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Penis	Enlargement	Bible
Penis	Enlargement	Bible	
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Copyright	©	PenisEnlargementBible.com.	All	rights	reserved.	
The eBook is supplied for information purposes only, even though the contributors of
this material are well conversed in the subject matter printed. The material content in
this ebook does not constitute professional advice.
This eBook is designed to provide accurate and authoritative information with regards
to the subject matter contained. It is sold on the understanding that the publisher and
its contributors are not engaged in rendering legal, accounting, or other professional
advice. If professional advice or other professional assistance is required, the services
of a competent professional should be sought. The readers are advised to consult
with any appropriately qualified professional before taking any decisions.
If you have or suspect an illness or have a health concern, always consult with your
physician or health care provider. We have used our best judgment in compiling this
information, however, the information presented may not have been evaluated by the
Food and Drug Administration. Any reference to a specific product is for your
information only and is not intended to diagnose, treat, cure, or prevent any disease.
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Table	of	Contents	
Introduction.......................................................................................................................... 4
Know Your Penis ................................................................................................................... 6
Measuring Your Penis............................................................................................................ 8
Penis Exercises: The Basics................................................................................................... 10
Penis Exercises: Stepping It Up A Gear (Advanced Exercises) ................................................ 16
Penis Exercises: The Schedule.............................................................................................. 20
Conclusion........................................................................................................................... 24
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Introduction	
First of all, congratulations on your choice to download this ebook.
This ebook may be free, but I can assure you it‟s priceless. Soon you will know exactly
how to enlarge your penis! So consider yourself lucky, my friend, because normally you
have to pay $49 just to read guides that are less good than this one. This is a real treat
indeed.
Now let‟s talk about penis. Your penis, to be exact.
I„d bet that your woman has not said in your presence that a bigger penis feels much
better during sex than a small penis. It‟s no surprise because she doesn't want to hurt
your feelings.
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You see, one of the top complaints from women about their sex life is their
partner's small penis size. So what can you do now to make sure your penis causes
compliments, not complaints?
Don‟t worry, I‟m here to help.
If you want to know how to enlarge your penis, then doing exercises is one of most
popular ways to increase the size of a man's penis. Nonetheless, there is some effort
required - and a catch!
By doing some penis enlargement exercises, you can train your penis to let more blood
into it which will give you a harder erection and assist in penis growth if you follow the
other necessary steps to cause big growth. (This is what the exercise "gurus" didn't
want you to know!)
But of course, exercises alone DON'T work.
In the same way that your body does, your penis needs nutrients and biochemicals to
repair itself and - more importantly for us - to grow. What's more, you can trick your
body into restarting puberty style penis enlargement (i.e. natural growth) with
biochemicals that were present in your body during puberty, but which left when it
ended! When they left your body, penis growth ground to a sudden halt.
A cool video all about biochemicals and their function in penis enlargement can be
found at www.PenisEnlargementBible.com.
However, right now you can read this amazing free penis exercise ebook and start
straight away to improve your sex life. What I can say is that this guide has been
changing the way a bucket-load of men think about treating their "size" problem.
Within a few minutes, you will learn how to become a much better lover with a bigger
penis.
Now enjoy this free report and please pass it on to your family and friends. Tell them
about PenisEnlargementBible.com. They need your help too. :)
Let's get started!
John Collins,
PenisEnlargementBible.com
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Know	Your	Penis	
I'm not going to waste this space (and your valuable time) by telling you all about your
penis. You know what a penis is already, right?! :)
But there is some important stuff that you need to know if you want to make your penis
bigger...
As you know, the penis is not a muscle. It's also not a bone. Instead, it's made up of
delicate spongy tissue which grew because biochemicals in your body made it bigger as
you went through puberty.
The most important thing you've gotta remember is that the penis isn't a muscle that can
be exercised in the conventional way.
BUT...
You can use exercises to accelerate penis growth. And this free guide is all about those
exercises which are most effective at accelerating the growth of your penis.
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Unlike muscle, your penis consists of three cylinders or tubes of tissue. These are
arranged with two cylinders on top (as you look down on the penis) and one on the
bottom. They are each roughly the size and shape of a pencil. Running through the
bottom cylinder is the urethra, the tube through which urine and sperm pass.
These cylinders of tissue are firmly held together by a wrap of tissue called Buck„s
fascia. If you want to make your penis bigger then you have to enlarge these 3 cylinders
and the Buck's fascia.
Here's a diagram of the male sexual organs:
Our objective is to make the shaft of your penis bigger in length and girth from the base
all the way to the tip. When we do that you get a bigger penis.
Penis exercises, unlike muscle exercises, are focused on trapping blood in the penis for
longer than is natural. When I implemented my method of penis growth, this accelerated
results and took me from a lowly 5” to a big 8”.
This guide is focused on getting you gains that are between 2 and 4 inches personally.
Before we look at the exercises themselves let's talk about measuring your penis...
