Most men who are dissatisfied with the size of their penises fulfill the following conditions:

1 - Appropriate for its function;
2 - Partially hidden by excess fat, which is common in obese man;
3 - Tall man with a proportionally short penis;
4 - Partially covered by an abnormal placement of the scrotum;
5 - Part of the foreskin removed during circumcision.

The discovery that his penis is shorter than those of other men usually shakes a man's confidence and reduces his self-esteem. In most cases the dissatisfaction does not stem from a complaint by the partner, but from the man's own desire of having a larger penis, either for not knowing what sizes are considered normal or because of comparisons made with other penises or because of advantages attributed to a larger penis. Even some parents induce a psychological trauma in their sons during childhood by comparing their penises to those of other boys of the same age.

The penis usually reaches its definitive size at the age of 16 and 80% of erect penises are between 11 cm/4,32 in and 16 cm/6,29 in long, 14 cm/5,50 in being the common average among Americans. The circumference of an erect penis is between 6 cm/ 2,35 in and 15 cm/5,90 in. Racial differences are not well defined, but there is an apparent greater and lower average. In the flaccid state, the average size of an adult penis varies from 6 cm/2,35 in to 9 cm/3,53 in. Such evaluation can be subjective, as anxiety, cold, muscle tone and other factors may cause the penis to recede and shrivel, thus reducing its size.

One of man's greatest anxieties is the size of a flaccid penis, which demonstrates a social concern that goes from the volume of the genitalia inside the clothes to the use of restrooms and dressing rooms. Furthermore, men who worry about penis size report inhibition about the diameter and length of their erect penises.

The dissatisfaction with the appearance and size of male genitals may entail serious traumatic consequences which may impair sexual, psychological, social and professional development. A man having to live with a penis of a small size and/or some curvature degree in erection is the cause of great embarrassment and profound psychological distress. Psychological counseling with a competent expert is recommended in these cases in order to tackle the problem associated with his sexuality, so he can recover self-esteem and have the required energy to experience relationships in healthier and most pleasurable way.

Without proper treatment, greater irritability, low value and social isolation feeling may also appear and become aggravated through time. A lot of young men also mention that they had suicidal thoughts, as they thought this problem had no solution.

A man who decides to enlarge his penis is looking for something similar to a woman who chooses to increase or reduce her breasts: satisfaction with his self-image and increased self-esteem. Medical science finally recognizes men's concerns and works to enhance their sexual health.