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I need support with hard flaccid syndrome after I used penis extenders and pumps from dangerous penile enhancement regimens found online.

2024.05.13 06:01 Kirkmack I need support with hard flaccid syndrome after I used penis extenders and pumps from dangerous penile enhancement regimens found online.

Dear Brothers,
I'll ask a most private-natured question about what has caused me significant worry and strife. Around a month ago, I was foolishly eager to injure my manhood with penis extender and pump products from an experimental enlargement regimen I found online. No gains were see for many months after daily usage, and later on, a negative turn occurred when the harmful practices left my member severely swollen with unbearable pain.
Since the fateful incident, I've endured a chronic vice-like sensation of tightness and firmness throughout my flaccid penis. The biggest disturbance is the physical appearance and loss of erection quality, as the situation leaves an intimate shadow of my former self. My hindered penis has taken a mighty toll on my spirit because of my diminished penile state.
Through extensive research, I believe my symptoms align with hard flaccid syndrome, as I found the condition is brought upon by an overstretched penis in pursuit of harmful prowess. While the root cause remains uncertain, the symptoms are evidence of how penile damage occurred.
Fellows, if anyone has experienced similar hardships after misguidance from dangerous penis enhancement endeavors, please share your situation. Genuine support can offer comfort to me because of the stressful occurrence. I would be glad to hear any experiences to assist with the low phase of the condition.
submitted by Kirkmack to Hard_Flaccid_Syndrome [link] [comments]


2024.05.13 05:59 Kirkmack I need support with hard flaccid syndrome after I used penis extenders and pumps from dangerous penile enhancement regimens found online.

Dear Brothers,
I'll ask a most private-natured question about what has caused me significant worry and strife. Around a month ago, I was foolishly eager to injure my manhood with penis extender and pump products from an experimental enlargement regimen I found online. No gains were see for many months after daily usage, and later on, a negative turn occurred when the harmful practices left my member severely swollen with unbearable pain.
Since the fateful incident, I've endured a chronic vice-like sensation of tightness and firmness throughout my flaccid penis. The biggest disturbance is the physical appearance and loss of erection quality, as the situation leaves an intimate shadow of my former self. My hindered penis has taken a mighty toll on my spirit because of my diminished penile state.
Through extensive research, I believe my symptoms align with hard flaccid syndrome, as I found the condition is brought upon by an overstretched penis in pursuit of harmful prowess. While the root cause remains uncertain, the symptoms are evidence of how penile damage occurred.
Fellows, if anyone has experienced similar hardships after misguidance from dangerous penis enhancement endeavors, please share your situation. Genuine support can offer comfort to me because of the stressful occurrence. I would be glad to hear any experiences to assist with the low phase of the condition.
submitted by Kirkmack to PEinjuries [link] [comments]


2024.05.13 05:57 Kirkmack I need support with hard flaccid syndrome after I used penis extenders and pumps from dangerous penile enhancement regimens found online.

Dear Brothers,
I'll ask a most private-natured question about what has caused me significant worry and strife. Around a month ago, I was foolishly eager to injure my manhood with penis extender and pump products from an experimental enlargement regimen I found online. No gains were see for many months after daily usage, and later on, a negative turn occurred when the harmful practices left my member severely swollen with unbearable pain.
Since the fateful incident, I've endured a chronic vice-like sensation of tightness and firmness throughout my flaccid penis. The biggest disturbance is the physical appearance and loss of erection quality, as the situation leaves an intimate shadow of my former self. My hindered penis has taken a mighty toll on my spirit because of my diminished penile state.
Through extensive research, I believe my symptoms align with hard flaccid syndrome, as I found the condition is brought upon by an overstretched penis in pursuit of harmful prowess. While the root cause remains uncertain, the symptoms are evidence of how penile damage occurred.
Fellows, if anyone has experienced similar hardships after misguidance from dangerous penis enhancement endeavors, please share your situation. Genuine support can offer comfort to me because of the stressful occurrence. I would be glad to hear any experiences to assist with the low phase of the condition.
submitted by Kirkmack to HardFlaccidSyndrome [link] [comments]


2024.05.11 17:43 Riddley55 Penile implant and girth growth.

Greetings, So here is my situation. I have an inflatable penile implant. It consists of two cylinders that operate as my corpus cavernosum. So when I inflate them by squeezing a pump bulb held in my scrotum, they inflate and I get hard.
My fully inflated BPEL is 8inchs on the nose and I don't want to get any longer. My girth is only 5 inch right now. I would like to get that north of 5.5 inches. So, I believe the only restriction on my girth is my tunica. I have read accounts of men with my implant having the type of girth that I want.
So one question is which aspect of girth growth is the limiting factor timewise...growing the tunica or the corpus? My corpus grows with a couple of extra pumps. I'm wondering at what speed I might be able to make gains just worrying about my tunica?
Second question is which way to go about this in order to max girth gains while minimizing and lenght? What exercises should I be doing bearing in mind I only have to worry about growing the tunica?
Thanks for any input.
submitted by Riddley55 to CultOfBD [link] [comments]


2024.05.09 10:04 Timely-Badger-6970 What is the average size of the penis?

What is the average size of the penis?
From hushed locker room chats to cringe-worthy jokes whispered behind closed doors, it seems like everyone has an opinion when it comes to penis size. But you know what? It's high time we peeled back the layers of misinformation and got down to brass tacks. It's time to separate fact from fiction and dive headfirst into the realm of reality. So, grab your magnifying glass and buckle up, because we're about to embark on a journey to uncover what's truly average and what's not when it comes to the size of the male member.
https://preview.redd.it/mfdyyo3kyczc1.jpg?width=4500&format=pjpg&auto=webp&s=83af20c1cb108115efefc92fbbf92a08952deea2
What's the Deal with Average Size?
Alright, so let's dive into the nitty-gritty – what's the deal with the average size down there? You might be surprised to learn that the numbers vary quite a bit. According to some fancy studies published in the British Journal of Urology International, here's the lowdown: when it's just hanging out, the average length of a penis is around 3.61 inches. But when it's all excited and standing at attention, it's roughly 5.16 inches long. And let's not forget about girth – the average circumference when it's all pumped up is about 4.59 inches. But hey, let's not get too caught up in the numbers – after all, these are just averages. There's a whole rainbow of sizes out there, and they're all normal. So, whether you're packing a little extra or keeping it modest, embrace what you've got and own it like a boss!
Busting Myths Left, Right, and Centre:
Now, let's dive deep and debunk some of those pesky myths that have been circulating for far too long, shall we? First on the chopping block is the age-old belief that bigger automatically means better in the bedroom. Well, let me set the record straight – size ain't everything. It's not about the inches, but about how you wield what you've got. Studies have shown time and time again that when it comes to getting down and dirty, it's all about technique, communication, and connection. Yup, you heard me right – it's not about the size of the ship, but the motion of the ocean. So, let's put an end to the obsession with size and focus on what truly matters – making meaningful connections and enjoying pleasurable experiences together.
And while we're on the topic, let's address another persistent misconception – the idea that race or ethnicity determines penis size. Well, let me tell you, that couldn't be further from the truth. Your heritage has little to do with what you're packing down there – it's all about genetics and a sprinkle of environmental factors. So, let's kick that tired old stereotype to the curb once and for all and embrace the beautiful diversity of sizes out there. Whether you're black, white, or somewhere in between, there's a whole rainbow of sizes waiting to be celebrated. It's time to break free from the shackles of outdated stereotypes and celebrate the uniqueness of every individual, regardless of their background or heritage.
Celebrating the Diverse Beauty of Penile Anatomy:
Now, let's delve into the exhilarating realm of celebrating the wondrous diversity of penile anatomy. Picture this – just like snowflakes, no two penises are identical. They boast an array of shapes, sizes, and hues, each one as unique as the individual it belongs to. From the majestic curve to the stout girth, and every hue in between, there's a dazzling array waiting to be admired. And you know what? That's something to be celebrated, not shamed. Whether you're a grower or a shower, it's high time to embrace what you've got and flaunt it with confidence. After all, variety is the spice of life, and our differences are what make us truly fascinating. So, let's raise a glass to the magnificent tapestry of penile diversity and revel in the beauty of every shape, size, and shade. It's time to own your unique attributes and strut your stuff like the boss you are!
So, What's the Bottom Line?
Alright, let's get real – penis size varies as much as the people on a dating site. There's no one-size-fits-all when it comes to what's normal, so let's toss out the comparisons and embrace our individual attributes. By championing body positivity and acceptance, we can foster a community where everyone feels confident and comfortable in their own skin – regardless of size. So, here's to celebrating diversity, debunking those myths, and embracing what makes us all unique. Cheers to that!
submitted by Timely-Badger-6970 to u/Timely-Badger-6970 [link] [comments]


2024.05.04 18:06 Lumpy-Cantaloupe1439 Best medicine/supplements to cambat mental ED and depression/anxiety.

Hi guys. 23 year old male, 5’8” 160lbs. Been dealing with erectile dysfunction for 4 years now (started at 19 years old).
I have gone to countless doctors throughout this years. I have gone to 3 urologists, I got scammed 5400 for shockwave therapy, and like 10 different visits between 3 clinics including a mens clinic.
Every doctor that has evaded me has said that I’m good physically. All lipid and hormonal panels have come out fine. Most recently I did an Doppler ultrasound to see if there was an issue with my penile arteries. Urologists showed me the ultrasound while he was doing it and he said my levels could not be more perfect. He showed both arteries pumping. And the ultrasound the waves were perfect. He said there’s no issue physically and that it’s all mental.
He told me to try a low dose of antidepressants, I told him I’m scared because antidepressants give you ED but he said it’s not true and he prescribed them all the time. This was the 3rd visit with this urologist.
It’s the second time I hear the antidepressant opinion, first time was a GP who told me to take fluoxetine. The urologist didn’t prescribe me any but in a podcast he mentioned he usually prescribed sertaline (I think that’s how you spell it).
I am too scared of antidepressants. There is a subreddit dedicated to permanent sexual dysfunction from antidepressants called pssd. But I just don’t know what else to do. I feel like I’m running in circles. These last 4 years have brought the most pain I’ve ever experienced, I haven’t woken up a day without wanting to kill myself due to this disease. This ED has taken my life away. I want to enjoy life but it’s impossible.
Things that I have tried are: clomid 50mg, taldalafil 5mg daily and 20mg as needed, sildenafil 50mg and 100mg, zinc 50mg, vitamin E, Viramin D, L-Cirruline 1200 mg, triple omega, ashwaganda, iron, magnesium, vitamin b12. Nothing has worked.
To clarify, my issue isn’t just performance anxiety. I cannot get hard alone, I cannot get hard to porn or imagination. My penis is completely dead.
I’ve heard buspar and Wellbutrin are good options but wanted to hear more.
submitted by Lumpy-Cantaloupe1439 to Biohackers [link] [comments]


2024.04.26 19:53 WittyEvaluator How to Beef Up Your Manhood: A Non-Surgical Guide to Increasing Penis Girth 🍆

Hey, folks! 👋 Ever wondered if you could turn your slim jim into a more substantial salami? Well, you're not alone on that quest! Let's dive into some non-surgical ways to potentially beef up your buddy down south.
First off, let's get real—size isn’t everything. But if you’re looking to add some girth for your own confidence, here’s the scoop based on loads of reading and chatting with experts. Remember, I'm not a doctor, but I've done my homework!

Exercise the Right Way

Eat Smart

Supplement Wisely

Lifestyle Tweaks

Consult the Pros

Be Realistic

And there you have it! Your guide to girth without going under the knife. Remember, your worth isn't measured in inches, and confidence often trumps dimension. So, stay healthy, stay informed, and as always, keep it classy, not brassy! 🎩
Feel free to chime in with your experiences or hit me up with questions. Here’s to making informed and healthy choices! Cheers, guys! 🍻
menshealth
submitted by WittyEvaluator to RedditRealTalk [link] [comments]


2024.04.18 18:04 ThatFriendinBoston Recommended pumps other than Vacurect

I recently purchased a Vacurect pump to help with penile rehab and try to get an erection for sexual activity.
Unfortunately the Vacurect seems way too tight with the included restriction rings. It felt crazy tight and rather painful. I couldn't really even pump up the thing enough to produce a full erection, without it hurting.
I'm no porn star or anything lol but I felt there was no possible way the Vacurect could be comfortable. A few years ago I ordered a cock ring and had to measure myself, I'd say between 7.5-7.75 length and 5.5-5.75 girth, when erect.
Money is no object really. I'd like to hear what other guys in my size category are using Comfortably, and I'm looking for a quality product with reliable functionality and disability. The Vacurect is a good quality unit, I just don't think its the best option for my needs.
Thanks for any advice !
submitted by ThatFriendinBoston to ProstateCancer [link] [comments]


