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Companies offer many types of nonsurgical penis-enlargement treatments, and often promote them with serious-looking advertisements that include endorsements from "scientific" researchers.

If your penis is about 13 cm (5 inches) or longer when erect, it's of normal size.

Surgery is typically reserved for men whose penises don't function normally because of a birth defect or injury.

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But cutting the suspensory ligament can cause an erect penis to be unstable.

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A few small studies have reported length increases of half an inch to almost 2 inches (about 1 to 3 centimeters) with these devices.

Because pumps draw blood into the penis, making it swell, they're sometimes used to treat erectile dysfunction.

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There aren't enough studies of penis-enlargement surgery to give an accurate picture of risks and benefits.

The solution to your concerns about penis size may be as easy as talking with your partner or getting in shape.

A vacuum pump can make a penis look larger temporarily.

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Stretching.

Results may be disappointing, however, because some of the injected fat may be reabsorbed by the body.

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Mayo Clinic does not endorse companies or products.

Most advertised penis-enlargement methods are ineffective, and some can cause permanent damage to your penis.

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A procedure to make the penis thicker involves taking fat from a fleshy part of the body and injecting it into the penis shaft.

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None of these procedures has been proved safe or effective and can even affect potency and your ability to obtain an erection.

These surgeries should be considered experimental.

But using one too often or too long can damage elastic tissue in the penis, leading to less firm erections.

Subscribe to HousecallOur general interest e-newsletter keeps you up to date on a wide variety of health topics.

This can lead to penile curvature or asymmetry and an irregular looking penis.

Although there's no guaranteed safe and effective way to enlarge your penis, there are a few things you can do if you're concerned about your penis size.

Exercises.

When this ligament is cut, the penis appears longer because more of it hangs down.

Most of the techniques you see advertised are ineffective, and some can damage your penis.

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Suspensory ligamentThe need for penis-enlargement surgery is rare.

Although this technique appears safer than other methods, there's no scientific proof it works, and it can lead to scar formation, pain and disfigurement.

Regular exercise can make a big difference.

The most widely used surgical procedure to lengthen the penis involves severing the suspensory ligament that attaches the penis to the pubic bone and moving skin from the abdomen to the penile shaft.

A penis is considered abnormally small only if it measures less than 3 inches (about 5 centimeters) when erect, a condition called micropenis.

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Larger, more-rigorous research is needed to establish safety and effectiveness.

Better physical conditioning may not only make you look better, but also can improve strength and endurance during sex.

But chances are your penis is within the normal size range.

Ads for penis-enlargement products and procedures are everywhere.

Sometimes called jelqing, these exercises use a hand-over-hand motion to push blood from the base to the head of the penis.

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At best, surgery such as division of the suspensory ligament may add half an inch (1 centimeter) to the appearance of the flaccid penis but does not change actual length of the penis.

Stretching involves attaching a stretcher or extender device — also referred to as a penile traction device — to the penis to exert gentle tension.

Many men feel better with reassurance that they are "normal" or with advice about how to better satisfy their partner without resorting to cosmetic penis enlargement.

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