WEBVTT - The Hard Truth About Penis Size: What Most Men Get Wrong 

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<v Speaker 1>Let's talk about it.

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<v Speaker 2>Let's talk about the Man.

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<v Speaker 3>Hero.

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<v Speaker 2>Let's talk about it. Let's talk about the Man Hero.

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<v Speaker 3>Welcome to the Man, Welcome back to the mail room

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<v Speaker 3>with doctor Jesse Mills. I am Doctor Jesse Mills, and

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<v Speaker 3>I am staring in the handsome brown eyes of Jordan

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<v Speaker 3>run Top, my man on the street, my man in

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<v Speaker 3>the studio. I gotta be honest, I'm a little nervous

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<v Speaker 3>about this episode today, Jordan. I just think, you know,

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<v Speaker 3>I don't get nervous very often, as you know, but

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<v Speaker 3>I don't know if this episode is going to measure up.

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<v Speaker 2>To what we normally do there it is.

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<v Speaker 3>Yeah, I'm afraid that we are going to talk about

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<v Speaker 3>something that I think is nearer and dear, potentially tragic

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<v Speaker 3>to a lot of guys. And so obviously we're going

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<v Speaker 3>to do it in our normal way of demystifying what

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<v Speaker 3>out there, trying to make guys feel pretty good about

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<v Speaker 3>what's going on in their lives. And what we're talking

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<v Speaker 3>about is is penis size Today? Yeah, we're going to

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<v Speaker 3>do a whole episode on what's up with the penis?

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<v Speaker 3>And you know, I don't know this triggered because when

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<v Speaker 3>we had our guest on a little bit ago, Jordan

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<v Speaker 3>Ritter Khan one of the one of the guys in

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<v Speaker 3>that book American Men, which please guys go out. You know,

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<v Speaker 3>it's a secondary plug, but it is. It truly is

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<v Speaker 3>a phenomenal book. But a guy named Gideon, who was

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<v Speaker 3>the West Point graduate, really it, you know, resonated with

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<v Speaker 3>a lot of guys, I'm sure, because he was fixated

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<v Speaker 3>on comparing his penis to the other lovers that his

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<v Speaker 3>both wife and again a little bit later in the

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<v Speaker 3>book girlfriend and then future wife had and it just

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<v Speaker 3>you know, he was fixated on it. Yet he had

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<v Speaker 3>a very greater than two standard deviations, larger penis than average,

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<v Speaker 3>and so he had really nothing to worry about, which

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<v Speaker 3>means basically that we all have either something to worry

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<v Speaker 3>about mentally but not physiologically. So that's the long intro

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<v Speaker 3>to what we're doing today, which is it's all about

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<v Speaker 3>the penis.

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<v Speaker 2>Jordan, what's that man?

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<v Speaker 1>Not too much, But I'm glad you mentioned that book

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<v Speaker 1>American Man, because it's incredibly powerful and that whole section

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<v Speaker 1>with Gideon was really what got me thinking about doing

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<v Speaker 1>this episode.

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<v Speaker 3>Yeah, yeah, so the American Well, actually we'll just say,

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<v Speaker 3>the penis in general is, boy, it's it's there's a

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<v Speaker 3>lot of history here we're going to go into. There's

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<v Speaker 3>a lot of perceptions we're going to go into, and

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<v Speaker 3>then there's a lot of my own personal bias in

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<v Speaker 3>terms of what I see in the clinic on a

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<v Speaker 3>daily basis, the history being you know, I mean, think

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<v Speaker 3>about Michelangelo's David, right, this specimen of a man. But

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<v Speaker 3>you know, I think most of us we'll look at

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<v Speaker 3>those pecks and tries and delts on that statue and

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<v Speaker 3>not so much as penis, which is you know, pretty

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<v Speaker 3>flaccid and pretty pretty average looking. And it's really the

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<v Speaker 3>penis has gone through multiple phases really almost a lot

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<v Speaker 3>like obesity and well, I should say body habitus has

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<v Speaker 3>gone through phases like there were times in history when

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<v Speaker 3>smaller penises were associated with better social status, better brains,

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<v Speaker 3>and a large penis was considered you know, animalistic and

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<v Speaker 3>almost disgusting.

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<v Speaker 2>And not desirable.

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<v Speaker 3>And so you know, boy, that is not twenty twenty

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<v Speaker 3>six or even nineteen ninety six, and so so what

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<v Speaker 3>happened with all of that? And we're going to talk

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<v Speaker 3>about that a little bit about my own thoughts, but

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<v Speaker 3>the history of it is truly fascinating, and that that

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<v Speaker 3>guys forever have wanted to measure their penis to everybody

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<v Speaker 3>around them, either in the locker room or on the

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<v Speaker 3>battlefield or anywhere else. And it used to be, as

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<v Speaker 3>I was saying, good good penises were kind of what

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<v Speaker 3>we would consider very average, too small these days, and

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<v Speaker 3>large penises were considered a lot more I don't know,

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<v Speaker 3>be steal and we'll we'll leave it there.

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<v Speaker 1>I'm really fascinated by that because you look through the

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<v Speaker 1>ages and you see the changing beauty standards, and there

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<v Speaker 1>was that time when being pale was considered more beautiful

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<v Speaker 1>than being tan, because it meant you could afford to

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<v Speaker 1>be indoors and not out in the fields working as

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<v Speaker 1>a laborer. So the cultural history of beauty standards is

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<v Speaker 1>really fascinating. But I think back through the years and

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<v Speaker 1>I just remember seeing these ceremonial statues that were very

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<v Speaker 1>ancient and were meant to represent fertility, and they were

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<v Speaker 1>all very large. So I always assumed it was pretty

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<v Speaker 1>consistent through the years that to be blunt, bigger was better.

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<v Speaker 3>Yeah, no, yeah, I mean, you know, big penis small brain.

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<v Speaker 3>I think was for a long time, and we had

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<v Speaker 3>to try to correlate, but it really really doesn't. So

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<v Speaker 3>I don't know where do you think this is all

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<v Speaker 3>coming from. I guess you're sort of surprised that I

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<v Speaker 3>even made that historical nod that, in fact, it wasn't

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<v Speaker 3>always cool to have be packing something below the belt there.

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<v Speaker 3>But I think it's pornography. I really do. I mean,

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<v Speaker 3>I think when you see a guy an adult in

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<v Speaker 3>obviously he's an athlete of sorts, he's an actor, and

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<v Speaker 3>he often is incredibly well endowed, greater than the standard deviations,

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<v Speaker 3>which we'll get into, and I think if that's our

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<v Speaker 3>benchmark for the average guy, especially for kids, and i'd

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<v Speaker 3>say kids that really start their introduction to porn on

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<v Speaker 3>our phones is you know, nine years old, ten years old,

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<v Speaker 3>sometimes earlier, and so then you think, okay, well that's

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<v Speaker 3>what I'm going to grow into someday. And I think

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<v Speaker 3>we have to figure out how to stop that dialogue.

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<v Speaker 3>And I don't know, we don't do this in professional athletics, right,

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<v Speaker 3>I mean, when you look at a professional football game,

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<v Speaker 3>you're not thinking, man, I got to go out and

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<v Speaker 3>throw darts like Tom Brady or some of the greats

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<v Speaker 3>and basketball.

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<v Speaker 2>Same thing.

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<v Speaker 3>I mean, it's you can really appreciate the athleticism and

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<v Speaker 3>the fact that that person is a gifted athlete. So

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<v Speaker 3>maybe if we apply that in mentality to what we're

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<v Speaker 3>watching in adult entertainment, it is great.

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<v Speaker 2>But also would I would take the athletic.

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<v Speaker 3>Thing a little bit further this metaphor if you will,

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<v Speaker 3>And I promise I'm not going where you might think

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<v Speaker 3>I'm going with this next comparison, But let's talk about

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<v Speaker 3>three of the all time NBA greats, Steph Curry, Lebron,

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<v Speaker 3>James Shaquille O'Neil. Steph Curry is about six', two, Right

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<v Speaker 3>lebron is six' nine, six' ten and chack is over.

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<v Speaker 3>Seven feet tall they're. All time greats they have, completely,

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<v Speaker 3>different sizes right they're, one's you, know my height and

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<v Speaker 3>one is and one is a FOOT taller. Than i

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<v Speaker 3>am and yet they're all professional athletes and they're all.

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<v Speaker 3>Fantastic at it so before you Think of, what I'm

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<v Speaker 3>thinking what i'm actually trying to say.

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<v Speaker 2>Is that that all of these guys.

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<v Speaker 3>Are amazing performers which means that penises of all sizes can. Also, be,

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<v Speaker 3>amazing performers right they all get the job done with

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<v Speaker 3>the body they've been given and they know how. To,

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<v Speaker 3>work it, so you know let's talk about penises in.

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<v Speaker 3>THAT same context i have.

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<v Speaker 1>A, question for you what year did you, begin PRACTICING

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<v Speaker 1>urology because i imagine that would correlate to roughly when

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<v Speaker 1>pornography became extremely widely Available. On THE internet and i

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<v Speaker 1>was curious if you notice a change in men's preoccupation

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<v Speaker 1>with size from the beginning of your practice.