2024.04.16 03:23 WetnessPensive Some points on the Cass Review

NHS England recently commissioned “The Independent Review of Gender Identity Services for Children and Young People”, more commonly known as “the Cass Review”, as it was led by Hilary Cass. Some points:
  1. Cass consulted with Republican Governor Ron DeSantis' expert on trans healthcare, Patrick Hunter of the Catholic Medical Association. Hunter sought to find ways to limit trans rights and medical care in the state of Florida, Florida being America's Petri dish for bigotry and anti-science nonsense.
  2. Anticipating the Cass Review, Florida put forth its own Review designed to effectively ban trans and LGBT care. Yale Researchers (https://medicine.yale.edu/lgbtqi/research/gender-affirming-care/florida%20report%20final%20july%208%202022%20accessible_443048_284_55174_v3.pdf) would deem the Florida Review “not a serious scientific analysis, but rather, a document crafted to serve a political agenda”.
  3. Emails uncovered by researcher Zinnia Jones confirm that Cass met with Hunter and showed an interest in Florida's anti-trans report. Hunter, meanwhile, is part of a network of anti-trans people who seek to roll back gains for LGBT citizens.
  4. For the Cass Review, Cass included in her core team, or consulted, conversion therapists, people who refuse to accept the existence of trans people, and people who advocated for bans on trans care. In contrast, Cass' core team comprised no trans people and no non-binary experts/clinicians experienced in providing gender affirming care.
  5. Contributers to Cass' Review include members of the Society for Evidence-Based Gender Medicine, an anti trans advocacy group. It also allowed the actively trans-hostile Sex Matters, led by Maya Forstater, to provide input. Cass herself follows anti-trans accounts (LGBalliance, TransgenderTrend etc) on Twitter.
  6. To scrutinise existing evidence and inform its recommendations, Cass commissioned an “independent” evidence review and research programme from the University of York. The York Review is cited over 75 times in Cass' report. Its methodology was designed by Tilly Langton, who has promoted conversion therapy, resists any form of transitioning and holds trans identities in suspicion. In other words, the entire Cass report hangs on anti-trans methodology.
  7. The Cass Review cites Anastassis Spiliadis, a founder of “de-trans” organizations which push the “rapid onset gender dysphoria” myth and publishes in the “Archives of Sexual Behaviour”, a journal with financial ties to anti-LGBT political groups and whose stated goal since its founding has been “the prevention of transexualism”. Spiliadis and Langton have been long-time colleagues. The “Archives of Sexual Behaviour” is edited by Kenneth Zucker, a well-known conversion therapist whose stated goal is to “prevent children becoming trans".
  8. The Cass Review rejects most commonly accepted studies on detransition rates (NHS detrans rates is 0.47%, which Cass doesn't mention), but mentions two which allege the highest rates (Vandenbussche, who states that 70 percent detransition because they realized their dysphoria was caused by ancillary issues, and Zucker, whose studies are outdated and much criticized and who puts these rates at about 85 percent). From these, Cass conveys the idea that “most trans kids grow out of being trans”. Countless studies have argued the opposite, but what's interesting is that Cass rejects these studies for failing to live up to standards and criteria she does not apply to Zucker.
  9. So what's going on here? Cass rejects most trans studies because they are not “double blind tests” or “randomized controlled trial-based”, and yet many of the studies she accepts don't adhere to these criteria either. And why hold this standard anyway? Most medical science is not held to this level of rigour. And it would be unethical and impossible to subject people to such double blind tests, because the patients would know if they're on hormones or undergoing surgery, both of which have clear physiological effects. And to do robust tests you'd likely have to refuse treatment to actual trans kids while giving non-trans kids cross-gender hormones, thus altering their bodies forever in ways that'll likely drive them to suicide. All of this is unethical. This is, in a sense, why cohort studies exist. But Cass seems to discount the validity of cohort studies as well.
  10. So Cass claims that “gender medicine falls short in methodological rigour”, but doesn't apply this rigour to things she likes (eg Lisa Littman's much debunked 2018 study on Rapid Onset Gender Dysphoria, which she cites), doesn't point out that most medical science isn't held to these standards, and doesn't point out the impossibility of subjecting trans people to double blind tests. It thus seems clear that she's deliberately stacking the deck.
  11. To highlight her bias, consider this. Only 9.9% of medicine is supported by “high quality evidence”, and the quality of this evidence does not consistently improve or worsen in updated reviews (https://www.jclinepi.com/article/S0895-4356(20)30777-0/abstract30777-0/abstract). We also know that medical interventions have always had low or very low quality evidence (https://www.jclinepi.com/article/S0895-4356(16)30024-5/abstract30024-5/abstract), and that for most of modern medical practise Randomized Controlled Trial-based data are lacking, and RCT aren't heavily used to provide evidence for action (https://www.nejm.org/doi/full/10.1056/nejmra1614394). We also know that the “strong recommendations” of health organizations are consistently backed by low or very low quality evidence (https://www.jclinepi.com/article/S0895-4356(13)00434-4/abstract00434-4/abstract) and that 82% of off-label drug recommendations in pediatrics is backed by low or very low quality evidence (http://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2022.892574/full). The point is, Cass is asking trans people to adhere to standards that Medical Science never adheres to.
  12. Even more bizarrely, none of the Review's proposals are held to these lofty standards. She rejects trans care proposals for “not meeting standards” yet advocates other solutions which don't meet the same. It's a clear case of “rules for Trans people”, but “not for everyone else”.
  13. Elsewhere Cass advocates “slowing down” and “limiting trans healthcare”, but trans care has been bottlenecked and limited for decades, and it's precisely this lack of healthcare, and the long waiting times, that's harming trans people.
  14. Cass uses the term GID or “Gender Identity Disorder”, but this biased term was removed from the DSM5 in 2013.
  15. Cass then implies that most trans people are “faking it” or “deluded”, and that detransition rates are around 80-85%. It is shocking that this old meme is now turning up in a government report. This is largely old, debunked data from the 1980s (before we had modern DSM classifications) which lumped lesbians, Tom Boys, transvestites, and people with no gender persistence in with transgender people. In contrast, modern studies consistently put desistence rates in the 0-1% range. So why is Cass going back to another century for her data?
  16. Cass points out that “most kids who use puberty blockers go on to take hormones” and believes that this “therefore proves that puberty blockers are bad and cause people to be trans". This is a moronic piece of logic.
  17. Cass also implies that kids are "pressured" into being trans. This is blatant transphobia which seeks to paint trans people as victims of a social contagion, delusion or medical reprogramming. One graph which she uses to “prove” this tactically cuts off at the precise date when the number of trans people seeking care plateaus. This is dishonestly done to suggest that trans numbers are exponentially increasing.
  18. Cass recommends “unhurried therapeutic support” and seems to suggest adults be treated by the same personnel who treated them as children. This may be well-meaning, logical and beneficial, but trans people may understandably see this as an attempt to hinder access to more adult procedures.
  19. Cass ridicules puberty blockers and gender-affirming surgery, yet countless studies show that both dramatically reduce the likelihood of mental health issues, suicide and dysphoria. But Cass rejects these studies. Out of hundreds of studies into puberty blockers and hormones, she deems only 2% credible and dismisses all non-English ones; this is a highly selective and cherry-picked report.
  20. Cass ignores the risk of NOT treating trans children, viewing it as a neutral act rather than one which actively causes harm.
  21. Cass also seeks to delay treatment, yet we know that when gender affirming care is provided (with a standardised multidisciplinary assessment and treatment process, and with ongoing monitoring and support), outcomes are good, rates of regret are extremely low, and the benefits of treatment in adolescence are potentially greater than the benefits of treatment commenced in adulthood.
  22. Cass fear-mongers and says that there have been approximately 5000 “trans referrals” to the NHS in 2021/2022, an increase from previous years. But this is a rate of 0.048% of the population.
  23. Cass seems to deny the fact that progressing puberty worsens gender dysphoria and worsens depression and anxiety. What she recommends instead of gender affirming care is to simply manage the symptoms of dysphoria rather than treating it, an odd recommendation given that one of the causes for this report even existing is to "avoid turning kids into life long patients".
  24. Cass' report fails to mention that the American Academy of Pediatrics, the American Medical Association, the American Psychological Association, the Endocrine Society, the Harvard Medical School, the Yale School of Medicine and the Mayo Clinic all think her report is nonsense, and all think her Review is at odds with the current evidence-based expert consensus, and the majority of clinical guidelines around the world.
  25. Cass thinks that “some may be irreversibly harmed by medically transitioning”, but doesn't seem to realize that she's condemning trans people to exactly this fate. Accidentally pumping a cis kid full of the wrong sex hormones – which she rightfully wants to avoid – is akin to preventing a trans person from transitioning, but for Cass, one group seems to not matter at all. She's putting the well-being of cis kids ahead of trans kids, which is a form of prejudice.
  26. The Review reeks of double standards: Cis women can get testosterone over the counter, but trans women are barred from the same. There is never enough evidence to advocate trans care, but conversion therapy is fine despite a lack of evidence. Elsewhere the Review sneakily rejects hormones because of the “need for penile growth for vaginoplasty”, omitting the fact that modern vaginoplasty has long not required this.
  27. The Review is filled with inconsistencies. It believes there is “no established definition of social transition” but introduces and fails to define the concepts of “full and partial social transition”. It states that “formal diagnosis is not reliably predictive of whether a young person will have gender incongruence” but repeatedly states that “diagnostic tests should be used to determine whether medical intervention will be beneficial”. It states that puberty blockers showed “no changes in gender dysphoria or body satisfaction”, but seems ignorant of the fact that blockers are intended to pause puberty, not “correct” puberty. It states that “some may require transitioning” but advocates indefinitely “holding off the need for transitioning” (there is no evidence which underpins this suggestion). It states that “a medical pathway may not be the best way” but offers no evidence to support this assertion. It states that “it is now the norm for children to present to gender clinics having undergone full or partial social transition” but there is no evidence supplied to support this or why this is a concern, or how this may be related to long waiting lists. It states that “the exponential change in referrals is very much faster than would be normally expected”, but offers no evidence to support this, and relies on a manipulated graph to sell the idea of exponential increases. It implies that “many express regret about trans treatments”, but cites no data and ignores the consistent findings in research that these levels are smaller than regret rates for most other common medical procedures.
  28. The Review seems designed to place unnecessary barriers in the way of trans people. The document refers to the so-called “risks of an inappropriate gender transition” but does not name these risks or provide a reference for this statement. Elsewhere it suggest that adolescents will only be allowed to socially transition if they meet the criteria set by the service. This represents an unconscionable degree of intrusion into personal and family decisions (clothing, names, pronouns, school arrangements etc), none of which should require medical permission.
  29. Cass recommends severely limiting access to puberty blockers by only allowing treatment in the context of a formal research protocol. The criteria for this are not specified. While gathering more data is vital, this is coercive, and compels adolescents to participate in a research study to access treatment.
  30. Cass recommends that “the primary intervention for children and young people” be “psychosocial” and involve “psychoeducation and psychological support and intervention.” She goes on to state that one outcome from the screening process would be “discharge with psycho-education.”
  31. Cass views gender incongruence largely as a mental health disorder or a state of confusion and withholds gender-affirming treatments on this basis. Countless groups (WPATH, ASIAPATH, EPATH, PATHA, and USPATH) have all pointed out that this “psychotherapeutic” approach, which was used for decades before being superseded by evidence-based gender-affirming care, has not been shown to be effective. Indeed, the denial of gender-affirming treatment under the guise of “exploratory therapy” has caused enormous harm to the transgender and gender diverse community and is tantamount to “conversion” or “reparative” therapy.
  32. Cass wants to dramatically limit access to gender affirming care, and roll back strides made over the past decade. There are many references within the document to patients only being able to access care or referrals if they meet criteria set by the service. There are clear statements that if adolescents are taking puberty suppression or gender-affirming hormones obtained elsewhere, the service will not provide any care. This empowers the service to withhold treatment and health monitoring from those who have obtained medication without permission of the service.
  33. Cass states that doctors are to be advised to “initiate local safeguarding protocols” if a child or young person obtains puberty blockers or hormones from another source. This recommendation, which would see families reported to child protection services, is sinister. Families who are in the position of seeing their relatives descend into suicidal distress as they continue to experience incongruent pubertal changes, whilst being unable to access appropriate care from the NHS service, may make the difficult decision to obtain puberty suppression through non-NHS sources, as caring parents acting according to international treatment standards. These parents would then be at risk of being reported to child protection services. Similarly, a doctor with a better understanding of gender incongruence might be put at risk of censure for refusing to make such an inappropriate child protection referral.
  34. It seems clear that the Cass Report is ideologically biased and exists to prevent as many people from transitioning as possible. It proposes what amounts to conversion therapy under the guise of “holistic treatments targetting mental health”, a throwback to the medicalization of homosexuality in the 1950s, where the goal was to eliminate or hide homosexual urges, rather than accept gay people. Cass' insistence on double blind studies also echoes one aspect of the gay community's relationship to HIV. Long after the first drugs began effectively treating HIV, for example, certain regions insisted on carrying out elaborate approval processes that involved double blind studies, resulting in countless gay and bi men with HIV prematurely dying because they were given placebos or denied drugs that had been proven to work.
  35. While the report is right in that more study needs to be done, and more help needs to be administered, it seems unlikely that this will be done: the people responsible for the report are the people who are resistant to certain research, and who failed to provide sufficient funding and support for rigorous research in the past.
  36. Finally, countless reports (https://www.epfweb.org/node/837) have highlighted the hundreds of millions of dollars currently being spent on anti-gender funding over the past decade (it is no surprise that the major anti-trans groups in the UK operate out of the same Tufton Street buildings as Tory think-tanks). Annual anti-gender spending in Europe has likewise increased by a factor of four between 2009 and 2018, with major anti-abortion, anti-trans, right-wing, religious and anti LGBT groups forming networks to roll back human rights. This orchestrated strategy is producing concrete results, such as the 2020 de facto ban on access to safe abortion in Poland, bans on equal marriage in several Central European countries, abortion roll-backs in the US, and over a dozen comparable acts at national level and in European institutions aiming to limit women's and LGBT rights. To many trans people, the Cass Review will feel like a similar attack.
submitted by WetnessPensive to transgenderUK [link] [comments]


