#penis enlargement exercise in india

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Penis Enlargement Surgery: Procedure and Considerations

Penis size is a topic of concern for many men, and some may consider penis enlargement surgery as a potential solution. Penis enlargement surgery, also known as penile augmentation or phalloplasty, is a surgical procedure designed to increase the length or girth of the penis. In this article, we will explore the various surgical techniques used for penis enlargement, discuss the considerations and potential risks associated with the procedure, and highlight alternative options for those seeking to enhance their sexual confidence.

Understanding Penis Enlargement Surgery

1. Lengthening Procedures: Lengthening procedures aim to increase the visible length of the penis. The most common technique is the release of the suspensory ligament, which attaches the penis to the pubic bone. By severing this ligament, the penis may extend slightly beyond the body. In some cases, additional techniques involving grafting or transfer of tissue may be performed to further enhance length.

2. Girth Enhancement Procedures: Girth enhancement procedures aim to increase the circumference or thickness of the penis. Fat transfer is a commonly used technique in which fat is harvested from another part of the body and injected into the penis. Dermal fillers or synthetic implants may also be used to achieve girth enhancement.

Considerations and Potential Risks

1. Realistic Expectations: It is important to have realistic expectations regarding the outcomes of penis enlargement surgery. While the procedure can lead to modest improvements, it cannot drastically alter the size of the penis. Discussing expectations with a qualified healthcare professional is essential before making a decision.

2. Potential Risks: Like any surgical procedure, penis enlargement surgery carries potential risks and complications. These may include bleeding, infection, scarring, loss of sensation, asymmetry, erectile dysfunction, and dissatisfaction with the results. The risk of complications can vary depending on the specific surgical technique used and individual factors.

3. Psychological Considerations: It is important to consider the psychological aspect of seeking penis enlargement surgery. Understand that self-esteem and sexual confidence are influenced by a variety of factors, and surgery alone may not address underlying psychological concerns. Counseling or therapy may be beneficial in addressing body image issues or self-confidence concerns.

Alternative Options for Sexual Confidence

1. Non-Surgical Treatments: Various non-surgical treatments can help enhance sexual confidence and performance. These may include counseling, therapy, sex education, communication improvement with sexual partners, and the use of sexual aids or devices.

2. Lifestyle Changes: Certain lifestyle changes can positively impact sexual confidence. These include maintaining a healthy weight, exercising regularly, managing stress levels, getting adequate sleep, and adopting a balanced diet.

3. Communication and Emotional Intimacy: Open and honest communication with sexual partners can foster emotional intimacy and improve sexual satisfaction. Discussing desires, preferences, and concerns can enhance the overall sexual experience.

Cost in India

The cost of penis enlargement surgery varies greatly based on various aspects, including geographic area, the precise technique employed, surgeon experience, the facility where the procedure is conducted, and any other services or follow-up care included in the package. India is well-known for the low cost of medical treatments, including cosmetic procedures. When compared to Western countries, penis augmentation surgery in India might be substantially less expensive. Depending on the facility and surgeon, the cost might range from $1500 to $4000.

Conclusion

Penis enlargement surgery is a surgical procedure aimed at increasing the length or girth of the penis. While it may be an option for individuals seeking to enhance their sexual confidence, it is crucial to have realistic expectations and consider the potential risks and complications associated with the procedure. Open communication with a qualified healthcare professional is essential to understand the available options and make an informed decision. It is also important to explore alternative approaches, such as non-surgical treatments, lifestyle changes, and improving emotional and sexual intimacy. Ultimately, sexual confidence and satisfaction are influenced by a variety of factors, and addressing the underlying psychological aspects may be just as important as considering surgical interventions.

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Penis Size Enlargement Treatment in Mumbai

Do you want a bigger penis? In one large survey a few years ago, about 45% of men said they did. And you can buy plenty of over-the-counter and even medical treatments that promise a larger penis. But do any of them really work?

Penis Size Enlargement Treatment in Mumbai

Some of the things men use to try to increase penis size include:

Vacuum penis pumps

Penis weights

Penis stretching exercises, called jelqing

Supplements

Creams

Surgery

The truth is that these treatments tend to have modest, if any, results, experts say. And most don't do anything at all to increase penis size.

But some techniques, including weight loss, may improve your penis’s appearance or your confidence in bed, says Petar Bajic, MD, a urologist and head of the Men’s Health Center in the Glickman Urological and Kidney Institute at the Cleveland Clinic.

How can you figure out what might help and what's a sham? Talk to your doctor before you try any penis enlargement device or treatment.

“Many men still feel uncomfortable talking to their doctor about this issue, but they should seek advice from someone experienced in this area,” Bajic says. “People will do all sorts of things to try to make their penis larger.”

Most likely, your penis isn't really too small, experts say.

Men who want larger penises may have a poor body image, low self-esteem, or even a condition called body dysmorphia, says Michael O’Leary, MD, a professor of urologic surgery at Harvard Medical School and a urologist at Brigham and Women’s Hospital in Boston.

[sexologistdoctorsblog]

Why Would Someone See A Sexologist?

To become a sexologist, a doctor of sexology must complete further certifications. This is due to the fact that the majority of sex issues cannot be properly diagnosed by sexology doctors without taking into account a number of psychological, genetic, biological, physical, and social aspects. Many different cultural and personal views are connected to these elements. Since sex is such a broad topic, a sexologist must be knowledgeable about a wide range of variables that can have an impact on a person. Sexual thoughts and behaviors depend on the factors mentioned above.