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Measuring	Your	Penis	
The truth is, the majority of men have no idea how to measure penis length accurately.
To accurately measure your penis is vital if you want to record the increases in size.
Here are the steps to measure your penis size accurately so you can give yourself an
honest measurement about how you jack up to the male average of six inches…
FIRST.... find a measuring device. A cloth measuring tape works best. IF you can't find
one - then a piece of string will do. After measuring yourself with a piece of string you
can place that string along a wooden ruler or some other measuring device! (I hope that
makes sense)
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IF your penis 'curves' or 'bends' [and many penises do!!] be sure to measure along the
curve or bend. Don't measure STRAIGHT from your pubic bone to the tip of your penis -
in other words!
Now the fun part...
GET ERECT!
Take your measuring device and measure your penis from your pubic bone (the 'pubic
bone' is the bone you feel when you press in the area that is covered by your pubic
hairs).
Don't press TOO hard - but hard enough to be firmly against that bone. Now hold your
penis - if you have to! - and place the measuring device (whatever it is that your using)
along the top of your penis. (That„s the part of your penis that YOU see!)
You are measuring from the pubic bone along the TOP of the penis to the tip of your
penis. THAT measurement [whether in inches, centimeters or millimeters] is your
OFFICIAL length.
The reason I suggest measuring FROM the pubic bone is because it puts every guy on
a level playing field. It's a way of being more accurate. Some heavier guys have extra
fat behind their pubic hairs - making the penis APPEAR smaller. But we're going for the
scientific method to measure your actual size.
If you are using a piece of string or whatever, find the distance from your pubic bone to
the tip of your penis and then measure the piece of string.
To measure the thickness or 'girth' or your penis - stay erect and find the thickest part of
your penis (along the shaft). Take your measuring device and wrap it around your penis
to get your actual girth measurement.
Take note of how many inches, centimeters or millimeters it takes to go all the way
around. That measurement will be the official girth of your penis.
That's it. That's all there is to it. Now, onto the basics of exercises... J
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Penis	Exercises:	The	Basics	
Penis exercises are a way of trapping blood in the penis. While some people sell
systems on penis exercises this guide is free. And it's free because I'm not going to lie
to you about penis exercises. I'm not here to make a quick buck. I was once where you
are – trying to get a bigger penis – and I was scammed countless times.
Here is what “gurus” who rip you off with exercise programs will tell you:
o “Penis exercises are a great way to make your penis bigger. They're all you
need to grow by 2-6 inches!!!”
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o “Buy my stuff!!!”
o “Exercises work because the enlarge the blood vessels in the penis and then
your penis can accommodate more blood. That means you get a bigger
penis!!!”
I gotta tell you right now though. That's total BS! What you need is the two-step
biochemical method to penis enlargement. One of these steps is exercises.
So here's what you need to know about exercises. This is basic exercises, advanced
exercises and finally a schedule for when to do what.
Here's what you need to know...
Some men, all too eager to see gains, have gone straight in at the deep end and done
harm to their penis by not following the routine structure. Please be careful!
Warming up
Just like any sports, warming up is very important to make sure that you protect your
penis from any undue damage. If you fail to warm up properly then you're really putting
a penis risk. I'll say it again, warming up is vital!
First of all, you need to prepare your penis. Soak a washcloth in warm or hot water, then
squeeze it out. Take the warm cloth and wrap it around the shaft of your penis (either
flaccid or erect). Hold it right there for a minute, remove it, repeat at least twice. Next is
to dry off your penis well. Many people have come up with different ways of warming up
but I find the simplest to be dunking a towel in hot, but not boiling, water and wrapping it
around your penis. The hotter the better – but please be careful not to burn yourself.
Before you begin your daily exercises, you have to start off with this procedure for at
least 5 minutes. The hot compress is useful because it draws blood to the area of your
penis, thereby escalating the blood flow and making the skin more elastic. Another
advantage is that this also ensures a good grip for the exercises you will be carrying
out.
Lubrication
Lubrication is necessary for all of the techniques we recommend here. Using the right
lubricant will help you avoid irritation to the sensitive skin of your love gear.
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There are many types of lubricants are used around the world. Of course, the most
popular types are water-based personal lubricants. The water-based lubricants are so
simple and easy to clean up, but tend to dry out quicker while you are exercising your
penis. Therefore you may need to add more lube as you progress through your workout.
While the petroleum-based lubricants are fine to use but they seem to be thicker and
harder to clean up.
Vaseline is the most popular of the petroleum-based lubricants, but we believe that Vig-
RX oil works the best. This oil has been specially formulated to boost male
enhancement.
Now you are going to learn is standard stretching and standard Jelqing.
Stretching
Standard stretching involves stretching penis so that the ligaments get longer under
penis therefore gains length. The purpose of this method is to create tension in the
erectile tissues by stretching the skin of the penis while in an erect state.
