Brief Answer:
No evidence based treatment for penile enlargement

Detailed Answer:
Hello,

Thanks for writing to us.

Normal size of penis in flaccid state is 2 to 4 inches while in erect position 4 to 6 inches. It varies according to age,body structure and race. Size of penis does not matter much for satisfying partner.
Anterior 3 inches of female vaginal wall is sensitive to sexual stimuli.Only 3.5 inches of erect penis is sufficient to satisfy female.As age increases size of penis reduces naturally like overall body muscles and tissue atrophy.Hope you are clear about concern of size of penis now.

There is no scientific evidence based treatment to increase penis size permanently(except surgery).

However when problem of erectile dysfunction is there some treatment can work.
5- PDE inhibitor group of medicines like sildenafil or tadalafil(cialis) are used. One of them should be used 2 hours prior to sex. They causes headache,stuffy nose nausea and gastric discomfort like common side effects. Proper physical check up of cardiac system should be done by a doctor before starting the same.These are prescription medicines and you need to consult doctor/psychiatrist/sexologist for the prescription.
As you are getting delayed response from cialis optimum dose of 40 mg should be used or sildenafil/udenafil can be tried. Discuss with your treating doctor for the same.

You can use another medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients. It has shown improvement in 50-60% patients of mine with ED.You should take it after meal twice a day. If you feel some improvement in 15 days you should continue for at least 1 month. You may get this medicine over the counter as it is vitamin product.

There are some natural lifestyle measures which help to improve blood flow to penis and overall sexual performance.

- The most important factor is healthy heart. Blood is pumped in to body by heart.So regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh.

- Good healthy food is also an important aspect. Bananas, Garlic, dry fruits(they contains vitamins), eggs, cow milk, cow butter are good food which may help in erectile dysfunction.

- Avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same.

I never recommend hgh for increasing the size of penis at this age as it is not much effective as well as due to side effects profile.

The best specialist to consult for your case is psychiatrist. Psychiatrist is by degree a sexologist also and used to deal with such problems.He can listen you patiently and guide you in right direction.

Hope this answers your query.

If still any query there, I will be happy to answer.
If not, you can close the discussion and give your feedback which can help me to improve service.

In future you can contact me directly if you wish with this link:
http://bit.ly/drchintansolanki

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