Male Health E-Book Tips, Tricks, and Information for a Successful Regimen

Table of Contents
Anatomy of the Penis Average Penis Size Human Sexuality and Penis Size Penile Disorders Symptoms and Effects of Peyronies Disease Erectile Dysfunction and Impotence The Micro-Penis Surgical Procedures to Treat the Micro-Penis Foreskin Restoration Clinical Study of Masturbation & Prostate Cancer The Field of Phalloplasty Methods of Penis Enlargement Penis Enhancement Exercises Penis Extenders Modern, Classical & Hybrid Extenders Importance of Doctor Approved Extenders Penis Extender Exercise Program Frequently Asked Questions Product Testimonials Suggested Links 3 4 5 6 7 8 9 10 11 12 13 15 16 21 22 23 24 25 26 27

-2 2007 Copyright X4 Labs Inc. CC License

The Anatomy of the Penis

What is a Penis?
Found solely in the male gender, the penis is an external sexual reproductive organ, particularly found in mammals. The organ also serves the additional purpose of urination within males.

What is an Erection?
An erection is the stiffening of the penis body as a result of blood entering penile cavities. As the arteries supplying blood to the penis increase the flow, three sponge-like tissues absorb blood causing it to become longer, wider and harder. An erection facilitates intimate activity including sexual intercourse. Depending on the strength of the ligament which suspends the penis, an erection may point upwards, downwards or horizontally.

Human Penis Size

The general rule with respects to male penis size is that it is usually proportional to the size of the body. Results typically vary across studies, usually a result of participant bias. Studies have shown that the average penis size ranges between 5 to 5.5 inches erect.

Variations in Penis Size

While there have been studies on the size of the penis at erect length, there have been very few pertaining to flaccid size. This typically varies amongst men however the most recent study noted a flaccid length of approximately 3 inches.

Average Penis Length

Average Penis Size

With penis size having great psychological and physiological importance to most men, it is relevant to note the average size of the penis. Penis length is typically measured while a subject is standing with the penile shaft pointing downwards. Several academic and clinical studies have been conducted in order to establish this data. Studies by the Journal of Urology and the International Journal of Impotence Research have noted that the average erect length ranges between 5 to 5.4 inches. i -3 2007 Copyright X4 Labs Inc. CC License

Average Penis Girth

Penis Circumference

Girth typically refers to the circumference or width of the penis. The average penis circumference ranges between 4.75 to 5.00 inches. Although this is the average length, many men range between 4.25 inches in circumference to 5 inches.

Does Race Affect Penis Size?

There are a variety of myths concerning the size of the penis and its correlation to race. Popular culture has promoted the notion that males of African descent may have larger genitalia while those of Asian descent are smaller in length.ii These are all common misconceptions, as penis size is generally dispersed and variable amongst the population. There have been no scientific studies that have shown a correlation between race and penis size. These popular notions have been blamed for penis envy within the media; however, researchers continue to study the preferences of women with respect to penis size.

-4 2007 Copyright X4 Labs Inc. CC License

Preferred Penis Size

Studies have been conducted by a series of research teams pertaining to womens preferences in relation to penis size. Although length does play a role in the satisfaction of women, a study by a Womens Health group noted that girth was a more important factor. Out of the 400 women surveyed through a random sampling method, the majority of these women emphasized the importance of girth, particularly during sexual intercourse and for sexual stimulation.

Human Sexuality
Human sexuality incorporates multiple behavioral processes which include physiological, cultural, and psychological aspects of sex. It is often defined as the quality or state of sexual being and also relates to ones need for caring, closeness, and affection. There are numerous factors which influence sexuality, for the purposes of this article we will focus particularly on the physiological and psychological aspects of human sexuality.

Physiological Aspects Influencing Sexuality

Hormonal changes as well as personal experimentation can have profound influence on the establishment of certain sexual preferences. One of the most common ways in which men are afflicted is through erectile dysfunction. Stress also plays a role in influencing a males sexuality. Sexuality can be negatively affected by stress and libido or sex drive can be considerably reduced.iii

Psychological Aspects Influencing Sexuality

Sexual behavior is highly affected by social norms and the culture which surrounds us. The mass media plays a large role in establishing and molding the norms that society chooses. For instance, male penis size has been emphasized by the media as greatly important. Although size is important, it does not play the sole role in sexual selection. The factors emphasized by these societal norms can have tremendous impact on the psychology of males. Men may experience -5 2007 Copyright X4 Labs Inc. CC License

depression, frustration, lack of sex drive, and loss of confidence as a result of their inability to meet societys expectations.