Not only does this make the skin of your penis slightly elastic, it also expands the
amount of the space in your penis chambers, the corpora cavernosa. The higher the
amount of blood that can fill these spaces results in an enlarging of the overall mass of
your penis.
Stretching is so simple that you need to do is stretch the penis to make it longer. This
involves gripping the penis just below the head and stretching it out with force to the
ligaments gain size. There are six stretches.
 Stretch one: While sitting on the edge of a sofa or bed, begin stroking your penis
using your thumb and forefinger (the same "a-ok" symbol used in our other
methods).
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Pulling the penis directly in front of you. You put the penis out directly in front of
you from 30 to 40 seconds. As you stroke the penis from the base toward the
head, maintain a firm grip and stretch the skin as best as you can.
 Stretch two: you put the penis directly down for 30 to 40 seconds.
 Stretch three: people the penis directly up for 30 to 40 seconds.
 Stretch four: you pull the penis directly to the left for 30 to 40 seconds.
 Stretch five: you pull the penis directly to the right for 30 to 40 seconds.
 Stretch six: you rotate the penis all the way in a circular movement for 30 to 40
seconds.
Repeat each direction 2-3 times. With these six stretches all you have to do is four sets
of each everyday. Only do this after you have warmed up correctly.
After you've finished the exercise you can release the grip on the base of your penis.
You should feel the blood begin flowing again. Go ahead, you may ejaculate at this
point if you feel the urge.
Remember to use a firm grip and enough lubrication, always exercise caution! Do not
grip your penis too tight so that you lose the circulation. If you are in pain or feel any
discomfort, then you are doing the technique in the wrong way. Read the instructions
again and retry the technique slowly.
Jelqing
Stretching exercises are useful for lengthening your penis. But in order for one man to
increase the circumference, you have to perform stretching exercise while your penis is
in a partially-erect state. Jelqing is the technique that develops the whole penis so that
its length, thickness, weight, and density all become proportionately enlarged.
Jelqing (also called "milking") is actually one of those ancient practices that has been
performed for centuries by various tribes and cultures around the world. It's considered
the most successful method of enlarging the penis. These “milking” exercises could
force the blood into your penis. Over the course of several months, the blood spaces in
the penis will gain volume. In other words; they can hold more blood.
As a result, your penis gets larger.
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Jelqing is slightly different from stretching. Standards Jelqing involves forcing blood
through the shaft of the penis by using your hand to trap it so that the blood vessels
expand.
The standards jelq, the one that you'll be using for the first number of weeks, requires
that you make a shape with your thumb and forefinger. To make this easier to explain
simply make an okay symbol with your hand. The 'O' that you create through doing
this will form the basis of your jelq.
The Standards jelq involves gripping the penis at the very base, squeezing tightly, and
milking penis as you would a cow so that blood is forced to the tip. Standard jelqs
should each last 3 seconds from the base to the tip.
1. Apply your lubricant all over the skin of your penis. Keep your lubricant close by
since you will want it to last for as long as you need it. Don‟t use the soap
because it tends to dry the skin.
2. With your thumb and forefinger, squeeze the base of the penis shaft. Pull
downward. Stop at the head. Repeat, alternating hands. Each stroke should last
about three seconds. The stimulation will certainly help you reach an erection.
3. When your penis becomes semi-erect (not fully-erect), make the "A-OK" sign
with the thumb and forefinger of your left hand. With this hand, grip tightly
around the base of your penis.
4. Now starting from the base, pull the penis gently yet firm. Stretch downward and
outward. You have to maintain your semi-erect penis at this point. Make certain
to start from the base the head with each stroke. Note that the head of your penis
will get bigger with blood.
5. Switch to your right hand and repeat the stroke, starting from the base and
stretching downward to the head. Alternate both hands in a smooth rhythmic
("milking") movement, touching upon every part of the penis except the very top
part of the penis head. This is the very foundation of jelqing.
Don‟t forget that jelqing exercises are not performed during fully-hard erection. Make
sure that your penis is between half to 3/4 erect. Results cannot be obtained until a
partial erection is present. After this exercise has been done for quite some time, you
will notice that your penis appears both longer and thicker.
This is a fact.
And we can assure you that from within one to several months of routine exercise, your
penis will emerge quite huge; this is due to the impaction of blood in the penile tissues.
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Carefully choose ONE of these jelqing exercise techniques that you feel comfortable
with to include in your daily routine.
PC Muscle Workout
What nearly everyone doesn‟t know is that the pubococcygeus muscle (pyoo-bo-
cocksee-gee-us) or PC muscle plays a critical role in the functioning of the penis.
The pubococcygeus muscle is actually a group of muscles that run from the pubic bone
to the tailbone. The PC muscle is the muscle you bring into play to stop the flow of urine
from the bladder. It is also the muscle that contracts whenever you ejaculate, moving
the semen up through the penis and out of the body. The PC muscle is a busy little
muscle, you know? But as far as most men are concerned, it is still grossly unknown.