The Benefits of Online Consultation

Confidentiality is guaranteed and time is saved while consulting online. A sexologist may not be accessible due to time constraints or hesitance, in which case online consultation is helpful.

What Conditions Treat Our Sexologists?

The size of the male penis continues to cause controversy today. Pressure from society and peers is the main cause of issues relating to penis size, such as penile enlargement. Men's concerns regarding the size of their penis are a common topic for sexologists to address.

Erectile Dysfunction: The inability to maintain an erection during sexual engagement is known as erectile dysfunction, often known as impotence. This may occur as a result of external lifestyle choices like smoking and drinking, as well as psychological issues like stress and anxiety. Obesity, diabetes, high blood pressure, high cholesterol, sleep difficulties, and specific medications are examples of physical reasons. In case the penis is loaded with blood, an erection happens. Treatment options for erectile dysfunction include modifying eating habits, engaging in regular exercise, using medications, cutting back on alcohol and tobacco use, and reducing stress.

Premature Ejaculation: A disorder is known as Premature Ejaculation, or PE, occurs when a male ejaculates earlier than usual. PE is typically brought on by emotional reasons like stress, anxiety, or guilt, but it can also be brought on by genetic causes. Consulting a doctor for Premature Ejaculation could be quite beneficial for maintaining healthy sexual relationships.

Penis Size: Male penis size continues to cause controversy nowadays. Pressure from society and peers is the main cause of issues relating to penis size, such as penile enlargement. Men's concerns regarding the size of their penis are a common topic for sexologists to address.

Low Libido: Testosterone plays a role in men's sex drive. Issues like poor sex drive are always brought on by the level dropping. One can anticipate a decline in the count as people age. A rapid drop is not a good indication. We examine both well-known and less well-known factors when addressing decreased libido in males.

We review the patient's medical background. Sometimes, things are perfect for couples. Other medical disorders are the source of the issue. Low libido is more likely in people with diabetes, cancer, or cardiac conditions.

The focus of Dr. Arora's Clinic is on the patient. The diagnosis can work miracles in low libido patients. Imagine you were experiencing reduced libido because of stress or a medical issue.

Conclusion: An expert that helps with an erectile penis, weak pennies treatment, sudden erectile dysfunction, impotence treatment, or any other sexual problems and solutions just contact the best sexologist in India. or To learn more about men’s sexual problems and their treatments you can read our more informative blogs on our website. 

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How To Increase Penis Size

How To Increase Penis Size

Fact About Penis Size

This is a common question.Does “Penis Size” Matter for a Happy Sex Life? Ask this questions any sexologist. So there is only one answer.Penis Size Doesn’t Matter.But for some people the size of the penis is matter.And the biggest reason for this is that they look at the penis of porn stars and think that the size of their penis is small.but it is not fact. Every Man Want To…

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The Penis Enlargement Bible Person Experience

3 approaches to last but not least work with a prosperous state of mind. There may be undoubtedly absolutely boosted movement of blood flow to the vaginal canal when it really is aroused; there is present develop-up of stress once this happens. Several women could have it finished when inside their lifestyle-time also as by no means go through it again. One of the more preferred elements for almost any the penis enlargement bible pdf enhancement pc tablets are yohimbe, ginseng, and gingko biloba. Despite the fact that you will discover a great deal of people that even so practice concerns such as a micropenis, the normal ordinary penis results in you and your loved ones with a lot more than adequate for just about any partner to completely feel while in sex. Make certain you without doubt have a great deal of thoroughly clean bathroom towels and also linens about. Examination workers also assert may possibly characteristic a good number of the chemical parts that are frequently found in the male prostate. For instance, you will find out a low carbo ketchup. With the aid of biochemical penis enlargement, these nutrients could possibly be manufactured active soon after yet again and as a result, you certainly can enhance penis size in the right method. Exactly what the aforementioned described goods neglect to bring up is the fact till and unless of course the insides of one's basic body go along with the outside goods, no modify is going to take location. This believed can be a reason behind this method's accomplishment and mostly for the reason that it could make best perception, you really seriously are not able to go awry with it! It will keep the outside and also inside sources as a whole harmony as well as makes sure that you enhance penis size without the needless strain as well as sleep deprived evenings.

Hashmi Dawakhana was set up in 1929, Hashmi Dawakhana is unquestionably a single of your major stable involved in producing as well as exporting real natural drugs for a great deal of sex issues. Hashmi Dawakhana delivers intimate issue treatment like erotic dilemma calm , flaccid genitals, no erotic strength as well as aspiration, Emissions way too quick/pretty much every single evening night emissions with weakness of genital area virtually each and every nighttime. Hashmi Dawakhana how to enlarge penis by exercise information you sincerely attain your greatest penis size and enhance your sex activities to a different levels. Penis Enlargement remedy by Hashmi Dawakhana is completely wonderful at delivering much more blood circulation in the penile place. Hashmi Dawakhana introduced a herbal product or service Sikander-e-Azam Plus for that individuals who probably have small penis Can seek out much more information by going to our web site: - All-organic penis workouts are matchless as well as committed exercises that concentrate on demanding the penile cells to grow to greater sizes. By interacting in organic penis exercises you and your family force considerably more bloodstream than your penis can normally consist of into the penile shaft. This effects through the penile cells expanding as well as increasing very last its frequent limitation. Through your day of sleep, your penile muscle tissues re-expand to larger proportions and in addition this final result in the larger penis size, inside of size and moreover girth.