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<v Speaker 3>Until, more recently, yeah you know we're going to talk

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<v Speaker 3>about another thing in pornography that that drives me crazy

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<v Speaker 3>as a as a physician that specializes in this in terms,

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<v Speaker 3>of unreasonable standards and that is. An EJACULATORY endurance, and

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<v Speaker 3>i know the, PENIS size thing i think has been

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<v Speaker 3>has always been around in terms of people, thinking that,

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<v Speaker 3>they you know they need, to be bigger and, THE surveys,

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<v Speaker 3>go i mean the, answers your question, by the way

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<v Speaker 3>is about two thousand and ONE is when i, Got

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<v Speaker 3>into urology, AND you're right i mean that's sort of

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<v Speaker 3>when internet porn started to. Really take off so maybe

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<v Speaker 3>maybe it's just A fact that i've grown up professionally

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<v Speaker 3>in a time when when access to visuals of large penises.

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<v Speaker 3>Has BEEN prevalent but i think that the real issue

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<v Speaker 3>is that these standards have been there really not that

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<v Speaker 3>long that people have have had this this, what is

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<v Speaker 3>it almost fixation, with penis size and yet they really

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<v Speaker 3>don't know what. They're dealing with and so if you

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<v Speaker 3>look at a lot of surveys and what we've what

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<v Speaker 3>we've found is that, the you know the average penis,

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<v Speaker 3>size fully erect is. About FIVE inches and i think

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<v Speaker 3>if you, ask most, men in fact people have done

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<v Speaker 3>this and they think average penis size should be about six,

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<v Speaker 3>to seven inches and then large it would be. Greater than,

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<v Speaker 3>eight and so, first of all then we already have

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<v Speaker 3>an unfair standard of where we know scientifically that a

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<v Speaker 3>fully erect penis is really not as big as most

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<v Speaker 3>people think. It should be and the other crazy thing

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<v Speaker 3>is that eighty percent of guys are not satisfied with

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<v Speaker 3>the size of their penis according. To some studies some

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<v Speaker 3>studies say it's not, quite that high but there are

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<v Speaker 3>a lot of guys out, there, that like, MAN you

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<v Speaker 3>know I wish that i had this, had more girth

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<v Speaker 3>more linked and we'll talk about you know some of

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<v Speaker 3>the ways that guys can get in trouble chasing that,

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<v Speaker 3>ideal body metric and also some of the ways that,

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<v Speaker 3>guys you know might be able.

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<v Speaker 2>To do, it but.

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<v Speaker 3>Truly there's only a pathology when a guy's penis is

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<v Speaker 3>well under that five inch standard of what we look,

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<v Speaker 3>at as scientifically we say that a guy that has

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<v Speaker 3>a small penis has two and a half standard deviations below,

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<v Speaker 3>that five inches which kind of means that anybody with

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<v Speaker 3>an erect penis less than three inches definitely has. Potentially,

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<v Speaker 3>a problem now why do we need, To, Label, that jordan,

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<v Speaker 3>WELL you know i think it's only because if a

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<v Speaker 3>guy does have what is sometimes referred to as a

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<v Speaker 3>micro penis or, a small penis that there actually are

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<v Speaker 3>things we can do. For THOSE men and i definitely

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<v Speaker 3>don't want that to for guys to suffer in silence

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<v Speaker 3>if in fact there may be, something to do and.

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<v Speaker 2>So we'll talk about.

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<v Speaker 3>That as, well in fact actually i'll just get into

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<v Speaker 3>IT now because i was just.

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<v Speaker 2>Thinking about this not. THAT long ago i had a

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<v Speaker 2>guy in my.

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<v Speaker 3>Clinic who is in, HIS mid twenties i think it was,

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<v Speaker 3>about twenty five and he came to me because he

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<v Speaker 3>actually had problems with his testicle, not fully descending which

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<v Speaker 3>is also you know what. We just had we Just

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<v Speaker 3>Had on brad snyder who talked about his battle with

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<v Speaker 3>his pediatrician on. His undescended testicle this guy had had

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<v Speaker 3>some issues with smaller than average testicle and then also

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<v Speaker 3>actually never really fully. Developed in puberty and he came

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<v Speaker 3>to my office really mostly from a testicular concern and

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<v Speaker 3>that's why his doctor sent, him to me but also

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<v Speaker 3>on his physical examine obviously in, talking to him he

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<v Speaker 3>truly had. A micro penis his penis was very much

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<v Speaker 3>the size of, a neonatal size and he was twenty,

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<v Speaker 3>five years old and he was. Also super tall and

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<v Speaker 3>so if somebody out listening, fits that description you really

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<v Speaker 3>need to find a urologist and probably an endocrinoledge to

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<v Speaker 3>help take. Care of that because this guy. Had delayed

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<v Speaker 3>puberty he never actually fully, went through puberty and it

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<v Speaker 3>was because he lacked the precursor hormones in the brain

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<v Speaker 3>in the pituitary gland to actually stimulate him to.

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<v Speaker 2>Go through puberty so can you.

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<v Speaker 3>Imagine at twenty five walking around at six 't two a,

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<v Speaker 3>full grown man, no facial hair high voice still and

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<v Speaker 3>then below the belt no, adult secondary characteristics and so

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<v Speaker 3>those are. Not at, uncommon but somehow even in this,

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<v Speaker 3>day and age he made it all the way to

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<v Speaker 3>twenty five without somebody really. Working this up, and you

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<v Speaker 3>know it came from a farming Community, in central california

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<v Speaker 3>really not great, access to care and it probably had at,

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<v Speaker 3>sometimes some, poor you, know documentation status and, so you

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<v Speaker 3>know he was ACTUALLY working when, i saw him had

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<v Speaker 3>a job and was getting at least state, covered health

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<v Speaker 3>insurance and so he'd kind of done all the right

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<v Speaker 3>things from a governmental standpoint to finally come in.

0:11:28.520 --> 0:11:29.800
<v Speaker 2>And see me the.

0:11:29.760 --> 0:11:31.920
<v Speaker 3>Cool thing about it is that that that guy actually

0:11:32.320 --> 0:11:35.520
<v Speaker 3>just through some pretty, EASY blood work i figured out

0:11:35.559 --> 0:11:38.800
<v Speaker 3>the problem and was able to cause him to go

0:11:38.840 --> 0:11:40.920
<v Speaker 3>through puberty even as a twenty five or twenty six

0:11:40.960 --> 0:11:42.160
<v Speaker 3>year old, at that point and then he grew to

0:11:42.240 --> 0:11:45.319
<v Speaker 3>a normal penis size and he started developing. Secondary sexual

0:11:45.400 --> 0:11:49.800
<v Speaker 3>characteristics and that's not like a crazy. Medical miracle story

0:11:49.840 --> 0:11:51.600
<v Speaker 3>those guys are out there and there's a few reasons

0:11:51.600 --> 0:11:55.719
<v Speaker 3>for why we have. That delayed puberty so that was.

0:11:55.800 --> 0:11:57.800
<v Speaker 3>Kind of cool and so that is why if you

0:11:57.840 --> 0:12:00.560
<v Speaker 3>truly have. A micro penis you really need, to, get

0:12:00.679 --> 0:12:02.520
<v Speaker 3>help right because there are things. We can do it's

0:12:02.600 --> 0:12:05.400
<v Speaker 3>very rare that we can't find something to stimulate some

0:12:05.480 --> 0:12:08.920
<v Speaker 3>kind of pubertial growth or. Pen out growth and the,

0:12:08.920 --> 0:12:10.640
<v Speaker 3>younger you are the more. Successful it is.

0:12:11.000 --> 0:12:12.880
<v Speaker 1>That's incredibly fascinating i've never heard a.

0:12:12.880 --> 0:12:13.120
<v Speaker 2>Case.

0:12:13.200 --> 0:12:16.560
<v Speaker 3>Like, that wow yeah That's something, called calman syndrome which

0:12:16.559 --> 0:12:20.120
<v Speaker 3>we talk about all the time, in pediatric endochronology and

0:12:20.160 --> 0:12:23.520
<v Speaker 3>it's just basically where your pituitary gland doesn't really develop

0:12:24.080 --> 0:12:27.760
<v Speaker 3>the hormones or the anatomy to actually start all. Signaling

0:12:27.760 --> 0:12:29.760
<v Speaker 3>the testicles all we have to do is put that

0:12:29.800 --> 0:12:34.839
<v Speaker 3>guy in replacement hormones to start stimulating testicular and. Pen

0:12:34.880 --> 0:12:37.280
<v Speaker 3>out growth so that's kind. Of a win but again.

0:12:37.320 --> 0:12:39.520
<v Speaker 3>That's micro penis so those are the guys that truly

0:12:39.600 --> 0:12:45.040
<v Speaker 3>have very. Very, small penises now how important do you

0:12:45.080 --> 0:12:46.040
<v Speaker 3>think penis size is?

0:12:46.120 --> 0:12:48.680
<v Speaker 2>The, SEXUAL function well i was just going.

0:12:48.600 --> 0:12:50.720
<v Speaker 1>To ask you that at what point is it more

0:12:50.800 --> 0:12:54.200
<v Speaker 1>for the guy's self esteem rather than any kind of

0:12:54.240 --> 0:12:56.680
<v Speaker 1>sexual function or pleasure for the person in.

0:12:56.720 --> 0:12:59.120
<v Speaker 3>The receiving end the, answer is, yes OF course because i.

0:12:59.160 --> 0:13:02.280
<v Speaker 3>Set you up, but the yeah but really both in

0:13:02.679 --> 0:13:06.120
<v Speaker 3>same sex as well. As heterosexual, relationships you know we can,

0:13:06.160 --> 0:13:09.280
<v Speaker 3>do so much and we'll start on the heterosexual, side of,

0:13:09.320 --> 0:13:13.119
<v Speaker 3>things but really the majority of women do not climax.

0:13:13.160 --> 0:13:14.760
<v Speaker 2>Through penetrative intercourse usually it's.