2024.04.16 03:05 WetnessPensive Some points on the Cass Review

NHS England recently commissioned “The Independent Review of Gender Identity Services for Children and Young People”, more commonly known as “the Cass Review”, as it was led by Hilary Cass. Some points:
  1. Cass consulted with Republican Governor Ron DeSantis' expert on trans healthcare, Patrick Hunter of the Catholic Medical Association. Hunter sought to find ways to limit trans rights and medical care in the state of Florida, Florida being America's Petri dish for bigotry and anti-science nonsense.
  2. Anticipating the Cass Review, Florida put forth its own Review designed to effectively ban trans and LGBT care. Yale Researchers (https://medicine.yale.edu/lgbtqi/research/gender-affirming-care/florida%20report%20final%20july%208%202022%20accessible_443048_284_55174_v3.pdf) would deem the Florida Review “not a serious scientific analysis, but rather, a document crafted to serve a political agenda”.
  3. Emails uncovered by researcher Zinnia Jones confirm that Cass met with Hunter and showed an interest in Florida's anti-trans report. Hunter, meanwhile, is part of a network of anti-trans people who seek to roll back gains for LGBT citizens.
  4. For the Cass Review, Cass included in her core team, or consulted, conversion therapists, people who refuse to accept the existence of trans people, and people who advocated for bans on trans care. In contrast, Cass' core team comprised no trans people and no non-binary experts/clinicians experienced in providing gender affirming care.
  5. Contributers to Cass' Review include members of the Society for Evidence-Based Gender Medicine, an anti trans advocacy group. It also allowed the actively trans-hostile Sex Matters, led by Maya Forstater, to provide input. Cass herself follows the anti-trans account, LGBalliance, on Twitter.
  6. To scrutinise existing evidence and inform its recommendations, Cass commissioned an “independent” evidence review and research programme from the University of York. The York Review is cited over 75 times in Cass' report. Its methodology was designed by Tilly Langton, who has promoted conversion therapy, resists any form of transitioning and holds trans identities in suspicion. In other words, the entire Cass report hangs on anti-trans methodology.
  7. The Cass Review cites Anastassis Spiliadis, a founder of “de-trans” organizations which push the “rapid onset gender dysphoria” myth and publishes in the “Archives of Sexual Behaviour”, a journal with financial ties to anti-LGBT political groups and whose stated goal since its founding has been “the prevention of transexualism”. Spiliadis and Langton have been long-time colleagues. The “Archives of Sexual Behaviour” is edited by Kenneth Zucker, a well-known conversion therapist whose stated goal is to “prevent children becoming trans".
  8. The Cass Review rejects most commonly accepted studies on detransition rates (NHS detrans rates is 0.47%, which Cass doesn't mention), but mentions two which allege the highest rates (Vandenbussche, who states that 70 percent detransition because they realized their dysphoria was caused by ancillary issues, and Zucker, whose studies are outdated and much criticized and who puts these rates at about 85 percent). From these, Cass conveys the idea that “most trans kids grow out of being trans”. Countless studies have argued the opposite, but what's interesting is that Cass rejects these studies for failing to live up to standards and criteria she does not apply to Zucker.
  9. So what's going on here? Cass rejects most trans studies because they are not “double blind tests” or “randomized controlled trial-based”, and yet many of the studies she accepts don't adhere to these criteria either. And why hold this standard anyway? Most medical science is not held to this level of rigour. And it would be unethical and impossible to subject people to such double blind tests, because the patients would know if they're on hormones or undergoing surgery, both of which have clear physiological effects. And to do robust tests you'd likely have to refuse treatment to actual trans kids while giving non-trans kids cross-gender hormones, thus altering their bodies forever in ways that'll likely drive them to suicide. All of this is unethical. This is, in a sense, why cohort studies exist. But Cass seems to discount the validity of cohort studies as well.
  10. So Cass claims that “gender medicine falls short in methodological rigour”, but doesn't apply this rigour to things she likes (eg Lisa Littman's much debunked 2018 study on Rapid Onset Gender Dysphoria, which she cites), doesn't point out that most medical science isn't held to these standards, and doesn't point out the impossibility of subjecting trans people to double blind tests. It thus seems clear that she's deliberately stacking the deck.
  11. To highlight her bias, consider this. Only 9.9% of medicine is supported by “high quality evidence”, and the quality of this evidence does not consistently improve or worsen in updated reviews (https://www.jclinepi.com/article/S0895-4356(20)30777-0/abstract30777-0/abstract). We also know that medical interventions have always had low or very low quality evidence (https://www.jclinepi.com/article/S0895-4356(16)30024-5/abstract30024-5/abstract), and that for most of modern medical practise Randomized Controlled Trial-based data are lacking, and RCT aren't heavily used to provide evidence for action (https://www.nejm.org/doi/full/10.1056/nejmra1614394). We also know that the “strong recommendations” of health organizations are consistently backed by low or very low quality evidence (https://www.jclinepi.com/article/S0895-4356(13)00434-4/abstract00434-4/abstract) and that 82% of off-label drug recommendations in pediatrics is backed by low or very low quality evidence (http://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2022.892574/full). The point is, Cass is asking trans people to adhere to standards that Medical Science never adheres to.
  12. Even more bizarrely, none of the Review's proposals are held to these lofty standards. She rejects trans care proposals for “not meeting standards” yet advocates other solutions which don't meet the same. It's a clear case of “rules for Trans people”, but “not for everyone else”.
  13. Elsewhere Cass advocates “slowing down” and “limiting trans healthcare”, but trans care has been bottlenecked and limited for decades, and it's precisely this lack of healthcare, and the long waiting times, that's harming trans people.
  14. Cass uses the term GID or “Gender Identity Disorder”, but this biased term was removed from the DSM5 in 2013.
  15. Cass then implies that most trans people are “faking it” or “deluded”, and that detransition rates are around 80-85%. It is shocking that this old meme is now turning up in a government report. This is largely old, debunked data from the 1980s (before we had modern DSM classifications) which lumped lesbians, Tom Boys, transvestites, and people with no gender persistence in with transgender people. In contrast, modern studies consistently put desistence rates in the 0-1% range. So why is Cass going back to another century for her data?
  16. Cass points out that “most kids who use puberty blockers go on to take hormones” and believes that this “therefore proves that puberty blockers are bad and cause people to be trans". This is a moronic piece of logic.
  17. Cass also implies that kids are "pressured" into being trans. This is blatant transphobia which seeks to paint trans people as victims of a social contagion, delusion or medical reprogramming. One graph which she uses to “prove” this tactically cuts off at the precise date when the number of trans people seeking care plateaus. This is dishonestly done to suggest that trans numbers are exponentially increasing.
  18. Cass recommends “unhurried therapeutic support” and seems to suggest adults be treated by the same personnel who treated them as children. This may be well-meaning, logical and beneficial, but trans people may understandably see this as an attempt to hinder access to more adult procedures.
  19. Cass ridicules puberty blockers and gender-affirming surgery, yet countless studies show that both dramatically reduce the likelihood of mental health issues, suicide and dysphoria. But Cass rejects these studies. Out of hundreds of studies into puberty blockers and hormones, she deems only 2% credible and dismisses all non-English ones; this is a highly selective and cherry-picked report.
  20. Cass ignores the risk of NOT treating trans children, viewing it as a neutral act rather than one which actively causes harm.
  21. Cass also seeks to delay treatment, yet we know that when gender affirming care is provided (with a standardised multidisciplinary assessment and treatment process, and with ongoing monitoring and support), outcomes are good, rates of regret are extremely low, and the benefits of treatment in adolescence are potentially greater than the benefits of treatment commenced in adulthood.
  22. Cass fear-mongers and says that there have been approximately 5000 “trans referrals” to the NHS in 2021/2022, an increase from previous years. But this is a rate of 0.048% of the population.
  23. Cass seems to deny the fact that progressing puberty worsens gender dysphoria and worsens depression and anxiety. What she recommends instead of gender affirming care is to simply manage the symptoms of dysphoria rather than treating it, an odd recommendation given that one of the causes for this report even existing is to "avoid turning kids into life long patients".
  24. Cass' report fails to mention that the American Academy of Pediatrics, the American Medical Association, the American Psychological Association, the Endocrine Society, the Harvard Medical School, the Yale School of Medicine and the Mayo Clinic all think her report is nonsense, and all think her Review is at odds with the current evidence-based expert consensus, and the majority of clinical guidelines around the world.
  25. Cass thinks that “some may be irreversibly harmed by medically transitioning”, but doesn't seem to realize that she's condemning trans people to exactly this fate. Accidentally pumping a cis kid full of the wrong sex hormones – which she rightfully wants to avoid – is akin to preventing a trans person from transitioning, but for Cass, one group seems to not matter at all. She's putting the well-being of cis kids ahead of trans kids, which is a form of prejudice.
  26. The Review reeks of double standards: Cis women can get testosterone over the counter, but trans women are barred from the same. There is never enough evidence to advocate trans care, but conversion therapy is fine despite a lack of evidence. Elsewhere the Review sneakily rejects hormones because of the “need for penile growth for vaginoplasty”, omitting the fact that modern vaginoplasty has long not required this.
  27. The Review is filled with inconsistencies. It believes there is “no established definition of social transition” but introduces and fails to define the concepts of “full and partial social transition”. It states that “formal diagnosis is not reliably predictive of whether a young person will have gender incongruence” but repeatedly states that “diagnostic tests should be used to determine whether medical intervention will be beneficial”. It states that puberty blockers showed “no changes in gender dysphoria or body satisfaction”, but seems ignorant of the fact that blockers are intended to pause puberty, not “correct” puberty. It states that “some may require transitioning” but advocates indefinitely “holding off the need for transitioning” (there is no evidence which underpins this suggestion). It states that “a medical pathway may not be the best way” but offers no evidence to support this assertion. It states that “it is now the norm for children to present to gender clinics having undergone full or partial social transition” but there is no evidence supplied to support this or why this is a concern, or how this may be related to long waiting lists. It states that “the exponential change in referrals is very much faster than would be normally expected”, but offers no evidence to support this, and relies on a manipulated graph to sell the idea of exponential increases. It implies that “many express regret about trans treatments”, but cites no data and ignores the consistent findings in research that these levels are smaller than regret rates for most other common medical procedures.
  28. The Review seems designed to place unnecessary barriers in the way of trans people. The document refers to the so-called “risks of an inappropriate gender transition” but does not name these risks or provide a reference for this statement. Elsewhere it suggest that adolescents will only be allowed to socially transition if they meet the criteria set by the service. This represents an unconscionable degree of intrusion into personal and family decisions (clothing, names, pronouns, school arrangements etc), none of which should require medical permission.
  29. Cass recommends severely limiting access to puberty blockers by only allowing treatment in the context of a formal research protocol. The criteria for this are not specified. While gathering more data is vital, this is coercive, and compels adolescents to participate in a research study to access treatment.
  30. Cass recommends that “the primary intervention for children and young people” be “psychosocial” and involve “psychoeducation and psychological support and intervention.” She goes on to state that one outcome from the screening process would be “discharge with psycho-education.”
  31. Cass views gender incongruence largely as a mental health disorder or a state of confusion and withholds gender-affirming treatments on this basis. Countless groups (WPATH, ASIAPATH, EPATH, PATHA, and USPATH) have all pointed out that this “psychotherapeutic” approach, which was used for decades before being superseded by evidence-based gender-affirming care, has not been shown to be effective. Indeed, the denial of gender-affirming treatment under the guise of “exploratory therapy” has caused enormous harm to the transgender and gender diverse community and is tantamount to “conversion” or “reparative” therapy.
  32. Cass wants to dramatically limit access to gender affirming care, and roll back strides made over the past decade. There are many references within the document to patients only being able to access care or referrals if they meet criteria set by the service. There are clear statements that if adolescents are taking puberty suppression or gender-affirming hormones obtained elsewhere, the service will not provide any care. This empowers the service to withhold treatment and health monitoring from those who have obtained medication without permission of the service.
  33. Cass states that doctors are to be advised to “initiate local safeguarding protocols” if a child or young person obtains puberty blockers or hormones from another source. This recommendation, which would see families reported to child protection services, is sinister. Families who are in the position of seeing their relatives descend into suicidal distress as they continue to experience incongruent pubertal changes, whilst being unable to access appropriate care from the NHS service, may make the difficult decision to obtain puberty suppression through non-NHS sources, as caring parents acting according to international treatment standards. These parents would then be at risk of being reported to child protection services. Similarly, a doctor with a better understanding of gender incongruence might be put at risk of censure for refusing to make such an inappropriate child protection referral.
  34. It seems clear that the Cass Report is ideologically biased and exists to prevent as many people from transitioning as possible. It proposes what amounts to conversion therapy under the guise of “holistic treatments targetting mental health”, a throwback to the medicalization of homosexuality in the 1950s, where the goal was to eliminate or hide homosexual urges, rather than accept gay people. Cass' insistence on double blind studies also echoes one aspect of the gay community's relationship to HIV. Long after the first drugs began effectively treating HIV, for example, certain regions insisted on carrying out elaborate approval processes that involved double blind studies, resulting in countless gay and bi men with HIV prematurely dying because they were given placebos or denied drugs that had been proven to work.
  35. While the report is right in that more study needs to be done, and more help needs to be administered, it seems unlikely that this will be done: the people responsible for the report are the people who are resistant to certain research, and who failed to provide sufficient funding and support for rigorous research in the past.
  36. Finally, countless reports (https://www.epfweb.org/node/837) have highlighted the hundreds of millions of dollars currently being spent on anti-gender funding over the past decade (it is no surprise that the major anti-trans groups in the UK operate out of the same Tufton Street buildings as Tory think-tanks). Annual anti-gender spending in Europe has likewise increased by a factor of four between 2009 and 2018, with major anti-abortion, anti-trans, right-wing, religious and anti LGBT groups forming networks to roll back human rights. This orchestrated strategy is producing concrete results, such as the 2020 de facto ban on access to safe abortion in Poland, bans on equal marriage in several Central European countries, abortion roll-backs in the US, and over a dozen comparable acts at national level and in European institutions aiming to limit women's and LGBT rights. To many trans people, the Cass Review will feel like a similar attack.
submitted by WetnessPensive to VaushV [link] [comments]


2024.04.14 19:57 Humble-Moose-7532 Best Penis pump - How to Choose The Best Penis Pump for You

When it comes to choosing a penis pump, it's essential to consider various factors to ensure you find the best option for your needs. While you don't need a prescription to purchase a penis pump, consulting with your professional can provide valuable guidance, especially if you're a beginner.
Choosing the best penis pump for you involves considering several factors to ensure effectiveness, safety, and comfort.
Here's a guide to help you make an informed decision: Type of Pump: Penis pumps come in various types, including manual, battery-operated, and hydro pumps. Manual pumps require you to create suction by hand, while battery-operated pumps offer automated suction. Hydro pumps use water to create suction and are often considered gentler and more effective for some users.
Size and Fit: Ensure that the pump is the right size for your penis. Most pumps come with sizing guidelines to help you choose the appropriate size. A proper fit is essential for effective suction and comfort during use. Pressure Control: Look for a pump with adjustable pressure settings to customize the intensity of suction. This allows you to start with lower pressure and gradually increase as needed, reducing the risk of discomfort or injury. Safety Features: Choose a pump with safety features such as pressure release valves or quick-release mechanisms. These features help prevent over-pumping and reduce the risk of injury or discomfort. Comfort and Material: Opt for a pump made from high-quality materials that are comfortable and safe for use on the skin. Soft, hypoallergenic materials like silicone or medical-grade plastics are ideal for ensuring comfort during use. Brand Reputation and Reviews: Research the brand reputation and read customer reviews to gauge the effectiveness and reliability of the pump. Look for pumps from reputable manufacturers known for producing high-quality products and providing excellent customer support. Price and Warranty: Compare prices and consider the overall value offered by different pumps. While cost is a factor, prioritize quality and effectiveness over affordability to ensure you're investing in a safe and reliable device. Additionally, check if the pump comes with a warranty for added peace of mind. Now, let's take a look at some top penis pumps on the market: Best Hydro Penis Pump: Bathmate HydroXtreme : This water pump is easy to use and offers both hydro and non-hydro functionality. It comes with accessories for easier maintenance and cleaning. Best Penis Air Pump for Fun: LoveHoney Pumped Up: This air pump includes a bullet vibrator for added stimulation and enjoyment. It's designed to fit most men and offers adjustable vibration speeds. Best Automatic Penis Pump: Calexotics Optimum: This electric pump offers adjustable pressure settings and a built-in timer for convenience. It's rechargeable and provides precise control over vacuum suction. Medical penis pumps Medical-grade penis pumps are designed to address erectile dysfunction (ED) and are often recommended or prescribed by professionals. Here are a few examples of medical penis pumps: Vacuum Erection Device (VED): This is a type of medical penis pump that uses a vacuum to draw blood into the penis, creating an erection. It consists of a cylinder that fits over the penis, a pump to create the vacuum, and a constriction ring or band that is placed around the base of the penis to maintain the erection. Some popular VED brands include Encore, Pos-T-Vac, and Vacurect. SomaTherapy-ED: SomaTherapy-ED is a medical-grade vacuum therapy system designed to treat ED. It utilizes a unique ergonomic design and patented one-touch pump for ease of use. SomaTherapy-ED pumps are available in different models to accommodate various penis sizes and patient needs. Osbon Erecaid: The Osbon Erecaid is a clinically proven vacuum therapy system for the treatment of ED. It features a discreet and portable design, along with a range of accessories and options to customize the device to the patient's preferences. Rejoyn Medical Grade Vacuum Erection System: Rejoyn offers a medical-grade vacuum erection system that is FDA-approved for the treatment of ED. It includes a vacuum pump, cylinder, tension rings, and lubricant for ease of use and effective results.
Best overall Penis Pump The Bathmate Hydromax is my top recommendation for penis pumps. There are several reasons why I prefer it over vacuum pumps. Firstly, the Hydromax offers enhanced comfort due to its water-based design. This feature reduces the risk of discomfort or injury during pumping sessions. Another advantage is the range of sizes available. With options catering to penile lengths from 1 to 10 inches, you're more likely to find a model that fits comfortably and effectively. Moreover, the water-based design allows for a gentler and more gradual increase in pressure compared to traditional vacuum pumps. This can result in a more comfortable experience and may reduce the risk of adverse effects. Overall, the Bathmate Hydromax provides a superior user experience and is highly recommended for anyone seeking a comfortable and effective penis pumping solution.
........................................................................................................... When you're thinking about getting a Bathmate, it's best to go straight to the official website Here:https://bathmatedirect.com .
While there might be other places selling them, you'll get the peace of mind of guaranteed support and knowing you're getting the real deal when you buy from the official site . Buying your Bathmate from the official site is crucial for several reasons: Authenticity: The official site guarantees that you're purchasing a genuine Bathmate product.
There's no risk of receiving counterfeit or inferior-quality items. Customer Support: Official retailers offer dedicated customer support to assist you with any inquiries, concerns, or issues you may have before, during, or after your purchase. Warranty and Guarantee: When you buy from the official site, you're eligible for warranties and guarantees provided by Bathmate. This ensures that you're covered in case of any product defects or malfunctions. Safety: Purchasing from authorized sources ensures that the product meets safety standards and regulations. You can trust that the materials used are of high quality and safe for use. Privacy and Security: Official websites prioritize your privacy and security, ensuring that your personal and financial information is handled securely during the purchasing process. Overall, buying from the official Bathmate site offers peace of mind, quality assurance, and reliable customer service, making it the best choice for your purchase.
submitted by Humble-Moose-7532 to bestpenispump [link] [comments]


2024.04.12 09:28 Over-Mud9208 Hypothetical option for penis reduction?

