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Richard, a mechanic from upstate New York, is a muscular, athletic guy.

He has a
loving wife who has always enjoyed their sex life. But ever since he was a young
boy, Richard couldn't get over the feeling that his penis was too small. In public
bathrooms, he'd use the handicapped stall. He felt embarrassed in gym locker
rooms and when standing naked before his wife. "I didn't feel manly enough," he
tells WebMD. Then, in the back of a weightlifting magazine, he saw an ad for the
FastSize Extender, a device that claims to make the penis longer and fatter through
traction. Richard began wearing the device almost eight hours a day, every day. He
was shocked to notice a difference within a few days. After four months of wearing
the device, he says his flaccid penis has stretched from 3 inches to over 5 inches;
erect, he has gone from less than 6 inches to over 7 inches. The device cost $298,
but Richard says the effect on his self-confidence has been priceless: "It made a
world of difference to me." The FastSize Extender, though not extensively tested,
has received some validation from mainstream medical sources. But that makes it a
true rarity among the nonprescription methods of male enhancement. Most are a
waste of money, and some are downright dangerous, doctors say. Instead of
furtively turning to untested methods, men with persistent concerns should consider
opening up about them with their doctors. That's because performance problems
sometimes act as an early warning signal for serious health problems. Your doctor
might be able to prescribe something that can really help, or least provide a
valuable dose of perspective about what constitutes "normal" sexual performance.
condition in which fatty deposits build up inside arteries, may restrict blood flow to
the penis and cause erection difficulties. "The small blood vessels that go to the
penis can become diseased much earlier than the [larger] vessels that go to the
heart," Karen Boyle, MD, a urologist at Johns Hopkins School of Medicine, tells
WebMD. "In younger or younger middle-aged men, ED is often the first sign of
atherosclerosis." For men with ED who are at risk of heart disease, prescribing
Viagra or its cousins isn't enough, Boyle says. These men should be also be
controlling their weight and cholesterol level, limiting their alcohol intake, and
quitting smoking. Evidence shows that these changes in themselves can have a
positive effect on sexual function, Boyle says. Sometimes men with erection
problems or a diminished libido have low levels of testosterone, Boyle says.
Testosterone deficiencies can also affect mood and energy levels. Boyle tests for
testosterone levels and prescribes it as a topical gel, though she warns it is only
safe when prescribed and monitored by a physician. Nonprescription testosterone,
such as the kind used by some bodybuilders, is dangerous, she warns. For men with
performance issues who are physically healthy, Boyle often prescribes counseling,
such as marriage counseling for men with relationship issues or psychiatric help for
men who are preoccupied with a problem in penile appearance. For young men with
sexual performance problems and no signs of physical problems, Boyle may
prescribe counseling and a low dose of Viagra as they work out issues of insecurity.
"They need reassurance from a physician that everything is OK," she says.
Richard, the mechanic from New York, got results faster than Bob, but still wore the
device under his clothes for about eight hours a day. Richard's wife has also been
supportive. "I see a more confident man in front of me from using this product," she
says. She also says the lengthening has enhanced their sex life, though she had no