Penile Disorders and Their Causes

There are a variety of penile disorders which affect males ranging from Peyronies disease to priapism. The following article gives a brief summary of a variety of disorders and the causes leading to them. Peyronies Disease: is the growth of scar tissue particularly in the softer skin tissues of the penis. This growth or plaque results in penile curvature. Paraphimosis: This disorder prevents a male from moving the foreskin of the penis forward. This can result in the constriction of fluids underneath the foreskin. This usually is a result of excessive friction during sexual intercourse. Pudendal Nerve Entrapment: A condition which results in pain while sitting and a loss of sensation in the penile shaft. Penis Fracture: This is a result of penile curvature; this can occur if the penis is bent excessively. Erectile Dysfunction: Commonly referred to as impotence, E.D is the inability to maintain or achieve an erection as a result of a constriction of blood flow or other causes. Priapism: This is a condition in which the penis does not return to its flaccid form for more than 4 hours. It has been noted as a side effect of drugs such as sildenafil. Oedema: A condition in which swelling of the foreskin occurs as a result of sexual activity and/or masturbation. -6 2007 Copyright X4 Labs Inc. CC License

Peripheral Neuropathy: It may cause a tingling sensation in the penile tissue and reduce sexual sensation.

Typical Symptoms of Peyronies Disease

Peyronies disease is typically experienced by Caucasian males over the age of 35, and results in an abnormal curvature of the penis. Symptoms range from pain to scar tissue which results in penile curvature. The associated pain often dissipates within the first twelve months, unfortunately it may be too much to withstand amongst certain sufferers. Although this disease may cause only physical discomfort, it can also result in erectile dysfunction. As a result of the varying degrees of symptoms, intercourse can be hindered and may sometimes be too painful or uncomfortable to partake in.

Alternative Treatments
Andrologists and urologists are able to diagnose Peyronies disease and can provide or suggest the best possible treatment. There is no one particular treatment that all professionals can agree upon. Various nutritional supplements such as Vitamin E and L-Arginine are known to assist in improving penis health. No large clinical studies have been conducted on these supplements, and given their herbal nature they are non-regulated. More and more urologists have been turning to extenders in order to substantially correct penile curvature and treat Peyronies disease. These devices offer an alternative solution to surgery by applying a slight amount of longitudinal stress to the penile shaft. Penis extenders can often correct up to 70% of penile curvature, essentially eliminating Peyronies disease. In the most severe cases, surgery may be the only alternative, but for majority of Peyronies disease sufferers, a penis extender can offer a non-surgical option to treat curvature of the penis.

-7 2007 Copyright X4 Labs Inc. CC License

Peyronies is a devastating disease that can cause psychological and physical discomfort and pain. It afflicts over 1% of the male population, can restrict their ability to participate in sexual intercourse, cause erectile dysfunction and can result in permanent deformity of the penis. Sufferers may also experience depression resulting from an unwillingness to talk openly about the disease. They may also experience withdrawal from their sexual partners as a result of the disease. It is important that Peyronies disease is treated, and it is also important to communicate about it with your physician as well as your partner.

Alternative Treatment of Penile Curvature

Erectile Dysfunction
Erectile dysfunction or E.D, commonly referred to as impotence is among the most common sexual dysfunctions afflicting men today. There are a variety of causes, both psychological as well as physiological, which can lead to E.D. Over the past several years, there have been drastic advancements in the medical field to reverse the effects of erectile dysfunction. Viagra in particular has become the leader in treating this sexual dysfunction.

Alternative E.D Treatments

Sildenafil or Viagra are viable treatment options for erectile dysfunction, but many sufferers of this condition wish to use alternative treatments that do not include the use of pharmaceutical drugs. Vacuum pumps, commonly referred to as penis pumps, are an alternative method to reducing impotence amongst men. There are also a variety of injections that may be used to stimulate the penis body. In conjunction with vacuum pumps, penis extenders have also shown to be promising in clinical studies.

How Vacuum Pumps Work?

-8 2007 Copyright X4 Labs Inc. CC License

Given the importance of blood circulation with respects to E.D or impotence, vacuum pumps assist in improving blood flow to the penis. By applying small amounts of suction to the penis body, the pump forces blood to rush into the corpus cavernosa or interior penis cavity. As impotence is caused by reduced or constricted blood flow, vacuum pumps effectively counter act this problem. Clinical studies are currently underway to note the efficiency of penis extenders in improving circulation to the cavities within the penis. Pre-tests have shown them to be promising, however; complete results will show the significance of penis extenders in treating erectile dysfunction.

