Penis Enlargement Pill or programs, do they work? What about herbs, supplements, vitamins, by Ray Sahelian, M.D.

I am not aware of any herbal or pharmaceutical product that leads to an anatomically bigger penis. However, if you have not had much sexual arousal in the past, and your penis is normally quite limp, certain herbs can help you get improved penile engorgement, it is possible that you will achieve maximal engorgement which could be a little larger penis than you are used to. But this does not mean that your penis got larger, it just means that your penis became the maximum size it would normally have been under ideal arousal conditions.
   It is also possible that if you are normally very limp, that the sexual herbs can improve your blood flow and you may notice your non-erect penis to be larger or fuller due to improved circulation or blood pooling. However, and again, this does not mean that these natural sexual products actually are making your overall penis size bigger, they are just improving the circulation and maximal potential you would achieve under ideal aroused situations.
  
Herbs can be effectively used to enhance a sexual experience. There are dozens of herbs that can improve erectile function, sensitivity, libido, and sexual pleasure. There are many products on the market that work well. One such product is Passion Rx, a combination of 20 exotic herbs. If you have had a low sex drive and weak erections, an herbal sex formula can improve dilation and engorgement, and it may appear that you have a large penis, but all the herbs are doing is to help you reach your natural maximum length, not necessarily increasing the maximum length which is limited anatomically.

Passion Rx -- Medical Doctor formulated for Male Sexual Enhancement

Passion Rx improves sexual urge, sensation, dilation, and stamina. The results are sometimes seen within a few hours, but most people notice the effects over several days of use. Our feedback thus far indicates more than 80% user satisfaction. Passion Rx does not enlarge a penis bigger than it would have been under ideal arousal conditions. It enhances erection, sensation, sex drive, and can make you stay harder longer and have a more powerful orgasm.

Buy or to learn more about Passion Rx, sex herbs such as Tribulus, Muira Puama, Catuaba, Tongkat Ali, Horny Goat weed


Passion Rx supports and enhances healthy:

In recent years science has made breakthroughs in the understanding of sexual dysfunction. But, for hundreds of years, civilizations around the world have known about locally grown herbs that achieve wonderful results with far fewer side effects than prescription drugs. The potent herbal extracts in Passion Rx include Ashwagandha, Catuaba, Cnidium, Herba Cistanches, Horny goat weed, Maca, Muira puama, Passion flower, Tongkat Ali (Eurygold and LJ100), Tribulus terrestris extract and and extract of Yohimbe.

Penis enlargement device may work if you wear it for several months
Dr. Paolo Gontero of the University of Turin has evaluated a device called Andro-Penis made by Andromedical of Madrid, Spain that may add about 2 cm to a man's penis size if used daily for several months. British Journal of Urology International, March 2009.

I have read questions and answers in your web page about penis enlargement pills. I am not here to ask you if they work as in my experience, i found that traction devices work wonderfully! In some of the questions asked to you from people who desperately wanted to gain inches to their penis, it was asked to you the efficacy of those penis traction devices. I have been using the Andro Penis device for about 8 months I measured an increase of an inches in length.
   I have seen one research published on Andro Penis device and it seems to work if used daily for several hours and for several months.

emails
I must tell you that you are a guru for me in terms of natural healthcare and that I have studied to be a practitioner myself, although without the illustrious credentials that you possess. Yet I must take you up on the stance that you take regarding these penis enhancement pills that claim to help erections and enlarge penis. Let me tell you that I suffered erectile dysfunction after being prescribed with Prozac by my GP. I tried everything to restore my sexual desire and function. After many mistakes I read a book called "Sex Pills A-Z" and learnt about what works and what doesn't work. I tried many different herbs and amino acid combinations and I have to tell you that I accidentally stumbled across a penis enlargement formula that gave me such huge penis and rock-hard erections that they scared both me and my partner because this bigger penis seemed to be "abnormal". So I would say to you that perhaps you should open your mind to the possibility that there are penis enlarger pills that work and that this work needs your investigative experience to determine if such a herbal penis enlargement formula can be developed by yourself so that a man can have a reliable source of information and advice and supplementation. Yours sincerely.
   We may have a difference in definition. Would you consider Viagra a penis enlargement pill? Of course there are many herbs and nutrients that grow rock solid erections but that does not mean they enlarged the penis to a bigger size than it could normally do on its own during optimal sexual stimulation.