Growing up - the ultimate of advancement. operatively , individuals consider reduce their additional tissue in penis , which is again expensive and weakens your reproductive bodily organs. Nonetheless, this is certainly a fundamental truth which may help you truly to comprehend precisely what you're partner will delight in:. This is multi-media, which suggests you will find exclusively simply the position you sincerely could desire to accomplish as well as you in fact won't get bored although understanding. Thai physicians, inside the world capital of penis enlargement surgical procedures, go to these kinds of weird lengths as putting significantly less suggested supplies, for instance olive additional virgin organic olive oil or crumpled classifieds into naive patients' cocks. Precisely What Is penis enlargement bible. precisely what by no means to do” far better sex information. Irrespective of exactly how completely ready he is over a simple stage, somewhat out of your glowing blue, he's fundamentally not contemplating. Never try out way too very challenging.

But about the upside, you along with your members of the family can expect penis exercise results to result in permanent improvements to your penis. This is definitely the benefit of penis exercise over various other strategies like penis pumps exactly where, to keep to take delight from the outcome, you and your household need to have to keep to use these PE Bible By John Collins products or surgery that might possibly require maintenance proper care or followup treatments. And from you and also your family are stimulating a number of areas of your penis, you also enhance their some other functions, which gives you really a lot of added added bonus positive aspects.

Sikander e Azam will come across the number one particular with this top rated ten collection thanks to the fact that it is the pure holistic working solutions as well as is clearly a single about the definitely researched medication online. This product comes from the prestigious natural and organic treatments company, Hashmi Group of people from India and is requested from through out the full community. This penis enlargement medication will most likely be the pure simply organic method to enhance penis size although upgrading the penis all around well being and performance of several folds up. The medicine is in the market for over a decade and is still asked by its brand. It's the prime product of Hashmi for man's sex over-all wellness.

PE Bible program is really a item developed by Dr John Collins, a well-known professional sex educator. It can be a 94 webpage electronic book that contain confirmed tactics and also strategies which generally will improve the penis length as well as girth to the a lot less endowed people. The size is clearly a significant topic which generally most gentlemen attempt to protect yourself from and for that reason Dr Collins got to generate the piece. The product or service offers to enlarge the size inside the penis normally with one particular to 4 inches with out being forced to go through almost any surgical treatments as well as with out making use of almost any hazardous extenders or prescription drugs.

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Benefits Of Herbal enlargement Products

Ropaxin I are unable to let things go. I'm still confounded by PETA's re-naming fish "sea kittens". I got down to convince the kids during make bland dinner that spinach was boiled cotton chocolates. That worked until they tasted this item. Do they honestly believe that renaming something help save it from human ingestion? Hell, I still eat chicken livers if they're charred beyond recognition, and in case there ain't no jars of pickled pig's feet or calf's tongue on a VFW bar counter, honey, you ain't in my VFW. Fishermen around here don't call for names. Naming fish "sea kittens" might a legal nightmare. Once they grow up to be sea cats, wouldn't fishermen be tagged as serial cat-killers?

Another great herb which is an intrinsic ingredient in various male enhancement supplements and diet pills. Though it can be a great brain tonic, it also enhances flow to the genitals. Not really this, you'll find it helps increase nitric oxide levels in blood guarantee blood vessel dilation inducing increased the flow of blood to the erectile tissue. This ensures stiffer and harder erections. Cardio do the job.strength training .and stretching exercises. And individuals have educate like an Olympic athlete either. Just sure you can do something normal - whether or not you simply the stairs instead of using the elevator. In order to start the process of doing the Jelqing technique, you should first get a piece of cloth and soak it in lukewarm water. After making confident that the cloth is totally soaked, cover your penis with it gently. Let a little bit pass at the same time you can already take the cloth off and start applying lotion to your penis. Once your whole manhood is covered with lotion, do the OK sign with one your hands and place to wrap you around the bottom and do an upward, stroking motion until your hand reaches the bottom of the tip. Repeat this process with your other hand and still do so for around five min. Finally, cover your penis again with a warmly soaked cloth and you are clearly done of waking time. This herb is a nice testosterone booster. Involved with known by various names such as Yellow Vine, Puncture Vine, Gokshura or Caltrop. Its found across various regions in Europe, Asia and Africa. In the used for hundreds or years in Chine and India to stop erectile and libido problems in gents. Be more vocal. Educate your lover exactly what you wish to have them do today your body and then let your honey do pertaining to and a person what would like done. Being better sex trick is boost your sexual excitement, don't be afraid help make matters noise through groaning or calling out of lover's brand name. When you make sounds, you are heightening both your in addition to partner's sense of arousal. Who doesn't want girls fawning over your muscles? The thing is, some people find it tough to maintain them. They look hard, but aren't made from much drug. This is where dust and grime its magic on your muscles and get there the density level way high and transforms you into the owner of new muscles that hard and here to stay. Muscles on your forearms, shoulders and biceps will feel naturally harder and function as a envy of the gym consorts!

[sukhsanjivaniayurveda]

Yes! Overweight can causes difficulties in sexual life of men. Many men suffering from overweight also suffer from sexual problems. If you are affected by obesity, a body mass index greater than 30, you are allowing yourself to be at greater risk for diabetes, high blood pressure, cardiovascular disease and for men, erectile dysfunction. Eating healthy, exercising and not smoking can absolutely correct erectile dysfunction in many cases!