0:13:14.760 --> 0:13:17.160
<v Speaker 3>Through clteral stimulations so only about twenty percent of women

0:13:17.559 --> 0:13:22.520
<v Speaker 3>actually have vaginal derived. Or penetrative orgasms and, so you

0:13:22.600 --> 0:13:25.160
<v Speaker 3>know it's really not not what you do, with your

0:13:25.160 --> 0:13:26.840
<v Speaker 3>penis but it's what you do. With everything else and

0:13:26.840 --> 0:13:30.800
<v Speaker 3>it's kind of the entire inclusive aspect.

0:13:30.360 --> 0:13:31.160
<v Speaker 2>Of what a.

0:13:31.200 --> 0:13:35.439
<v Speaker 3>Sexual experience is and even in same sex couples there

0:13:35.520 --> 0:13:37.559
<v Speaker 3>is a little bit, of that too where depending on

0:13:37.920 --> 0:13:41.240
<v Speaker 3>how men engage with sex with other men will depend

0:13:41.320 --> 0:13:44.920
<v Speaker 3>on whether penis size. Is that important and the truth

0:13:45.040 --> 0:13:46.800
<v Speaker 3>is is that most, of the time even, in those,

0:13:46.840 --> 0:13:49.920
<v Speaker 3>relationships you know they figure out. Ways around, it and

0:13:49.960 --> 0:13:53.760
<v Speaker 3>again it's so rare that that guys truly have incredibly

0:13:53.800 --> 0:13:56.760
<v Speaker 3>small penises that it makes a. Lick, of DIFFERENCE anyway

0:13:58.280 --> 0:14:00.920
<v Speaker 3>maybe i shouldn't say, Look a, difference so anyway we'll

0:14:00.960 --> 0:14:05.520
<v Speaker 3>just let. That one drop so the answer is, that

0:14:05.760 --> 0:14:06.200
<v Speaker 3>it's okay.

0:14:06.240 --> 0:14:09.760
<v Speaker 2>You can laugh. It's, on radio, there you go.

0:14:09.800 --> 0:14:13.240
<v Speaker 3>Don't, mute yourself no, BUT seriously, THOUGH i mean i

0:14:13.280 --> 0:14:15.920
<v Speaker 3>think that we do have to kind of get rid.

0:14:15.920 --> 0:14:18.480
<v Speaker 3>Of this thought and again going back to our Previous,

0:14:18.480 --> 0:14:20.600
<v Speaker 3>guest and gideon, AND they thought i mean, this, is

0:14:20.720 --> 0:14:24.520
<v Speaker 3>real right that this. Is penal dysmorphism just, like YOU

0:14:24.560 --> 0:14:26.200
<v Speaker 3>know if i only did a few, more bench presses

0:14:26.240 --> 0:14:27.880
<v Speaker 3>my chest, Would BE bigger if i only did a,

0:14:27.880 --> 0:14:29.400
<v Speaker 3>few more curls my biceps.

0:14:29.400 --> 0:14:31.600
<v Speaker 2>Would get BIGGER what can i do to?

0:14:31.800 --> 0:14:36.200
<v Speaker 3>Enhance PENAL size and i think that's that's really going

0:14:36.280 --> 0:14:39.800
<v Speaker 3>to be what is we think and to change how

0:14:39.840 --> 0:14:42.400
<v Speaker 3>we engage with the medical community as well as these

0:14:42.440 --> 0:14:46.000
<v Speaker 3>sort of quasi or, ersatz medical community because there have

0:14:46.040 --> 0:14:50.040
<v Speaker 3>been pills out for generations that that purport to, improve

0:14:50.080 --> 0:14:51.160
<v Speaker 3>penole size and there.

0:14:51.200 --> 0:14:54.960
<v Speaker 2>Have been techniques have you everard? Something called jolking does

0:14:54.960 --> 0:14:56.160
<v Speaker 2>that sound familiar in any? Of your?

0:14:56.160 --> 0:15:03.320
<v Speaker 3>Feeds, sounds dangerous yeah as a joking j. E lqi

0:15:03.720 --> 0:15:05.000
<v Speaker 3>ng it's probably. A scrabble word.

0:15:05.000 --> 0:15:05.600
<v Speaker 2>I don't know you have to.

0:15:05.600 --> 0:15:06.800
<v Speaker 3>Look it up it'd be. A good one, IF it

0:15:06.840 --> 0:15:10.360
<v Speaker 3>isn't i don't. Have a u It is a arabic term.

0:15:10.680 --> 0:15:13.320
<v Speaker 3>And it does it dates back probably five, hundred plus

0:15:13.440 --> 0:15:16.600
<v Speaker 3>years and it's essentially a systematic way that guys can

0:15:16.680 --> 0:15:19.720
<v Speaker 3>manually stretch their penis with quite a, bit of force

0:15:19.760 --> 0:15:22.240
<v Speaker 3>and it's something they do almost like physical therapy, for

0:15:22.280 --> 0:15:24.720
<v Speaker 3>the penis where they start. At the base there's a lot,

0:15:24.720 --> 0:15:26.400
<v Speaker 3>of different Ways and actual i'm not going to teach

0:15:26.400 --> 0:15:27.640
<v Speaker 3>people how, to do it because THE last thing i

0:15:27.680 --> 0:15:30.080
<v Speaker 3>want you to take, from this Podcast kind and fairy

0:15:30.120 --> 0:15:32.080
<v Speaker 3>listener Is to say mills taught me. How TO jolke

0:15:32.160 --> 0:15:34.040
<v Speaker 3>because i am not going to teach you. HOW to

0:15:34.120 --> 0:15:35.560
<v Speaker 3>joke i don't even want you to look it up

0:15:35.720 --> 0:15:40.040
<v Speaker 3>other than to know, that it's interesting an interesting practice

0:15:40.080 --> 0:15:45.000
<v Speaker 3>in certain communities that has widespread availability with the advent,

0:15:45.040 --> 0:15:47.480
<v Speaker 3>of the internet and it actually can be. KIND of,

0:15:47.520 --> 0:15:50.240
<v Speaker 3>dangerous i mean there are guys that try to increase

0:15:50.280 --> 0:15:53.480
<v Speaker 3>their penis eyes, just by stretching and just, like you know,

0:15:53.560 --> 0:15:57.880
<v Speaker 3>there are. ATHLETES professional athletes i remember meeting a couple

0:15:57.920 --> 0:16:02.880
<v Speaker 3>of professional wide receivers, in my career, and those guys even,

0:16:02.920 --> 0:16:06.520
<v Speaker 3>when they're teenagers will start pulling on their fingers like really,

0:16:06.560 --> 0:16:09.160
<v Speaker 3>hard every day thinking they're going to kind of stretch

0:16:09.160 --> 0:16:11.800
<v Speaker 3>the growth plates and grow bigger fingers so they can catch.

0:16:11.800 --> 0:16:13.120
<v Speaker 2>The FOOTBALL better and.

0:16:13.160 --> 0:16:14.800
<v Speaker 3>I don't know i Mean the guys i've met In the,

0:16:14.840 --> 0:16:17.120
<v Speaker 3>hands I've shook and i've got, pretty big hands those

0:16:17.160 --> 0:16:21.080
<v Speaker 3>guys can envelop my entire. Hand with theirs and so

0:16:21.160 --> 0:16:24.760
<v Speaker 3>maybe there's something to this idea of longitudinal traction can

0:16:24.840 --> 0:16:26.640
<v Speaker 3>improve the growth of certain.

0:16:26.760 --> 0:16:28.920
<v Speaker 2>Organs and fingers.

0:16:28.960 --> 0:16:32.440
<v Speaker 3>And so there are all these devices that are either

0:16:32.520 --> 0:16:36.440
<v Speaker 3>vacuum erection devices traction devices that can maybe stretch. That

0:16:36.520 --> 0:16:42.320
<v Speaker 3>flaccid length the real problem with joking or penile traction

0:16:42.520 --> 0:16:44.800
<v Speaker 3>not only can they be dangerous of. Not used, APPROPRIATELY

0:16:45.520 --> 0:16:46.840
<v Speaker 3>in fact i just had a guy the other day

0:16:46.840 --> 0:16:47.800
<v Speaker 3>in the emergence.

0:16:47.440 --> 0:16:49.440
<v Speaker 2>Room who joked himself into.

0:16:49.480 --> 0:16:51.920
<v Speaker 3>A penile fracture and remember all the five p's, of

0:16:51.920 --> 0:16:55.080
<v Speaker 3>the pinocalypse that was, one of them a penile fracture

0:16:55.160 --> 0:16:58.880
<v Speaker 3>where he actually tore the membrane that keeps his erections

0:16:59.840 --> 0:17:04.159
<v Speaker 3>intact and needed surgery in order to fix that injury

0:17:04.160 --> 0:17:07.280
<v Speaker 3>that he caused himself through aggressive stretching. Of his Penis

0:17:07.640 --> 0:17:10.960
<v Speaker 3>pen attraction i've just been, around FOR decades actually i

0:17:10.960 --> 0:17:13.159
<v Speaker 3>should say. A thousand, years i mean there are weights

0:17:13.200 --> 0:17:16.159
<v Speaker 3>that people would hang on their penis way back in

0:17:16.200 --> 0:17:19.159
<v Speaker 3>the day to help improve the. For the length, in

0:17:19.200 --> 0:17:22.920
<v Speaker 3>those cultures that thought that penile length and was as associated,

0:17:22.920 --> 0:17:25.200
<v Speaker 3>with THE virbility which, i already, said you know was kind,

0:17:25.200 --> 0:17:29.240
<v Speaker 3>of culturally dependent and so attraction is just a more modern.