Mastering the techniques of male multiple orgasms is easy once you know how to train
your pubococcygeus muscle.
When you urinate and you want to get the last drop out, you use your PC muscle in the
opposite direction. By doing this you'll feel your anus open and the feeling will be
somewhat different.
Most men can do Kegels anywhere, since they're seldom aroused by the exercises.
Continued over a lifetime, the exercises can help men and women avoid urinary
incontinence as they age. That, plus greater arousal, enhanced orgasms and longer-
lasting sex, make Kegels one of the simplest, most beneficial exercises a man or
woman can do throughout their lifetime.
Be careful though. Using your PC muscle can have negative effects. If you produce too
much testosterone then you will find that you ejaculate prematurely. However if you
follow our guidelines you will actually enhance your ejaculation control.
The basics of the PC muscle work out involve you clenching your muscle as hard as
you can for a certain amount of time. To find the muscle in question all you have to do is
stop the flow of urine when you are in the toilet. In the e-mails that we send you we will
give you an exact routine every week.
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Penis	Exercises:	Stepping	It	Up	A	Gear	
(Advanced	Exercises)	
These next exercises are more advanced. You will use these as your penis becomes
more used to being exercised in this way. They introduce more strain to the penis. If you
were to use more advanced exercises immediately then you would do far more damage
than good. The stretches and jelqs are slightly more complex.
You will not be using these exercises for a number of weeks. You will be e-mailed
exactly what you should be doing that week, and these exercises will make up a part of
your later routines.
Advanced Stretching
Advanced stretching it's just different ways of forming stretching exercises. They stretch
different parts of the penis.
The Wrist Stretch
The wrist stretch is a way of applying pressure to the middle section of your penis mid-
stretch. It stretches the ligaments more authority, but could also do more damage to
your penis if your penis hasn't been trained by doing the simpler exercises first.
The Wrist Stretch involves gripping your penis just below the head, as with the standard
stretch, and stretching penis directly in front of you, to the left, to the right, up and down.
To add more pressure to this stretch, you take the wrist of your free hand and apply
pressure to middle of your shaft as you stretch before force.
So, if you were stretching to the left, you would apply the wrist pressure on the left hand
side of your shaft. If you were stretching up, you would apply wrist pressure to the other
side of your shaft. If you stretching down, it would apply pressure to the bottom etc.
Please don't attempt the Wrist Stretch unless directed by one of our e-mails.
The Big Seated Stretch
This is a very long stretch for those of you who have time and privacy. Each stretch
takes 10 minutes to complete. By that I mean literally 10 minutes of nonstop stretching.
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To perform the stretch, grip your penis while seated by raising one leg up and putting
your hand underneath it then gripping just below the head. Then, pull with full force and
hold for 10 minutes. For the next set, lift up your other leg and using your other hand
repeat the process.
The Big Squeeze
The Big Squeeze is placed in this section because it is more a stretch than a Jelq. This
routine simply involves squeezing your penis by putting it on the table, and using the
flattened palm of your hand, push down on the penis.
For this you push firmly by placing one hand on top of the other and using all your
weight to squash the penis. You separate the penis into the upper and lower parts, and
push down on each for 45 seconds
Advance Jelqing
Advanced Jelqing is for those of you who want to see big girth and length gains. We've
already seen standard Jelqing, but these advanced techniques will do much more to
improve your size.
You will notice there are quite a lot of Jelqing exercises that you can do. After you have
completed our program, you will be a pro, and then you can develop your own jelqs.
However, by the end of our program you will probably have reached the size that you
desire anyway -- so you can forget all about Jelqing!
Most Jelqing improves your length and girth. Stretching is reserved for length gains, but
then length can also be obtained from Jelqing correctly. However, the main reason for
using Jelqing is to improve your girth.
The Double-Handed Jelq
Erection strength: 95%
This is a variation of the standard jelq, the difference lies in using both of your hands
instead of one. What you must to his start a standard jelq using your right hand, moving
it up your shaft by about an inch, then with your other hand grip at the very base i.e.
where your first hand started. Your left-hand is being used to trap the blood.
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Now, with your right hand, jelq all the way up to just below the head of your penis. At
this stage lots of blood will be trapped. Now, to gain length, finish your jelq with the first
hand (your right hand) and slowly move your left hand up to just below the head. Then,
take your right hand and gripped the very base again and continue this cycle.
Important things to remember: your penis must be, and remain 95% erect. Only ever do
this exercise after you have warmed up properly.
This exercise is mainly for length gains, but by making a small variation you can turn it
into a girth jelq. That is what we shall be looking at now...
The Double-Handed Girth Jelq
Erection strength: 95%
This Jelqing exercise is designed solely for improving girth. Start as you did the previous
exercise -- so that your hands are either end (one at base, one just below the head).
The only difference with this exercise compared to the last one is that this is your
starting point.
Now all you have to do, when there is lots of blood trapped in your penis, is to slowly
push to hands together while maintaining a tight grip. What you will notice is that your
shaft is being expanded as the blood is forced outwards.
