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

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

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

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

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.

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

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

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.

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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.

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Exercises.

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

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

Stretching.

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

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

c Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below.

Think twice before trying any of them.

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

Suspensory ligamentThe need for penis-enlargement surgery is rare.

Ads for penis-enlargement products and procedures are everywhere.

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

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

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

A vacuum pump can make a penis look larger temporarily.

These surgeries should be considered experimental.

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.

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

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

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

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

If you're concerned, talk to your partner.

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

Get in shape and lose the belly fat.

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

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

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

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.

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

Subscribe to HousecallOur general interest e-newsletter keeps you up to date on a wide variety of health topics.

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

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

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

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

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

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

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

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

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

Regular exercise can make a big difference.

* These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.