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Vigrx Plus Side Effects And Final results

wonderful reviews blog contains all organic organic ingredients that have been clinically analyzed for basic safety with no documented facet consequences or reported drug conflicts. On the all round, there is no doubt that Vigrx tablets are a single of the most excellent tablets or items available in the market place these days. But you need to have to be cautious although choosing the male enhancement complement shop due to the fact there may possibly be presence of a number of cons that only disappoints you by accessing your personalized details and providing fake items to you. You can also discover that these pills are a hundred per cent cost-free of side results due to the existence of normal components. Get male performance pills appear at numerous rewards of employing this merchandise as when compared to other Male Enhancement Drugs , talked about underneath: Vigrx Plus : Male Enhancement Capsules. Only firms with exceptional goods and content buyers who purchase once more and once more can stay in this business for extremely lengthy, which is why vigrx drugs , becoming all around for in excess of 3 years, is listed here to stay. Vigrx tablets The Kinsey Report is a single of the most total reports of penis dimensions to day. Even though it may differ from solution to product, vigrx drugs supplements normally reach their highest rewards following 4 months. Vigrx pills As you continue with the tablets in excess of the subsequent few months, these improvements will proceed to develop, as more time and firmer erections get started to consider shape. Supplied you chose a quality solution, you should start off noticing benefits inside of the first pair months of utilizing your health supplement vigrx capsules. Despite the fact that not all products in this business are respectable, goods like vigrx drugs can make a enormous affect on all of these difficulties. remarkable reviews blog plus Price tag is an powerful medication for male improvement, and male erection, and this medication will deal with plenty of troubles. The cost is really reasonably priced because VigRX Plus is a health-related system which provides the complete sexual healthcare and offers with plenty of sexual issues. Vigrx Plus Uk Very best Price tag Recognized to be the lack of ability to preserve or probably protect an erection, Erection dysfunction, or Male impotence, may be just momentary or the attribute of some point enhanced. VigRX Plus assures you to take pleasure in sixty seven days risk-free of charge sexual improvement on each sides, that is, used and unused pills. A consumer of this drug have noted an increases the libido, alongside with an incorporate to in the nitric oxide, articles in the genital areas so this exercise truly aids the consumer to take pleasure in the sexual action in a much better way by driving a high-good quality and long lasting erection. Appropriate from the advancement in the sexual enjoyment to the enhancement in the male improvement, this is helpful to all implies for producing a sexual existence a successful journey and a lot much more. And this as a standard formulation of the drug truly aids you to increase the sexual overall health with out any way impacting or creating discomfort to the body fat burning capacity charge or purpose. So now you can get a number of alternatives with the positive outcomes, VigRX Plus (India) customer testimonials can be of excellent price to you and you can improve your male enhancement with the help of this drug with an effortless way and you are also receiving outstanding sixty days money again guarantee on equally used and unused tablets. Vigrx capsules are dependent by a accustomed blueprint which can accessibility penis size, progress all-adopting animal bloom and enhance hardons. Vigrx Plus is the world renowned health supplement for penis enlargement and libido enhancement for in excess of ten yearsIt has been supporting males of all ages to have greater sexual intercourse in Canada. This solution is made by PillsExpert and is present on the industry from the genuinely really long time. VigRX Plus in the very best trusted male enhancement tablets in entire world. Erections are caused by increased blood circulation to the penis, and a lot more movement indicates firmer erection. In the heap of male enhancement capsules Vigrx plus is a true champion. Use Vigrx plus to increase sexual enhancement. Of training course, you can read by means of distinct consumer critiques to comprehend what these tablets do. However, the greatest way to find out the true positive aspects supplied by Vigrx Plus male enhancement pills is to try out them out on your own.

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Vigrx Additionally Therapeutic Male Sexual Performance and All round Wellness

For instance, pumping the penis every sexual intercourse and putting a rigidity ring about its foundation is noticed as a hassle and tiresome job given that it must be carried out over and over to ensure erection. VigRX pill is a single of the most widespread penis enlargement pills on the industry. Unlike prescription erection drugs which, although normally tolerated, do nevertheless appear with a prolonged checklist of warnings and facet results, especially for males taking nitrate medications or particular alpha-blockers. ● The other deterrent which you should to know prior to you buy VigRX Plus is that it could take a bare minimum use rate of 2 capsules a day for at the very least 90 days for receiving the entire rewards of the item. VigRX Plus is clinically confirmed to boost erectile purpose employing normal substances - and in just four capsules for every day. And all you have to do is get just two drugs, 2 times for each working day to get lengthier, harder and for a longer time-long lasting erections. In contrast to hormone replacement remedy and other medicines utilised to support with erectile troubles, VigRX is made up of all-normal components. When taken with good reviews post , cuscuta is highly powerful at bettering erectile response. This results in elevated blood movement to the penis, which produces a more challenging, lengthier-long lasting erection. This herb has been utilised in India and China for centuries to increase male sexual functionality and all round health. In the beginning, I took only 1 capsule per working day compared to the advised 2. I really wanted to see what type of reaction I would get from beginning off with a smaller dosage, mainly since I have acquired facet results from other merchandise when I took the recommended dosage the very first you locking for vigrx plus results just before soon after or also vigrx plus results. 71.forty three% - Guys who took VigRX Plus were practically six occasions much more likely to be sexually satisfied than guys having a placebo. Scenario in point, men who took VigRX Plus reported a 47% improve in sexual feelings. VigFX is primarily based on VigRX Plus - the best-marketing normal libido tablet for gentlemen who want the need and capability to have satisfying sex when at any time they like. On the other hand, with male improvement tablets every little thing will be safer and there will be totally no likely complications.

