MULTI MILLION DOLLAR MEDICINE FRAUD

The internet is flooded with websites selling everything from pills to penis extenders that claim to increase the length and girth of your manhood. But do these treatments work?

according to gov. website of NHS,

Men's anxiety about penis size has spawned a multi-million-pound global industry in clinically unproven "male enhancement products".

While many men worry their penis is too small, research shows that most men's penises are normal and they needn't be concerned. Professor Kevan Wylie, a sexual medicine consultant, says men with concerns about their penis size should consider talking to a health professional before experimenting with treatments, which are mostly ineffective, expensive and potentially harmful.

"Many men who worry about the size of their penis generally have overall body image issues," he says. "What happens is that they tend to focus their poor body image on their penis.

"Often, counselling can make a real difference to the patient by building self-esteem, correcting distorted views about body image and learning more about what makes people attractive."

While you can't do much to safely enlarge your penis, there are several things you can do to make you feel more confident about your body.

• trim your pubic hair – a big mound of pubic hair can make your penis look smaller than it is
• lose weight – a beer belly hanging over your penis can make your penis look smaller
• get fit – getting into shape will not only make you feel more attractive, it could also improve your sex life

Professor Wylie assesses the evidence, effectiveness and safety of different types of penis enlargement products and treatments on the market.

Non-surgical treatments

Pills and lotions

These products usually contain vitamins, minerals, herbs or hormones that claim to enlarge the penis. Despite their impressive claims, there's absolutely no clinical evidence that these products work and some may even be harmful. The University of Maryland in the US carried out an analysis on some of these and found traces of lead, pesticides, E. coli bacteria and animal faeces.

"They're a complete waste of time," says Professor Wylie. "Pills and lotions have no proven benefit. If they were effective, they would be on sale at chemists. Using a lotion may help a man become more familiar with his penis, which some men shy away from. So lotions can help a man become more comfortable with his penis but they certainly won't make it any bigger."

Vacuum devices

Penis pumps involve placing a tube over the penis and then pumping out the air to create a vacuum. The vacuum draws blood into the penis and makes it swell. Vacuum devices are sometimes used in the short-term treatment of impotence. But overusing a penis pump can damage the tissue of the penis, leading to weaker erections.

"There's very little evidence that these devices cause any significant long-term gain in size," says Professor Wylie. "Using a pump for a few minutes a day won't do anything to increase penis size."

Penile extenders

This technique involves placing a weight or a small extending frame, sometimes called a traction device, on the flaccid penis to stretch it. Professor Wylie says there's no clinical evidence that using weights will extend the penis, and they may cause permanent damage. However, better results have been reported with traction devices. 

"There's some evidence that traction devices can have some impact, particularly with men who are smaller in size," he says. "Some patients using traction devices for 6 months have noticed a gain in size of 1-2cm. However, such treatments shouldn't be started without the supervision of a doctor."

Jelqing

Jelqing is an exercise involving repeatedly pulling the flaccid penis using the thumb and index finger, with the aim of increasing erection size. The idea is that the pulling exercises will increase the blood capacity of the penis' erectile tissue, allegedly resulting in increased length and girth of the penis.

"Just like using lotions, this technique can help some men better appreciate the considerable difference in size between a flaccid penis and an erect one, which helps them become more comfortable with their body," says Professor Wylie. "But there's no scientific evidence to suggest jelqing can increase penis size."

Penis surgery

Penis girth surgery

Some surgical techniques to increase penis girth involve injecting fat taken from another part of the body into the penis. Some studies have reported increases in circumference of 1.4-4cm.

However, studies that followed men up over a longer time suggest disappointing results, with complications including disfigurement, scarring, lumpiness and infection.

Another method, still in its experimental stage, involves pulling back the skin of the penis to wrap a tube-like biodegradable frame filled with tissue cells around the shaft.

Professor Wylie says the use of biodegradable frames has had better results than fat injection. "The problem with injecting fat is that over time, the body will re-absorb it, which can result in a return to the penis' original size," he says.

Penis length surgery

The most common technique involves cutting the ligament that attaches the penis to the pubic bone and performing a skin graft at the base of the penis to allow for the extra length. Professor Wylie says the surgery can result in an average gain in length to the flaccid penis of 2cm, but there will be no change to the size of the erect penis.

Furthermore, the erect penis won't point as high as before the operation because the ligament which was cut no longer offers support.

"A lot of men who have this treatment don't truly appreciate this loss of angle," says Professor Wylie. "It can make sex quite uncomfortable. You've got to do a lot more manoeuvring with your partner. The advantage of a 2cm gain in flaccid length is far outweighed by the loss of angle of erection."

As penis enlargement surgery is for cosmetic purposes, it's unlikely to be available on the NHS.

Liposuction

For men with a large tummy, liposuction, a surgical procedure to remove fat below the abdomen, can make their penis look larger. Removing excess fat around the pubic area can make a partly buried penis appear more prominent.

Professor Wylie says the cosmetic results are generally considered reasonable by patients. "Liposuction can result in a 2cm gain in length in the short-term, but the fat will return to the pubic area if the patient puts on weight again," he says.

