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In public bathrooms, he'd use the handicapped stall.

He says he's gained over 2 inches of erect length.

But a rapid or severe decrease in performance or libido can be a red flag.

Boyle tests for testosterone levels and prescribes it as a topical gel, though she warns it is only safe when prescribed and monitored by a physician.

Most importantly, erectile dysfunction may be an early predictor of heart disease.

Chicago urologist Laurence A.

)Could FastSize work on men of normal penile length? Levine says it might.

Does working out give it a boost?You will receive your first newsletter with our next scheduled circulation!© 2005 - 2019 WebMD LLC.

"I didn't feel manly enough," he tells WebMD.

Instead of furtively turning to untested methods, men with persistent concerns should consider opening up about them with their doctors.

Lamm has endorsed an herbal remedy, marketed under the Roaring Tiger label, that combines horny goat weed and other herbal extracts with the amino acid L-arginine.

And how to get out of it.

WebMD does not provide medical advice, diagnosis or treatment.

"The small blood vessels that go to the penis can become diseased much earlier than the [larger vessels that go to the heart," Karen Boyle, MD, a urologist at Johns Hopkins School of Medicine, tells WebMD.

The American Urological Association says a common form of lengthening surgery (involving cutting the suspensory ligament of the penis) has not been shown to be safe or effective.

He felt embarrassed in gym locker rooms and when standing naked before his wife.

She also says the lengthening has enhanced their sex life, though she had no complaints before.

)The Internet is rife with scammers who seek to prey on men's insecurities, Levine says.

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The question is, do any of these "male enhancement" techniques really work?Richard, a mechanic from upstate New York, is a muscular, athletic guy.

But Lamm says these remedies may be appropriate for men who have experienced a decline in sexual performance but do not suffer from a diagnosable sexual problem.

"I see a more confident man in front of me from using this product," she says.

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(Levine has also worked as a paid consultant to FastSize Extender.

Richard, the mechanic from New York, got results faster than Bob, but still wore the device under his clothes for about eight hours a day.

WebMD Medical News: "Penis-Lengthening Surgery Questioned," "Small-Penis Syndrome Questioned.

Many men would clearly rather spend $20, $50, $100 on the Internet than go to the doctor and get real information.

Levine cites "jelqing," a technique involving hours and hours of intense stroking.

Calling the results "remarkable," Levine now prescribes the device to many of his Peyronie's patients and reports no significant complications.

The most sensitive nerves in the vagina are found close to the surface, Lamm notes, and the clitoris is found on the vagina's outside.

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"I was afraid my girlfriend would think I was a freak, but she was supportive because she felt a difference in her satisfaction and I felt more confident in myself," Bob tells WebMD.

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Richard began wearing the device almost eight hours a day, every day.

But that makes it a true rarity among the nonprescription methods of male enhancement.

It's ironic that the male preoccupation with enhancement seems to be independent of the needs of women, the supposed benefactors of improved sexual performance.

A recent study found that 85% of women are pleased with their partner's penis proportions, but 45% of men say they want a larger penis.

Laurence A.

Most are a waste of money, and some are downright dangerous, doctors say.

All it took was 25 months and over 2,600 hours wearing the device, typically five hours a day, seven days a week.

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When Boyle's patients come to her with bottles of herbal supplements, she tells them she cannot vouch for their safety or effectiveness unless the FDA has reviewed the claims on the label.

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He has a loving wife who has always enjoyed their sex life.

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"Penis-lengthening surgery is also an option for men, but it is a highly controversial procedure.

"The FastSize Extender, though not extensively tested, has received some validation from mainstream medical sources.

He says he has patients who have developed Peyronie's disease due to violent stretching of the penis through jelqing.

"In younger or younger middle-aged men, ED is often the first sign of atherosclerosis.

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Levine, MD, professor, Rush University Medical Center and director of male sexual function and fertility, Chicago.

Given that the vast majority of men fall within a certain penis size -- about 5 to 2 inches long when erect -- most men fall within the normal range.

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Bob, New Jersey.

(The supplements are made by the same company that makes the FastSize Extender.

Richard, New York.

At the end of the six-month study, which was funded by the maker of the FastSize Extender, Levine found increased penile length and reduced curvature in every man and increased girth in seven of the men.

These men should be also be controlling their weight and cholesterol level, limiting their alcohol intake, and quitting smoking.

Then, in the back of a weightlifting magazine, he saw an ad for the FastSize Extender, a device that claims to make the penis longer and fatter through traction.

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"They need reassurance from a physician that everything is OK," she says.

"For men with ED who are at risk of heart disease, prescribing Viagra or its cousins isn't enough, Boyle says.

Steven Lamm, MD, assistant professor of medicine, New York University and author, The Hardness Factor.

Atherosclerosis, a condition in which fatty deposits build up inside arteries, may restrict blood flow to the penis and cause erection difficulties.

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It's a testimony to men's abiding insecurities about sexual performance.

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The group also refuses to endorse surgeries that inject fat cells in the penis with the goal of increasing penile girth.

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Nonprescription testosterone, such as the kind used by some bodybuilders, is dangerous, she warns.

Many doctors question whether the benefits of lengthening surgery outweigh the risks.

Sometimes men with erection problems or a diminished libido have low levels of testosterone, Boyle says.

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) SOURCES: Karen Boyle, MD, assistant professor of urology and director of reproductive medicine and surgery, Johns Hopkins University School of Medicine.

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