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Permanent penis Enlargement Pills Rated For 2009

The enlargement reviews are written through blogger they usually state their very own blog likely compensated compose reviews (this legally should be posted on any such blogs, per 2010 laws). Don't wear weights: hanging weights at the conclusion of your member is not safe. These kinds of devices can be used as many hours per day to create a constant stretch of your member. However, this method can be dangerous since it male enhancement reviews may cause deformity of the Corpora Cavernosa, ligament damage, stretch marks and finally lead to permanent impotence problems. The funny thing is that using weights can have the opposite effects when compared with the ones required in desire. Stretching your penis all day can easily make it thinner, less expensive looking each length and girth just stay out of this strategies. Are you skeptical about exercise making you bigger? Try them for your business! Most of the good firms that sell exercise programs offer 100% reimbursement guarantees if you carry out not obtain the results well-built. With that in mind, you could see for yourself just how effective a top notch program of penile exercise can be a little more. If you do not get bigger, correct your refund. If you really want larger erections, this may seem like a no brainer! It's most likely not an exaggeration to claim that the PE market niche needs since many reliable male enhancement reviews because it get. It joins the ranks of industries that produce merchandise that deal with issues regarding example weight loss, hair growth, teeth whitening products and others. To satisfy your curiosity, with the three primary reasons we require additional make enhancement reviews so you should know essentially the most pertinent particulars. The largest majority of sufferers do not take penis enlargement seriously, because there is a significant shadow the actual whole enlargement topic. Usually are so some websites that offer men "easy and quick" solutions to enlarge their penis; usually some pills, use some patches and also penis will grow bigger by 3 inches within a few weeks - the web is teeming with all types of ads and e-mails. But right now there are is composing market for male enhancement products, none of these websites, e-mails and ads are not going anywhere. If identify your woman to organic toys again, or even consider using toys, then it is always for you to start with how you perform, how good male enhancement pills you do foreplay, and the way passionate you are. male libido booster amazon, male libido enhancers australia, male libido supplements australia, increase male libido and boost testosterone, male libido booster pills south africa, male libido booster book, best male libido boosters, over the counter male libido boosters, male libido booster deluxe version, do male libido boosters work, male libido enhancing supplements, male libido booster side effects, male libido booster foods, male libido booster fenugreek, male libido booster gnc, male libido boosting herbs, male herbal libido boosters, male libido boosters ingredients, male libido boosters in india, male libido enhancers india, male libido increasing supplements, male libido booster pills in india, male libido booster pills in south africa, male libido booster juice, male libido enhancers natural, natural male libido boosters, male libido enhancer over the counter, male libido booster pills, male libido booster pdf, male libido booster products, male libido booster program, male libido booster program reviews, male libido booster reviews, male libido supplements reviews, male libido enhancers reviews, male libido supplements reddit, natural male libido enhancers reviews have no doubt seen the ads on late night TV or on the online world for pills creams pumps or other devices which claim if you want to increase the size of your penis enlargement. Is it unfortunate that a lot of men believe the dreams and promises made by these ads and end up buying the products because merely don't are effective. The only method which can enlarge the penis naturally is by using penis male enlargement exercise movements. This article will show you three positions to give your woman orgasm and fully satisfied even with if there is a small penis. Read on.

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Penis Enlargement Pump – Types, How to use, How it works, Buying tips, and Faqs

WHAT ARE PENIS ENLARGEMENT PUMPS?

Penis enlargement pumps are male sex enhancement product that can help to gain stronger and harder erections. These pumps have one aim i.e. to increase the penis size and deliver harder erection. enlargement pumps are simple to use and are effective in penile augmentation. There are two variants of penis pumps which available in the market to choose from – Air & Water-based pumps (basic and advanced level). You can choose a pump depending on your need and desire.

TYPES OF PENIS ENLARGEMENT PUMPS

All the pumps work on the suction principle which helps draw blood flow in the penis and has a long-lasting erection.

Manual Pumps – These pumps come with a hand bulb, which is pressed to create the vacuum inside the cylinder (placed on the penis)

Automatic Pumps – Unlike the manual pump, these are automatic and do not require manual pumping. One can switch using the buttons for proper suction levels.

Hydro Pumps – Pumps which work on water-based technology. They are designed to be used in/under water (shower or bathtub). Bathmate pumps are well-known in the market for their hydro pumps series.

HOW DOES PENIS PUMP LOOK LIKE?

Manual pumps have a cylinder attached to a handball with a flexible hose.

Automatic pumps also have a cylinder with buttons to create suction. One can insert their penis in the cylinder and depending on the type of pump (manual/automatic) start the pumping session.

WHY CHOOSE PENIS PUMPS FOR ENLARGEMENT?

Penis pumps are effective in gaining stronger erections. These are a great choice if one wants to help their erectile dysfunction or other issues. There are several reasons to choose a penis enlargement pumps –

They are effective and with correct use, these can help to get a longer erection

Unlike medications and surgery that have side effects, penis pumps are a great alternative to medical treatment

They cost less than any other erectile dysfunction treatment

They are simple and easy to use

HOW TO USE A PENIS PUMP?