0:17:29.359 --> 0:17:32.840
<v Speaker 3>Version of that and we use traction to treat a

0:17:32.920 --> 0:17:36.119
<v Speaker 3>Medical condition, called perrone's disease which is that curvature of

0:17:36.160 --> 0:17:38.560
<v Speaker 3>the penis to help kind of. Splint it straight and

0:17:38.600 --> 0:17:41.120
<v Speaker 3>if you do it in a medically indicated way for

0:17:41.400 --> 0:17:44.120
<v Speaker 3>a finite, amount of time usually no more, than thirty

0:17:44.160 --> 0:17:46.720
<v Speaker 3>minutes then it can be a safe adjunct to some

0:17:46.800 --> 0:17:49.920
<v Speaker 3>of the things we do to help. Improve penal curvature

0:17:50.320 --> 0:17:52.320
<v Speaker 3>but if you go rogue with it and leave that traction,

0:17:52.400 --> 0:17:55.639
<v Speaker 3>device on, overnight for example it can, cause nerve, injuries

0:17:55.640 --> 0:17:56.880
<v Speaker 3>stretch injuries and so again.

0:17:56.960 --> 0:17:59.160
<v Speaker 2>Not really recommended it also never really.

0:17:58.920 --> 0:18:02.919
<v Speaker 3>Been studied on label or studied with a good a

0:18:02.960 --> 0:18:05.400
<v Speaker 3>good randomized trial that it does do anything to really.

0:18:05.440 --> 0:18:08.240
<v Speaker 3>Improve penut length and THE other problem i have with

0:18:08.359 --> 0:18:11.199
<v Speaker 3>is it just kind of a simple geometric problem is

0:18:11.200 --> 0:18:14.760
<v Speaker 3>that you have a flaccid cylinder that if you increase

0:18:14.880 --> 0:18:16.960
<v Speaker 3>the length, of the cylinder then you're going to not,

0:18:17.160 --> 0:18:20.080
<v Speaker 3>Change the volume you're going to. Decrease the circumference and

0:18:20.119 --> 0:18:22.400
<v Speaker 3>so certainly we see that with traction devices that you're

0:18:22.440 --> 0:18:24.320
<v Speaker 3>not if you're going to get, a longer penis then

0:18:24.320 --> 0:18:26.080
<v Speaker 3>you're going to get a. Less girthy penis and if

0:18:26.080 --> 0:18:30.399
<v Speaker 3>you ask most, recipients of, penises if anything it's the

0:18:30.440 --> 0:18:32.960
<v Speaker 3>girth that makes more of a difference in terms of

0:18:33.000 --> 0:18:35.760
<v Speaker 3>filling the orifice that one is penetrated in the length

0:18:35.760 --> 0:18:38.760
<v Speaker 3>and especially in penis. And vagina, intercourse you know the

0:18:38.760 --> 0:18:41.960
<v Speaker 3>average vaginal canal is between three and five, inches at

0:18:41.960 --> 0:18:44.719
<v Speaker 3>most and so if you're trying to stuff eight inches

0:18:44.760 --> 0:18:47.480
<v Speaker 3>of stretch penis into a, four inch canal there's a

0:18:47.520 --> 0:18:50.119
<v Speaker 3>lot that's going to be left on the table or

0:18:50.119 --> 0:18:52.359
<v Speaker 3>at least. In the SHEETS and so i think, from that,

0:18:52.440 --> 0:18:55.920
<v Speaker 3>perspective you know girth might be a bigger deal which

0:18:56.160 --> 0:18:58.879
<v Speaker 3>is going to go us right. Into okay miles so

0:18:58.920 --> 0:19:01.160
<v Speaker 3>you're saying that there's no good way to link them

0:19:01.160 --> 0:19:04.600
<v Speaker 3>a penis, short of surgery and even surgery will get

0:19:04.600 --> 0:19:07.879
<v Speaker 3>into the. Problem with, that but again what we're talking

0:19:07.920 --> 0:19:10.320
<v Speaker 3>about is not how do you increase. The erect penis

0:19:10.640 --> 0:19:13.560
<v Speaker 3>there is actually no way to increase. Erect penile size

0:19:13.720 --> 0:19:16.479
<v Speaker 3>there's only a way to increase flacid penl size OR

0:19:16.520 --> 0:19:19.119
<v Speaker 3>give what i call a, locker room penis meaning that

0:19:19.160 --> 0:19:21.200
<v Speaker 3>you can look pretty good walking around, the locker room

0:19:21.200 --> 0:19:23.399
<v Speaker 3>if that's what you're, trying to impress but really not,

0:19:23.680 --> 0:19:27.720
<v Speaker 3>a sexual partner because, nothing we do either penile fillers which,

0:19:27.720 --> 0:19:31.600
<v Speaker 3>we'll talk about or even implants that can, expand the

0:19:31.640 --> 0:19:35.680
<v Speaker 3>girth really do anything to. Increase penl length so let

0:19:35.680 --> 0:19:38.239
<v Speaker 3>that sit. For a second so there's nothing you can

0:19:38.280 --> 0:19:41.920
<v Speaker 3>do to increase. Erect penile length that's. A fixed structure

0:19:42.280 --> 0:19:44.840
<v Speaker 3>and why? Is that so anatomically the penis is made

0:19:44.880 --> 0:19:49.840
<v Speaker 3>up of really three structures, too symmetric structures and that's called.

0:19:49.840 --> 0:19:52.119
<v Speaker 3>The corporate cavernoso those, the erectile bodies and then the

0:19:52.160 --> 0:19:55.199
<v Speaker 3>third structure is called, the corpus spongiosum and that's what

0:19:55.240 --> 0:19:58.040
<v Speaker 3>the urethrae or our p. Tube goes through and so

0:19:58.119 --> 0:20:00.960
<v Speaker 3>most of the surgery is most of, the the fillers

0:20:00.960 --> 0:20:03.800
<v Speaker 3>most of the. Things we do you can only really

0:20:03.880 --> 0:20:08.400
<v Speaker 3>adjust the length of the corporate cavernosa or the appearance

0:20:08.400 --> 0:20:11.480
<v Speaker 3>of length and girth of. The corporate cavernosa but that urethral.

0:20:11.600 --> 0:20:13.520
<v Speaker 3>LENGTH is, fixed i mean we haven't figured out a

0:20:13.520 --> 0:20:17.399
<v Speaker 3>way to expand the errethral size so you're always going

0:20:17.480 --> 0:20:19.439
<v Speaker 3>to be. Limited BY that and i think THAT'S the

0:20:19.560 --> 0:20:22.280
<v Speaker 3>key takeo message is that, whatever you're doing if you're

0:20:22.320 --> 0:20:25.879
<v Speaker 3>unsatisfied with the size of your penis that whatever you,

0:20:26.000 --> 0:20:28.600
<v Speaker 3>do to it EITHER if, it's fda approved which there

0:20:28.600 --> 0:20:31.000
<v Speaker 3>are some things out, there that are and it's done

0:20:31.000 --> 0:20:35.800
<v Speaker 3>by A board, certified eurologic surgeon you're still going to.

0:20:35.920 --> 0:20:37.720
<v Speaker 2>Just increase girth so.

0:20:37.920 --> 0:20:41.240
<v Speaker 1>Those pitches about, pumps and creams that's. ALL snake, oil i.

0:20:41.160 --> 0:20:43.280
<v Speaker 3>Mean pumps will increase the penis while is in a

0:20:43.320 --> 0:20:44.240
<v Speaker 3>pump because you're drawing.

0:20:44.240 --> 0:20:46.199
<v Speaker 2>Blood into it so you're taking a flaccid penis and.

0:20:46.200 --> 0:20:49.760
<v Speaker 3>Making it engorged, and so right any permanent length gained

0:20:49.760 --> 0:20:53.920
<v Speaker 3>from that is in fact full of hot air. Or, hot,

0:20:53.960 --> 0:20:57.359
<v Speaker 3>Blood yeah exactly so myth not.

0:20:57.440 --> 0:21:43.480
<v Speaker 4>Going, To work.

0:21:26.119 --> 0:21:27.920
<v Speaker 3>Okay so let's talk about some of the things. We,

0:21:27.960 --> 0:21:31.320
<v Speaker 3>talked about joking what? About the fillers what do you know?

0:21:31.359 --> 0:21:32.960
<v Speaker 3>About penal fillers is that A Thing?

0:21:33.000 --> 0:21:35.840
<v Speaker 2>IN new york i have not heard of this actually

0:21:35.920 --> 0:21:37.359
<v Speaker 2>outside of. Discussions.