Q. I'm 32, single, going to get married. I found about you when I searched for Tribulus Terrestris and your reference to another product called Passion Rx. I'm desperate to know if either of the above is well suited to improve the size of the penis permanently and enhances the erection strength. I've read on the net about many such products for penis enlargement, but I'm very much worried if they would harm my body.

Q. As you know penis size depends on the amount of blood inside of it. Surely If a certain PILL increases the erected size of the penis then it has "increased the size to a big penis" hasn't it? My experience is that I have larger and harder erections when taking certain combinations of herbs and supplements. And my partner comments on the difference in penis size because if anyone would feel the difference she would, don't you think? My personal opinion is that there are many penis pill products out there that help to increase the size of my penis, both erect and relaxed.
   A. What you say is true that certain herbs and supplements improve blood flow to the penis and lead to stronger erections, however, they will not increase the maximal size that the penis can be attained anatomically. If a person is extremely aroused without herbs and supplements, and they have reached their max, herbs are not going to make the penis any larger. If we use the definition that anything that cause the penis to engorge and swell is a penis enlargement tool, then watching a porno movie, resulting in more blood flow to the penis increasing its size could be considered a penis enlargement product. When promoters market penis enlargement pills, they are generally claiming that their product enlarges a penis and inch or more beyond what could normally be achieved at its maximal anatomic limitations.

I was just curious to know your opinion regarding the effectiveness of penis enlargement traction device of SizeGenetics which has been growing with some popularity on the net. They claim its use over less than a year will increase cell growth to compensate the pressure exerted into the penis- safely, thereby producing an anatomically longer penis even in a flaccid state. Is this a safe penis enlargement device?
   I have not seen any research in a reliable medical journal regarding SizeGenetics penis enlargement product. Therefore the company needs to first prove that this a safe and effective penis enhancement product before making these claims. The burden of proof rests on the company making the claim. Their website does not offer any scientific proof that their product leads to penis enlargement. However, there is at least one other device that apparently works to increase the size of a penis.

Q. Doctor, what is the top or best penis enlargement pill? Also, can you share a penis enlargement tip ?
   A. Since I don't think any of these penis enlargement product work, none of them would be a best penis enlargement pill. There are natural herbal pills that do improve sexuality, there is no doubt about that, but if you expect a big penis, bigger than what you now have, you may be disappointed.

Q. What do you think about a penis enlargement patch or cream?
   A. I have seen penis enlargement cream and patch being advertised. I doubt they work. I am not aware of a pharmaceutical penis enlargement drug.

Q. Do you know of an online penis enlargement forum?
   A. I don't follow any of these forums.

Q. I came across a website that has penis enlargement testimonials. Can these be trusted? They even show a before and after  penis enlargement picture.
   A. I have seen and heard about penis enlargement testimonials as marketing tools for a long time. I question the honesty of these testimonials, I don't think they are real. The size of a penis or a picture can be easily manipulated with simple graphics.

Q. Is penis enhancement the same as penis enlargement?
   A. Penis enlargement to me would mean the actual penis size to enlarge which is not possible to the best of my knowledge. Penis enhancement does not seem to be as much of a wild claim since it could just mean more blood flow, better sensation, and longer lasting erection.

Q. I keep getting spam email almost every day. It is from a website that sells a Penis Enlarge Patch. This is what they say. "Perhaps the best-known and widely used approach to deliver drugs through the skin without using a needle is Dermal Patch Technology . Known as trans-dermal- ''through-the-skin'' drug delivery systems, patches are available to treat or manage a number of health conditions. Dermal Patch Technology is quite simply the most effective and efficient means by which to benefit from ingesting an enhancement product. Using the Penis Enlarge Patch could not be more easy! The Penis Enlarge Patch should be placed on dry, hairless area of the lower abdomen or buttocks every 3 days . Rubbing alcohol is recommended to ensure optimum cleanliness. Replace the Penis Enlarge Patch after the third day with a new one. Putting Penis Enlarge Patch is as simple as putting on a band aid and forgetting about it! Wear Penis Enlarge Patch to bed, at work, when out on the town, anytime at all!
   A. Any company that sends out spam is immediately suspect and not to be trusted. We traced the Penis Enlarge Patch to a website called Pokeban. A review of Alexa ranking system reveals no information on this Pokeban web site. There are laws against sending spam and Pokeban, by sending spam regarding Penis Enlarge Patch, is violating this law.

Q. I see some websites that have Penis Enlargement Rankings. How do they go about testing for these penis enlargement rankings?
   A. First of all, penis enlargement such as growing an inch or more is, in my opinion, not possible with herbs. Secondly, these penis enlargement ranking websites are often just a front for sex product companies trying to sell their own penis enlargement products. Simply, the information you read on penis review sites or penis enlargement web sites is not reliable.