It is important that once penis pumps are purchased, they are used and maintained properly. Taking care of the Enlargement penis pump will ensure a longer life of the product. In general, below are the steps to use the same –

HOW TO USE A MALE VACUUM PUMP?

Ensure each part is well connected

It is advisable to shave the hair around the penis

Use little lubrication before inserting the penis

Gently pull the air pump trigger/bulb to create the vacuum

For automatic pumps, the vacuum will be created using a suction button

Observe the penis grow

Do this exercise for 15 minutes every day with 2-3 intervals of 5 minutes each

Clean the manual pump with water and automatic pump with a wet cloth to maintain hygiene

HOW TO USE A WATER-BASED BATHMATE HYDRO PENIS PUMP?

Relax in the shower for a few minutes

Fill the hydro pump with water until full

Put the penis into the pump

Ensure that the testicles are outside the pump at this stage, If necessary, gently pull down on them to ensure they do not get sucked into the tubing

Push the pump to the pubic bone. Water is removed from the valve. The process should be 15 minutes 2-3 intervals of 5 minutes each

Compress the main valve to release pressure

Safely off the pump and remove the penis

BENEFITS OF USING PENIS ENLARGEMENT PUMPS

Stronger and harder erections that reach deep inside the woman’s vagina

Helps to cure erectile dysfunction and erection issues

Treats premature ejaculation, one can last longer in bed

Better sexual pleasure

Inexpensive than surgical treatments

Increased self-confidence of having a bigger penis

PERMANENT PENIS GROWTH CATEGORY COMPARISON

THINGS TO CONSIDER BEFORE CHOOSING A PENIS ENLARGEMENT PUMP

One should invest in a pump which is durable and long lasting as well. Here are some pointers to consider before buying a penis pump –

Size While choosing the penis pump it is advisable to pick one with a tube that is neither too big nor too small. If the cylinder is very big, then the pumping session will not be effective and if the cylinder is small, it will not allow expansion of the penis.

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Automatic Pumps – If you are looking for comfort, choose the automatic pumps. These pumps are easy to use and come with features that make your pumping sessions fun and pleasurable.

Material Ensure that the penis pump you are buying is body safe materials and completely easy to use. Manufactures clearly mention about the material type online which customers can refer to before buying.

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DO YOU KNOW THAT A CHANGE IN YOUR VOICE CAN BE A SIGN OF LARYNGEAL CANCER?By : Dr. Amrapali Pawar

DO YOU KNOW THAT A CHANGE IN YOUR VOICE CAN BE A SIGN OF LARYNGEAL CANCER?By : Dr. Amrapali Pawar

Hoarse voice, if it persists for more than 3 weeks , certainly needs to be evaluated as it can be a sign of laryngeal cancer or cancer of your voice box. But no need to panic! Just because your voice has changed its quality , it does not necessarily indicate that you have cancer. Other reasons why your voice may change or become hoarse are – laryngitis (inflammation of larynx), overuse or misuse of voice , acid reflux, allergies, trauma. So how do you know what has actually caused that change in your voice?  For this you need to be properly evaluated by your ENT doctor who will infer from a proper and detailed history and examination, and if necessary , relevant investigations; your accurate diagnosis. He may need to do your laryngeal endoscopy to visualise and evaluate your voice box and surrounding structures. An examination of your neck to look for any enlarged lymph nodes, which may again be a sign of cancer is mandatory. If necessary, your ENT doctor will advise further investigations like a CT scan and / or biopsy. Although , most of the time , it is possible that your change of voice may be due to completely benign reasons which are stated above ; and if so, you will be prescribed some medications for your condition. If necessary, you will also be advised to undergo voice therapy for the same.  The important thing to remember here is that- if at all you are suffering from a change of voice, please be sure to visit your ENT surgeon and get your condition diagnosed as soon as possible to avoid further complications. Any disease diagnosed in the early stage has the highest chance of recovery.   The incidence of laryngeal cancer worldwide currently is 2.76 cases per year per one lakh inhabitants and 1.66 deaths per year per one lakh inhabitants . In India , laryngeal cancer contributes to approximately 3% -6% of all cancers in men. It is one of the 10 leading causes of cancer in Indian men. The 5 year survival rate for laryngeal cancer in India is approximately 28%.  The factors most often implicated in the causation of laryngeal cancer according to Indian studies are : Smoking, alcohol consumption, tobacco, long term exposure to indoor air pollution ( from coal/ wood burning ) , spicy food . According to research more than 60% of laryngeal squamous cell carcinoma patients were cigarette smokers and nearly 75% of them had smoked for more than 30 years. In more than 75% of cases there was history of alcohol consumption. Change of voice or hoarse voice is not the only symptom of cancer of the larynx. Some of the patients also present with difficulty in swallowing, lump or swelling in the neck , weight loss, some even present with extreme pain in the ear (also known as referred nostalgia), in severe cases patients may present with difficulty in breathing. Depending on the stage and type of cancer , it can be treated by surgery (laryngectomy) , radiotherapy , chemotherapy or a combination of the above modalities of treatment. As stressed earlier, the management of laryngeal cancer is easier and the prognosis better if diagnosed early.  