0:21:37.359 --> 0:21:40.600
<v Speaker 3>With, YOU yeah, yeah i mean so there are ways

0:21:40.640 --> 0:21:44.040
<v Speaker 3>that we can improve the girth, of the penis and

0:21:44.400 --> 0:21:47.879
<v Speaker 3>it's the same material that we inject into our faces

0:21:48.440 --> 0:21:52.760
<v Speaker 3>to improve the fat distribution. As we age so what

0:21:52.800 --> 0:21:54.440
<v Speaker 3>we put, in our cheeks what we put. In our

0:21:54.480 --> 0:21:59.399
<v Speaker 3>lips it's some kind of hyaluronic acid or collagen based

0:22:00.560 --> 0:22:03.720
<v Speaker 3>injection that can. Increase the girth and there's a few different,

0:22:04.000 --> 0:22:06.960
<v Speaker 3>Brands out there and The only thing i'll say about

0:22:06.960 --> 0:22:09.960
<v Speaker 3>that is that it does increase the girth of your. Penis,

0:22:10.000 --> 0:22:12.159
<v Speaker 3>pretty dramatically mean you can see before, and after pictures

0:22:12.160 --> 0:22:14.040
<v Speaker 3>and if a guy's worried about how skinny, this penis

0:22:14.080 --> 0:22:16.960
<v Speaker 3>is then you can get hop. Full of filler and

0:22:17.040 --> 0:22:20.760
<v Speaker 3>if you're doing it with A board certified eurologic surgeon

0:22:21.119 --> 0:22:24.760
<v Speaker 3>that really understands the anatomy and understands, the SURGICAL complications

0:22:25.320 --> 0:22:27.840
<v Speaker 3>then i got. Nothing against, IT you know i know colleagues,

0:22:27.840 --> 0:22:31.320
<v Speaker 3>that do it and for, the right candidate they seem

0:22:31.359 --> 0:22:33.840
<v Speaker 3>to have a. Very good practice so you're not gonna

0:22:33.840 --> 0:22:36.120
<v Speaker 3>hear me, crap on that because. Actually it works fillers.

0:22:36.160 --> 0:22:38.840
<v Speaker 3>Work very, expensive you know it's thousands and thousands of

0:22:38.920 --> 0:22:41.560
<v Speaker 3>dollars in, like any filler whether it's, in the, face

0:22:41.600 --> 0:22:44.600
<v Speaker 3>the lips, or the butt it does, dissolve over time

0:22:44.840 --> 0:22:48.040
<v Speaker 3>and so the dissolution rate depends on what kind they

0:22:48.119 --> 0:22:51.000
<v Speaker 3>use as well as. How it's applied but you know

0:22:51.040 --> 0:22:53.639
<v Speaker 3>you're in for it if you're, trying to, say for

0:22:53.720 --> 0:22:56.800
<v Speaker 3>example keep up appearances and you're single and you meet

0:22:56.840 --> 0:22:59.040
<v Speaker 3>the love of your life and your chruck, full of

0:22:59.080 --> 0:23:01.280
<v Speaker 3>filler and you don't want to tell that person that your.

0:23:01.359 --> 0:23:03.600
<v Speaker 3>Truck full offiller they're gonna have to keep up with

0:23:03.640 --> 0:23:06.480
<v Speaker 3>that for the rest. Of your life and so just something,

0:23:06.560 --> 0:23:08.320
<v Speaker 3>to think about on the order of thousands of dollars

0:23:08.400 --> 0:23:11.199
<v Speaker 3>annually to. Keep it going, but it, works you know

0:23:11.240 --> 0:23:14.800
<v Speaker 3>it's truly you can get a much. Fuller girthier penis

0:23:15.240 --> 0:23:17.440
<v Speaker 3>so on the scale OF things that i would say

0:23:17.920 --> 0:23:20.960
<v Speaker 3>are not myth, and that work penile filler. Is up

0:23:21.000 --> 0:23:23.560
<v Speaker 3>there it's become almost. Standard of care certainly at our

0:23:23.640 --> 0:23:26.840
<v Speaker 3>national meetings there have been pretty good level when abstracts

0:23:26.840 --> 0:23:29.680
<v Speaker 3>put out. That it works SO that's, all i SAY

0:23:29.720 --> 0:23:31.959
<v Speaker 3>and as i don't, in my practice, don't do IT

0:23:32.400 --> 0:23:34.879
<v Speaker 3>but again i don't discourage people from going. Somewhere THAT

0:23:35.000 --> 0:23:37.679
<v Speaker 3>does and i think that that may give somebody at

0:23:37.760 --> 0:23:39.560
<v Speaker 3>least a little bit more of that self confidence they

0:23:39.600 --> 0:23:41.840
<v Speaker 3>can kind, of you know pack their speedo a. Little

0:23:41.880 --> 0:23:43.800
<v Speaker 3>bit more but again it doesn't do anything to improve,

0:23:43.800 --> 0:23:48.080
<v Speaker 3>your rectile length, so you. Know buyer beware there's an

0:23:48.119 --> 0:23:50.359
<v Speaker 3>implant have you ever. Heard of there it used to.

0:23:50.440 --> 0:23:53.840
<v Speaker 3>Be called panuma now it's. Called the hymnplant but there

0:23:53.920 --> 0:23:58.000
<v Speaker 3>is also a surgical implant that can be placed through

0:23:58.000 --> 0:24:00.959
<v Speaker 3>a small incision at the base of the penis and

0:24:01.000 --> 0:24:06.800
<v Speaker 3>then inserted kind of on top of, the corporate cavernoso

0:24:06.840 --> 0:24:08.640
<v Speaker 3>so it doesn't go within, the erectile body so again

0:24:08.640 --> 0:24:10.840
<v Speaker 3>it doesn't do anything to, change the erection but it's

0:24:10.880 --> 0:24:15.080
<v Speaker 3>more of. A permanent filler and if you can imagine

0:24:15.119 --> 0:24:19.159
<v Speaker 3>an inverted, hard taco shell that's kind of what, it

0:24:19.160 --> 0:24:22.359
<v Speaker 3>looks like because what you're trying to do is encase

0:24:22.440 --> 0:24:29.639
<v Speaker 3>the penis in just a symmetric appearing cylindrical object that

0:24:30.400 --> 0:24:33.840
<v Speaker 3>actually then this is where you can increase the penile length.

0:24:34.160 --> 0:24:36.439
<v Speaker 3>With this implant and why is that because part of

0:24:36.440 --> 0:24:39.919
<v Speaker 3>this is that it's often combined with what's called the.

0:24:39.920 --> 0:24:44.320
<v Speaker 3>Suspensary ligament release and the penis has three ligaments that

0:24:44.480 --> 0:24:48.679
<v Speaker 3>control it's scaffolding to the body so that it becomes

0:24:48.720 --> 0:24:52.680
<v Speaker 3>a much more functional organ during erection. And penetrative intercourse

0:24:52.720 --> 0:24:55.400
<v Speaker 3>and there's two suspensary ligaments and then a weaker one

0:24:55.440 --> 0:24:58.040
<v Speaker 3>in the center called the fund, to form ligament and

0:24:58.520 --> 0:25:02.639
<v Speaker 3>it attaches, the penis too mostly the pubic bone and

0:25:02.720 --> 0:25:05.600
<v Speaker 3>some of the fascia above that what we call the.

0:25:05.600 --> 0:25:08.679
<v Speaker 3>Periostumi the pubis and if you want to put in

0:25:08.720 --> 0:25:11.400
<v Speaker 3>one of, these permanent implants you got to, cut those

0:25:11.440 --> 0:25:14.399
<v Speaker 3>ligaments which then drops down the penis and it pulls

0:25:14.400 --> 0:25:16.600
<v Speaker 3>it out. Of the pelvis and if we go back

0:25:17.440 --> 0:25:22.240
<v Speaker 3>to our, penile anatomy episodes we know that the penis

0:25:22.400 --> 0:25:25.479
<v Speaker 3>is maybe thirty to forty percent of it is actually,

0:25:25.640 --> 0:25:27.639
<v Speaker 3>a pelvic organ and it goes all the way. The

0:25:27.880 --> 0:25:31.000
<v Speaker 3>erectile bodies the penile architecture goes all the way back

0:25:31.040 --> 0:25:32.960
<v Speaker 3>to the bones THAT you and i are both sitting.

0:25:33.000 --> 0:25:35.720
<v Speaker 3>On right now and so whatever the distance, between your

0:25:35.760 --> 0:25:39.840
<v Speaker 3>pubis which is that front pubic bone and your issual

0:25:39.880 --> 0:25:43.480
<v Speaker 3>tuberosities was what, we're sitting on that is the. Internal

0:25:43.480 --> 0:25:45.639
<v Speaker 3>penile length and if you, cut those ligaments you're going

0:25:45.680 --> 0:25:47.560
<v Speaker 3>to pull out a little bit of that internal penou

0:25:47.680 --> 0:25:50.640
<v Speaker 3>length and make a really nice looking. Locker room, penis

0:25:50.840 --> 0:25:52.760
<v Speaker 3>but again it's a. Locker room penis and a Lot

0:25:52.760 --> 0:25:55.520
<v Speaker 3>of guys i've come to with complications other than the

0:25:55.520 --> 0:25:58.280
<v Speaker 3>things that you would really the dreaded complications, of nerve

0:25:58.320 --> 0:26:03.080
<v Speaker 3>injury loss, of, erectile function. Infection overwhelming infection i've, seen

0:26:03.119 --> 0:26:06.280
<v Speaker 3>them all but the majority OF guys that i don't

0:26:06.320 --> 0:26:08.600
<v Speaker 3>see probably have had reasonable outcomes and they got what,

0:26:08.640 --> 0:26:11.919
<v Speaker 3>they paid for which, is a, longer girthier penis but

0:26:12.000 --> 0:26:14.359
<v Speaker 3>again has no, bearing on function and a lot of

0:26:14.359 --> 0:26:16.640
<v Speaker 3>guys if they don't understand that going, into the surgery

0:26:17.040 --> 0:26:19.200
<v Speaker 3>are going to be disappointed, when in, fact if anything

0:26:19.720 --> 0:26:21.840
<v Speaker 3>they have a less functional penis because it's not as

0:26:21.880 --> 0:26:25.440
<v Speaker 3>stable as it was before they had. Those ligaments released

0:26:25.800 --> 0:26:28.320
<v Speaker 3>so you gotta figure out what's more important to you

0:26:28.400 --> 0:26:29.879
<v Speaker 3>to have a better functioning penis or a.