This is held for 30-60 seconds.
Important things to remember: again, your penis must be, and remain, 95% erect. Only
ever do this exercise after you have warmed up properly.
The Double-Handed Girth Bend
Erection strength: 95%
This exercise is similar to the last. With one hand at either end of your shaft, literally
bend the penis forwards slowly, ruling it so that the bend moves from top to the bottom.
Do this for 30-45 seconds. Repeat the exercise but in reverse i.e. bend it the other way.
The Ultimate Girth Jelq
Erection strength: 95%
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Similar to the Double-Handed Girth Jelq, the object of this is to force your hands closer
until they almost touch. The time spent on the movement from each end of your shaft to
the center point should be 30-45 seconds.
You can concentrate on different parts of your penis shaft while doing this. If you want
to see more gains at the base than simply don't move your base and. If you want to see
more gains closer to the tip, then don't move your upper hand. You can mix up the
exercise depending on whether your girth gains are level or different at different points
of your penis.
Important things to remember: 95% erection. Ensure that you warm up.
Warming Down
Each step of exercises should be ended with a gentle massage and a warming down
session with the help of a hot towel. When you give a massage to your penis and apply
some heat to it, it helps healing and rebuilding of the cell tissue.
You see, heat promotes faster growth of tissue cells and it restores the sensibility
problems you may have had during your enlargement exercises. So after each
exercise, you have to massage your penis softly for about 1 minute.
You should perform a soft and circular motion with your forefinger and middle finger
along the base and the shaft of the penis. Be very gentle with your moves here since
your penis has just been through some serious hard workout.
Following the massage session, you should apply another hot towel around your penis,
just like you did for the warm up. This part of the practice is as essential as the first one
because the heat will stimulate the damaged parts and will make them function well
again.
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Penis	Exercises:	The	Schedule	
This is the schedule that you can start today. Alone, it won't have any affect. Until you
have assimilated all of the required nutrients and biochemicals into your body, you will
just get improved erections and maybe a very small amount of growth. Usually it takes
10 weeks to see real gains, but you will notice a harder penis after a few weeks.
Biochemical growth will cause rapid growth – it's what worked for me when I finally -
after years of trying – stumbled upon the secret to getting a bigger penis. But exercises
increased the speed at which I gained by about 22% when those biochemicals were
present.
Here is the exact exercise schedule that I used...
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Exercises
Weeks 1-3 Time spent on exercises per day: 15-20 minutes.
Gently massage your penis and surrounding area with a warm cloth.
You want to loosen up your penis and the muscles around it. Do this for
2-3 minutes.
Standard stretching is the only way to begin! For this hold each stretch
(outwards, up, down, left, right and around) for 30 seconds. Your penis
must be flaccid to do this or you will hurt yourself. Go through this cycle
twice.
Exercise you PC muscle in the process by flexing it in the manner
similar to controlling your bladder flow. This technique helps you
preclude premature ejaculation. After 20 minutes, give your penis a
rest. Wrap a warm towel around your penis and then repeat the routine
after a few minutes of sufficient rest.
Now continue on to the standard jelq. Do this for 10 minutes, and then
warm down.
Perform these exercises 5 days a week. Give yourself the weekend (or
any two days) off. You will notice that your erections become harder
and you may see a little growth.
In week 3 spend 10 minutes doing the Double-Handed Jelq as well.
Exercises to use:
Standard Stretching
Standard Jelqing
Weeks 4-5 Time spent on exercises per day: 15-20 minutes.
Exercises to use:
Standard Stretching
Take a seat with you back vertically straight and mare sure to lubricate
you penis. With one hand, grab the base of your penis squeezing the
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penis shaft as you move towards the penile head. Once there, use your
other hand and start anew.
Do the squeezing routine for 3-5 seconds as you moved from the penis
base to the head. Repeat this action over a 5 minute period without
attaining a full erection or ejaculation.
Standard Jelqing
Gently encircle your penis and moving your hand up to the head,
concentrate of pushing the blood up the penis. On reaching the head of
your penis, take your other hand to the base and perform the same
motion with your other hand.
The Wrist Stretch
Grip your penis firmly just below the head and stretch it gently to the
left, to the right, up and down. Repeat this technique for about 5
minutes.
The Big Squeeze
Place your penis on the table, squeeze and put pressure on your penis
with your palm firmly. But don‟t be so hard on your penis. Keep
repeating this for about 2 minutes.
Weeks 6-8 At the end of this cycle you will have your body at its optimum. This is
the last transitional stage. Because of that you shouldn't do everything
yet.
However, you can split your exercises into morning and night. You
should do more advanced, intensive jelqs and stretches as your penis
starts to get ready for growth.
Spend between 20-30 minutes a day exercising. Now you can do
everything but the Ultimate Girth Jelq and the Double-Handed Girth
Bend.