Q. I am writing to you regarding Penis Enlargement Pills and Exercises a topic your website covers in some detail. I work for a company called Lativio, we specialise in herbal penis enlargement exercises and pills. I was disappointed to read that you are telling people flat out that these pills and exercises cannot possibly enlarge your penis. Let me first explain a little about how the exercise program works. As you no doubt will know, the penis is not a muscle but is actually made up of many veins, arteries, tissue and blood cells. Our program teaches users exercises to train their Corpora Cavernosa, Corpus Spongium and Cavernosal artery to hold more blood. This is achieved by creating slight tears in the cells (similar to how lifting weights slightly tears the muscles) so that when the heal they become bigger and stronger than before. If they can hold more blood then a larger penis will be the result. The pills are not meant as a standalone product, we openly admit that pills do not work completely on their own. That is why we supply our pills with access to exercises as mentioned above. The pills simply increase bloodflow which, as common sense dictates, will mean an increased effectiveness of the exercises as there will be more bloodflow and pressure in the penis. We have literally thousands of members who have enlarged their penis (both erect and flaccid) using our products and have full confidence that when used correctly our products do work. Please feel free to visit our customer forums: http://www.mens-network.com/forum/index.php and read about the gains our customers have posted and I’m sure you will see that enlarging your penis IS possible through exercise and pills. If you would be willing to trial our program for 3 to 6 months I would be more than happy to give you free access so you can see for yourself that our program works!
     A. You mean corpus spongiosum. I would prefer that you spend 20 to 60,000 dollars on a small study done at an academic center to prove your claims. And if true, then you really would have a major seller.

A very informative website. I wonder if you could comment on whether there is a herbal supplement that might help a person in this situation: No problems with penis erections, appreciates that herbals will not increase penis size, is seeking to maintain a healthy flaccid penis state. In the mornings the flaccid length is “respectable” with a good blood flow but during the day it contracts to an embarrassing penis length. Any way of maintaining a good penis flacid state?
   We're not aware of such herbs at this time although it is possible that the use of some of the sex herbs discussed on this website can lead to more engorgement than usual and make the penis appear larger.

I would like to length my penis naturally, without weights, surgeon etc., so I came across many websites that have products for penis growth, claiming that they can increase length and girth. What is, in your opinion, the product that has the best results? Do you believe that any of these can cause problems, as future impotence, fertility problems or anything? I hope that you will answer this e-mail because I want to do something about my problem, for psychological reasons mostly.

I had a general question in regards to penis enlargement or enhancement pills. I was surfing the web and came across several companies that claim their product works by increasing the size of the Corpora Cavernosa, which are chambers in the penis that control blood flow. They claim their product increases the capacity of these penile chambers therefore increasing the length, girth, strength and firmness of the penis. My question is, are these so called penis enlargement claims scientifically or medically possible? Besides surgery, are there any methods of increasing penis size? I understand that these companies will pretty much say whatever it takes to make a profit, but perhaps there might be some sort of truth in what they claim. I just don't want to get my hopes up and spend my money on something that is impossible. Thank you very much for your time and consideration. Your medical expertise will prove invaluable in my decision to enhance my sexual life.
   I am not aware of any herbal or pharmaceutical product that leads to an anatomically proven penis enlargement. However, if you have not had much sexual arousal in the past, and your penis is normally quite limp, and the herbs do help you get improved penile engorgement and arousal, it is possible that you will achieve maximal engorgement which could be a little larger penis than you are used to. But this does not mean that your penis got larger, it just means that your penis became the maximum size it would normally have been under ideal natural arousal conditions.

I keep getting spam from penis enlarge patch rx makers. Is there a patch that leads to penis enlargement? Every day I get several emails from a company that sells penis enlarge patch rx product They claim " Penis Enlarge Patch Rx will expand the the erectile tissue longer and wider without any extra effort thus making penis enlargement as easy as 1, 2, 3."
   Penis Enlarge Patch Rx is a scam. You can tell a lot about a company that sends out spam. Penis Enlarge Patch Rx does not work and you will waste your money. We have had several testimonials from users of Penis Enlarge Patch Rx who had absolutely no gain in penis enlargement.

Does Orexis libido formula lead to penis enlargement?
    I have not tested Orexis myself or had any patients try it.