I imagine this topic will be of no interest to 99% of people reading this. But I’m curious.
Could penile implant surgery be used as a deliberate means of reducing size for someone that wanted a smaller penis?
If you were to have implant surgery and simply not cycle the pump would there be any negative effects other than size loss?
Does anyone know if this has ever been deliberately done before?
submitted by Over-Mud9208 to penileimplants [link] [comments]


2024.04.09 14:52 JustAn0therC0mment Explaining Hard Flaccid Syndrome and New Discord Server

Thanks to the help of Dr. Goldstein for the Hard Flaccid paper and LiteratureGreedy for the idea of nerve blocks, we have a lot more knowledge on what is going on and we are currently experimenting with potential treatment options to solve HFS.
Disclaimer- I am not a doctor and this is not medical advice.
What is hard flaccid syndrome (HFS)
HFS is a condition in which there are many symptoms present. Syndrome is defined as "a group of signs and symptoms that occur together and characterize a particular abnormality or condition". The symptoms that are most common are semi-rigid flaccid penis, loss of sensation, and erectile dysfunction with loss of rigidity even when fully erect. There are many other symptoms such as testicular retraction/hyperactive cremasteric reflex, loss of libido, loss of sensation to testicles and perineum, difficulty starting urination, post-void dribbling, hypertonic pelvic floor, enlarged dorsal and circumflex veins while flaccid, changes in flaccid shape, curvature at base of penis, hourglass shape of flaccid penis, loss of morning/nocturnal erections, abnormal sustained morning/nocturnal erections, genital paresthesia (tingling, pins and needles), genital pain, and bowel movement issues. Some people may have only a couple symptoms while others have most of these symptoms. The severity of symptoms vary as well.
What causes HFS?
The most common cause of HFS is from some sort of minor traumatic injury to the penis and this can occur through rough masturbation, excessive masturbation, penile stretching, pumping, jelqing, etc. Other causes include SSRI and Finasteride use. Most people suffering are young with the age ranging from late teens to late 30's and the onset of HFS for most occurred almost overnight and some have had a gradual increase in symptom severity over the following few months.
Pathophysiology of HFS
HFS is believed to be dysfunctional nervous system signaling that is originating from the spinal cord. The spinal cord is apart of the central nervous system (CNS). The peripheral nervous system (PNS) is outside the CNS. The autonomic nervous system is a part of the PNS which is made up of the parasympathetic nervous system and sympathetic nervous system. The sympathetic nervous system is responsible for your "fight or flight" response. The parasympathetic nervous system is responsible for allowing erections while sympathetic nervous system causes the opposite. In HFS, there seems to be dysfunctional signaling starting from within the spinal cord to the sympathetic nervous system which is leading to hyperactive sympathetic signaling. Within Goldstein's paper, he proposes that Hard Flaccid Syndrome is due to increased sympathetic signaling through the hypogastric nerve. The hypogastric nerve arises from the ventral nerve roots of T12 to L3 and supplies sympathetic nerve innervation.
The exact mechanism by which this all starts is unknown but this is speculated to be due to central sensitization following a peripheral nerve injury where the bodies response to the minor peripheral nerve injury is disproportionate to the central sensitization that occurs. "Central sensitization corresponds to an enhancement in the functional status of neurons and circuits in nociceptive pathways throughout the neuroaxis caused by increases in membrane excitability, synaptic efficacy, or a reduced inhibition. The net effect is that previously subthreshold synaptic inputs are recruited to generate an increased or augmented action potential output, a state of facilitation, potentiation, or amplification." (Latremoliere A, Woolf CJ. Central sensitization: a generator of pain hypersensitivity by central neural plasticity. J Pain. 2009 Sep;10(9):895-926. doi: 10.1016/j.jpain.2009.06.012. PMID: 19712899; PMCID: PMC2750819.).
The cause of HFS seems to be similar to Complex Regional Pain Syndrome/Reflex Sympathetic Dystrophy in which there is a minor traumatic injury leading to sensitization and increased sympathetic signaling.
Evidence for this Nervous System Theory
In this study, "Percutaneous lumbar sympathectomy in the treatment of erectile dysfunction secondary to cavernous adrenergic hypertone", patients had symptoms such as sensation of cold penis, penile retraction while flaccid, and erectile dysfunction with incomplete rigidity. 14 patients underwent a bilateral sympathetic nerve block at L3 and 9 of the 14 patients had significant improvement in symptoms following the temporary sympathetic nerve block. The patients later underwent a longer lasting procedure and the significant improvement in symptoms was sustained when following up on the patients post procedure. I encourage those interested to search up and read this study.
There have been a few members within the community who have recently done sympathetic nerve blocks and they temporarily had complete reversal of HFS. Symptoms returned once the effects of the anesthetic wore off. The temporary sympathetic nerve block is used as a diagnostic test. This may require some trial and error to find what level T12-L3 works best in reducing symptoms.
Join the new discord server
We have created a new discord server for those who are suffering from HFS and are looking to help out with finding the solution to HFS. Those of you who were skeptical of the other pelvic floor, fascia, muscle strain theories in the past should look to join the new server as we are science based. All of these other theories are easily debunked and misinformation has been spread for years on the cause of HFS and this has led to a lack of progress towards a solution for this condition. We are looking for motivated individuals to join and help us spread the information and work on building a community that can help guide those suffering from HFS. We want to put an end to the incorrect information that has been thrown around and misguided people for years.
Sympathetic nerve blocks are a useful diagnostic tool and we are looking to gather data on this within our discord server. If you already have a nerve block scheduled or looking to get one done and need guidance on the process and how to go about getting one done, join our server and we will be able to help.
submitted by JustAn0therC0mment to hardflaccidresearch [link] [comments]


