penile tissue, which in turn... allows more blood to flow to and through the male organ when erect.
The bad news? Any product that makes a bold promise but does NOT do the above, is not going to work.
The good new? There ARE finally proven, medially valid and safe paths to improve penis size from home... and you don't need drugs, danger or anything dubious to do it!

Sexual Dysfunction - Partner Consultation?

By David A Crawford
Expert Author David A Crawford
Although CME courses recommended that patient-partner-physician dialogue was best enhanced through patient-partner education during conjoint visits, there was anecdotal evidence that physicians were not regularly meeting with partners of sexual dysfunction patients. This author undertook a 2002 Internet survey of the Sexual Medicine Society of North America, member's practice patterns. These urologists are all sub-specialists in sexual medicine in general, and erectile dysfunction in particular. Although methodologically limited, the results were interesting. The data pointed to a striking disparity between urologist attitude and actual practice. An overwhelming 79% of the responding urologists considered partner cooperation with erectile dysfunction treatment "important," regardless of whether the partner actually attended sessions or not?
Yet, only 39% of the responding urologists saw only one partner or less in their last five erectile dysfunction patient's office visits. Nor was there any contact by phone, e-mail, or other means between doctor and partners for 90% of the responding urologists, despite the vast majority of patients were married or coupled. However, there were good reasons for not having a conjoint visit, as long as the importance of partner issues in treatment success was understood. Indeed, many urologists reflected thoughtfully on the burden of the treater to not invade the privacy beyond what was freely accepted by the patient. Urologists noted that the men saw erectile dysfunction as their problem, and were not interested in involving their partner. These urologists gently encouraged partner attendance, but appropriately did not require it. So why are pharmaceutical erectile dysfunction treatments so effective? Does this data suggest that partner issues do not impact outcome? No, but it does support the thesis that "partner cooperation" is even more important than "partner attendance." Why are many physicians successful even when not seeing partners? Sex pharmaceuticals with sex counseling and education work for many people, if the partner was cooperative in the first place. Fortunately, many partners of both men and women are cooperative, which partially accounts for the high success rates of medical and surgical interventions. Indeed, most of the cooperation goes unexplored. The cooperation is assumed based on post hoc knowledge of success. Importantly, many women were cooperating with their partners, or facilitating sexual activity, independent of their knowledge of the use of a sexual aid or pharmaceutical. In other words, serendipitous matching of sexual pharmaceutical and previous sexual script equaled success: "we did, what we used to do, and it worked."
The existence of large numbers of cooperative, supportive women who themselves have partners with mild to severe erectile dysfunction account for much of the success of many erectile dysfunction patients who see their physicians alone, for evaluation and subsequent pharmacotherapy. Many of these partners were never seen by the treating physician, nor was their attendance necessary for success. This is likely to be true for other male and female dysfunctions as well, depending on the degree of psychosocial barriers to success. Obviously, the most pleasant, supportive, cooperative partners would rarely be discouraged from attending office visits with any patient. Ironically, these same patients would probably have successful outcomes even if their partners never attended an office visit. However, good becomes better by evaluating, understanding, and incorporating key partner issues into the treatment process.
The patient-partner-clinician dialogue is best enhanced through patient- partner education. Partner attendance during the office visit would allow for such education. Yet, many clinicians do not regularly meet with partners of sexual dysfunction patients. Although working with couples was often recommended: sometimes there was no partner; sometimes the current sexual partner was not the spouse, raising legal, social, and moral sequella. The reality and cost/benefit of partner participation is a legitimate issue for both the couple and the clinician, and not always a manifestation of resistance. Finally, the patient's desire for his partner's attendance may be mitigated by a variety of intrapsychic and interpersonal factors, which, at least initially, must be respected and heeded.

There are other solutions. When evaluation or follow-up reveals significant relationship issues, counseling the individual alone may help, but interacting with the partner will often increase success rates. If the partner refuses to attend, or the patient is unwilling or reluctant to encourage them; seek contact with the partner by telephone. Ask to be called, or for permission to call the partner. Most partners find it difficult to resist speaking "just once," about "potential goals" or "what's wrong with their spouse." The contact provides opportunity for empathy and potential engagement in the treatment process, which may minimize resistance and improve further outcome. This effective approach could be modified depending on the clinician's interest and time constraints. Clinicians should counsel partners when necessary and possible. They need to be a resource in treating with medication, counseling, and educational materials. Education needs to be a greater part of sexual dysfunction practice, whether provided within a physician's practice or externally by other competent healthcare professionals. Success rates can be enhanced through patient-partner-clinician education, which will reduce the frequency of noncompliance and partner resistance, and minimize symptomatic relapse. Organic and psychological factors causing sexual dysfunction, and noncompliance with treatment, are on a multi-layered continuum. Although some partners will require direct professional intervention, many others could benefit from obtaining critical information from the sexual dysfunction patient and/or multiple media formats both private and public.

Penis Enlargement - Ways to Try

By Kingsley Modozie

I have revealed the five ways which you can try out to enlarge your penis size. If you are in search of a way to enlarge your penis size, you need to discover them inside the content of this article.
We have many ways to enlarge the size of the penis. A few of them work while some of them do not work. When selecting the method to use to enlarge your penis size, there is one important thing you need to put into consideration. The one important thing is known as safety. Some penis enlargement methods are not safe to use. Nevertheless, I will reveal to you the various ways to enlarge the size of your manhood. They are known as surgery, pill, exercise, patch, and extender. Til date, these are the known methods to enlarge the size of your manhood. I will talk about each of them and make my recommendation on the one you should use to enlarge your penis size which truly works.