If at this stage you have already begun to see growth then by all means
do the others. You'll now know the feeling of a good workout so you will
know which exercises you respond to best.
Also, mix up what you do. Keep your routines fresh for the best results.
Penis	Enlargement	Bible	
Page	23	Copyright © PenisEnlargementBible.com. All rights reserved.
Week 8 Well done, my friend! You have been through a great experience
towards enlarging your penis. Don‟t get too excited though because
your first week is nothing.
But now you can create your own routine. You‟ll have noticed what you
respond to best. Tailor-make your exercises and growth will happen.
Spend at least 15 minutes a day on intense workouts.
Note: Before any exercise you have to warm up and afterwards you have to warm down.
Penis	Enlargement	Bible	
Page	24	Copyright © PenisEnlargementBible.com. All rights reserved.
Conclusion	
That's the basis of penis exercises! This is a complete part of the system that I
discovered (almost by accident!) which caused my penis to get bigger by 3 inches in
length and 2 in girth.
Why am I sharing this?
I'm sharing this information because some really sneaky “gurus” are selling this
information and making a profit out of it. That would be cool, and I'd be fine with it if it
worked. But, here's the thing, it doesn't on its own!
I personally wasted hundreds, if not thousands of dollars on penis enlargement stuff.
And ALL of it failed until I stumbled upon the solution that worked wonders for me. So,
this free guide is here to stop you getting ripped off.
I am not a wealthy guy and at some points when I shelled out a fortune on these
products I was really frickin' poor. So if I help one guy save a bit of money and get better
educated then I think this guide is a good thing.
So how do natural size gains happen?
I've said exercises accelerate growth, and here's how my complete system worked for
me. Please remember that I'm not an expert! I'm just a regular dude who found
Penis	Enlargement	Bible	
Page	25	Copyright © PenisEnlargementBible.com. All rights reserved.
something that's worked incredibly well for me and the few people I shared this info
with.
The way that my biochemical method works is by making your penis naturally grow. All
you need to do is to restart the production of certain biochemicals in the body. These
biochemicals were responsible for growth when you were going through puberty, and
can be made to be produced in the body now, just like they were then. If you can do this
then you will begin penis growth.
Most people don't know about this vital technique because the enlargement industry
makes much more money selling very expensive methods which don't deliver results.
However, getting your body ready to make your penis bigger is the only way (other than
surgery) that you can cause real gains in your penis size. That is the reason why other
products (as you probably have discovered) fail, because they ignore this highly
important aspect of growth.
The way to make your penis bigger is by getting those biochemicals (which caused
penis growth during puberty) back in the body. Then: BOOM! You will start to see gains.
If you guys are interested in this then let me know. If you're not part of my members
email list then sign up now - and you can email me directly from there! It's at
www.PenisEnlargementBible.com.
If you guys want these secrets badly enough then I'll tell you them! I would rather that
than you getting scammed by the big businesses like I did.
All the best.
Your friend,
John Collins
http://www.PenisEnlargementBible.com
How To Enlarge Pennis By Food PDF Male penile growth photos. The "daVinci Anatomy Icon" denotes a link to related
gross anatomy images. Male Genital And Rectal Exam. Preparing and Positioning the Patient: This is normally the last part
of the whole bodily examination. While it may cause the patient (and possibly you) some embarrassment in addition to pain,
it gives vital information and must now not be skipped. Explain to the affected person what you are going to do (and why)
after which proceed. If they have now not already achieved so, ask the affected person to dispose of their underclothes. I
accept as true with that this examination is less difficult to perform and yields greater records if it is executed with the patient
status while you are seated in the front of them. In this function, it's far easier to take a look at the testes, compare for inguinal
hernias and perform the rectal exam. However, if the patient is unable to stand/unsteady on their toes, it could be performed
at the same time as they lie at the examination desk. The Genital Exam: Have the affected person stand in the front of you
and raise their gown to the level of the umbillicus, exposing the entire genital vicinity. Put on a pair of gloves previous to
starting. The gloves do now not must be sterile. Observation: Note if there are any bulges or scars in the inguinal area,
constant with contemporary or beyond hernias. Any apparent penile or scrotal abnormalities? Any obvious pores and skin
abnormalities at the penis, scrotum or surrounding regions? The Penis: First take a look at the glans (i.E. The head) of the
penis. If the patient is uncircumcised, draw back the foreskin so that you can have a look at the glans in its entirety. Make
sure that you go back the foreskin to its everyday function on the stop of the exam, else it is able to motive extreme venous
and arterial obstruction, main to necrosis of the pinnacle of the penis, a condition called paraphymosis. Occasionally you will
be not able to retract the foreskin from the top of the penis, referred to as phymosis. Paraphymosis: Picture on left
demonstrates edematous foreskin which has come to be trapped behind the head of the penis. Picture on proper
demonstrates foreskin in appropriate role covering head of penis. This became executed through making use of regular
strain to the pinnacle of the penis, reducing edema, which then allowed repositioning of foreskin. Note that patient has Foley
catheter inserted. Phymosis: Scarred down foreskin which cannot be retracted over head of penis. Look at the outlet of the
urethra. Make notic. How To Enlarge Pennis By Food PDF of whether or not it is extra or much less at the tip of th. How To
Enlarge Pennis By Food PDF penis, on the top-s > Penile Condyloma: Growth at edge of glans due to HPV contamination.