2024.04.06 13:49 wambenger Everything I know about DHT

TL;DR: yes my dick grew, yes my hair fell out. Overall 8/10 experience.
To save myself space and yourself time, just imagine I’ve written “of course, there have been no studies on DHT in trans people, so no one really knows” after every single sentence of this post.
This is a really important point – all we’re working with when we talk about DHT in transmasc people is speculation from a few studies on cis males, and a couple of anecdotes from crazy risk-takers.
Here’s my anecdote.
I wanted to write the kind of post I would have loved to read 6 months ago. I’m going to try and be comprehensive, to detail my own individual experience as well as summarise as much research as I can. There’s a lot of half-truths and misunderstandings out there about DHT, so I hope this will help other people make a more informed decision about whether to try this experimental treatment.
Get yourself a cup of tea, this post is going to be long.
Contents:
What is DHT? Why use it? How do you get it? How do you use it? What were its short-term effects? What were its long-term effects? Would I recommend it?
What is DHT?
If testosterone were potatoes, DHT would be hash browns. Both are essential pantry staples, but hash browns are more processed and have a more specialised role to play in the hectic dinner party of your life.
As suggested by the name, dihydrotestosterone is a more complicated, delicious version of testosterone. Imagine a tiny little waiter sauntering around your body holding a plate of potatoes. Your innards enjoy potatoes but aren’t super excited – they’ll occasionally take one or two from the plate every now and then. But when the same waiter circulates through the crowd carrying a plate of hash browns, everyone wants a piece straight away.
This is similar to testosterone and DHT – there’s plenty of testosterone freely floating around your body, and some of it will get absorbed into various organs and tissues throughout the day. But when testosterone is processed into dihydrotestosterone, most of it gets snaffled up right away.
Your body naturally converts 5-7% of T to DHT every day. This happens at the same rate whether you grow your own potatoes or buy them from a pharmacy.
DHT has a number of jobs: sprouting body hair, causing male pattern baldness, and telling the penis to grow bigger at the onset of puberty. (See "DHT" in the reference list of this post for a longer explanation)
As DHT is known to be one of the triggers of male pattern baldness, the majority of research on DHT has been done in the context of hair loss. There’s much, much more science out there on how to reduce DHT levels than increase them.
The vast majority of studies on deliberately giving DHT to humans have to do with ageing (Kunelius et al.; Rosenberg et al.) or prostate cancer (Carson et al.), but none of these studies mention any penis growth. There are plenty of studies about DHT in rats, mice, dogs, fish and hamsters, but I didn’t read them because I’m not a rat, mouse, dog, fish or hamster.
Why use it?
Since discovering that DHT is part of the process that triggers penis growth in children during puberty, people have been wondering whether applying DHT to any old penis at any old time would encourage it to grow more.
A few experiments have been done, but mostly on small groups of young children with micropenises who haven’t gone through puberty. These studies generally show that DHT cream (or gel) directly rubbed into the penis over a few months results in a few centimetres of growth (Becker et al.; Bouvattier; Choi et al.; Evangelia Charmandari et al.; Hae In Lee et al.; Marouan Karrou et al.; Monfort et al.; Kaya et al.; Khadilkar et al.; Sasaki et al.; Susiana et al.; Xu et al.; Wong et al.)
Pretty encouraging! However, as children with micropenises usually have some hormonal, chromosomal or mysterious disorder affecting their development, it’s still extremely unclear whether DHT would have any effect on adults who don’t have any hormonal, chromosomal or mysterious disorders.
Of course, people have used DHT anyway. The most documentation we have about DHT in adults for penis growth are anecdotes from cis men who are trying to make their cis penises bigger. (See references at the end of this post.) Unfortunately, since they usually use a few techniques at once, aren’t consistent with their methodology, and are bad at updating, it’s impossible to tell what effects are caused by DHT specifically.
Like us, a lot of penis gainers are on reddit, where they form communities to discuss different penis modification methods. A lot of their information about hormones comes from bodybuilders. There’s quite a bit of crossover between bodybuilders and penisgainers – sometimes because steroids can cause penises to shrink, maybe because both are a type of gender affirming body modification, but also because both bodybuilders and penisgainers love a bit of amateur endocrinology. These guys are the main source of a lot of ideas about how to use DHT if you’re not a child with a micropenis.
While they’re basically doing the same thing I’m doing here – reading studies and experimenting on themselves without any medical training – I don’t view them as a trustworthy source due to things like pondering whether they should give DHT to their kids to ensure they have big penises (NO DON’T), and being overall kinda overinvested and a bit cultish sometimes.
However, both prepubescent children with micropenises and cis guys with average penises are not trans guys with t-dicks. What might the effects of DHT be on adult genitals that are in the process of changing? Literally nobody knows. There have been no studies on this. (See Grimstad et al. for a discussion on how much we don’t know – this is actually a banger paper.) All we have are a bunch of anecdotes from growyourtdick and one 13 year old blog post. Most of these posts give similar advice as the posts from cis men.
Despite all of this, I really wanted a massive cock, so I decided to give it a go.
How do you get it?
I live in Australia, where DHT is legal.
As this sub does not allow conversation about sourcing, I suggest Australians go to transgenderau to discuss this.
How do you use it?
Both my doctor and I were in the dark about the strength, the dose, and the length of time I should use DHT. Remember, there are no guidelines around this, only opinions by random people on the internet.
What we do know is that DHT is rapidly absorbed and used up by the body. This means that if you use it once a day, your DHT levels will spike and then drop. However, if you use it multiple times a day, your level won’t spike so high or drop so far. However, there’s no evidence to show whether a DHT rollercoaster or a DHT segway makes any difference either way.
My doctor prescribed me 10% DHT cream, and the chemist packaged it in an airtight pump that dispensed 0.5mL at a time. It was easiest for my lifestyle and terrible memory to use it twice a day: one pump after a morning shower, and one pump in the evening before bed. I applied it straight onto my genitals, as DHT is theorised to be so rapidly absorbed it should mostly have a local effect on the part of the body it's applied to (Fowler). This tube lasted 3 months.
A lot of advice on the internet says to cycle DHT – use it for a while, then stop using it for a while, then start using it again. After looking into it, I can’t see any reason why this would be relevant to trans guys. Cycling hormones is something cis people do so they don’t entirely wreck their endocrine system.
There are two ideas behind cycling. The first is that if you start buying hormones from a shop, your natural hormone production eventually shuts down. This can cause real problems for bodybuilders who take steroids– they lose their ability to make testosterone in their bodies. By using hormones for a little while then stopping, their natural hormone production doesn’t reach the point where it decides to give up.
The second idea is that the body’s hormone receptors burn out if they receive too much. You can think of hormone receptors as personal assistants who actually take the potatoes from the waiters and then pass them on to your organs. The idea of burn-out is that if they encounter too many potatoes or hash browns over time, they’ll just start ignoring the waiters. The technical term for this is downregulation. This has been shown to happen for transfemmes, who need to take increasing doses of estrogen over time as their receptors become desensitised (according to my doctor). However, the same has not been shown to occur for the receptors that receive androgens like DHT and testosterone (see Baskin et al.)
Studies that gave DHT to children did not cycle the medication – however, most of these children were prepubescent and had a syndrome that meant they were unable to convert T into DHT. This is a very different hormonal profile to cis men and transmasc people.
Transmasc people are a unique group – we’re happy with making drastic permanent changes to our endocrine systems, and we also have the ability to convert T into DHT. This means that we’re not really like cis men or children with micropensises when it comes to DHT, and research done on these groups might not apply to us.
I am not a doctor, but as transmasc people are already transforming their endocrine systems, and androgen receptors don’t seem to downregulate in the same way that other receptors do, I don’t think there’s a solid reason for or against cycling DHT. Taking DHT will not prompt our bodies to shut down testosterone production, and our receptors will not burn out. However, remember what I said at the beginning of this post.
What were its short-term effects?
I am nonbinary, so I use the term ‘bits’ instead of ‘clit’ or ‘dick’. It just feels more accurate at this stage.
My bits basically doubled in length, from 3ish centimetres to 6ish centimetres, stretched. More importantly was the thickening of the interior ligament. Before DHT I could feel a kind of solid, thin string inside my shaft, if you could even call it a shaft. DHT thickened this from a feeling like a string to feeling like a cord about the width of my pinkie finger. My overall girth did not change at all, but my bits are now longer, and the inside is more dense.
I began to get erections for the first time. Not huge, dramatic ones like a cis man’s, but still noticeably bigger. This didn’t happen before DHT. My bits are still very soft and squishy when I get aroused, but become about 5cm long instead of 3cm. It basically gets as hard as a cis man’s flaccid penis. It also pulses visibly after I come, which is cool. Having never seen another transmasc penis, I have no idea if any of this is typical.
My partner noticed the change. “It felt like it got harder when you were aroused”, they say, “and I’m able to really feel the difference in my mouth, is that too TMI?”
My inner labia also increased in size, which I absolutely do not love, and my outer labia sort of deflated and shrivelled to look more like a scrotum. My genitals look much more masculine now, which makes me happy.
I had to learn how to masturbate with my new length, which was fine actually :3 While my shaft is a lot less sensitive, the head still has the same sensation. The shaft is much dryer now, and made out what I can only describe as penis skin. It’s much thicker, tougher skin that what was there before, which is useful because I keep cutting it while shaving.
I’m so much happier with my bits now. I feel like I’ve basically achieved the average transmasc length, after being on the small size before that. While I was really preoccupied and fretting over the size of my genitals before taking DHT, I feel a lot more relaxed now. I still think about larger transmasc penises I’ve seen on the internet and feel inadequate sometimes, but it’s a lot better than it used to be.
While Swerloff et al. and Kaya et al. suggest that DHT levels are concentrated locally in the area it’s applied to, and don’t affect overall blood levels, I noticed changes all over my body.
To give you an idea of my basic character class before installing the dinky dick mod, I’m a small white person in my late 30s who’s been on T for about 2 years. Hormonal changes have been very slow for me, and I absolutely don’t pass as anything other than a tired old bisexual. I had top surgery about 4 months before starting DHT, and a hysto a few years before that.
It feels like DHT basically kickstarted my transition. I started experiencing all the things I was supposed to feel in my first few months of T.
From having no facial hair before DHT, I’ve now sprouted a full neck beard and now have to shave every day. Not my face! Just my neck from my jawline down. It’s actually infuriating!
My voice, while still in the female range, lowered significantly. I can’t shout for my cats to come inside any more, or scream, or sing. As a quiet person who doesn’t talk much, this has been a neutral change.
My skin turned into greasy paper, and I developed acne on my chest, which sucked a lot because I’d bought a year’s worth of see-through shirts after my surgery. My face started looking duller and older, and a few more liver spots popped up. I lost some weight in my cheeks and overall looked rubbish.
My sex drive was off the charts, which caused some stress in my relationship. Love, sex and my self-worth got entangled in a way that I was self-aware enough to realise but not skilled enough to escape. My psychologist helped me a lot here! I began to feel resentful towards my partner for not wanting sex, started having more elaborate fantasies about rougher sex, started watching a lot more porn, and more heartless porn. This upset me quite a bit. Stopping DHT has made the contrast between my libido then and now seem really stark. I’d still love to have sex three times a day, but it doesn’t feel like such an intense personal judgement on my soul when it inevitably doesn’t happen.
I have depression, and being on DHT coincided with a really bad episode. But it also coincided with Christmas and getting covid, which are always extremely tough times for me, so I can’t really say how DHT affected my mental health. I feel like my memory became even worse (see Nguyen et al.) but it’s impossible to say what caused it or if it was even real. Getting covid also meant I couldn’t assess DHT’s effects on exercise, as I was too tired to do much.
Finally, the butt hair. Oh god, the butt hair. I now have an extensive exfoliation routine for my butt so I never have to deal with ingrown butt hairs again. Terrible, terrible, terrible.
What were its long-term effects?
About a month after I stopped DHT, I noticed my hair starting to shed more than usual. It turns out the minoxidil I was using was actually past its use-by date.
If you look up “male pattern baldness stages”, I’m now a classic stage 2. I’ve lost two triangles of hair above my temples and now have a pronounced widow’s peak. I actually love my new hairline, and think it looks rather dashing, but my hair is still falling out. As my dad went bald in his 20s, I’m extremely nervous. I’ve bought topical minoxidil that isn’t out of date, and I’m considering oral minoxidil or finesteride.
I’ve now been off DHT for 2 months.
My libido is back to normal, my skin looks better, and the acne is gone.
If I was an extremely organised person, I would have requested blood tests immediately before and after taking DHT. Unfortunately I’m a silly goose pretending to be a competent adult, so all I have to compare is my hormone levels from 1 year ago.
Interestingly, my E and T levels have basically both doubled since this time last year – Oestradol has increased from 113 to 341, and Testosterone has increased from 20 to 39. I haven’t changed my T dosage in that time, but whether this change is related to DHT is unknowable. It would be great if other people taking DHT could do further research on this.
At 2 months out, I haven’t noticed any other effects from stopping DHT.
Would I recommend it?
After going off DHT I can now reflect on how moody and sexually frustrated I was. It was actually quite a psychologically intense time. While I don’t love my new neck and butt hair and am worried about balding, I’m much happier with my genitals.
For me, the money, the effort and the problems were worth it.
While everyone has seen me freaking out about my hair and has counselled me not to do another round of DHT, I’m seriously considering it. I want to say that I did everything I could to increase my size. I don’t want to wonder if there’s something else I should have done. It really is between my hair and my bits right now.
When deciding whether to start DHT, ask yourself: would you be ok if your hair started falling out, you got acne, your sex drive consumed your thoughts, you got really annoying body hair, and your dick didn’t grow? It’s a real possibility.
If, like me, the chance of growing slightly larger is worth a few shitty months and the chance of a shiny chrome dome, then I hope this post has been useful.
I don't check reddit very much any more, but I'll log in next week to see if anyone has any questions they'd like answered.
References
Random people’s opinions on the internet:
https://www.reddit.com/gettingbiggecomments/oqanlj/dht_the_definitive_guide/
https://transguys.com/features/dht-transgender-men
https://mattersofsize.com/topic/dht-gel.27425/
https://mattersofsize.com/topic/dht-penis-growth-theory.1815343/
https://www.icliniq.com/qa/dihydrotestosterone/i-applied-dht-for-eight-weeks-to-increase-penis-size-can-i-do-so-for-another-cycle
Actual studies:
Baskin, L. S., Sutherland, R. S., DiSandro, M., Hayward, S. W., Lipschutz, J. H., & Cunha, G. R. (1997). The Effect of Testosterone on Androgen Receptors and Human Penile Growth. The Journal of Urology, 158(3), 1113–1118. https://doi.org/10.1016/s0022-5347(01)64400-864400-8)
Becker, D., Wain, L. M., Chong, Y. H., Gosai, S. J., Henderson, N. K., Milburn, J., Stott, V., & Wheeler, B. J. (2016). Topical dihydrotestosterone to treat micropenis secondary to partial androgen insensitivity syndrome (PAIS) before, during, and after puberty - a case series. Journal of Pediatric Endocrinology & Metabolism : JPEM, 29(2), 173–177. https://doi.org/10.1515/jpem-2015-0175
Bouvattier, C. (2014). Micropénis. Archives de Pédiatrie, 21(6), 665–669. https://doi.org/10.1016/j.arcped.2014.03.016
Carson, C., & Rittmaster, R. (2003). The role of dihydrotestosterone in benign prostatic hyperplasia. Urology, 61(4 Suppl 1), 2–7. https://doi.org/10.1016/s0090-4295(03)00045-100045-1)
Choi, S. K., Han, S. W., Kim, D. H., & Lignieres, B. de. (1993). Transdermal Dihydrotestosterone Therapy and its Effects on Patients with Microphallus. Journal of Urology, 150(2 Part 2), 657–660. https://doi.org/10.1016/s0022-5347(17)35576-335576-3)
DHT (Dihydrotestosterone): What It Is, Side Effects & Levels. (n.d.). Cleveland Clinic. https://my.clevelandclinic.org/health/articles/24555-dht-dihydrotestosterone
‌Evangelia Charmandari, Dattani, M. T., Perry, L. A., Hindmarsh, P. C., & Charles. (2001). Kinetics and Effect of Percutaneous Administration of Dihydrotestosterone in Children. 56(5-6), 177–181. https://doi.org/10.1159/000048115
Fowler, P. A. (2019, February 14). Move over testosterone, another hormone is also vital for making boys – and it doesn’t come from the testes. The Conversation. https://theconversation.com/move-over-testosterone-another-hormone-is-also-vital-for-making-boys-and-it-doesnt-come-from-the-testes-111877
‌Grimstad, F., Boskey, E. R., Taghinia, A., Estrada, C. R., & Ganor, O. (2021). The role of androgens in clitorophallus development and possible applications to transgender patients. Andrology. https://doi.org/10.1111/andr.13016
Hae In Lee, Kim, S., Kim, S., Lee, M., Song, K., Suh, J., Yong Seung Lee, Hyun Wook Chae, Kim, H.-S., Han, S., & Kwon, A. (2023). Effects of Androgen Treatment on Growth in Patients with 5-α-Reductase Type 2 Deficiency. Journal of Personalized Medicine, 13(6), 992–992. https://doi.org/10.3390/jpm13060992
Kaya, C., & Radmayr, C. (2014). The role of pre-operative androgen stimulation in hypospadias surgery. PubMed, 3(4), 340–346. https://doi.org/10.3978/j.issn.2223-4683.2014.12.01
Khadilkar, V., & Mondkar, S. A. (2023). Micropenis. Indian Journal of Pediatrics. https://doi.org/10.1007/s12098-023-04540-w
Kunelius, P., Lukkarinen, O., Hannuksela, M. L., Itkonen, O., & Tapanainen, J. S. (2002). The Effects of Transdermal Dihydrotestosterone in the Aging Male: A Prospective, Randomized, Double Blind Study. The Journal of Clinical Endocrinology & Metabolism, 87(4), 1467–1472. https://doi.org/10.1210/jcem.87.4.8138
Marouan Karrou, Najoua Messaoudi, Imane Assarrar, Alla, A., Rouf, S., & Hanane Latrech. (2023). Efficacy of Transdermal Dihydrotestosterone and Testosterone Enanthate for Penile Augmentation in Patients With Idiopathic Micropenis: A Comparative Randomized Study. Clinical Medicine Insights. Endocrinology and Diabetes., 16. https://doi.org/10.1177/11795514231208328
Monfort, G., & Lucas, C. (1982). Dehydrotestosterone Penile Stimulation in Hypospadias Surgery. European Urology, 8(4), 201–203. https://doi.org/10.1159/000473517
Nguyen, H.B., Loughead, J., Lipner, E. et al. What has sex got to do with it? The role of hormones in the transgender brain. Neuropsychopharmacol 44, 22–37 (2019). https://doi.org/10.1038/s41386-018-0140-7
Sasaki, G., Ishii, T., Hori, N., Amano, N., Homma, K., Sato, S., & Hasegawa, T. (2019). Effects of pre- and post-pubertal dihydrotestosterone treatment on penile length in 5α-reductase type 2 deficiency. Endocrine Journal, 66(9), 837–842. https://doi.org/10.1507/endocrj.ej19-0111
Swerdloff, R. S., Dudley, R. E., Page, S. T., Wang, C., & Salameh, W. A. (2017). Dihydrotestosterone: Biochemistry, Physiology, and Clinical Implications of Elevated Blood Levels. Endocrine reviews, 38(3), 220–254. https://doi.org/10.1210/er.2016-1067
Rosenberg, E. A., Bůžková, P., Fink, H. A., Robbins, J. A., Shores, M. M., Matsumoto, A. M., & Mukamal, K. J. (2021). Testosterone, dihydrotestosterone, bone density, and hip fracture risk among older men: The Cardiovascular Health Study. Metabolism, 114, 154399. https://doi.org/10.1016/j.metabol.2020.154399
Susiana, M., None Fajar Avicenna, None Reny I’tishom, & Teofilus, J. (2022). Efficacy of hormone therapy on stretched penile length in micropenis: A systematic review. World Journal of Advanced Research and Reviews, 16(3), 467–471. https://doi.org/10.30574/wjarr.2022.16.3.1362
Xu, D., Lu, L., Xi, L., Cheng, R., Pei, Z., Bi, Y., Ruan, S., & Luo, F. (2017). Efficacy and safety of percutaneous administration of dihydrotestosterone in children of different genetic backgrounds with micropenis. Journal of Pediatric Endocrinology & Metabolism, 30(12). https://doi.org/10.1515/jpem-2016-0400
Wong, N. C., & Braga, L. H. (2015). The Influence of Pre-Operative Hormonal Stimulation on Hypospadias Repair. Frontiers in Pediatrics, 3. https://doi.org/10.3389/fped.2015.00031
submitted by wambenger to transgenderau [link] [comments]


2024.03.22 08:20 Not_ur_neighbor Penis enlargment journey advice

I'm currently 5 inches during full erection, I recently bought a pump, I wanna know if incorporating penile exercise (PE) is effective before or after pumping for 20 minutes?
I'm a newbie and would appreciate some advice. What tips has helped you gain and how long have you tested it?
Any food suggestions? Good day!
submitted by Not_ur_neighbor to menshealth [link] [comments]


2024.03.19 20:32 tryingtomakebigger Which Bathmate Should I Buy? Bathmate Hydro . Hydromax or Xtreme