0:26:29.880 --> 0:26:32.520
<v Speaker 2>Better Looking penis and i'm not. Here to judge, as

0:26:32.560 --> 0:26:33.159
<v Speaker 2>you know this is a.

0:26:33.240 --> 0:26:37.280
<v Speaker 3>Judgment free zone there, are no rainy sad days, in

0:26:37.320 --> 0:26:39.919
<v Speaker 3>the mailroom but there are only days of providing a

0:26:39.920 --> 0:26:42.920
<v Speaker 3>little bit of intellectual background to what's out there.

0:26:42.920 --> 0:27:09.640
<v Speaker 2>In THE zeitgeist.

0:27:08.800 --> 0:27:11.000
<v Speaker 1>Now i have a, question FOR you and i know

0:27:11.040 --> 0:27:13.320
<v Speaker 1>we touched on this a long time ago in one

0:27:13.359 --> 0:27:16.760
<v Speaker 1>of our earliest episodes with The Sex therapist Doctor Natalie,

0:27:16.800 --> 0:27:19.160
<v Speaker 1>Find GOOD goldberg but i want to ask you about

0:27:19.160 --> 0:27:22.120
<v Speaker 1>the overlap between penis sized anxiety and a, rectile LESS

0:27:22.160 --> 0:27:23.600
<v Speaker 1>function because i imagine one.

0:27:23.680 --> 0:27:26.200
<v Speaker 3>Feeds, THE other yeah i mean IT all, DOES i

0:27:26.240 --> 0:27:28.600
<v Speaker 3>mean i think you, know an, AVERSION you, know i

0:27:28.600 --> 0:27:31.119
<v Speaker 3>mean there's the big problem is is if a man

0:27:31.119 --> 0:27:33.320
<v Speaker 3>who is subconscious about his penis size.

0:27:33.760 --> 0:27:35.040
<v Speaker 2>And often, it.

0:27:34.880 --> 0:27:37.520
<v Speaker 3>You know we talk about pornography and blaming that, because

0:27:37.640 --> 0:27:39.720
<v Speaker 3>you know if you see some guy with the giant

0:27:39.720 --> 0:27:41.800
<v Speaker 3>penis when you're, ten years old it imprints on you

0:27:41.840 --> 0:27:45.439
<v Speaker 3>probably in a pretty. Pretty dramatic, way and actually the

0:27:45.480 --> 0:27:48.840
<v Speaker 3>more concerning thing for me is is the is not,

0:27:48.880 --> 0:27:51.720
<v Speaker 3>only the concept but the reality. Of Penis shaming and

0:27:51.760 --> 0:27:53.679
<v Speaker 3>i've seen a number of guys that have been self conscious,

0:27:53.680 --> 0:27:55.720
<v Speaker 3>about their penis and again they come to me for

0:27:55.840 --> 0:27:59.000
<v Speaker 3>other Things because again i'm not a. Penal enhancement surgeon

0:27:59.040 --> 0:28:02.000
<v Speaker 3>I'm a functional, IN other words i do all kinds

0:28:02.000 --> 0:28:04.480
<v Speaker 3>of surgeries to help improve the functional, outcomes of penis

0:28:04.520 --> 0:28:08.160
<v Speaker 3>from curvature, to penal implants all kinds of stuff that

0:28:08.280 --> 0:28:11.560
<v Speaker 3>can make a. Guy work better but these guys have,

0:28:11.600 --> 0:28:13.919
<v Speaker 3>been penis shamed and they've had partners either, male or

0:28:13.920 --> 0:28:18.640
<v Speaker 3>female that have compared them, to former, lovers and boy

0:28:18.720 --> 0:28:22.240
<v Speaker 3>that doesn't take much to deflate your ego if the

0:28:22.280 --> 0:28:27.040
<v Speaker 3>person you're with is very fixated, on penal size and

0:28:26.680 --> 0:28:30.760
<v Speaker 3>that can be really damaging to our. Egos as guys, if, we,

0:28:30.800 --> 0:28:33.080
<v Speaker 3>think oh well now she's with me or, he's with

0:28:33.200 --> 0:28:36.840
<v Speaker 3>me and before they had some Giant and now i'm

0:28:36.840 --> 0:28:40.320
<v Speaker 3>me who's perfectly well within standard deviations like the majority.

0:28:40.360 --> 0:28:43.280
<v Speaker 3>Of men, are then yeah that can mess. With your

0:28:43.320 --> 0:28:45.440
<v Speaker 3>brain and then that also can have a serious effect

0:28:45.600 --> 0:28:48.840
<v Speaker 3>on a rectile function because if you have any, degree

0:28:48.840 --> 0:28:51.520
<v Speaker 3>of anxiety as we've talked about in a, few different

0:28:52.040 --> 0:28:55.680
<v Speaker 3>episodes anxiety and shame can drive guys to not be

0:28:55.720 --> 0:28:57.800
<v Speaker 3>able to have good blood float of the penis when.

0:28:57.800 --> 0:29:00.280
<v Speaker 3>They're sexually aroused and instead of, having a beautiful, well

0:29:00.640 --> 0:29:03.280
<v Speaker 3>parasympathetic event which is what, an erection is where your

0:29:03.720 --> 0:29:08.160
<v Speaker 3>sympathetic nervous system has, gone to sleep, parasympathetic blood flows,

0:29:08.360 --> 0:29:09.440
<v Speaker 3>blood vessels.

0:29:09.120 --> 0:29:10.000
<v Speaker 2>Dilate you get.

0:29:10.040 --> 0:29:13.200
<v Speaker 3>This great erection and if, you're, ANXIOUS that man i

0:29:13.200 --> 0:29:15.960
<v Speaker 3>remember the last time that, we had sex my, partner,

0:29:16.040 --> 0:29:18.760
<v Speaker 3>was like eh you know and all that that that.

0:29:19.280 --> 0:29:21.880
<v Speaker 3>Just wrecks us and THAT'S something that i think rather

0:29:21.920 --> 0:29:26.520
<v Speaker 3>than seeking out as your first as your first call seeking,

0:29:26.560 --> 0:29:29.200
<v Speaker 3>out penal enhancement you really Want to seek god, our

0:29:29.320 --> 0:29:32.560
<v Speaker 3>sexual therapist because they have fantastic ways of able to deal,

0:29:32.600 --> 0:29:37.120
<v Speaker 3>with that rejection. Which IS real and i cannot emphasize

0:29:37.160 --> 0:29:39.000
<v Speaker 3>That enough that i've had been in my, office in,

0:29:39.040 --> 0:29:41.479
<v Speaker 3>tears you know because of the size, of their penis

0:29:41.480 --> 0:29:44.800
<v Speaker 3>because it's it's been shamed and as We Know through

0:29:44.960 --> 0:29:47.520
<v Speaker 3>american men, again another plug read that book because if

0:29:47.560 --> 0:29:49.760
<v Speaker 3>you see the story arc of what somebody with, a

0:29:49.920 --> 0:29:53.400
<v Speaker 3>perfectly normal in fact somewhat larger penis went through to

0:29:53.480 --> 0:29:56.320
<v Speaker 3>the end where he's able to make light of the Old,

0:29:56.440 --> 0:29:59.120
<v Speaker 3>self of hey YOU know, what I am, who I

0:29:59.160 --> 0:30:01.800
<v Speaker 3>am and i got a Great penis and i'm ready.

0:30:01.840 --> 0:30:04.600
<v Speaker 3>To use it that's what a therapist can do before

0:30:04.600 --> 0:30:07.160
<v Speaker 3>you go under the knife or under the syringe and

0:30:07.200 --> 0:30:10.760
<v Speaker 3>get your penis all. Chalk full, fulfillers so yeah they're, Very. Tied,

0:30:10.800 --> 0:30:11.800
<v Speaker 3>together jordan.

0:30:12.640 --> 0:30:15.800
<v Speaker 1>Now, for this show we. Have two slogans one is let's, talk,

0:30:15.840 --> 0:30:17.880
<v Speaker 1>about it yeah and the other is that it's a

0:30:17.920 --> 0:30:19.200
<v Speaker 1>show for men and people who.

0:30:19.280 --> 0:30:20.200
<v Speaker 2>Love those men.

0:30:20.600 --> 0:30:22.000
<v Speaker 1>This question kind of brings those.

0:30:22.040 --> 0:30:23.440
<v Speaker 2>Two slogans together.

0:30:23.920 --> 0:30:26.840
<v Speaker 1>What's the most compassionate way a. Partner can respond if

0:30:26.880 --> 0:30:29.480
<v Speaker 1>a man opens up, About, this, sinsecurity.

0:30:29.200 --> 0:30:31.959
<v Speaker 3>Yeah boy that that is a question better. For A

0:30:32.000 --> 0:30:35.520
<v Speaker 3>therapist but i do think it's really the idea of.

0:30:35.600 --> 0:30:38.320
<v Speaker 3>Any sexual encounter if we're talking about the penis as,

0:30:38.360 --> 0:30:41.600
<v Speaker 3>a SEXUAL organ then i think it all comes. Back

0:30:41.640 --> 0:30:45.480
<v Speaker 3>to communication and even if, somebody says it says shares,

0:30:45.560 --> 0:30:48.120
<v Speaker 3>With their partner i'm insecure about the size. Of My

0:30:48.160 --> 0:30:51.000
<v Speaker 3>penis maybe i've been with somebody before. That shame me

0:30:51.880 --> 0:30:54.440
<v Speaker 3>then having that communication about what we're going to do

0:30:54.960 --> 0:30:57.120
<v Speaker 3>with my penis and the sexual organs of the person

0:30:57.160 --> 0:31:00.160
<v Speaker 3>that we're going to have in, a, relationship, with, meaning

0:31:00.200 --> 0:31:02.760
<v Speaker 3>hey look YOU know what i actually, maybe You know

0:31:02.760 --> 0:31:06.440
<v Speaker 3>if i'm having penis, and vagina sex that person may

0:31:06.480 --> 0:31:09.360
<v Speaker 3>have may be averse to, A large penis it may be.