Surgery: I guess everyone knows what penis enlargement surgery is all about. In case you do not know, let me reveal to you what it's all about. It is the use of surgical equipments to enlarge your penis size. This is a risky way to enlarge the penis size and there are a lot of complications involved with this method. It can cost up to $7000 to carry one full penis enlargement surgery that is the amount for length enlargement. If you want to enlarge your girth, you will be charged about $5000 for it. My research reveals that up to 90% of men that attempted penis surgery were unsatisfied with its result. Some of the complications of penis surgery are impotency, pain, bleeding and the rest of others.
Extender: It is the use of a device to stretch the penis size. This method involves the wearing of a penis stretcher on your penis for a period of 5 hours daily. You should expect about 2 months to see visible result and you need to make use of a penis extender with a double strap to avoid discomfort.
Exercise: It is one of the most popular ways to enlarge your penis size which is mainly offered on the internet. The problem with this method is that it is not easy to get the right information to follow and apply. When you surf round the internet, you will see a lot of guides on how penis enlargement exercise is carried out but most of them do not provide the right procedure. The best way to go around this is to join a penis enlargement program like the type offered by Penis Health.
Pill: This method consists of the intake of penis pills made using herbs. There are some herbs that work to give you a bigger erection, so you can take them to give your penis the size you hunger for.

Problems in Married Life

By Kelly Cochran

Unlike fairy-tales, many marriages do not have happy endings. Married life is not always a bed of roses, and things often don't work exactly as it planned. When things seem to spin out of control, couples often must make compromises, change ways or negotiate rather than let things simply fall apart. Marriage is a beautiful transition that happens in a person's life where one learns to be more responsible for his/her own life and as well as that of his or her spouse. However, most of the time, people are too preoccupied with their impatient and immature attitudes that they forget to realize the importance of keeping that fire burning in their married lives. Here are some of the common problems that married couples encounter:
Lack of efficient communication strategies. The holy sacrament of matrimony symbolizes the union of two individuals into one. This idealistic union is also very much susceptible to many difficulties and dilemmas. As a couple, both parties should decide to establish open lines of communities filled with nothing but love, truth and honesty. This is a good avenue for couples to share their worries, concerns and expectations. Choose an interesting topic for discussion. Plan a time for hearty conservations every day; it might be during dinner, before going to bed or maybe before TV time. Solve your marital problems as soon as you can, and don't wait for them to develop into big issues.

Lack for flair in romance. Although there are many researches who say that financial problems are often the root cause of marital breakdowns, lack of trust, infidelity, and sexual problems also rank at the top of the list. Sexual problems at their worst may even lead to divorce. Intimacy is a very crucial factor in keeping your marriage alive. Sex is not only for pleasure but the act also binds married couples closer together. Romance is a need between both partners. It serves as the one thing that can spice up married life and bring back the sparkle on your partner's eyes. There are plenty of ways in which you can romance your partner- sexual intimacy, care, affection, simple dinner dates, flowers, presents, chocolates and so much more. A married life is considered good as dead when there is no romance behind it.
Financial issues. A money problem is something that many experience even before they tie the knot. Make sure you don't let those financial problems get in the way of your marriage. Money is one of the common causes of a strained married life. After exchanging those wedding vows, married couples are often bombarded with financial issues. Many couples find themselves blaming one another for their financial instabilities. Deal with money matters wisely and not in an aggressive manner.
Different interests. Among top problems in married life is the lack of common interests between spouses. The key to a successful and blissful marriage is understanding each other's wants and needs and satisfying each one of them. Try to focus more on the similar things that make your relationship stronger.

The Signs of a Woman Who is Having Sexual Problems

By Michael Harradine
You must always be on your toes to ensure that you are up to speed when it comes to the overall state of your sexual relationship with your spouse or partner. Deniability is one of the potential dangers that you must be aware of. You have to be able to detect potential, unfolding and current sexual problems that may serious create havoc to your relationship. If you are not experiencing satisfaction from your sexual encounter, and you are affected by the situation and feel that the event has negating effect on your relationship, then chances are you are facing some form of sexual problem.
Here are some of the more common indicators that you are facing sexual problems:
• Decreased sexual appetite, fewer sexual fantasies and reluctance to engage in sex
• Inability to respond to explicit sexual suggestions, feel and stay stimulated
• Failure to plateau and reach orgasm
• Painful sexual intercourse

Results of various studies indicate that 1 in every 2 women in the US are experiencing one or a combination of the four forms of sexual dysfunction - sexual arousal disorder, sexual pain disorder, orgasmic disorder and low libido. Among the four forms of sexual dysfunction, low libido is the most common problem of women.
This brings us to the issue of deniability. If you tend to ignore or refuse to acknowledge the existence of sexual problems, the condition can grow out of proportion. Serious forms of sexual problems can lead to infidelity, emotional distress and separation. The sexual malady can become so severe that women develop fear of sexual intercourse. It is this fear that makes women avoid contact and serious relationship with men. If the problem persists, the condition may leave an indelible mark in the psyche and renders love and sexual satisfaction almost impossible. The person will then go to a downward spiral and experience depression, low self-esteem and loneliness.