So, you've measured yourself and now you're wondering: which Bathmate should I buy?
Before making the decision to purchase your pump, it's crucial to master the correct measurement of your penis size, both in length and girth (when it's hard). Accuracy here ensures you get the right fit and the best results from your pump.
Well, let me break it down for you! Bathmate offers three different series: the Hydro, Hydromax, and HydroXtreme.
Starting with the Hydro series – it's the most basic option, coming in just one size but offering a choice of three colors: blue, clear, and red. With no added extras or accessories, it's the most affordable Bathmate option, priced at just $110.
While it may lack some of the bells and whistles of the higher-priced models, like the Hydromax and HydroXtreme series pumps, it still gets the job done. The release valve can't be locked, and the bellow of the pump doesn't provide as much pressure. Plus, the base of the bellow has limited padding for comfort.
Think of it as the perfect beginner's pump – ideal for those with erect lengths between 5 and 7 inches who might be on a budget. It's a great first device if you've never used a hydro pump before. However, if you're serious about long-term results and your size is either under 5 inches or over 7 inches, you might want to consider the Hydromax series instead.
Let's talk about the Bathmate Hydromax series – the next step up in the Bathmate lineup, priced from $130 to $200. This series is perfect for those who are ready to take their pumping experience more seriously or for those whose penile size isn't quite suited for the Hydro7 version.
So, what makes the Hydromax series stand out? Well, let me tell you! The Hydromax7 (and other sizes in the Hydromax range) offers four key improvements over the basic Hydro7 version.
First up, you get an upgraded valve cap that can be set in either the open or closed position. Plus, the cylinder can be rotated, ensuring that the measurement scale is always visible.
But the most significant improvement is the bellow of the pump. It's been enhanced to increase pressure by 35%, and there's even a specially designed comfort pad insert at the bottom to cushion your groin region more effectively while pumping.
Let's dive into the Hydromax series, offering a variety of sizes tailored to fit penile lengths ranging from 2 to 9 inches. With five different sizes to choose from, there's a perfect fit for everyone.
First up, we have the Hydromax3, ideal for those between 2 and 3 inches in erect length. It's important to note that Bathmate is not suitable for those under 2 inches of erect length.
Next, we have the Hydromax5, perfect for those between 3 and 5 inches in erect length.
Moving on to the Hydromax7, designed for individuals with erect lengths between 5 and 7 inches. But if you're looking for something a bit wider, the Hydromax7 Wide Boy is the way to go, specifically crafted for those with a girth of 6.5 inches or more.
The new Hydromax8 If you're in the 6 to 8-inch range, you're in for a treat. The Hydromax8 is your go-to choice for better, safer pumping compared to the usual options. It's all about boosting your sexual power and stamina while giving you that extra shot of confidence.
And finally, for those blessed with lengths between 7 and 9 inches, the Hydromax9 is your go-to choice. It accommodates girths of up to 7.6 inches.
Each Hydromax, regardless of size, comes in three vibrant colors – clear, blue, and red. Personally, I'm a fan of the clear option because it provides a better view inside the device when in use.
So whether you're aiming for length, girth, or both, the Bathmate Hydromax series has got you covered with its range of sizes and colors. And don't forget about the Hydromax7 Wide Boy – perfect for those looking for a little extra width.
Check out the official Bathmate site for a comparison of Bathmate Hydromax models suited to your size.
https://bathmatedirect.com/collections/hydromax-series
Let's talk about the Bathmate HydroXtreme
Advanced Handball Pump: The HydroXtreme is equipped with a unique handball pump, allowing users to control pressure levels more effectively. This feature enables users to regulate pressure with precision, offering a tailored experience based on individual preferences.
Innovative Water-Based Design: Unlike traditional air pumps, the Hydromax utilizes water to create a vacuum, resulting in more uniform pressure distribution and enhanced comfort during pumping sessions. This water-based design also promotes optimal blood flow and tissue expansion for better results.
Patented Hydrotherapy Technology: The Hydromax incorporates patented hydrotherapy technology, which utilizes the power of water to stimulate penile tissue growth. This innovative approach has been clinically proven to increase both length and girth over time, providing users with noticeable results.
Ergonomic Design and Comfort Features: The Hydromax features an ergonomic design with comfort pads and seals, ensuring a snug and secure fit during use. This design minimizes discomfort and reduces the risk of injury, allowing for longer and more productive pumping sessions.
Easy-to-Use System: With its user-friendly design, the Hydromax is straightforward to use, making it suitable for beginners and experienced users alike. The intuitive pump mechanism and clear measurement gauge make it easy to track progress and adjust pressure as needed.
Durable Construction and Warranty: Built to last, the Hydromax boasts durable construction and high-quality materials that withstand rigorous use. Additionally, Bathmate offers a comprehensive warranty, providing users with peace of mind and assurance of product reliability.
In summary, the Bathmate Hydromax stands out for its advanced handball pump, innovative water-based design, patented hydrotherapy technology, ergonomic comfort features, ease of use, and durable construction. These qualities make it an excellent choice for individuals seeking effective and comfortable penile enhancement solutions.
Check out the official Bathmate site for a comparison of HydroXtreme models suited to your size.
https://bathmatedirect.com/collections/hydroxtreme
Hydromax vs. Xtreme
Let's compare the Hydromax and Hydro Xtreme head-to-head, highlighting the pros and cons of each:
Hydromax:
Pros:
  1. Effective Pumping: The Hydromax series provides effective water-based pumping, which can lead to temporary increases in penile size.
  2. Variety of Sizes: Available in different sizes to accommodate various penile lengths and girths.
  3. Comfort Ring: Comes with a comfort ring to enhance sealing and reduce discomfort during pumping.
  4. Lower Cost: Generally less expensive compared to the Hydro Xtreme due to the absence of additional features like the hand pump.
Cons:
  1. Limited Pressure Control: Relies solely on body pressure for suction, which can be less precise and may require more effort to achieve desired pressure levels.
  2. Potential for Mishaps: Some users have reported mishaps, such as accidental pulling of the scrotum or discomfort due to excessive pressure.
  3. Less Control: Users have less control over pressure levels compared to the Xtreme series, which may affect comfort and effectiveness.
Xtreme:
Pros:
  1. Hand Pump: The inclusion of a hand pump allows for more precise control over pressure levels, leading to a more comfortable and controlled pumping experience.
  2. Reduced Risk of Injury: The hand pump reduces the likelihood of mishaps like accidental pulling of the scrotum or discomfort due to excessive pressure.
  3. Convenience: The hand pump makes pumping more convenient and efficient, as users can easily adjust pressure levels according to their preferences.
  4. Enhanced Comfort: Users generally report a more comfortable experience with the Xtreme series, thanks to the hand pump and improved pressure control.
Cons:
  1. Higher Cost: Typically more expensive compared to the regular Hydromax series due to the inclusion of additional features like the hand pump.
  2. Learning Curve: Some users may require time to familiarize themselves with using the hand pump effectively, though this is usually a minor issue.
  3. Size Availability: The Xtreme series may not be available in as many size options as the regular Hydromax series, limiting choices for users with specific penile dimensions.
In summary, while both the Hydromax and Hydromax Xtreme offer effective water-based pumping, the Xtreme series provides added benefits such as enhanced pressure control, reduced risk of injury, and improved comfort, albeit at a higher cost. Users who prioritize convenience, comfort, and precise pressure control may find the Hydromax Xtreme to be a worthwhile investment despite its higher price tag.
Where to buy the bathmate :
When it comes to getting your hands on the Bathmate pump, it's like diving into a sea of options out there. But hey, let me give you the scoop on where to score the real deal hassle-free. My top pick? The official Bathmate website https://bathmatedirect.com , hands down!
Why? Well, first off, you get the real deal, no knock-offs or shady stuff. Plus, they've got your back with a solid 60-day money-back guarantee. So, if you're not totally thrilled with your purchase, no sweat, you can send it back.
And let's not forget about their awesome customer support team. Got a question? They've got answers!
Now, if you decide to take a detour and buy from other places, you might end up in murky waters. Think fake products and zero support. Not cool, right?
So, for a smooth sailing experience and peace of mind, stick with the official Bathmate site. Trust me, you'll thank me later!
submitted by tryingtomakebigger to bestpenispump [link] [comments]


2024.03.14 03:18 House_7778 Terrible ED after pumping injury

Hi guys,
I tried PE in October of 2023, mainly pumping. I pumped every other day for 2 weeks. Each Session was 15min at 5Hg.
At the beginning I noticed no change until one day I had the worst erection quality of my life, I stopped immediately and never pumped again. It has been months since then, but my erection quality is still terrible and I noticed that the veins on my penis, especially the dorsal veins are much larger now, even when flaccid. The dorsal vein sometimes bends almost 180 Degrees which really scares me.
I have visited a urologist, but he didn’t find anything wrong. He suggested a penile ultrasound, but I couldn’t find anyone offering this procedure near me.
I am using L-citrulline daily before sleep but have found no significant improvement.
Any help is appreciated.
submitted by House_7778 to PE_injuries [link] [comments]


2024.03.12 18:21 markt3857 Last chance saloon 🙂

So now nearly 9 months post RALP. Had ED pre op so consultant told me that at my age (66) that although I had nerve sparing op the chances of getting a spontaneous erection were slim.
I’ve now tried tablets, injections and now the pump. Tablets don’t touch the sides, caverject injection that worked but was very uncomfortable. Bi-mix didn’t work. Pump results erratic.
So I’m now at the stage where I will soon be meeting up with my consultant to discuss penile implants. I have no real fears about the op but I know if for any reason it fails then that’s it, there’s no way back
So I’m looking to all you good people to give me the pros and cons of it all. No idea which device he uses except it’s a 3 piece inflatable. Just so you know I’m in the UK and my consultant is in London
I know the consultant will have to send something to my private medical insurer for them to consider paying for it (I was told procedure would be around £13k)
What hoops do I have to jump through if any for it to be considered necessary?
Thanks all
submitted by markt3857 to penileimplants [link] [comments]


2024.03.12 08:28 Fragrant_Tutor8631 Real talk: My comprehensive ProSolution Plus review

Quick Summary

Based on ingredients, user reviews, everything I've learned and discussed, I would say ProSolution Plus seems like a solid choice for those looking to improve their sexual health naturally.
Its focus on enhancing libido, erectile function, stamina, and overall sexual satisfaction sets it apart, especially with the backing of clinical studies and positive user testimonials.
When comparing it to other supplements like Performer8, Extenze, and various high-dosed arginine products, ProSolution Plus stands out for its comprehensive approach and the use of traditional, natural ingredients.
While other products might offer high doses of specific ingredients for fast-acting results or target erections directly, ProSolution Plus offers a balanced formula that addresses multiple aspects of male sexual health. This makes it a great option if you're looking for a holistic supplement that contributes to both physical performance and emotional well-being (psychological factors, anxiety alleviation, confidence etc.) in sexual contexts.
Considering the comprehensive benefits, positive user feedback, and comparison with other supplements, I would give ProSolution Plus a rating of 3.8 out of 5. It appears to be a reliable, well-rounded option for natural male enhancement, offering improvements in various aspects of sexual health without relying heavily on synthetic ingredients.

What is ProSolution Plus?

ProSolution Plus is a carefully formulated product aimed at addressing one of the most common sexual health issues men face – premature ejaculation. Beyond that, it promises to enhance overall sexual performance, drive, and satisfaction.
What sets it apart is its reliance on natural ingredients, combining the wisdom of traditional medicine with modern research to offer a comprehensive solution.
The goal of ProSolution Plus is twofold. Firstly, it aims to significantly reduce the anxiety and disappointment that come with premature ejaculation. Many of us have been there, feeling the pressure that leads to underperformance, which in turn feeds back into the cycle of anxiety. ProSolution Plus claims to break this cycle by improving control over ejaculation, thereby extending the duration of intercourse.
Secondly, it seeks to enhance sexual performance overall. This doesn't just mean lasting longer in bed but also achieving harder erections, increased libido, and, ultimately, a more satisfying sexual experience for both you and your partner.
The product taps into the power of nature, with ingredients like Tribulus Terrestris for erection support, Ashwagandha (Withania Somnifera) for increased blood flow to the penis, and several others that work together to tackle different aspects of sexual health.

My Evaluation of ProSolution Plus Performance as sexual health supplement for men

Libido Enhancement: 4/5 I would rate the effectiveness of ProSolution Plus in boosting libido at a solid 4 out of 5. Ingredients like Tribulus Terrestris and Mucuna Pruriens are well-known for their libido-enhancing properties. These ingredients seem to be in doses that align with those found effective in clinical studies, suggesting they could significantly impact sexual desire.
Erectile Function Improvement: 3/5 For improving erectile function, I'd give it a 3 out of 5. While ingredients like Shilajit and Ashwagandha have shown potential in enhancing erectile quality and blood flow, the overall formulation might not be as targeted for erectile function as some specialized medications. However, it should still offer noticeable improvements for many users.
Stamina and Endurance: 4/5 I believe ProSolution Plus deserves a 4 out of 5 in helping enhance stamina and endurance. Ingredients like Ashwagandha for stress reduction and Shilajit for increased energy levels can indirectly contribute to prolonged sexual activity by improving overall vitality and endurance.
Orgasm Intensity and Control: 3/5 I'd rate this aspect a 3 out of 5. While the supplement contains ingredients that can enhance overall sexual function and satisfaction, direct effects on orgasm intensity and ejaculation control might vary widely among users. The presence of Asteracantha Longifolia suggests some benefit in this area, but the impact may not be as significant for everyone.
Stress and Anxiety Reduction: 5/5 I would give a perfect score of 5 out of 5 for stress and anxiety reduction. The inclusion of Ashwagandha, known for its potent adaptogenic properties, can significantly lower stress and anxiety levels, which are crucial for improving overall sexual performance and enjoyment.
Testosterone Level Boosting: 4/5 For boosting testosterone levels, I'd rate it at 4 out of 5. Ingredients like Mucuna Pruriens and Tribulus Terrestris have been linked to increased testosterone levels in various studies. These ingredients, at their specific dosages, are likely to contribute positively to testosterone levels, thus enhancing libido and muscle strength.
Energy and Vitality Benefits: 4/5 I'd rate the contribution to overall energy levels and vitality at 4 out of 5. Ingredients like Shilajit, known for its energizing properties, and Ashwagandha, which reduces stress thereby potentially increasing energy, make ProSolution Plus effective in boosting overall vitality. This increase in energy is crucial not only for sexual activities but also for day-to-day tasks.
Confidence and Mental Well-being: 4/5 For improving confidence and overall mental well-being, I'd give a score of 4 out of 5. The effectiveness of ProSolution Plus in enhancing sexual performance can directly impact one's sexual confidence. Additionally, reducing stress and anxiety through ingredients like Ashwagandha also contributes significantly to mental well-being, further supporting a healthier sex life.
Prostate Health Support: 2/5 I would rate the support towards maintaining prostate health at 2 out of 5. While ProSolution Plus is formulated primarily for sexual performance enhancement, including premature ejaculation and erectile function, it does not specifically target prostate health. Hence, the benefits in this area may be minimal or incidental.
Sperm Quality and Fertility Enhancement: 3/5 For sperm quality and fertility enhancement, I'd rate it at 3 out of 5. Ingredients like Mucuna Pruriens have been linked to improved sperm quality and fertility outcomes. However, the focus of ProSolution Plus is more on sexual performance than directly on fertility enhancement, so while there may be benefits, they are not the primary aim of the product.
Safety Profile: 4/5 Assessing the overall safety profile, I'd give ProSolution Plus a 4 out of 5. The natural formulation and use of ingredients well-regarded in traditional medicine suggest a generally safe profile for most users. However, as with any supplement, individual reactions, potential allergies, and interactions with other medications can occur.

Pros & Cons

Pros:
Cons:

Who should try Prosolution Plus. Who is it best for?