Penis Enlargement Pump
Penis enlargement pump devices, the frequent subject of e-mail spam and other questionable advertising, do not work. Long-term use of such devices not only fails to increase penis size but may also raise the risk of complications, such as penis numbness and burst blood vessels. Vacuum devices have been shown to temporarily increase penis size by promoting blood flow into the organ. A study involved 37 sexually active men, between 18 and 35 years of age, with a stretched penis length (a substitute for erect length) of less than 4 inches. The men were instructed to use the Osbon ErecAid Vacuum Therapy System three times a week for 6 months. With the device, the penis is placed into a clear cylinder with silicon cream or lubricating gel applied to the base to maintain an airtight seal. Air is then removed from the cylinder with a hand pump. The men were told to use the device for about 20 minutes after an erection was achieved. They were instructed not to exceed 30 minutes to reduce the risk of tissue damage. When the study began the average penile length was 2.9 inches. With use of the pump, the average length increased only slightly to 3.1 inches. Nonetheless, 30 percent of the men were satisfied with their results when surveyed. One case of penile hematoma, a collection of blood beneath the skin, and one case of numbness were noted, but both resolved spontaneously without the need for any treatment. Penis pumps may be more appropriate for erectile dysfunction than for penis enlargement. BJU International, April 2006.

Penis Enlargement Surgery
M
ost men who have had penis enlargement surgery are not satisfied with the results.

Herbal Penis Enlargement Pill Research
Men worried about having a small penis usually have a pretty average penis size, but have a false idea of what the normal penis size is, according to a report in the medical journal Urology. This best way to reassure men with penile concerns is to educate them, the author of the report says. Men should know that a normal-sized penis is 1.6 inches or more when flaccid or 2.76 inches when stretched out. The findings are based on a study of 92 patients who went to the andrology department at Cairo University Hospital in Egypt over a 2-year period complaining of a small-sized penis. Penile length and girth were assessed with a tape measure in both flaccid and fully stretched states. The men were asked what they considered a normal size penis and then were informed about the actual normal penis size. All of the men met the thresholds for normal penis size and did not have erectile dysfunction. However, on average, the men estimated that the "normal" flaccid penis length should be to be 5 inches. The education and measurement sessions solved the concerns of 79 men. The other 13 subjects still insisted that their member was too short, but with further psychosexual counseling, most were convinced otherwise. It is those who are resistant to the idea that their penis is average size and wish for a large penis or huge penis who are most likely to seek penis enlargement pills or a penis enlarger device.

A federal judge in Denver has tentatively granted class-action status in a lawsuit against marketers of alleged penis enlargement products. The suit was filed by
Californian Jefferey Horton against Leading Edge Marketing Inc. of British Columbia, TechniPak LLC of Greeley, Colorado, and Advanced Botanicals Ltd. of Vancouver, British Columbia, and several others. Potential class members include an estimated 400,000 customers who purchased products sold by Leading Edge under the VigRx brand since June 2000. [Griffin G. Lawsuit over penis potions may become class action. May Denver Post, 2005]

Penis Research
The nitric oxide signaling pathway in the penis.
It is widely accepted that nitric oxide plays an important role in the biology of the penis, serving most familiarly as the agent responsible for penile erection. Early investigation in the field led to the identification of the signaling function of the molecule in the penis which yields corporal smooth muscle relaxation fundamental for the erectile response. Ongoing study of this molecule and its signaling pathway in erectile tissue has served to revise and clarify its importance. Current information conveys the prerequisite of the nitric oxide signaling pathway for penile erection, the regulatory basis for the generation and actions of nitric oxide in the penis, the diverse roles of its synthetic enzyme isoforms in penile biology, and the interaction between nitric oxide and other molecular pathways operative in the broad context of erection physiology. Insight into these subject areas has therapeutic relevance for pathologic conditions of the penis. The purpose of this review is to highlight the latest areas of investigation related to the science of nitric oxide in the penis, as a gateway for considering novel therapeutic strategies for erectile disorders now and in the future.

The Truth about Penis Enlargement
I recently did a search on the internet for some common terms that men were using to look for a penis enlargement product or a male penis enlargement supplement, and came across the following:

natural penis enlargement pill - penis enlargement product - penis enlargement surgery - natural penis enlargement - herbal penis enlargement - big penis - penis enlargement exercise - penis enlargement technique system - free penis enlargement - penis enlargement review - penis enlargement device - penis enlargement herb - penis enlargement pump - medical penis enlargement

There were hundreds of thousands of searches a month for the above words. Obviously, quite a number of men really think that there are pills that enlarge a penis. I also came across a number of web sites that were advertising penis enlargement products. Here are some of the claims.