Male Enhancement & Herbal Supplements

Other less viable and slightly more controversial supplements have also claimed to be effective in eliminating impotence amongst men. Enzyte, one of the most popular male enhancement supplements or penis pills, has claimed to significantly improve sexual performance. The supplement is comprised of multiple herbs such as ginseng which supposedly can increase blood circulation within the body. Unfortunately, the effectiveness of Enzyte is not known and no clinical studies have been conducted to ensure their claims.

The Micro-Penis
The term micro-penis typically refers to a penis smaller that 3 inches when erect. This condition is usually noted immediately after birth. There are a variety of causes but the micro-penis is usually a result of prenatal defects or reduced androgen production. This can usually be a result of low testosterone levels, lack of pituitary gland stimulation or hypogonadism. Although adolescent males are often referred for treatments of micro-penis disorders, it is often misdiagnosed.iv In the cases of adolescents the lack of size is a result of suprapubic fat, in which the penis is less visible as a result of extra fat around the pubic area. Delayed puberty may also be a cause for the small penis size an adolescent male may encounter. This is a normal part of adolescence and typically growth occurs at a later stage.

Causes of the Micro-penis

Given the controversy and difficulties which these males encounter, more and more studies have emerged in order to identify the reasons behind this penile length deficiency. A Japanese study of approximately 80 patients noted that a micro-penis is most likely caused due to a mutation in a gene which encodes enzyme-5. This gene plays a direct role in male sex differentiation. The mutation of these genes and the disruption in the encoding of enzyme-5, results in penises with 2.5 standard deviations below the mean, approximately 3 inches. -9 2007 Copyright X4 Labs Inc. CC License

Effective Treatments
There are a variety of treatments available on the market. The Japanese study cited above found that hormone treatments such as Human Growth Hormone (HGH) can increase testosterone levels and pituitary activity resulting in increases in length. These forms of treatment are implemented prior to adolescence, in order to stimulate growth come puberty. For males who have not had the opportunity for pre-adolescence treatment, penis extenders are an alternative medical device. Longitudinal stress is applied to the body of the penis resulting in the stretching and extension of ligaments, increasing the overall size of the penis. These extenders work on the principle of traction, and through stress regenerate the skin cells of the penis body.

Operations Can Increase the Size of a Micro-Penis

Estimates have shown that approximately 1 in 200 men are born with what is commonly referred to as a micro-penis. A micro-penis is less than 7cm where as the average size penis is approximately 12.5cm or 5 inches.

Effects and Traditional Treatment

A micro-penis typically develops as a result of inadequate levels of certain hormones such as testosterone during the prenatal stages. Previously doctors would suggest gender reassignment, one of the most renowned cases being that of John Money at the John Hopkins University during the 1970s.v With advancements in medicine and technology, there are now a number of treatments available to treat men suffering from this disorder.

Alternative Treatments of Penile Enlargement

The University College London has recently refined a phalloplasty or penis enlargement technique designed to treat a micro-penis. This treatment involves the grafting of skin from the forearm, rolling it, and shaping it as a penis approximately 5 inches in length. The skin is then transplanted onto the existing penile tissue in order to maintain sensation. A urethra is then installed into the false penis along with an inflatable prosthesis which allows the penis to urinate and allows for a patient to achieve an erection. These surgeries were found to be approximately 50% effective, while some patients required multiple operations to correct shifting of the prosthesis or infections. vi For men suffering from such a disorder, this form of surgery is drastic but can offer young men a second chance, increasing self-esteem and confidence. Essentially, it allows them to partake in sexual intercourse and lead an average or normal life.

- 10 2007 Copyright X4 Labs Inc. CC License

Penis Enlargement Solutions

Often the best way to counteract the negative physiological and psychological issues related to human sexuality is by increasing the size of the penis. As confidence is reduced as a result of the lack of size, it is often important that males gain the necessary size to reinforce that confidence. In doing so not only does confidence rise, but sexual activity increases, and sexuality itself prospers.

Foreskin Restoration Treatments

The process of foreskin restoration is conducted either through a surgical or non-surgical procedure and involves recreating the natural foreskin which covers the penile gland. There are a variety of reasons a male may undertake such a procedure but typically foreskin restoration is done by men who have been circumcised. It can also be done by men who have not been circumcised in order to extend the length of the foreskin.