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Is Your Morning Coffee Interfering With The Absorption Of Your Thyroid Supplement?By : Dr. Amrapali Pawar

For many of us, the day cannot start without your morning dose of Java! And why shouldn’t it? We all require the caffeine to overcome that morning drowsiness and make us alert to the long day ahead of us! Apart from the boost that it gives us we justify the morning cup and several cups thereafter with a list of its benefits like its fat-burning quality, essential nutrients like vitamin B2, vitamin B5, magnesium and potassium, some studies say it reduces the risk of type 2 diabetes, contains antioxidants etc.etc.  Because of all these reasons having that morning joe has become a routine part of our life as soon as we wake up just like brushing your teeth, or having a bath.  Hence when we are affected with thyroid problems at some point in our life and have to take life long supplements, we fail to realize the big hurdle in the absorption of our thyroid medication simply because the thought does not cross our mind! Taking coffee within an hour of taking your thyroid supplement can reduce the absorption of your medication and thus makes it less effective. Caffeine in coffee is known to increase the intestinal motility i.e. it can increase the movement of your intestines. This makes your oral medication of thyroid supplement to pass through your intestines rapidly thus leading to decreased absorption. And since the prescribed dose is less absorbed, it obviously increases your chance of developing hypothyroidism. Coffee also inhibits the conversion and absorption of the thyroid hormone and as such is not considered good for your thyroid health. Hence coffee should be taken at least an hour or later than your daily thyroid supplement. Likewise, you have to keep in mind that fiber-rich foods, calcium supplements such as calcium carbonate and iron supplements such as ferrous sulfate can interfere with the absorption of your thyroid medication, and this effect can last longer than an hour. Hence the schedule of these drugs should be adjusted after consultation with your ENT doctor or your endocrine specialist. Calcium and Iron supplements in a patient with hypothyroidism should be taken at least  4 hours after taking thyroid supplements. Commonly used antacids like proton pump inhibitors can also interfere with the absorption of thyroid supplements. Remember that thyroid supplement interacts with minerals such as iron, calcium, and magnesium. Any supplements which contain these can lower the activity of your thyroid medicine. Supplements of herbal preparation like Ashwagandha and Bladderwrack used for a variety of problems like obesity, insomnia, dementia, etc. may contain dangerous levels of iodine and need to be definitely avoided if you are on thyroid supplement. This article is for all those who are regular in taking their thyroid supplement but are wondering why it is still not under control. This is for persons with hypothyroidism taking thyroid supplements to ensure that their thyroid health is not affected by the simple medication that they might sometimes be put on, ignorant of the effect these might have on their thyroid hormone levels.  So, in conclusion, patients of hypothyroidism on thyroid supplement can definitely enjoy their morning cup of coffee ...they should just remember to space it adequately after their thyroid supplement.      

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Can HPV Vaccination Prevent Head (Neck Cancers)By : Dr. Amrapali Pawar

What is HPV? HPV is Human Papilloma Virus and infection with the same is responsible for the development of genital warts , warts in the throat (recurrent respiratory papillomatosis), warts in the oral cavity (are uncommonly seen) but HPV infection here may manifest as mucosal hyperplasia. Many times these infections with HPV show absolutely no signs and symptoms but these persons still can transmit the infection. The type of HPV infection occurred depends on the strain of the HPV virus with which the person is infected. A person who has contracted a HPV infection is prone to development of cancer in that area. Studies have shown that about 14 million people including teens become infected with HPV every year. Many amongst these are prone to cancers caused by HPV infection. Screening tests are available for cervical cancer ( HPV related) for women . However no such screening tests are available for other cancers caused by HPV infection like cancers of the mouth and throat, cancer of anus, rectum, penis, vagina and vulva. Who should get HPV vaccination?  • Recommended for preteens i.e. boys and girls at the age of 11–12 years. This ensures protection from the virus long before they are exposed to it or before they start being sexually active. Also young adults respond better to the vaccine than older ones. Vaccination given at this age requires only 2 doses as compared to three if given at a later age. • If they have missed the dose in their preteens , young men and women can be vaccinated till the age of 27yrs. The FDA (Federal Drug Authority) has approved HPV vaccination for males and females through age of 45 years but the ACIP (American Committee on Immunisation Practices)  does not recommend routine vaccination after the age of 27 years as the effectiveness is questionable Ideally , HPV Vaccine should be administered before potential exposure to HPV through sexual contact. Are these vaccines easily available? These Vaccines are available with your Paediatrician, Gynaecologist, or ENT doctor and you can ask them for the same. For further information call us or email us at contact@prathameshentclinic.com

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If i am Gaining Weight, is it because i have a Thyroid Problem?By : Dr. Amrapali Pawar

Not necessarily. There are many causes of weight gain like lack of exercise i.e. having a sedentary life style, improper dietary habits, regular intake of junk food or processed food, certain metabolic diseases, genetic makeup, leptin resisitance and many more. Thyroid hormone abnormality like hypothyroidism i.e. 1. Decrease in the production of thyroid hormones by the thyroid gland can cause you to gain weight. The weight gain is generally unexplainable and occurs inspite of a decreased appetite.   2. It is associated with other symptoms also like fatigue, muscle weakness or muscle aches, feeling sluggish 3. Sensitivity to cold 4. In females, there may be menstrual irregularities 5. Skin can be dry and itchy and there can be hair loss 6.Other symptoms like feeling depressed, constipation or decrease in concentration can also be noted. On the other hand, increase in the production  of thyroid hormone known as hyper- thyroidism can cause you to lose weight inspite of an increase in appetite.