0:31:09.360 --> 0:31:12.120
<v Speaker 3>Painful for them we haven't even talked about dis peruni or.

0:31:12.120 --> 0:31:15.160
<v Speaker 3>A painful intercourse we're in that saying, you, KNOW what

0:31:15.240 --> 0:31:20.080
<v Speaker 3>look i actually don't have orgasms through. Penal penetration, anyway

0:31:20.200 --> 0:31:22.320
<v Speaker 3>then boy that's a great way to. Have A communication

0:31:22.400 --> 0:31:24.760
<v Speaker 3>so i think it is a, way of saying you know,

0:31:24.840 --> 0:31:27.120
<v Speaker 3>what this is this is not even something we have

0:31:27.160 --> 0:31:28.760
<v Speaker 3>to work through this is just part of, who we

0:31:28.800 --> 0:31:30.600
<v Speaker 3>are and we're going to have great sex and we're

0:31:30.600 --> 0:31:32.520
<v Speaker 3>going to get on. With OUR lives and i think

0:31:32.520 --> 0:31:35.240
<v Speaker 3>that would be the best outcome if, a person, though

0:31:35.560 --> 0:31:37.600
<v Speaker 3>you know and we have to respect everybody, on THIS

0:31:37.680 --> 0:31:39.480
<v Speaker 3>show and i think if, a, person says look is

0:31:39.520 --> 0:31:41.080
<v Speaker 3>this is really important to me to be with somebody

0:31:41.120 --> 0:31:43.600
<v Speaker 3>that has a large penis and, that's not, you then

0:31:43.680 --> 0:31:45.880
<v Speaker 3>yeah you got you gotta. Cut and run you know

0:31:45.920 --> 0:31:47.480
<v Speaker 3>that that's just not going, to work out and that

0:31:47.600 --> 0:31:50.680
<v Speaker 3>always is going to have. That SHAME factor but, i think, that,

0:31:50.880 --> 0:31:53.840
<v Speaker 3>you know again based on a lot of surveys and,

0:31:53.920 --> 0:31:57.400
<v Speaker 3>pretty good data not, just anecdotes online that doesn't.

0:31:57.440 --> 0:31:58.600
<v Speaker 2>Happen that often it.

0:31:58.680 --> 0:32:00.720
<v Speaker 3>Just really doesn't but if it does happened to that

0:32:00.800 --> 0:32:03.440
<v Speaker 3>person and they, can't overcome, THAT then yeah i think

0:32:03.480 --> 0:32:06.280
<v Speaker 3>it is time to find another relationship where it'll be more.

0:32:06.320 --> 0:32:08.400
<v Speaker 2>Welcome and, opening but.

0:32:08.400 --> 0:32:10.160
<v Speaker 3>YEAH you know i mean that brings us into the

0:32:10.160 --> 0:32:11.760
<v Speaker 3>other thing we always talk about is you're probably going,

0:32:11.840 --> 0:32:14.800
<v Speaker 3>To BE okay and i think the take home from

0:32:14.800 --> 0:32:18.720
<v Speaker 3>this whole episode is that the majority guys are probably

0:32:18.720 --> 0:32:20.720
<v Speaker 3>going to be okay and that they just need to

0:32:20.760 --> 0:32:25.960
<v Speaker 3>find partner or partners that are welcome and accommodating and

0:32:25.960 --> 0:32:29.160
<v Speaker 3>figuring out ways to have great intercourse and not be

0:32:29.240 --> 0:32:32.479
<v Speaker 3>so fixated. On, penal size now the other person that

0:32:32.640 --> 0:32:35.120
<v Speaker 3>still could be okay is somebody that has a micro

0:32:35.160 --> 0:32:38.160
<v Speaker 3>penis where there may be treatments and usually they're hormonal,

0:32:38.160 --> 0:32:41.480
<v Speaker 3>and not surgical that can develop a perfectly normal penis

0:32:41.920 --> 0:32:44.360
<v Speaker 3>that just may not have. Been explored YET and so

0:32:44.400 --> 0:32:46.000
<v Speaker 3>i think the bottom line for any of this is

0:32:46.520 --> 0:32:48.600
<v Speaker 3>there are providers out there. That can help there are

0:32:48.600 --> 0:32:51.040
<v Speaker 3>a sex therapists that can talk about the shame factor

0:32:51.080 --> 0:32:54.760
<v Speaker 3>of penile size and penal dysmorphism where they're not happy

0:32:54.760 --> 0:32:56.640
<v Speaker 3>with either the shape or the size. Of their penis

0:32:56.880 --> 0:33:00.200
<v Speaker 3>there are urologists that can help with penl enhancement that

0:33:00.240 --> 0:33:02.280
<v Speaker 3>in fact is the right. Thing for you then find

0:33:02.280 --> 0:33:05.080
<v Speaker 3>somebody that. Specializes IN that and i can't. Emphasize that

0:33:05.200 --> 0:33:06.960
<v Speaker 3>enough is there are a lot of med spas and

0:33:07.000 --> 0:33:09.280
<v Speaker 3>there's a lot of people out there that are doing

0:33:09.280 --> 0:33:11.600
<v Speaker 3>pen al filler that can really get. Guys In trouble

0:33:11.640 --> 0:33:14.360
<v Speaker 3>and i've seen absolute nightmares in my emergency room and

0:33:14.360 --> 0:33:17.000
<v Speaker 3>guys that, went other places, sometimes other countries sometimes, in

0:33:17.000 --> 0:33:20.920
<v Speaker 3>this country but never to a board certified fellowship train

0:33:21.000 --> 0:33:23.720
<v Speaker 3>neurologists THAT specializes. In pnl surgery i've yet to see

0:33:23.720 --> 0:33:25.680
<v Speaker 3>those complications, because you know we're going to take care

0:33:25.680 --> 0:33:28.000
<v Speaker 3>of our own complications and they're going, TO you know

0:33:28.000 --> 0:33:30.400
<v Speaker 3>i hope my colleagues out there are doing these surgeries.

0:33:30.400 --> 0:33:31.920
<v Speaker 2>And these procedures they're going to.

0:33:31.920 --> 0:33:34.240
<v Speaker 3>Be very upfront and give people a really good idea

0:33:34.240 --> 0:33:37.480
<v Speaker 3>of what penl fillers can. And can't do and so

0:33:38.400 --> 0:33:40.360
<v Speaker 3>the last, KIND of people i think are going to

0:33:40.440 --> 0:33:43.480
<v Speaker 3>be dealing with the endocrinology of this too and making

0:33:43.480 --> 0:33:46.000
<v Speaker 3>sure the hormones are optimized and that we can in

0:33:46.040 --> 0:33:50.959
<v Speaker 3>fact help men that may have a true pathologically small penis.

0:33:51.000 --> 0:33:53.080
<v Speaker 3>Or micro, penis so yeah there's help out there for.

0:33:53.120 --> 0:33:55.560
<v Speaker 3>All of this but the most important thing is you're going,

0:33:55.640 --> 0:33:57.880
<v Speaker 3>to be okay but don't. Suffer IN silence and i

0:33:57.880 --> 0:34:00.400
<v Speaker 3>think that's the call to action from this entire reason,

0:34:00.440 --> 0:34:02.560
<v Speaker 3>we did this just that it just resonated so, much

0:34:02.600 --> 0:34:04.320
<v Speaker 3>with ME even though i deal with this on a

0:34:04.400 --> 0:34:07.440
<v Speaker 3>daily basis. IN my clinic i think because it is

0:34:07.640 --> 0:34:11.040
<v Speaker 3>something that is often, not brought up that guys will.

0:34:11.040 --> 0:34:12.560
<v Speaker 3>Suffer in silence and there's a lot of guys out

0:34:12.560 --> 0:34:14.440
<v Speaker 3>there LISTENING now that i think need to have that

0:34:15.360 --> 0:34:18.719
<v Speaker 3>degree of assurance that, they're not alone that. They're probably,

0:34:18.719 --> 0:34:21.759
<v Speaker 3>okay in fact they're probably. Better than okay but, if

0:34:21.760 --> 0:34:23.160
<v Speaker 3>they're not then let's let's.

0:34:23.160 --> 0:34:23.359
<v Speaker 2>Talk.

0:34:23.360 --> 0:34:26.160
<v Speaker 1>ABOUT it absolutely i feel like one of the important

0:34:26.160 --> 0:34:29.680
<v Speaker 1>aspects of this episode. Is expectations setting like you said,

0:34:29.719 --> 0:34:33.360
<v Speaker 1>at the beginning we have these unrealistic, expectations from, media

0:34:33.440 --> 0:34:36.920
<v Speaker 1>SPECIFICALLY pornography and i think it's helpful for, men to

0:34:36.960 --> 0:34:39.960
<v Speaker 1>hear as you say so often, on the show, you're, probably.