Non-Surgical Techniques for Foreskin Restoration

Foreskin restoration is accomplished through non-surgical means through tissue expansion. Any remaining skin of the penile shaft after circumcision can be expanded and stretched. Tension is applied either through the use of weights, penis extenders, or through a specially designed tape. Penis extenders have been used by stretching solely the skin of the penis. T-Tape uses a similar method by stretching and holding the existing foreskin over the penile gland. These non-surgical methods can provide sufficient results and can successfully restore a significant amount of foreskin.

Emotional and Psychological Aspects of Foreskin Restoration

- 11 2007 Copyright X4 Labs Inc. CC License

This type of procedure has shown to have significant emotional results in men. It has now become a suggested treatment for men suffering from psychological issues pertaining to circumcision during infancy. Given the diverse effects associated with psychological and emotional deficiencies, it is important that men suffering from such a condition be treated either via nonsurgical or surgical methods.

Masturbation and Risks of Prostate Cancer

Over the past several years prostate cancer has become one of the leading diseases pertaining to mens health. A recent study conducted by an Australian institute questioned over 1,000 men who had prostate cancer at one point and 1,200 participants who had not. The research was designed to note whether or not ejaculation could restrict the possibility of prostate cancer in later years.vii

Previous Research
Research that had been previously conducted indicated that sexual activity actually increased the risk of developing prostate cancer by up to 40%. Australian researchers noted that prior research missed out on the protective measures of ejaculation.

Result of the Study

Prostate and Male Anatomy

- 12 2007 Copyright X4 Labs Inc. CC License

The study found that men between the ages of 20-50 who ejaculated more often were found to have lower chances of developing prostate cancer. Men who ejaculated at least 5 times a day or more were less likely to develop cancer later on in life, particularly past their 50s.

Suggestions of the Research

The researchers suggested that ejaculation prevents the accumulation of carcinogens in the prostate gland. As the prostate is responsible for secreting a variety of enzymes, it provides fluid into the semen, particularly during ejaculation. This fluid includes concentrations of potassium, zinc, and citric acid which are directly drawn from the bloodstream. As carcinogens build up in the prostate gland, it is important to flush them out and remove them from the system. Doctors have suggested that increased ejaculation allows for the removal of such carcinogens, reducing the build up in the prostate. This research suggests that masturbation should be an active and healthy part of a males sexual regimen.

Phalloplasty (Surgical Penis Enlargement)

With a variety of techniques available to men with respects to enlargement, phalloplasty is often used in severe cases, such as the micro-penis. This surgical procedure is often used for cosmetic purposes, for instance penis enlargement. There are multiple techniques and procedures used in order to enlarge the size of the penis.

Penile Enlargement Surgical Procedures

There are multiple techniques that have been used in order to enlarge the size of the penis. One technique uses a skin-graft using skin from either the arm or the leg. The body tissue is removed and incorporated into the body of the penis, essentially increasing its overall width or girth. Other surgical procedures use fat or muscle tissue in order to alter the length of the penis. Surgery is an extensive procedure with a variety of risk associated with it. Some men have experienced erectile dysfunction as well as permanent cosmetic damage to the body of the penis. On the other hand some men achieve full functioning penises with tremendous gains in length, on average 4 inches. - 13 2007 Copyright X4 Labs Inc. CC License

These surgeries are recommended for men with penises ranging between 1-3 inches erect. For other men who already have an average size penis, less invasive measures may be more beneficial. In these cases alternative treatments are recommended, such as the use of a penis enlargement extender or stretcher.

Most Men are Unhappy with Penis Operations

Clinical Study of Penis Enlargement Procedures
A recent study was conducted by the surgeons at St. Peters Andrology Center in London. A survey questionnaire polled 45 participants who underwent penis enlargement surgery. The average gains per patient were approximately .5 of an inch. Majority of patients claimed that they were unhappy with the overall gains of the surgery. The study also found that penis enlargement was one of the most extensive operations, with expectations that cannot be met. viii

Results of a Penis Enlargement Surgery Survey

Doctors have also mentioned that majority of patients with psychological concerns or complexes relating to the size of their penis, may not necessarily be pleased with enlargement surgery. They have also noted that men with average or normal size penises should not undertake surgery as it will make relatively little difference, with an average of 0.5 inches of gain in length.

- 14 2007 Copyright X4 Labs Inc. CC License

Recommendations and Alternatives

Many urologists agree more research should be conducted on non-surgical methods of penile enlargement. This would allow doctors to prescribe alternative treatments to men who may not want to undertake an invasive surgery for a minor gain. Some patients may have excessive expectations of penis enlargement surgeries, and should be directed towards to devices such as penis extenders or traction devices.