ProSolution Plus might be particularly suitable for a range of users or circumstances. Here are some scenarios where this product could be especially beneficial:
Potential Alternatives: While ProSolution Plus may be a good fit for many, it's also useful to consider other options depending on your specific needs or if you're looking for different benefits:
Choosing the right solution depends on your specific circumstances and goals.

Key Benefits of ProSolution Plus

If you're on the hunt for a way to enhance your sexual experiences, ProSolution Plus offers some compelling benefits that are hard to ignore. The key advantages that have people talking include significant reductions in premature ejaculation, notable improvements in erectile quality and overall sexual function, and an overall boost in sexual satisfaction.
Reduced Premature Ejaculation: One of the standout claims of ProSolution Plus is its ability to reduce premature ejaculation by an impressive 64%. This substantial reduction could mean the difference between a disappointing sexual encounter and a fulfilling, confidence-boosting experience. Imagine the relief and sense of control you'd feel knowing you can last significantly longer.
Improved Erectile Quality and Sexual Function: In addition to tackling premature ejaculation, ProSolution Plus is designed to enhance erectile quality by 67% and overall sexual function by 48%. This means not only can you expect to last longer, but you can also look forward to stronger, more reliable erections and a more robust sexual performance overall.
Increase in Sexual Satisfaction: Perhaps most importantly, ProSolution Plus claims to increase sexual satisfaction by 78%. This isn't just about physical performance but about the overall enjoyment and fulfillment derived from sexual activity. An increase in satisfaction can significantly impact our relationships and well-being, making every intimate moment more meaningful and enjoyable.

Clinical Studies and Research

The claims made by ProSolution Plus aren't just marketing hype; they're backed by clinical studies and research, giving them a weight that's hard to dismiss. A notable study published in The American Journal of Therapeutics has brought a lot of credibility to the product's effectiveness.
This clinical trial involved 148 men and was conducted over a two-month period. It was a triple-blind study, meaning neither the researchers nor the participants knew who was receiving the actual supplement versus a placebo, eliminating bias from the results. The men in the study were all in reasonable health, aged between 21 and 60, and suffered from mild to moderate erectile issues, premature ejaculation, or low interest in sex.
The results were telling. Those who took ProSolution Plus experienced a 64% decrease in premature ejaculation, a 67% improvement in erectile quality, and a 48% boost in overall sexual function. Moreover, their sexual satisfaction skyrocketed by 78%.

Key Ingredients

Ashwagandha (240 mg): Ashwagandha is renowned for its stress-relieving properties, which can significantly reduce performance anxiety, leading to improved sexual function and stamina. Its ability to boost testosterone levels also contributes to enhanced libido and sperm quality, enriching overall male sexual health.
Asparagus Adscendens Root (200 mg): This herb acts as a natural aphrodisiac, enhancing sexual desire and performance. It also has anti-inflammatory properties, supporting overall sexual health and mitigating conditions that may affect sexual satisfaction.
Shilajit / Asphaltum Exudate (150 mg): Shilajit is packed with fulvic acid and minerals, improving stamina and energy levels. Its potent antioxidant properties aid in improving blood flow and testosterone levels, crucial for erectile function and libido.
Kali Musli / Curculigo Orchioides Root (100 mg): Known for its aphrodisiac qualities, Kali Musli improves sexual desire and performance. It also enhances penile erection strength and duration, leading to more satisfying sexual encounters.
Tribulus Terrestris Fruit (100 mg): Tribulus Terrestris increases libido and sexual satisfaction by raising testosterone levels and improving blood flow to the genital area, leading to stronger erections and enhanced sexual function.
Mucuna Pruriens Seed (100 mg): This ingredient boosts dopamine levels, enhancing mood and arousal. Its role in increasing testosterone levels further supports libido and sperm quality, positively impacting male fertility and sexual desire.
Asteracantha Longifolia Whole Plant (80 mg): Asteracantha Longifolia is known to increase sexual desire and enhance sperm count and motility. It also supports better ejaculation control, reducing premature ejaculation and enhancing sexual satisfaction.
Ashwagandha (240 mg): The dosage of 240 mg of Ashwagandha in ProSolution Plus aligns with clinical studies showing effectiveness in stress reduction and sexual function enhancement.
Asparagus Adscendens Root (200 mg): The 200 mg dose of Asparagus Adscendens Root is consistent with research suggesting its efficacy in improving sexual performance and desire.
Shilajit / Asphaltum Exudate (150 mg): At 150 mg, the Shilajit dosage matches the therapeutic levels studied for increasing vitality, energy, and sexual health.
Kali Musli / Curculigo Orchioides Root (100 mg): The 100 mg dose of Kali Musli adheres to the amounts researched for its aphrodisiac effects and improvement in sexual performance.
Tribulus Terrestris Fruit (100 mg): This 100 mg dosage of Tribulus Terrestris is in line with clinical studies that have observed increases in libido and erectile function.
Mucuna Pruriens Seed (100 mg): With 100 mg of Mucuna Pruriens Seed, this dosage is effective as per studies for enhancing mood, libido, and testosterone levels.
Asteracantha Longifolia Whole Plant (80 mg): The dose of 80 mg of Asteracantha Longifolia is comparable to the amounts used in studies showing benefits in sexual desire and performance.

User Reviews and Testimonials

When I started looking into ProSolution Plus, one of the first things I did was dive into user reviews and testimonials. Good to see how many people are sharing their positive experiences. It seems like a lot of folks are finding real benefits from this supplement, and here's why and how they're voicing their satisfaction.
Many users are pointing out that ProSolution Plus has significantly improved their sexual stamina and control over ejaculation and other benefits - lasting longer; it's about feeling more confident and enjoying sex more, without the looming fear of premature ejaculation.
For someone like me, who's been on the lookout for a natural solution, seeing these testimonials was encouraging.
Another common thread among the reviews is the increase in sexual desire. People are saying that their libido has gotten a boost, making their sexual experiences not only more frequent but also more intense and satisfying.
This aligns with the supplement's promise to enhance overall sexual function, something that I, and evidently many others, value highly.
The improvement in erectile quality is also a frequently mentioned benefit. Users have noted stronger and more reliable erections, contributing to a more fulfilling sex life. It's reassuring to read about these experiences, especially from those who were skeptical at first but decided to give ProSolution Plus a chance.
Customer feedback often highlights the natural ingredient list as a significant advantage. Knowing that the supplement is formulated with well-researched, traditional herbs makes it a preferred choice for those wary of synthetic drugs.
This aspect was particularly appealing to me, as I prefer taking a more natural approach to health and wellness.

Comparing ProSolution Plus to Other Male Enhancement Supplements

Prosolution Plus vs Performer8
vs Extenze
vs Nugenix Sexual Vitality Booster, Staminol Ultra, Force Factor Score
While ProSolution Plus offers a comprehensive blend targeting various aspects of male sexual health with the backing of medical endorsements, other supplements might suit specific needs better.
Whether it's the fast-acting potency of Performer8, the safer Yohimbe alternative in Extenze, or the Arginine-rich formulations of Nugenix and its counterparts, there's a range of options depending on what you prioritize in your quest for improved sexual health.

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2024.03.10 00:02 robertomaxer ProExtender: How It Works, Benefits, and User Experiences

The ProExtender, a penile traction therapy device, offers a non-surgical option for those seeking to increase penile length or correct curvature associated with conditions like Peyronie's disease [1]. Employing the principles of mechanotransduction, the ProExtender systematically stretches the penile tissues, which may lead to cell multiplication and subsequent size augmentation, as well as softening of hardened tissue [1][2].
While results can vary and may take several months of consistent use to manifest fully, some users of the ProExtender report noticeable improvements [2]. The silicone strap and adjustable traction rods design allow the device to be worn discreetly under clothing for prolonged periods, making it a practical solution for daily use [1][2].
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What is the ProExtender?
The ProExtender is a medical device designed for men seeking non-surgical penis enlargement or curvature correction. Here's a breakdown of its key features and functions:
By providing a detailed overview of the ProExtender, users can better understand how the device works and what to expect. It's crucial to follow the instructions provided with the device to ensure safety and achieve the best results.
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The Science Behind ProExtender
Clinical Evidence Supporting ProExtender
How to Use ProExtender
To ensure the proper use of the ProExtender and to achieve the best results, users should adhere to the following steps:
  1. Initial Setup:
· Begin by assembling the ProExtender following the manufacturer's instructions to avoid any injury or discomfort [5].
· Attach the protective foam padding onto the penis head before placing the device in its flaccid state [14].
· Adjust the length of the rods equally to apply even tension, which is particularly important for correcting penile curvature [14].
  1. Adjustment and Comfort:
· The elongation bars come in different sizes and can be adjusted to increase tension, allowing users to customize the device for a comfortable stretch [13].
· The device is designed with comfort in mind, offering various ways to wear it to maximize comfort during use [13].
· Built with surgical-grade steel and an ergonomic plastic-based frame, the ProExtender is both durable and comfortable for users [15].
  1. Usage Guidelines:
· Users should start with shorter durations of wearing the ProExtender and gradually increase the time. A break of at least one day per week is recommended [14].
· For noticeable gains, wear the device for several hours daily, over a period of 4 to 8 weeks or longer, depending on individual goals and progress [2][13].
· It is recommended to wear the ProExtender for a few hours daily and use it consistently for at least three months to observe tangible benefits [15].
  1. Cleaning and Maintenance:
· After each use, especially if in contact with bodily fluids, clean the device thoroughly to maintain hygiene and prevent any potential infections [2].
· Regular cleaning also ensures the longevity of the device, keeping it safe and functional for continued use [2].
  1. Monitoring Progress:
· Keep a log of daily usage time and any changes in penile length or curvature to monitor progress and adjust usage as needed [13].
· Patience is key, as the ProExtender operates on a medical physiotherapeutic principle, and effectiveness is dependent on regular and correct use [14].
By following these guidelines, users can optimize their experience with the ProExtender, potentially seeing improvements in penile length and curvature while minimizing the risk of side effects. All side effects associated with the ProExtender are temporary and can be avoided by adhering to the operating instructions provided [49][51].
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User Experiences and Results
User experiences with the ProExtender can offer valuable insights into the potential results and effectiveness of the device. Here are some of the outcomes reported by users:
These user experiences highlight the importance of setting realistic expectations and the need for a dedicated approach when using the ProExtender. It's crucial for users to consider their unique circumstances and to follow the device's instructions closely to optimize their chances of achieving the desired outcomes.
Potential Risks and Side Effects
While the ProExtender is generally considered safe for use, it's important for users to be aware of potential risks and side effects associated with its use. Here are some of the key points to keep in mind:
It is also worth noting that other penile traction devices, such as the PeniMaster PRO, should be used correctly to avoid permanent side effects. Improper application may lead to temporary issues like bluish discoloration, coldness, numbness, or pain [16]. Excessive pulling forces or strong vacuum can cause temporary swelling or discoloration of the glans, and if the foreskin is sucked into the vacuum chamber, it may result in swelling [16].
In comparison, surgical penis enlargement procedures carry their own set of potential side effects, such as infection, bleeding, adverse reactions to anesthesia, uneven texture or shape, numbness, scarring, and changes in the angle of erection [17]. Dr. Rahul Gupta warns that prolonged use of penile pumps, including the ProExtender, could negatively impact sexual function by damaging or distorting the nervous cells and fibers involved in erection [18]. Therefore, users should weigh the potential benefits against the risks and seek professional advice when considering the use of penile traction therapy devices.
Comparison With Other Enlargement Methods
When comparing ProExtender with other enlargement methods, several factors come into play, including safety, cost, and efficacy. Here are some points of comparison between ProExtender and alternative methods:
Comparison with Specific Competitor Products:
In summary, ProExtender stands out as a non-invasive, clinically tested, and FDA-cleared option for penile enlargement, offering a safer and more cost-effective solution compared to surgical procedures and other alternative methods [5][24].
Purchasing Guide
When considering the purchase of a ProExtender, prospective buyers can explore a variety of options to find the package that best suits their needs and budget. Here's a guide to help navigate the purchasing process:
It's important for buyers to compare the different packages and select one that aligns with their personal requirements and budget constraints. Whether opting for the basic Value Edition or the fully-equipped Deluxe Limited Edition, each ProExtender package is designed to offer a solution tailored to the user's needs.
Conclusion
Throughout this exploration of the ProExtender, we've delved into the device’s potential to enhance penile length and address curvatures, highlighting various user experiences and clinical insights. The evidence underscores a consistent theme – patient commitment to protocol and proper usage are primary determinants for successful outcomes. The scientific approach to penile traction therapy, while not universally effective for every individual, offers a non-invasive alternative that has redefined enhancement strategies over the years.
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2024.03.02 04:45 unicorn-sub-anna Exploring Pleasure: A Guide to Penis Toys and Male Sex Toys

https://bound-by-desire.com/blogs/education-articles-and-reviews/exploring-pleasure-a-guide-to-penis-toys-and-male-sex-toys
https://preview.redd.it/8mrzy42aeulc1.jpg?width=1200&format=pjpg&auto=webp&s=15d8fa6b14d590e80c24815c35e95f12b32c74a9
A comprehensive overview of penis toys and sex toys for men, including types, benefits, safety guidelines, and recommended stores for purchasing, to enhance sexual pleasure and satisfaction.

Overview of Penis Toys and Sex Toys for Men

The landscape of male sex toys has witnessed a significant shift in recent years, with a notable increase in interest and acceptance among individuals seeking to explore new avenues of pleasure. This surge in interest is evident through reports indicating a doubling of interest in male sex toys, reflecting a growing trend towards embracing sexual wellness and diversity. As individuals become more open to experimentation and self-discovery, the market for male sex toys continues to evolve, offering an array of options to cater to varying preferences and desires. The availability of masturbation sleeves, automated masturbators, cock rings, anal stimulation toys, and toys for penetration support provides users with a diverse range of choices to enhance their intimate experiences.
Male sex toys have become increasingly sophisticated and tailored to meet the needs and desires of users, emphasizing the importance of sexual wellness and self-exploration in contemporary society.
The interest in male sex toys goes beyond personal pleasure, as these products are also recognized for their potential to enhance performance and intimacy during partnered sex. By incorporating male sex toys into shared experiences, individuals can deepen their connection with their partners, explore new sensations, and elevate mutual pleasure, fostering a more fulfilling and satisfying intimate life.
Penis toys and sex toys for men encompass a wide range of products designed to enhance sexual pleasure and satisfaction. These toys cater to various preferences and needs, offering options for solo and partnered play. The industry continues to innovate, providing advanced features and materials to elevate intimate experiences.
One example of an innovative product in this category is the Ultra Bator Thrusting and Swirling Automatic Stroker Male Masturbator, which offers customizable settings for personalized pleasure experiences. By incorporating advanced technology and user-friendly design, this penis stroker enhances the solo intimate moments of users, allowing for a tailored experience based on individual preferences. This demonstrates how manufacturers are constantly pushing boundaries to provide users with heightened pleasure and satisfaction in their sexual encounters.
In the realm of male sex toys, there is a diverse array of options available to cater to a wide range of preferences and experiences. Masturbation sleeves are designed to provide a realistic and textured experience for solo pleasure seekers, offering a unique way to enhance self-gratification. These sleeves come in various designs and materials, allowing users to choose based on their desired sensations and level of intensity.
When considering the types of male sex toys available, it is essential to explore the diverse options to find what aligns with individual preferences and desires. Whether seeking a realistic experience with a masturbation sleeve, hands-free stimulation with an automated masturbator, or enhanced performance with a cock ring, the variety of choices ensures that users can discover the perfect toy to elevate their intimate moments.
The availability of male sex toys like the Bathmate HydroXtreme Series showcases the dedication to enhancing penile size and firmness. With features that target specific enhancement goals, such as increased length and girth, products like the Bathmate HydroXtreme Series cater to individuals looking to explore new dimensions of pleasure and satisfaction. The commitment to innovation in the male sex toy market ensures that users have access to a wide array of products designed to meet their diverse needs and desires.