0:34:40.000 --> 0:34:42.759
<v Speaker 3>Okay YEAH yeah and i will say also THAT the

0:34:42.840 --> 0:34:45.360
<v Speaker 3>concern i have is a, pen ale surgeon is that

0:34:45.400 --> 0:34:48.080
<v Speaker 3>there are men that do get. Rejected BY physicians and

0:34:48.120 --> 0:34:51.040
<v Speaker 3>i can think of dozens of guys over my career

0:34:51.200 --> 0:34:53.640
<v Speaker 3>who have come to, me, THAT said doc i swear

0:34:53.680 --> 0:34:57.040
<v Speaker 3>my penis, is getting smaller and, the docs like doesn't

0:34:57.040 --> 0:34:58.760
<v Speaker 3>happen once, you're you know once you go through beuty

0:34:58.760 --> 0:35:01.640
<v Speaker 3>and your adult your penis, doesn't get smaller so don't.

0:35:01.640 --> 0:35:04.680
<v Speaker 3>Worry about it and two things that can happen to

0:35:04.760 --> 0:35:08.000
<v Speaker 3>a penis, as we age. Well maybe three one is

0:35:08.160 --> 0:35:10.839
<v Speaker 3>we can get fatter and our exposed penole length can

0:35:10.840 --> 0:35:13.480
<v Speaker 3>go down and that's that's. Not just cosmetic but if

0:35:13.800 --> 0:35:16.280
<v Speaker 3>you develop a lot of what we call, pre pubic

0:35:16.360 --> 0:35:18.440
<v Speaker 3>fat where we distribute a lot of fat over, our

0:35:18.480 --> 0:35:21.040
<v Speaker 3>pubic bone then the penis can actually regress a little

0:35:21.040 --> 0:35:23.520
<v Speaker 3>bit and the exposed penole length. Can go down so

0:35:23.840 --> 0:35:26.680
<v Speaker 3>could be weight loss, in your future could be maybe

0:35:26.719 --> 0:35:29.759
<v Speaker 3>even sometimes there are guys that even if they lose,

0:35:29.800 --> 0:35:31.840
<v Speaker 3>all the weight they still carry a lot of fat

0:35:31.880 --> 0:35:34.240
<v Speaker 3>in front of. Their pubic bone and there are plastic

0:35:34.239 --> 0:35:37.239
<v Speaker 3>surgery procedures that are very effective at getting that, fat

0:35:37.280 --> 0:35:40.800
<v Speaker 3>pad down, even potentially liposuction and that will expose the

0:35:41.280 --> 0:35:41.759
<v Speaker 3>more of your.

0:35:41.760 --> 0:35:43.879
<v Speaker 2>Exposed penile length so let's.

0:35:43.880 --> 0:35:47.839
<v Speaker 3>Talk about that second is that if you don't use,

0:35:47.880 --> 0:35:52.240
<v Speaker 3>your penis frequently then it can develop atrophy. Smooth muscle

0:35:52.280 --> 0:35:54.440
<v Speaker 3>atrophy it's called use it. Or lose it it's a muscle.

0:35:54.480 --> 0:35:57.359
<v Speaker 3>Like anything else and if you're not frequently engaging in

0:35:57.440 --> 0:36:01.200
<v Speaker 3>some kind of a rectile, activity of these then you

0:36:01.239 --> 0:36:04.360
<v Speaker 3>can get a little bit of corporal fibrosis corporal regression

0:36:04.400 --> 0:36:05.920
<v Speaker 3>where the stretched penal.

0:36:06.040 --> 0:36:08.200
<v Speaker 2>Length goes down so penol.

0:36:08.239 --> 0:36:12.120
<v Speaker 3>Atrophy not cool, and last AGAIN something that i that

0:36:12.320 --> 0:36:13.880
<v Speaker 3>you know we're going to get into deep, in this

0:36:14.000 --> 0:36:15.600
<v Speaker 3>podcast because this is a big PART of. What i

0:36:15.600 --> 0:36:18.080
<v Speaker 3>do Is something, called perrone's disease where you develop scarring.

0:36:18.080 --> 0:36:20.600
<v Speaker 3>In the penis people Mostly think of perni's as a

0:36:20.640 --> 0:36:24.239
<v Speaker 3>plaque or scar formation that causes a curvature or a

0:36:24.360 --> 0:36:26.440
<v Speaker 3>change in the cylindrical shape, of the penis which is one.

0:36:26.520 --> 0:36:29.120
<v Speaker 3>Hundred Percent true but i've seen guys over the years

0:36:29.160 --> 0:36:33.200
<v Speaker 3>that have just penile length loss as A result of proni's.

0:36:33.200 --> 0:36:35.400
<v Speaker 3>And NO curvature but i can, feel a plaque and

0:36:35.480 --> 0:36:38.160
<v Speaker 3>usually it's guys that have two plaques that, they're actually

0:36:38.200 --> 0:36:41.960
<v Speaker 3>counteropposing one in what we call the septum and one,

0:36:42.000 --> 0:36:44.839
<v Speaker 3>on the dorsum or two basically plaques that that they're

0:36:44.840 --> 0:36:46.879
<v Speaker 3>not getting a curvature because one is going to pull

0:36:46.920 --> 0:36:48.799
<v Speaker 3>one way and one's pulling, the other way and they

0:36:48.800 --> 0:36:50.759
<v Speaker 3>provide this little push pull so that you don't. Get

0:36:50.760 --> 0:36:53.960
<v Speaker 3>a curve but both of those plaques are squishing in

0:36:54.000 --> 0:36:56.560
<v Speaker 3>the normal spongey elastic tissue of the penis. And causing,

0:36:56.560 --> 0:36:59.759
<v Speaker 3>shortening so yeah there's another form of pathology. In penal,

0:36:59.880 --> 0:37:02.360
<v Speaker 3>length so yeah and it goes back to you're probably,

0:37:02.360 --> 0:37:04.600
<v Speaker 3>gonna be okay but get evaluated and don't take no

0:37:04.640 --> 0:37:06.839
<v Speaker 3>for an answer if you are there, and, you say

0:37:06.840 --> 0:37:09.719
<v Speaker 3>look IT'S not ABOUT p. And l shaming nobody's ever

0:37:09.760 --> 0:37:12.000
<v Speaker 3>told me my, penis IS abnormal but i Have noticed that.

0:37:12.040 --> 0:37:14.960
<v Speaker 3>I've lost length tell me, What's, going on doc find

0:37:14.960 --> 0:37:18.680
<v Speaker 3>somebody that actually will, take that seriously, treat you seriously

0:37:19.040 --> 0:37:19.359
<v Speaker 3>and then.

0:37:19.800 --> 0:37:21.360
<v Speaker 2>Talk about it. Figure, it, OUT.

0:37:21.800 --> 0:37:23.680
<v Speaker 1>Well sir i think you delivered on the, mail room.

0:37:23.719 --> 0:37:26.000
<v Speaker 2>Today, MY friends. YEAH i know i, was gonna say

0:37:26.000 --> 0:37:27.560
<v Speaker 2>what do you do to what do you do to be?

0:37:27.640 --> 0:37:27.719
<v Speaker 3>You?

0:37:27.760 --> 0:37:29.319
<v Speaker 2>EVERY day, DOCTOR i said, i.

0:37:29.400 --> 0:37:32.560
<v Speaker 3>Do, THIS man no i think, this was, important you

0:37:32.600 --> 0:37:36.359
<v Speaker 3>know as we started it just it's, so out there

0:37:37.000 --> 0:37:38.839
<v Speaker 3>so much, is out there so many things, you can

0:37:38.840 --> 0:37:40.759
<v Speaker 3>buy so many things, you shouldn't buy so many things

0:37:40.800 --> 0:37:43.000
<v Speaker 3>you can DO that that i think we kind of

0:37:43.040 --> 0:37:45.400
<v Speaker 3>DID everything that i wanted to talk about to just

0:37:45.400 --> 0:37:47.600
<v Speaker 3>get get the message out there that you're gonna, be

0:37:47.640 --> 0:37:49.600
<v Speaker 3>okay man and, if you're not we're going.

0:37:49.640 --> 0:37:50.120
<v Speaker 2>To. Fix it.

0:37:50.320 --> 0:37:54.759
<v Speaker 3>Boom thanks everybody this has been a important and somewhat

0:37:55.360 --> 0:37:58.440
<v Speaker 3>entertaining and somewhat fun discussion on all.

0:37:58.480 --> 0:38:10.239
<v Speaker 2>Things penis size and we'll talk to. You next time let's.

0:38:10.280 --> 0:38:11.200
<v Speaker 1>Talk about it.

0:38:13.040 --> 0:38:18.439
<v Speaker 2>Let's talk About the maro let's.

0:38:18.480 --> 0:38:21.759
<v Speaker 1>Talk about it let's talk.

0:38:21.800 --> 0:38:30.520
<v Speaker 2>About the maro let's. Talk about it let's. Talk about It.

0:38:33.320 --> 0:38:36.000
<v Speaker 1>The Mail Room With doctor jesse mills was A. Production

0:38:36.120 --> 0:38:40.400
<v Speaker 1>of iHeartRadio it was Executive Produced. By jordan runtog, it,

0:38:40.520 --> 0:38:43.960
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<v Speaker 1>This program is intended for educational and. Informational purposes only

0:39:03.000 --> 0:39:06.880
<v Speaker 1>it is not a substitute for, professional, medical advice. Diagnosis

0:39:06.960 --> 0:39:10.680
<v Speaker 1>or treatment consult your healthcare provider for any medical or

0:39:10.719 --> 0:39:14.359
<v Speaker 1>other related. Questions or concerns the views and discussions aired

0:39:14.400 --> 0:39:16.920
<v Speaker 1>on this podcast are Those of doctor mills and do

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