Penis Enlargement Products and Augmentation

There are a variety of penis enlargement techniques, exercises and devices available for male enhancement. Cosmetic surgery, manual exercises, and penis extenders are all viable methods to phalloplasty. Each method offers particular advantages depending on the original penis state or size.

Cosmetic Surgery
About 0.6% of men are afflicted by a micro-penis, a penis of approximately 2 inches. In these cases it is often difficult to increase size without the use of cosmetic surgery or phalloplasty. Although traction devices or penis extenders can potentially provide increases in size, a micropenis is typically too small and requires excessive construction surgery to make the penis average size. Cosmetic surgery as a means of enlargement is only recommended in severe cases. In less severe cases, the use of a penis extender is highly recommended as an alternative to surgery.

- 15 2007 Copyright X4 Labs Inc. CC License

Penis Enlargement Exercises

Exercises are typically used to improve the health of the penis. Penis enlargement exercises may allow for slight increases in size, however; they essentially act to improve sexual performance, stamina and overall penis health. Kegel exercises or Kegels, are often used to improve and strengthen the function of the pubococcygeus muscles (P.C), these exercises result in improved performance. Another commonly used technique is Jelqing, which involves the stretching of the penis body. Jelqing exercises are designed to improve blood circulation to the penis. By doing so the overall erect length of the penis increases. There are a variety of websites and outlets that offer products, tools, and even booklets on how to properly conduct penis enlargement exercises. Many of the explanations on how to properly conduct Jelquing Internal Anatomy of the Penis exercises are available for free through a variety of websites.

Penis Enlargement Exercises

There are a variety of exercises that have been developed specifically to increase the size of the penis. Many of these exercises have been developed to increase the erect length of the penis, and are typically not a permanent solution. However, these exercises are effective in improving penis health and increasing the size of the penis for short-time periods. The following article outlines a variety of methods available and gives advice on how to make your treatment program more efficient. In order to gain permanent results, it is strongly recommended that all exercises are used in conjunction with a penis extender.

Jelquing Exercises
This type of penis enlargement exercise is among the most popular methods, and the most effective. These exercises are typically conducted when the penis is flaccid and involves the squeezing, pulling, and stretching of the penis body. The key aspect of all penis enlargement exercises and devices is the ability to improve blood circulation to the penis. Jelquing exercises work by directly increasing the blood flow to the penis by milking and squeezing the penis body. The increase in blood flow results in the expansion of the corpus cavernosa, expanding the cavities - 16 2007 Copyright X4 Labs Inc. CC License

of the penis body. As a result of this expansion, men can see increases in the overall erect size as more blood is able to enter the penis. How to Jelq This form of exercise works by primarily stretching the body and gland of the penis. 1. 2. 3. 4. 5. 6. Hold the head of the penis. Slowly and gently pull it forward. Stretch the penis to the maximum stretched length. Hold for 10-15 seconds Release. Repeat 10-15 times

It is recommended that these exercises are conducted approximately 3-5 times a week. Remember that these exercises are intended to gently apply stress to the penis body. Do not pull the penis body until there is pain but rather until there is enough tension or what you believe to be the maximum stretched length.

Kegel Exercises
Kegels are often used to improve sexual performance. While with all penis enlargement exercises a healthy blood flow is necessary, Kegels directly work to improve the strength of the pubic muscle. This not only increases overall penile strength, but can also lead to increased ejaculate and improved sexual performance. It essentially acts as a male enhancement exercise rather than a penis enlargement exercise. Muscle Clenching This penis enlargement exercise develops and improves the strength of the P.C muscle. 1. Clench the P.C Muscle for 5 seconds and release 2. Repeat 5 times with 10 second breaks. 3. Complete approximately 3-5 sets. The more that a patient repeats this process the greater the efficiency of the exercise.

Effective Penis Exercises for Overall Gains

- 17 2007 Copyright X4 Labs Inc. CC License

Muscle Stretch Steps

1. 2. 3.

Instructions Place the head of your penis in your hand and stretch it out straight, hold it for 3-4 seconds. Hold the head of your penis and stretch it to the right, hold for 3-4 seconds. Next, hold the penis firmly and pull the penis towards the left. Pull it until you can feel pressure on the right side of your penis. Continue for a good 3 seconds. This time, hold the penis, pull it upward and hold for 3-4 seconds. Finally, pull your penis down and hold it for 3-4 seconds. Perform step 1 to step 5 (for 10 mins daily)

4. 5.
6.