Syphilitic Ulcer. In popular, the left testis lies a bit lower within the scrotum then the right. The testes must seem as 2 discrete
swellings, despite the fact that if the room is mainly cold, they may retract a piece up in the direction of the inguinal canal
(greater of problem in pediatric then person medication). Gently experience the testes, palpating the tissue among the thumb
and subsequent 2 hands of your examining hand. Each need to be of the identical consistency and length. If there's a big
length discrepancy (or whole absence of one of the testes) ask the affected person if this has always been the case. They
may additionally have had one surgically removed. Or perhaps be afflicted by a congenitally undescended testis. The
affected person have to have the ability to narrate whether or not he became ever capable of feel each testes or if everyone
has ever informed him that he has a testicular abnormality. If there seems t. How To Enlarge Pennis By Food PDF be a
unmarried testis, carefully have a look at the inguinal canal (see below) for evidence of a discrete swelling that might
constitute the place of an undescended testis. Make careful word of any discrete lumps or bumps inside the frame of the
testis. The presence of a firm nodule would be worrisome for testicular malignancy. Occasionally, the complete testis feels
enlarged. This is most usually caused by a hydrocele, that is a group of fluid that fills a potential space surrounding the testis.
Hydroceles have a characteristic texture that is unique from that of testicular tissue. You also can distinguish them from the
body of the testis by trans-illumination. To do that, close off the lights in the exam room and region a flash mild on the
scrotum, without delay over the area in query. A hydrocele will permit the transmission of mild, at the same time as testicular
tissue will not. Testicular enlargement resulting from hydrocele. Orchitis: Picture on left demonstrates testicular expansion
due to infection inside the frame of the testis. The inflammation has unfold from the testis to the skin of the scrotum, with
ensuing edema causing fewer skin folds over the right testicle in comparison with the left. No transillumination is seen (photo
on right) because the inflamed testis does no longer allow the passage of light (rather than hydrocele shown above, which
comfortably conducts mild). This isn't always always the case, as on occasion orchitis will motive a "reactive hydrocele" to
form, for you to transilluminate. The epididymis is a discrete shape which lies toward the top and lower back of each testis. If
there is any testicular ache, it could be easier to perform the exam at the same time as the patient is supine. Assessment of
the spermatic cord systems: The vas deferens, testicular artery/vein, ilio-inguinal nerve, lymphatics and fatty tissue make up
the spermatic twine, a shape that runs from the epididymis up through the inguinal canal. The vas may be distinguished from
the relaxation of these stuctures because it lies along the posterior factor of the package and feels company and twine-like.
You will commonly be unable to mainly identify the remaining systems. Identify any discrete swellings inside this series of
tissues. If gift, notice their dating to the testes and inguinal canal. Dilated veins, called a varicocele (feels like a bag of worms.
Simply!), may be palpable throughout the length of the wire structures. Evaluation for inguinal hernias: If you detect a diffuse
swelling amidst the twine structures or word the inguinal canal area to be protuberant, the patient in all likelihood has an
inguinal hernia. The following exam, but, must be completed on all male patients, regardless of whether you think any
underlying abnormality. Before palpating this location, have the patient undergo down (i.E. Valsalva) or cough (although
have them turn their heads first in order that they do not expectorate into your hair) whilst you observe the inguinal location.