"The procedure can give the patient a confidence boost, but for it to be sustained over the long term, they need to improve their diet and get exercising."

However, like all surgical procedures, liposuction carries the risk of side effects and complications. Find out more about the risks of liposuction.

let's see what the mayo clinic review said,

Penis-enlargement products: Do they work?

Tempted by products that claim to increase penis size? Get the facts about what to expect from male-enhancement pills, pumps, exercises and surgeries.

Ads for penis-enlargement products and procedures are everywhere. A plethora of pumps, pills, weights, exercises and surgeries claim to increase the length and width of your penis.

However, there's little scientific support for nonsurgical methods to enlarge the penis. And no reputable medical organization endorses penis surgery for purely cosmetic reasons.

Most of the techniques you see advertised are ineffective, and some can damage your penis. Think twice before trying any of them.

Penis size: What's normal, what's not?

The fear that your penis looks too small or is too small to satisfy your partner during sex is common. But studies have shown that most men who think their penises are too small actually have normal-sized penises.

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

The length of a non-erect penis doesn't consistently predict length when the penis is erect. If your penis is about 13 cm (5 inches) or longer when erect, it's of normal size.

A penis is considered abnormally small only if it measures less than 3 inches (about 7.5 centimeters) when erect, a condition called micropenis.

How partners view penis size

Advertisers would have you believe that your partner cares deeply about penis size. If you're concerned, talk to your partner.

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.

Don't believe the hype

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

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

Marketers rely on testimonials, skewed data and questionable before-and-after photos. Dietary supplements don't require approval by the Food and Drug Administration, so manufacturers don't have to prove safety or effectiveness.

Penis-enlargement products

Most advertised penis-enlargement methods are ineffective, and some can cause permanent damage to your penis. Here are some of the most widely promoted products and techniques:

• Pills and lotions.  These usually contain vitamins, minerals, herbs or hormones that manufacturers claim enlarge the penis. None of these products has been proved to work, and some may be harmful.

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

  A vacuum pump can make a penis look larger temporarily. But using one too often or too long can damage elastic tissue in the penis, leading to less firm erections.

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

  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.

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

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

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

Surgery is risky and may not work

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

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.

Surgical methods of penis enlargement — Not for cosmetic use

Suspensory ligament

The need for penis-enlargement surgery is rare. Surgery is typically reserved for men whose penises don't function normally because of a birth defect or injury.

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. These surgeries should be considered experimental. There aren't enough studies of penis-enlargement surgery to give an accurate picture of risks and benefits.

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.

But cutting the suspensory ligament can cause an erect penis to be unstable. Severing the suspensory ligament is sometimes combined with other procedures, such as removing excess fat over the pubic bone.

A procedure to make the penis thicker involves taking fat from a fleshy part of the body and injecting it into the penis shaft. Results may be disappointing, however, because some of the injected fat may be reabsorbed by the body. This can lead to penile curvature or asymmetry and an irregular looking penis.

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.

A few things that might actually help

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.

• Communicate with your partner.  It may be hard to break old habits or to discuss sexual preferences with your partner. But you'll be glad you did — and you may be surprised at the spark it ignites in your sex life.

• Get in shape and lose the belly fat.  If you're overweight and have a "beer gut," your penis might appear shorter than it is.

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

• Talk to your doctor or a counselor.  Feeling unhappy about the size of your penis is common. A certified counselor, psychologist, psychiatrist or your family doctor can help.

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.

The bottom line

Many men believe that increasing the size of their penis will make them a better lover or make them more attractive. But chances are your penis is within the normal size range.

Even if your penis is smaller than average, it may not matter to your partner. In addition, there's no proven way to make a penis larger.

The solution to your concerns about penis size may be as easy as talking with your partner or getting in shape. If those steps don't help, try talking with a professional counselor about your concerns.

[7-16-2019] The Food and Drug Administration is advising consumers not to purchase or use Big Penis, a product promoted for sexual enhancement. This product was identified during an examination of international mail shipments. .

FDA laboratory analysis confirmed that Big Penis contains sildenafil, the active ingredient in Viagra, an FDA-approved prescription drug for erectile dysfunction. This undeclared ingredient may interact with nitrates found in some prescription drugs, such as nitroglycerin, and may lower blood pressure to dangerous levels. People with diabetes, high blood pressure, high cholesterol, or heart disease often take nitrates.

Health care professionals and patients should report adverse events or side effects related to the use of this product to FDA's MedWatch Safety Information and Adverse Event Reporting Program:

• Complete and submit the report online at MedWatch Online Voluntary Reporting Form, or
• Download and complete the form, then submit it via fax at 1-800-FDA-0178.

Note: This notification is to inform the public of products marketed as dietary supplements or conventional foods with hidden drug ingredients and chemicals. These products are typically promoted for sexual enhancement, weight loss, and body building and are often represented as being “all natural.” FDA is unable to test and identify all products marketed as dietary supplements that have potentially harmful hidden ingredients. Consumers should exercise caution before purchasing any product in the above categories. 

• so it is proved that all commercials ads flooding the internet are fake....
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