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When is a Tonsillectomy Necessary?By : Dr. Amrapali Pawar

Tonsils are lymphoid tissues in the oral cavity which provide immunity in children till the age of 5 years. Inflammation of infection of these tissues is known commonly as Tonsillitis. Acute phase of this infection, known as acute Tonsillitis causes symptoms like pain in throat, difficulty in swallowing and fever and can be conventionally treated by antibiotics and anti-inflammatory agents. If these attacks of acute tonsillitis occur again and again, we call it Recurrent tonsillitis. If a person suffers from recurrent attacks of acute tonsillitis in a year for more than 2 years, we can say he is suffering from Chronic Tonsillitis.So how does the doctor decide that a person requires a Tonsillectomy? Tonsillectomy is done for a case of CHRONIC TONSILLITIS which means – “ If a person gets 3 or more attacks of acute tonsillitis for 2 or more consecutive years”  What are the signs of chronic tonsillitis? The signs that your otolaryngologist looks for if he is suspecting a patient to be having chronic tonsillitis are –  1. Enlarged Jugulodigastric lymph nodes (these are lymph nodes present at the angle of jaw on either side) 2. congestion of anterior pillar ( the membranous structure in front of the the tonsils) 3. Enlarged / fibrosed tonsils Tonsillectomy is also performed 4-6 weeks after a case of PERITONSILLAR ABSCESS to prevent recurrence of the same. Peritosillar abscess or QUINSY is a condition or complication of acute tonsillitis in which pus collects in the tissues surrounding the tonsil and can cause severe symptoms of difficulty in swallowing , trismus ( difficulty in opening the jaw) , pain in throat and fever. Tonsillectomy is also indicated in cases of severly HYPERTROPHIC TONSILS (“KISSING TONSILS”) which actually meet in the midline and obstruct swallowing. Also in cases of SECRETORY OTITIS MEDIA (fluid collection in the middle ear) or ACUTE AND CHRONIC OTITIS MEDIA in children below the age of 12 yrs, Tonsillectomy is recommended as part of the treatment to reduce the attack of upper respiratory tract infection and prevent recurrence and halt progress of the disease. In adults , Tonsillectomy can be done as a part of surgery for OBSTRUCTIVE SLEEP APNEA and TONSILLAR CANCER.

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What Causes Hoarseness of Voice/Change of Voice?By : Dr. Amrapali Pawar

Voice is produced by vibration of your vocal cords or vocal folds, which are membranous band like tissues inside your voice box. Whenever these are affected by trauma, infection or tumor or when the nerve supplying them is damaged, your voice changes quality or becomes hoarse. Causes of hoarseness of voice are cited below: 1. Acute or chronic laryngitis – acute or chronic inflammation of the vocal cords due bacterial or viral infection. 2. Overuse or misuse of voice – shouting or singing in a loud voice can cause trauma to the delicate vocal cords and cause a hoarse voice. Speaking in a high pitch for a long period of time e.g. teachers, speakers can damage the vocal cords. 3. Swellings or benign cysts, polyps or nodules of the vocal cords are common causes of voice change. 4. Cancerous tumors of the vocal cords are a cause of hoarseness and should be evaluated properly for early detection of the disease. 5. Chronic systemic conditions like Gastro esophageal reflux disease, allergies, some thyroid disorders can cause hoarseness. 6. Smoking can affect the vocal cords and cause voice change. 7. Neurological conditions can cause paralysis of one vocal cord and can cause hoarseness. If both the vocal cords are affected then person will have difficulty in breathing too. Tips to improve vocal hygiene: 1. Voice rest – if your voice is affected, giving it complete rest i.e. not speaking will recover them faster 2. Do not shout or whisper- we all know that shouting causes trauma to the vocal folds but note that whispering is also similarly traumatic and can damage these delicate structures.  3. Hydrate the throat. Drink plenty of fluids. Also if your occupation entails speaking for a long period of time, have sips of water every 15 -20 minutes which will lubricate and protect your vocal cords 4. Treatment of acid reflux- if you tend to suffer from acid reflux, get it treated as reflux can contribute to or even exacerbate voice problems 5. Stop smoking – the relation between smoking and laryngeal cancer is well known but smoking can also cause respiratory diseases, which can lead to hoarseness of voice. 6. Avoid excess alcohol – alcohol has a drying effect on mucosal lining of tissues and also contribute to acid reflux which can affect vocal health 7. Stop that compulsive practice of ‘throat clearing’. 8. Maintain a good posture –Slouching over your desk for extensive hours can in the long run affect the respiratory system. This in turn leads to a weak or hoarse voice. Also cradling the phone between your shoulder and ear is not recommended for the same reason. If your job entails having to use the phone often and for a prolonged period, then it is advised you switch to a headset. 9. Do NOT gargle – if you are experiencing voice problems gargling will further cause trauma to your vocal cords. You can sip on warm liquids instead. These will hydrate the vocal cords and provide steam to soothe them. Conclusion: If conservative management to treat hoarseness of voice caused by benign pathology fails, vocal cord surgery also known as  Microlaryngeal surgery maybe required. It is best to visit an ENT surgeon to get an opinion about this condition. The well-known otolaryngologist in Mumbai, Dr Amrapali Pawar, has been treating patients for over 15 years to address this ailment. Don’t let your voice bother you when one of the best ENT doctor in Mumbai is right near you!

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