Important Notes to Consider: To gain best results, you should feel a fair amount of stretch for each step.

Stretching Exercises Steps

1.

Instructions Stretch you penis to a full extent. Hold for 3-4 seconds. With your right hand, put a grip on the penis and hold the head. Apply pressure until it reaches the head of the penis. For not more than 6 minutes Repeat from step 1 to step 3. Perform step 1 (for 4-5 minutes)

2.

3.

4.

5.

Important Notes to Consider: If the grip is unsuccessful at any point, release cautiously and restart the steps.

- 18 2007 Copyright X4 Labs Inc. CC License

Circular Stretch Steps 1. 2. 3. 4. Instructions Hold the head of your penis and stretch it for 5 seconds. Pull your penis to the top with a firm grip for 4-5 seconds. Rotate your penis in a circular motion under strain for 10-15 seconds. Repeat all steps continuously for 5 minutes

Important Notes to Consider: To restore blood circulation you can massage your penis using both hands.

Jelqing Steps 1. 2. 3. Half an erection is required. Wrap your hand tightly around the base of the penis and slightly pull. Starting from the base of the penis, slowly pull (milk) towards the penis head. It should take 2-3 seconds to reach the gland. When you reach the penis head, take the left hand (the free hand), form a similar "OK" with the thumb and forefinger and start milking like you did before with the right hand. Repeat from step 2 to step 4. Alternate both hands in a smooth rhythmic ("milking") motion, touching upon every part of the penis except the very top part of the penis head. Perform the exercise for 5 minutes (100 strokes) Instructions

4.

5.

6.

Important Notes to Consider: While exercising, do not ejaculate. If you feel the urge to ejaculate, pause exercising for a few moments and wait for the urge to subside.

- 19 2007 Copyright X4 Labs Inc. CC License

Single Jelq Steps 1. 2. Instructions Massage your penis until it reaches 60-80% erection. Use your right hand and make an "OK" sign with your thumb and index finger and grip tightly around the base of your penis. Starting from the base of the penis, slowly pull (milk) towards the penis head. It should take 2-3 seconds to reach the head of your penis. Release your right hand, take your left hand, form a similar "OK" with the thumb and forefinger and start milking like you did before with the right hand. Repeat from step 2 to step 4. Perform the exercise for 5 minutes (100 strokes)

3.

4.

5. 6.

Important Notes to Consider: Be sure to grasp all the way around the penis, so no blood escapes the penile shaft.

Grasp Stretch Steps 1. 2. Instructions Massage your penis until it reaches 60-80% erection. Use your right hand and make an "OK" sign with your thumb and index finger and grip tightly around the base of your penis. Starting from the base of the penis, slowly pull (milk) towards the penis head. It should take 2-3 seconds to reach the glans. You will see that the head of your penis will expand with blood. When you reach your penis head, hold this position for 10 seconds. Repeat from step 2 to step 4 using the left hand. Perform step 2 to step 4 for 25 times (5 minutes)

3.

4. 5. 6.

Important Notes to Consider: Only moderate grips should be used. If you squeeze too hard, you could cause bruising and or rupturing of superficial blood vessels on and near the surface of your penis.

- 20 2007 Copyright X4 Labs Inc. CC License

Park Yourself Stretch Steps 1. 2. 3. Instructions Stand up and massage your penis until it is in a 30-40% erect state Take the penis and stretch it as far as possible under your backside Now, slowly sit down on the penis which should result in your penis being stretched as you sit down

Important Notes to Consider: The exercise can be performed for as long as you wish but over 20 minutes is not recommended. Recommended timing for this exercise is 5-10 minutes.

Penis Extenders
This form of penis enlargement has been noted in various African tribes and works on the basic principle of traction. The application of minute amounts of stress to the body of the penis results in regeneration of skin cells, in essence enlarging both the girth and length of the penis. Fundamentally, a penis extender acts by stretching the tunica albuginea and stimulating the corpus cavernosa to lead to the lengthening of the penis. Among many of the male enhancement or penis enlargement products available on the market, penis extenders have been the only devices which have undergone clinical study.

Types of Penis Extenders

Some initial trials have indicated that the use of penis extenders may be more beneficial than enlargement surgery for men with a penis of about average size. Although a slower process, the penis extender can provide significant results in comparison to penis enlargement surgery. There are many penis extender products to choose from, but not all are created equal. It is important when choosing a penis extender to select one that is versatile and can provide a dual support system.

Can You Use Enhancement Pills and a Penis Extender?