1. Product X is a natural herbal formula for permanent penis enlargement that works to increase penis size, improve sexual health and strengthen erections. Herbs from many parts of the world are formulated into an herbal blend that enlarges the penis erectile tissues called corpa cavernosa (sic, they even spelled it wrong - it's corpora cavernosa). Great penis enlargement pills : Gain Up To 3 or 4 Inches In Length, Increase Penis Size - Expand Your Penis Up To 20% Thicker -  Stop Premature Ejaculation - Produce Stronger Erections with this male penis enlargement pill.

2. Product Y - This Penis Enlargement Formula is absolutely the easiest, fastest, doctor recommended way to add 2", 3", even 5" of pure manhood to satisfy your lover like never before! In just a few short weeks, you'll be amazed as you watch your penis grow into the biggest, thickest, hardest one she's ever...

3. Hi guys, did you know that it is possible to enlarge your penis using just a few simple exercises and techniques at home? Have penis enlargement without a pill. All it takes is a few minutes a day, and the results are permanent penis enlargement. It may sound hard to believe, but it really does work. These methods are 100% Natural. No pumps, pills, magic devices or silly gadgets, and definitely no surgery. In fact, all that is required are your hands!  The team here at Product Z are continually studying and researching these home penis enlargement exercises and techniques which have been proven to enlarge the penis from 1- 4 inches or more. Some clients have even reported gains of over 4.5 inches! The best thing about the penis enlargement program is that most men will notice results within the first 2 - 3 weeks. These penis enlargement techniques are 100% safe, natural, and proven effective. You will also learn how to: Cure Impotence (by increasing blood circulation) -  Strengthen your erections - Increase the power of your ejaculations, lengthen and intensify your orgasms. Straighten curvature of the penis. Create a bigger (mushroom) head on your penis. You CAN enlarge your penis 1"-4" at home, without dangerous and expensive penis enlargement pumps, tool, weight systems, or other rip-offs!

Is it true that penis may grow and keep the new size with those products that are advertised through the TV programs?
    I don't think there would be permanent growth from the use of herbal products.

Interested in your products...I believe...I am looking to have my penis come alive again...feels weak due to pumping.. what do u recommend to get the nerves and blood circulation back? Also, believe I have some prostate issues which are also not allowing for fuller erections...also.. like all men I would like a bigger penis...what do u recommend i purchase or do? to sum up what do i buy for.. Stronger Erections, more blood flow, repair possible nerve damage? Bigger, longer, penis?
    There are a number of herbal products that can help with stronger erections and you may wish to try different ones to see which work for you.

Have any of your customers or patients reported any permanent change in penis size accompanied with the use of tongkat ali herbal product? Thank you for your time and I love your website!
    Although this herbal product does improve blood engorgement and helps with erectile function, it is unlikely to cause a permanent change in penis size but it could cause maximal engorgement of the penis which may appear that the size has increased but is actually what the organ would be under ideal natural stimulation.

I am from uk west yorkshire my story is very much sad and i need ur help and suggestion in finding a real penis enlargement pills which actually works 100 percent genuine just to grow my penis size big and i dont need any speed up pills while having sex i am 27 yrs old and single and now let me come to my real story i have used vimax pills im sure everyone must have heard about it vimax penis enlargement pills 2 bottles 60 pills and after 3 weeks i felt something inside my pant that its getting tight on but after i finished 2 months of 2 bottles which is 60 pills my penis size gone small now instead of getting big and now i am in serious trouble really dont know which one to use and whom to trust so please help me out to grow my penis big my penis was not that small before taking vimax but now i can feel it. so please help me out. i know this is very much embarrasing but what i am going through now only i know. so please suggest me and email me which one i should use vigrx plus, extagen,  prosolution, or male extra cuz there is so many like for all men same penis enlargement pills wont work but mostly which work for most men.

Penis Enlargement Web Sites
There are many websites that promote products for penis enlargement. Most, I suspect, are just a front for the product that they sell and recommend. Here are a few:

Penis Enlargement Planet - Welcome to Penis Enlargement Planet, your source for a variety of FREE information related to the penis and the most effective way to enlarge it.

Penis Enlargement 123 - Welcome to Penis Enlargement 123. We list and rank the most popular penis enlargement patch, penis enlargement pill, and penis enlargement extender programs on the net.

Enlarge Penis Guide

MAGNA-RX Penis Enlargement Formula is absolutely the easiest, fastest, doctor recommended way to add 2", 3", even 5" of pure manhood to satisfy your lover like never before!