Types of Penis Toys for Men

Penis toys for men come in various forms to cater to different preferences and desires. One popular type is the penis pump, known for creating a vacuum to enhance penile size and firmness. The Bathmate HydroXtreme Series stands out with its innovative hydro pump technology designed to provide increased length and girth, offering users a unique experience in their enhancement journey.
Another stimulating option in the realm of penis toys is the cock ring. Cock rings are worn at the base of the penis to help prolong and intensify erections.
Realistic strokers are sought-after for their ability to mimic the sensation of penetrative sex, providing users with a lifelike experience. By simulating the sensations of intercourse, realistic strokers offer a heightened level of pleasure and satisfaction for users seeking a more authentic experience.
The variety of penis toys available caters to different preferences and experiences, ensuring that individuals can find the perfect toy to enhance their intimate moments. Whether someone is looking for increased stimulation, enhanced performance, or a more realistic experience, the diverse range of penis toys in the market provides options for every desire and need.

Using and Maintaining Penis Toys

When it comes to using penis toys, understanding the importance of lubricants cannot be overstated. Applying the right lubricant can not only enhance sensations but also prevent any discomfort during use, making the overall experience more enjoyable.
Proper maintenance of penis toys is crucial for both hygiene and longevity. Ensuring that all surfaces are sanitized and dried properly can help prevent the growth of bacteria and maintain the toy's material integrity. By following these cleaning practices diligently, users can guarantee a safe and hygienic experience with their favorite toys while extending their lifespan for continued enjoyment.
In addition to cleaning routines, storing penis toys correctly is equally essential. Proper storage not only prevents damage to the toys but also maintains their quality over time, ensuring that they are ready for use whenever the mood strikes. By incorporating these care practices into your routine, you can prolong the life of your penis toys and optimize your intimate experiences.
Investing in high-quality materials like silicone or medical-grade plastics ensures that the toys are body-safe and durable for long-term use. By selecting toys made from reputable materials, users can prioritize their health and safety while enjoying the benefits of enhanced pleasure and satisfaction. Prioritizing proper maintenance and storage practices, along with choosing body-safe materials, is key to maximizing the longevity and enjoyment of penis toys in one's intimate life.

Benefits of Incorporating Sex Toys for Men

Exploring the world of sex toys designed for men can offer a plethora of benefits beyond just physical pleasure. By introducing these toys into intimate relationships, individuals can foster open communication and mutual exploration, leading to enhanced pleasure and intimacy. The inclusion of penis toys in sexual activities can help individuals gain a deeper understanding of their preferences, desires, and boundaries, ultimately enriching their overall sexual experiences.
One significant benefit of using sex toys for men is the positive impact on sexual confidence. Products like the Bathmate HydroXtreme Series or the Fleshlight Stamina Training Unit can provide users with a sense of empowerment and self-assurance by allowing them to explore their desires in a safe and controlled environment. Building confidence in expressing one's needs and preferences, whether alone or with a partner, can lead to a more fulfilling and satisfying sexual life.
The utilization of sex toys can serve as a tool for addressing sexual health concerns or conditions. Individuals experiencing erectile dysfunction may find relief and alternative avenues for pleasure through products like penis pumps or vibrators. By incorporating sex toys into their sexual wellness routines, individuals can explore new sensations, overcome performance anxiety, and improve their overall sexual well-being. The holistic benefits of using sex toys underscore their value in enhancing both physical and emotional aspects of sexual wellness.
In some cases, medical professionals may recommend the use of sex toys as part of sexual health interventions. These toys can assist individuals in overcoming sexual health concerns or conditions, such as erectile dysfunction or performance anxiety, by providing alternative avenues for sexual satisfaction and pleasure. By incorporating sex toys into their sexual wellness routines, individuals can enhance their overall well-being and sexual health, leading to a more fulfilling and enjoyable intimate life. The varied benefits of using sex toys for men underscore the positive impact these products can have on both physical and emotional aspects of sexual wellness.

Selecting the Right Male Sex Toy

Choosing the right male sex toy involves considering various factors to ensure a personalized and gratifying experience. One crucial aspect to evaluate is the material of the toy, emphasizing the importance of selecting body-safe materials to avoid any potential allergic reactions or skin sensitivities. Materials like silicone, TPE, or ABS plastic are commonly used in male sex toys, each offering unique textures and sensations to cater to different preferences.
Silicone-based toys offer a luxurious feel and are hypoallergenic, making them suitable for users with sensitive skin. On the other hand, TPE or TPR materials provide a softer and more flexible texture, enhancing comfort during use. Understanding the characteristics of these materials and how they interact with the body can guide individuals in selecting a toy that not only feels pleasurable but also ensures safety and compatibility with their skin.
The desired sensations play a significant role in choosing the perfect male sex toy. Some individuals may prefer realistic textures for a lifelike experience, while others may opt for toys with added features like vibration or suction for heightened pleasure. Considering personal preferences and comfort levels can help users narrow down their choices and select a toy that aligns with their unique desires, leading to a more fulfilling and enjoyable intimate experience.

Safety Guidelines for Using Penis Toys

Ensuring the safety of using penis toys is paramount to prevent any risks or health concerns. One essential safety measure is to carefully check the material composition of the toys before use. It is vital to choose toys made from body-safe materials that are free from harmful chemicals, as these can cause skin irritations or other adverse reactions. For instance, silicone and medical-grade plastics are often recommended materials for their non-porous and hypoallergenic properties, reducing the risk of irritation or infections.
Proper cleaning and hygiene practices are crucial when using sex toys. It is highly recommended to clean and disinfect the toys both before and after each use. This routine maintenance helps prevent the spread of bacteria, yeast, or other pathogens that may lead to infections. Using a toy cleaner specifically designed for sex toys or mild soap and warm water can effectively sanitize the toys and maintain their cleanliness for safe use. By prioritizing hygiene and cleanliness, individuals can enjoy their penis toys with peace of mind, knowing that they are taking the necessary steps to protect their health and well-being.
When opting for penis toys that incorporate electronic components, such as vibrators or automatic male masturbators, it is essential to handle them with care. Ensuring that the toys are used according to the manufacturer's instructions can help prevent malfunctions or accidents during use. Checking the battery compartments for any signs of damage and using the toys as intended can contribute to a safe and enjoyable experience. By following these safety guidelines, individuals can maximize the benefits of using sex toys while prioritizing their well-being and pleasure.
Additionally, staying informed about product recalls or safety alerts related to sex toys is crucial for maintaining a safe and pleasurable experience. Manufacturers may issue recalls or safety notices for specific products, and users should promptly respond to such notifications to prevent any potential harm or risks associated with the toys. By staying vigilant and proactive about product safety, individuals can continue to enjoy their sexual encounters with confidence and peace of mind.
Ensuring the safety of male sex toys is paramount to prevent any potential risks or discomfort during use. When exploring anal stimulation toys, opting for toys with flared bases, such as the b-Vibe Rimming Plug, is recommended to prevent accidental insertion and ensure safe play. These types of toys are designed to provide a secure grip and prevent over-insertion, minimizing the risk of injury or discomfort during anal activities.
In addition to choosing the right toys, selecting appropriate lubricants is essential for maintaining the integrity of the toy and enhancing comfort during use. Water-based or silicone-based lubricants are popular choices for male sex toys as they are compatible with various materials and offer a smooth and pleasurable experience. Using the right lubricant can help reduce friction, prevent skin irritation, and prolong the lifespan of the toy, ensuring a safe and enjoyable playtime.
Adhering to the manufacturer's instructions for safe usage and maintenance is crucial in preserving the quality and longevity of male sex toys. Each toy may come with specific guidelines for cleaning, storing, and handling, which should be followed diligently to prevent damage and ensure hygienic practices. By following these instructions, users can enjoy their toys safely and confidently, knowing that they are taking the necessary precautions to protect their well-being and satisfaction.
Proper cleaning and maintenance routines are essential to keep male sex toys in optimal condition and prevent bacterial growth, which can lead to infections and other health concerns. After each use, it is recommended to clean the toys thoroughly with mild soap and water or a designated toy cleaner, such as the Intimate Earth Foaming Toy Cleaner, to remove any residue and bacteria. Some toys may require specific cleaning methods based on their material composition, so it is important to refer to the manufacturer's instructions for proper care.
Additionally, storing male sex toys in a cool, dry place away from direct sunlight and extreme temperatures is vital to preserve their quality and functionality. Some toys come with storage pouches or cases to keep them clean and discreetly stored when not in use, ensuring they remain in optimal condition for future play sessions. By following these cleaning and storage practices, users can prolong the lifespan of their male sex toys and maintain hygienic standards for a safe and satisfying experience.

Beginner-Friendly Male Sex Toys

For individuals new to the world of male sex toys, starting with beginner-friendly options can provide a gentle introduction to the realm of pleasure products. Basic sleeves and strokers are ideal choices for beginners looking to explore different sensations and experiences. These compact and discreet toys offer a straightforward and user-friendly design, making them approachable for those who are just beginning to experiment with enhancing their solo play.
Vibrating cock rings are another excellent option for novices seeking to add an extra element of pleasure to their intimate moments. These rings are designed for easy use and provide enhanced sensations for both partners, making them a versatile and beginner-friendly choice. With adjustable settings and simple functionalities, vibrating cock rings offer a hassle-free way to explore new dimensions of pleasure and intimacy in a comfortable and controlled manner.
These toys are crafted to simulate the sensations of penetrative sex, offering a heightened level of pleasure and satisfaction for users who are new to incorporating toys into their intimate routine. By selecting a male masturbator that aligns with their preferences, beginners can ease into the world of male sex toys while enjoying new sensations and experiences in a welcoming and enjoyable way.

Enhancing Intimacy with Male Sex Toys

The integration of male sex toys into intimate moments can significantly enhance pleasure and intimacy between partners, fostering a deeper connection and shared exploration of desires. By incorporating male sex toys into partnered play, individuals can introduce innovative ways to stimulate both partners and create a more fulfilling and exciting sexual experience.
Communication and mutual consent play a pivotal role in introducing sex toys into the bedroom, ensuring that both partners feel comfortable and respected in their exploration of new pleasures. By openly discussing desires, boundaries, and preferences, couples can establish a safe and trusting environment to incorporate male sex toys into their intimate interactions. This transparent communication paves the way for deeper intimacy, increased understanding of each other's needs, and a more fulfilling sexual connection.
These interactive toys allow for shared control and intimate experiences, enabling partners to engage in playful and exciting encounters that enhance their connection and intimacy. By embracing the use of male sex toys in partnered play and prioritizing communication and consent, couples can embark on a journey of exploration and pleasure that strengthens their relationship and deepens their bond.

Evolution of Male Pleasure Products

The evolution of male pleasure products has revolutionized the way individuals experience and engage with their sexuality, offering a diverse range of options that cater to various preferences and desires. These products are designed to offer realistic sensations, customizable experiences, and innovative technologies that enhance the overall satisfaction and enjoyment of users.
The continuous advancements in technology and materials have led to the development of male pleasure products that prioritize user comfort, safety, and effectiveness, ensuring a premium experience for individuals seeking to explore new dimensions of pleasure. As the market for male sex toys continues to expand, manufacturers are focusing on creating products that not only deliver physical satisfaction but also promote emotional and psychological well-being, reflecting a holistic approach to sexual wellness.
The diversification of options for achieving climax beyond traditional methods underscores the inclusive nature of modern male pleasure products, catering to a wide range of preferences and interests. Sleek designs, innovative functionalities, and lifelike sensations demonstrate a commitment to providing users with a customized and fulfilling experience. By embracing new possibilities in solo pleasure and intimate exploration, individuals can discover a world of satisfaction and enjoyment that transcends conventional norms and boundaries.

Application of Male Sex Aids in Sexual Dysfunction

While the scientific literature on the application of sex aids in men with sexual dysfunction remains limited, there is growing recognition of the potential benefits of these aids in addressing various challenges. For individuals facing issues such as anorgasmia or erectile dysfunction, incorporating sex aids like vibrators can offer a valuable source of stimulation and support, enhancing sexual satisfaction and well-being. Devices like the We-Vibe Tango or the Lelo Hugo are designed to provide targeted stimulation and promote arousal, aiding individuals in overcoming obstacles to achieving sexual pleasure.
These devices offer practical solutions for individuals dealing with erectile challenges, supporting them in achieving and sustaining a satisfactory level of sexual function. By utilizing these aids, men with sexual dysfunction can navigate their intimate experiences with confidence and comfort, fostering a sense of empowerment and well-being in their sexual encounters.
Additionally, aids to positioning, like sex swings, wedges, or positioning pillows, are valuable tools that assist individuals with limited mobility or physical challenges in optimizing their sexual experiences. These aids are designed to enhance comfort, accessibility, and pleasure during intimate activities, allowing individuals to explore and enjoy intimacy in ways that cater to their unique needs and preferences. By incorporating these aids into their sexual routine, individuals can overcome physical barriers, promote inclusivity, and create fulfilling and satisfying intimate connections that prioritize their well-being and pleasure.
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2024.02.27 02:38 what_srsly Took Prozac (like an idiot) and crashed myself again after a decent recovery. Does anyone have any tips?

I used Fin in Oct of 2022. Got the full gamut of symptoms. Insomnia, penile shrinkage, anxiety, brain fog, memory loss, anhedonia, etc. Recovered decently to where my main issues were heart palps and shrinkage. Recently took Prozac because my counselor told me the experience was probably 80% OCD, and that I needed to get on meds. Please don’t chastise me, I know I made I mistake. I only took one pill. Can I come back from this? Currently experiencing brain fog, anxiety, memory issues, muscle twitches, fatigue, anhedonia, low libido, lack of morning wood, and just general malaise. I told my counselor this and he says I need to go on a different class of meds and that I likely have OCPD (obsessive compulsive personality disorder). For reference, the first time I crashed, they pumped me full of drugs: A couple weeks worth of Zoloft, Trazodone for sleep, as well as a couple weeks worth of Clomipramine, and I saw decent improvement over time. This time I only took one pill of Prozac.
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