Often patients wonder whether they can use both penis pills and penis stretchers at the same time. Penis enhancement pills often have no significant effect on size but can provide

- 21 2007 Copyright X4 Labs Inc. CC License

improvement in erection quality. The herbal ingredients in male enhancement pills can often lose their strength when placed into capsule form. With blood circulation playing such a fundamental role in penis extender treatment, penis pills can help improve the flow of blood to the penis body. Given the anatomy of the penis, as blood fills the cavities it assists in the extending process. Herbal supplements found in most male enhancement pills can be used to improve circulation which in turn can aid in the enlargement process.

What Are The Effects?

Typically, using both pills and extenders at the same time can yield greater results due to the increases in blood circulation. The expansion of the corpora cavernosa allows more blood to enter the body of the penis, allowing for larger and stronger erections. Although the use of both of these products together can improve erection sizes they do not have any direct effect on the permanent gains offered by penis stretchers. Pills can directly affect the interior mechanisms of the penis but do not induce skin generation as with penis extenders.

Modern, Classical and Hybrid Penis Extenders

There are a variety of extenders available on the market, with different brands and methods of traction. Although there are a myriad of brands, the methods of traction vary. The two typical methods available are the classic extender (silicone tubing) and the modern extender (silicone strap). Each of these extenders has their own particular advantages, particularly pertaining to blood flow and circulation. The development of the modern extender was a big breakthrough in the phalloplasty industry. Given the importance of blood circulation with respects to penis enlargement, the silicone straps or Comfort Straps, allow for improved blood circulation resulting in faster results. Increased comfort also allows for patients to wear the device for longer periods of time. As the amount of time that the device of worn drastically affects the enlargement process, the comfort straps of the modern extender allow for greater results.

Comfort Strap Technology

On the other hand, classical extenders use silicone tubing as the method of fixation, and are often referred to as noose supports. This form of penis extender has been related to restriction of blood circulation and is not as efficient as the modern extender. However; as comfort plays a large role in the enlargement process, a patient must choose what he believes to be the most comfortable method.

- 22 2007 Copyright X4 Labs Inc. CC License

The Hybrid Support System allows for a man to select which form of fixation he feels to be more comfortable. The X4 hybrid support system incorporates both the classical and modern extender, giving a patient the opportunity to choose what method he wishes to use. Typically, doctors prescribe which method they feel to be more beneficial. The Hybrid Support System, eliminates this third-party, allowing for complete in-home treatment. It incorporates both the increased efficiency of modern penis extenders as well as the additional support offered by noose or tube based extenders.

Importance of Doctor Approved Extenders

Over time the popularity of penis enlargement products and penis extenders has grown tremendously. There are over 20 different types and brands of extenders and it is often difficult to differentiate between them. Each may have their particular advantages and disadvantages. A crucial indication of the efficiency and safety of a penis extender is doctor approval or recommendation. If a product has not undergone clinical studies or trial, it is often difficult to assume the quality, efficiency and safety of the product. For instance, non-approved extenders may not use non-allergenic metals, resulting in infections or allergic reactions to the low quality metals. If a product does not indicate that it is doctor approved, it is important that you contact your doctor in order to ensure that the product is safe for use. It is also important to note the type of doctor that approved the product. Often penis extenders are approved by doctors who may not necessarily be associated with the field of penile enlargement. As a consumer you should note whether a doctor practices andrology, urology or phalloplasty prior to purchasing any product they recommend. While the majority of penis extenders have received doctor approval, many devices have yet to undergo clinical study. The X4 Extender is one of the only devices to have doctor recommendations and approval. It is also certified as a medical device and therefore abides by strict quality and medical standards.

- 23 2007 Copyright X4 Labs Inc. CC License

Penis Extender Exercise Program

The key to a penis enlargement exercise program is to ensure that is conducted similar to weight training. It is important to construct a proper penis enlargement exercise regimen. The following table offers a recommended regimen over a 3-5 day period per week. However, one can personalize their exercise program to suit their personal needs and goals.
Week 1 2 3 4 5 6 7 8 weeks+ Hours 1 2 3 2 3 4 5 6 Tension 900g 900g 1000g 1000g 1200g 1200g 1200g 1200g

The fundamental principle of such an exercise routine is to gradually increase tension and duration of use as the weeks progress. It is also important to slowly increase duration and tension in order to ensure that the penis can adapt to the use of the device. As time progresses, a patient may increase tension as well as duration in order to increase the rate of skin-cell regeneration.