complaints before. Chicago urologist Laurence A. Levine, MD, director of the male
fertility program at Rush University Medical Center, tested the FastSize Extender on
10 men afflicted with Peyronie's disease, which can cause bending and shrinkage of
the penis. At the end of the six-month study, which was funded by the maker of the
FastSize Extender, Levine found increased penile length and reduced curvature in
every man and increased girth in seven of the men. Calling the results
"remarkable," Levine now prescribes the device to many of his Peyronie's patients
and reports no significant complications. (Levine has also worked as a paid
consultant to FastSize Extender.) Could FastSize work on men of normal penile
length? Levine says it might. "If a woman can have a breast enlargement and it
makes them psychologically feel better," he reasons, "then perhaps we should have
the same thing for men." Penis-lengthening surgery is also an option for men, but it
is a highly controversial procedure. The American Urological Association says a
common form of lengthening surgery (involving cutting the suspensory ligament of
the penis) has not been shown to be safe or effective. The group also refuses to
endorse surgeries that inject fat cells in the penis with the goal of increasing penile
girth. Many doctors question whether the benefits of lengthening surgery outweigh
the risks. A 2006 study found that only 35% of men were satisfied with the outcome
of surgery, which added only half an inch, on average, to length. Men who are
overly preoccupied with penis length tend to have unrealistic expectations of
surgery and should seek counseling instead, the authors wrote.
But many doctors are wary of traditional medicines. When Boyle's patients come to
her with bottles of herbal supplements, she tells them she cannot vouch for their
safety or effectiveness unless the FDA has reviewed the claims on the label. No
herbal remedy can restore erections like Viagra and its prescription counterparts,
says Steven Lamm, MD, an assistant professor of medicine at New York University
and author of The Hardness Factor. But Lamm says these remedies may be
appropriate for men who have experienced a decline in sexual performance but do
not suffer from a diagnosable sexual problem. Lamm has endorsed an herbal
remedy, marketed under the Roaring Tiger label, that combines horny goat weed
and other herbal extracts with the amino acid L-arginine. (The supplements are
made by the same company that makes the FastSize Extender.)
The Internet is rife with scammers who seek to prey on men's insecurities, Levine
says. "All the pills, topical creams, and gels are worthless. Many men would clearly
rather spend $20, $50, $100 on the Internet than go to the doctor and get real
information." In some cases, men are harming themselves in the pursuit of a bigger
penis. Levine cites "jelqing," a technique involving hours and hours of intense
stroking. He says he has patients who have developed Peyronie's disease due to
violent stretching of the penis through jelqing. It's ironic that the male
preoccupation with enhancement seems to be independent of the needs of women,
the supposed benefactors of improved sexual performance. A recent study found
that 85% of women are pleased with their partner's penis proportions, but 45% of
men say they want a larger penis. Given that the vast majority of men fall within a
certain penis size -- about 5.5 to 6.2 inches long when erect -- most men fall within
the normal range. And there's plenty of debate on whether size matters at all. The
most sensitive nerves in the vagina are found close to the surface, Lamm notes, and

the clitoris is found on the vagina's outside. So there should be plenty of ways to
satisfy your partner that have nothing to do with pills, creams, surgery, or devices.
The true essence of Yoga revolves around elevating the life force or Kundalini at
the base of the spine. It aims to achieve this through a series of physical and mental
exercises. At the physical level, the methods comprise various yoga postures or
asanas that aim to keep the body healthy. The mental techniques include
breathing exercises or pranayama and meditation or dhyana to discipline the
mind. The ultimate goal of yoga is, however, to help the individual to transcend the
self and attain enlightenment. As the Bhagavad-Gita says, A person is said to have
achieved yoga, the union with the Self, when the perfectly disciplined mind gets
freedom from all desires, and becomes absorbed in the Self alone.

Developed in the early sixteenth century and especially popular among Venetian
women, the high-platformed shoe called the chopine had both a practical and
symbolic function. The thick-soled, raised shoe was designed to protect the foot
from irregularly paved and wet or muddy streets. But the enhancement of the
wearer's stature also played a role. The chopine's height introduced an
awkwardness and instability to a woman's walk. The Venetian woman who wore
them was generally accompanied by an attendant on whom she would balance.
Despite the obvious expense, Venetian sumptuary laws (laws regulating expenditure
on luxuries) did not address the issue of exaggerated footwear until it reached
dangerous proportions. It was once thought that very high chopines, twenty inches
as seen in the example from the Museo Correr di Veneziani, were the accoutrements
of the courtesan and were intended to establish her highly visible public profile.
However, sixteenth-century accounts suggest that the chopine's height was
associated with the level of nobility and grandeur of the Venetian woman who wore
them rather than with any imputation as to her profession. The chopines in The
Costume Institute's collection are not as high as the pair depicted in Vittore
Carpaccio's painting of two women from about 1500, perhaps the most famous
representation of chopines in art. Here the shoes are among several erotic or exotic
elements that litter the painting, insinuating that the luxuriously outfitted women
are courtesans. The confusion between patrician and courtesan is also evident in
the Metropolitan Museum's print (55.503.30), in which a Venetian woman, the target
of a cupid, reveals a vertiginous pair of chopines when her skirt is lifted. Her use of
a feather fan to deflect cupid's arrows suggests the cool worldliness of the
professional beauty, but it is impossible to say with certainty. The elaborate dress of
the respectable Venetian noblewoman was almost indistinguishable from the
costume of the successful courtesan. So vexing was the confusion that sumptuary
restrictions were established to define the boundary and at one point prohibited
courtesans from wearing silk dresses and virtually all jewelry.
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