When it is time to perform a pelvic or genital exam and the patient has a spouse or significant other present, we generally ask the patient if he or she prefers to have the visitor stay in the exam room or wait in the waiting room. Overall, I would guess that 90% of my patients do not want an audience. However, the few who stay sometimes say or do odd things.

A case in point. Alex and Rachel had been dating only a short time, so I was surprised when Rachel asked that Alex accompany her during her pelvic exam. Generally, when a man does this he is positioned alongside the patient, but in this case the room was so cramped the only spot for him to stand was behind me. During the pelvic exam Alex remarked, “So that's what it looks like?”

Rachel responded, “What are you talking about? We've done it before.”

“Yeah we have,” Alex said. “But never with the lights on. I'm leaving.”

We thought that Alex meant he'd simply decided to wait in the waiting room, but the ER security guard reported that he got into his car and drove off.

An even stranger case occurred when a 20-year-old man, Brett, requested that his girlfriend Janet stay in the room as I examined his genitals. Naturally, I assumed that they'd had sex and that what she was about to see was nothing new. Not quite.

As I performed the exam, I could not help noticing that Brett and Janet were giving one another odd looks. He evidently could not decipher some of her nonverbal facial communication, so he smirked and asked her, “What? What?”

Janet did not immediately respond, but when I glanced up at her, I think she assumed I gave her the green light to speak to Brett. “You lied.”

“About what?”

“You've been hinting to me about how big you are. That isn't big.”

“It's because I'm nervous. Every guy shrinks that way when he's nervous, right Doc?”

I hated to be drawn into this discussion, but the facts were on his side. “Yes, that can do it. So can exposure to cold.”

My explanation did not do much to mollify Janet, who still appeared to be disgustedly disappointed.

Many doctors say that penis size should not matter because only the outer vagina and clitoris are sexually sensitive. Assuming that a man's penis is not abnormally small, he can reach those sensitive areas. So is penis size irrelevant? No, because some women derive extra pleasure from firm, deep pressure, and most women experience more pleasure if the penis is thick, which enhances stimulation of the outer vagina and adjacent sexually sensitive areas. Thus, a larger penis can make intercourse more pleasurable for some women. It almost invariably makes intercourse more pleasurable for men, because of the tighter “fit” of the penis in the vagina.

Now for the $64,000 question: can a penis be enlarged without surgery?

Like other doctors, in medical school I was taught that penis size is fixed at the end of puberty. I previously believed that, too, and the evidence seemed overwhelming. Then, purely by accident (or serendipitously, if you like big words), I discovered a way to trigger what amounts to a “second puberty” of penile growth. The only difference between this “second puberty” and real puberty in terms of penile growth is that the penile growth was much more dramatic the second time. Within a few weeks, my penis size went from embarrassingly small (at least to me) to bigger than some porno stars. I once believed that such a transformation was impossible, but I was wrong, and so were the professors who taught me that myth. Clearly, penile size is not necessarily fixed at the end of puberty if you provide the body with the proper stimulus to rekindle penile growth.

After realizing that my medical school professors were wrong about this topic, I naturally questioned if there are other ways to enlarge the penis. The answer is yes, and I present all of them in The Science of Sex and Advanced Enlargement. By the way, in those books I do not discuss enlargement techniques that “everyone knows about,” such as jelqing. I consider that a garbage technique because I've heard from too many men who said that it either did nothing for them, or it damaged their penis.

Incidentally, one of my enlargement techniques enhances male libido and sensation, too. Here is a brief diary of that experience:

Week #1: It's difficult to put into words, but it felt as if something were happening down there, as if my penis were waking up.

Week #2: No doubt about it, that stuff works. My penis was warm, engorged, oh-so-sensitive, and larger. My libido went from “twice a week is good enough” to “twice a day is barely enough.” Moreover, there wasn't any appreciable lessening of sexual pleasure after my first orgasm (previously, having a second or third orgasm in a day would usually be less pleasurable). My libido transformed from something that felt as if it were focused in my mind to something that felt very focused in my penis.

Week #3: Still larger. Not just a bit bigger, either. My flaccid penis was now larger than it used to be when fully erect. It was longer and much thicker. When I walked, I felt an unaccustomed mass banging between my legs. Conservatively, the penile volume increased by at least 50% when erect and at least 200% when flaccid. The size increase was trivial compared with the increase in libido and sexual sensation, which went from “almost dead” to “far better than ever.” Being a teenager was never this good. The supposed experts who say that an adult's penis cannot be enlarged? They're full of crap. (I apologize for the bluntness, but there is no polite way to express my sentiment without diluting it.)

You are probably skeptical about anything to do with penile enlargement, since there is so much misinformation about this topic sold by unscrupulous people with room-temperature IQs and no scientific training. I graduated in the top 1% of my class in medical school, so of all the people claiming to know how to enlarge the penis without surgery, I am probably the smartest and most knowledgeable. Being a physician, I am concerned not only with efficacy, but also with safety. Some enlargement techniques work but can damage your penis, permanently impairing your erectile performance or penile sensation. Thus, if you attempt some of the popular penile enlargement techniques, you may end up with a dysfunctional penis, and you will certainly not achieve the results you could have obtained with my methods.

Finally, a word of advice. Talk to your wife or girlfriend before trying to enlarge your penis. Some women will not derive more pleasure if your penis is larger! Instead, they may experience more discomfort. This is especially likely to affect women with certain pelvic disorders that increase tenderness, such as endometriosis. However, if you just ask her if she is pleased with the current size of your penis, you may get false reassurance. Women's magazines often caution their readers never to express any dissatisfaction over penis size. That is generally good advice, since a typical man knows little or nothing about penile enlargement . . . so why complain about something that he cannot change?

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