- 24 2007 Copyright X4 Labs Inc. CC License

By week 5 patients may begin to apply maximum tension and use the device for the recommended 3 hours per day. At this point the skin and tissue have adapted and are now able to regenerate and expand. Once a patient has achieved this milestone, they may organize their exercise and extending regimen according to their own particular needs. A patient may either continue to apply the recommended usage or increase to 6 hours or more. The longer durations for which the device is used yield greater and faster results.

FAQ
Is this procedure painful? No. You may feel a little sore the first few times due to the stretching. After a few days, it will feel natural and comfortable. Is the growth Permanent? Yes, growth is 100% permanent. How does the girth increase? Like a balloon muscle tissue expands in all directions when stretched. Due to the general tissue expansion, the girth increases as well as the length. Whats the maximum size that can be attained? Increases in penis length and girth depend on the current penis size as well as usage. Our data indicates an average increase of 0.33 inches per existing inch. For example; if your current erect size is 6 inches, you will attain a maximum increase of approximately 2 inches totaling 8 inches. - 25 2007 Copyright X4 Labs Inc. CC License

Does the use of the X4 Extender require help from a Doctor? Medical consultation is always recommended for this type of procedure. However, it is not critical. The X4 Extender comes with an easy to understand instructions booklet. Are there any side effects? No, the use of the X4 Extender has no negative influence on erections, urination or fertility. The X4 Extender does not cause allergic reaction. Some initial soreness is normal. What happens in case of erection while the X4 Extender is worn? The X4 Extender either adjusts to the given erection angle or simply slides off smoothly. Simply reapply the X4 Extender when your penis returns to its flaccid state. Do I have to wear the X4 Extender daily? No, wear the X4 Extender as you please. Results depend on the total amount of hours worn. Does the X4 Extender help in case of a curved penis? Yes! The X4 Extender has proven efficient in straightening the penis and helping those who suffer from Peyronie's Disease.

Product Testimonials
I have gained a tremendous amount of length, almost two inches in 4 months. I am extremely pleased with my results and my sex drive has never been better. David N. Wyoming, United States Ive undergone extensive reconstructive surgery as well as a variety of cosmetic changes to my penis. I have probably used every device on the market, but the X4 Extender was the only one that has worked for me. Larry J. Texas, United States There were times when I thought that this device may not be working, but three months into the treatment program Ive seen tremendous gains in size. Coming from a person who has used pumps before, I can proudly say that this extender truly works. Albert J. Middlesex, United Kingdom

- 26 2007 Copyright X4 Labs Inc. CC License

For two months I used a tube-based extender and realized that I was reducing the blood flow to my penis. After switching to the strap-based extender I noticed faster results and a much healthier penis. George G. Quebec, Canada I gained about 2 inches but what I thought was the most surprising effect of the extender was the improvement it had on the strength of my erections. Omar B. Abu Dhabi, United Arab Emirates Thanks to the X4 Extender I have been able to alleviate much of the pain that I had been suffering as a result of penile curvature. I have corrected about 75% of the curvature and no longer suffer from erectile dysfunction caused by Peyronies disease. Thomas P. North Carolina, United States

- 27 2007 Copyright X4 Labs Inc. CC License

To order the X4 Labs Extender click here!

References

- 28 2007 Copyright X4 Labs Inc. CC License

Wessels, H (1996-9-1). Penile Length in the Flaccid and Erect States: Guidelines for Penile Augmentation. Retrieved on 05-05-2007. ii Neupane S, Abeywickrema D, Martinez K, et al. Acceptability and Actual Use Breakage and Slippage Rates of Standard and Smaller Latex Condoms: Nepal and Sri Lanka. Durham, NC: Family Health International, 1992. iii Janssen, D. F., Growing Up Sexually. Volume I. World Reference Atlas iv Length-boosting surgery for 'micro-penises'. New Scientist (2004-12-06). Retrieved on 05-01-2007. v Money J (1975). Ablatio penis: normal male infant sex-reassigned as a girl.] Archives of Sexual Behavior. 1975 Jan;4(1):65-71. vi BBC News. Ops Found to Increase Size of Micro-Penis. http://news.bbc.co.uk/2/hi/health/4071657.stm 12-06-2004 vii BBC News. Masturbation Found to Cut Risk of Cancer. http://news.bbc.co.uk/2/hi/health/3072021.stm 06-16-2003 viii BBC News. Most Men Unhappy with Penis Ops 02-13-2006. http://news.bbc.co.uk/2/hi/health/4710308.stm. Retrieved on 05-02-2007