Both of these maneuvers boom intra-belly pressure, forcing intestines/omentum/peritoneal fluid thru any illness which may
additionally exist and creating a hernia extra apparent. Right Inguinal Hernia. If you are inspecting the right inguinal place,
area the index finger of your right hand along the spermatic twine, inverting the scrotal pores and skin as you trace the wire to
wherein it emerges from the external ring of the inguinal canal. You may be capable of placed the top of your finger into this
slender commencing. Put the hands of your left give up the inguinal canal, which runs obliquely closer to the patient's
anterior-superior iliac crest, or on pinnacle of any particularly swollen location. Have the affected person repeat the above
maneuvers that increase intra-belly strain and notice if you may experience, with either hand, any bulging tissue that might
be consistent with a hernia . Exam of the left inguinal region is carried out inside the same way, although hand positioning is
reversed. Hernias are commonly non-smooth and there need to be no evidence of acute irritation (i.E. Pores and skin edema
or redness). If present, it shows incarceration/strangulation of the entrapped contents, the most dreaded hardship of a hernia,
and constitutes a surgical emergency. Inguinal hernias are available in all sizes. Distinguishing direct from indirect hernias
on the premise of exa. How To Enlarge Pennis By Food PDF is rather difficult and now not clinically critical as both ought to
commonly be repaired and the final dedication can be made on the time of surgical procedure. Some hernias might be barely
palpable via the index finger positioned inside the outside ring of the inguinal canal. Others can be quite big. In this putting, it
is able to be tough to distinguish the wire systems or testis from the contents of the hernia, even though supply it a try. The
testis must be placed at the bottom of the scrotum. Large proper inguinal hernia: Prominently visible in picture on left. Picture
on proper demonstrates look in identical patient after manual discount. Auscultation on top of a hernia can also permit the
detection of bowel sounds, which can be beneficial facts in case you are uncertain as to the nature of an inguinal bulge. In
the event that the patient is not able to face, the above examination may be achieved as defined with the affected person
supine. This might also without a doubt be a higher position for evaluating the inguinal canal in case you are concerned that
it could incorporate a discrete mass, as inside the case of a suspected undescended testicle. Rectal/Prostate Exams: Have
the affected person turn around and teach them to relaxation their chest on the examination table. This gives you an
possibility to perform the examination at the same time as providing the affected person with some thing to lean in opposition
to for help. You can stay seated. Separate the cheeks of the buttocks and look at the peri-anal region. Make observe of any
pores and skin abnormalities, bleeding sites, fissures or hemerrhoids. Thrombosed External Hemerrhoid Prolapsed Internal
Hermerrhoid Rectal Fissure and Prominent Skin Tag. The digital rectal examination can offer data approximately several
essential organ structures, which includes: Gross inspection of the stool. Is there obvious proof of blood, which normally
implies that the bleeding website online is near the anus? Does the stool seem black/tarry, which happens when blood
launched from an higher intestinal supply is digested and exceeded through the whole alimentary canal? In such instances
it'll actually have a feature odor. Normal performing stool have to be examined with a unique agent designed to discover
hemoglobin (see underneath). This is referred to as checking for occult blood (i.E. Blood that could not otherwise be
identifiable). In those instances, the source of bleeding is most often within the colon, even though it may be from everywhere
inside the GI tract. Palpation upwards, posteriorly, and laterally will allow you to sense for rectal based totally hundreds.
Feeling anteriorly will permit you to observe the prostate gland. Before intending, offer the affected person with a field of
tissue paper that they can use for cleansing themselves on the end of the examination. Open a stool guiac card and area it at
the exam table subsequent to the affected person. Then: Put numerous lubricant (a.K.A. Surgi-lube) on the index finger of
your right hand. Tell the affected person that you're going to region your finger in their rectum. Remember, this is a sensitive
aspect of the examination, and the patient frequently feels quite inclined. Thus, it is an awesome idea to speak them through
every step. Place your well lubricated index finger against their anus, however do now not yet insert it into the rectum. Ask
the patient to undergo down as if they are trying to have a bowel movement. This helps to loosen up their external sphincter
and need to lower pain. As they bears down, gently push forward until you've got placed the complete finger inside the anal
canal. Pay interest to the following : As your finger enters, make notice if you hit any resistance. You may additionally run into
some stool, which have to without difficulty move out of the way. A mass (e.G. A large rectal tumor) will now not flow. If this
occurs, do now not force your finger forward. By lightly rotating your hand, you could use the pad of your index finger to
experience to the left, right after which immediately backwards (i.E. Towards yourself) and along the sacrum. Make observe
of any irregularities/hundreds. What you come upon will range with the medical scenario. You might, for example, experience
a fluctuant collection in a patient with a pelvic abscess related to a perforated appendix. Orient your finger in order that it's far
directed anteriorly (i.E. Toward the affected person's umbillicus). It ought to now be resting at the prostate gland, that i. How
To Enlarge Pennis By Food PDF palpated through the wall of the rectum. Make observe of the subsequent: The prostate has
two lobes with a cleft running between them. Can you experience each lobe extraordinarily? Do they experience symmetric?
Are their any discretely firm regions (referred to as nodules)? Normal prostatic tissue feels more or less just like the tip of your
nostril. Anything less assailable is suspicious for malignancy. If you experience a company place, take a look at and see if
the prostate is freely cell or if it feels constant to the pelvis, which can occur through direct extension of a malignancy. Does
the prostate gland sense large? You will manifestly don't have any concept till you have got had an possibility to examine
many to get a experience of the variety of normal. In general you should be able to get you finger over the top of the gland.
This may be tough if: the affected person is obese/has large glutteal cheeks, you have got small hands they have a massive
prostate Do the quality that you may. One useful way of looking to experience the overall extent of the prostate is to ensure
that the patient is leaning over the exam table, which has the effect of directing the prostate out towards you. Then take your
left arm and wrap it around their waist, enabling you to attract the patient toward you as you push with your inspecting finger.
Any pain on palpation, that's suggestive of prostatic contamination? Does the gland experience swollen? Again, this is a very
subjective finding that's best obvious after examining many normal prostates. It happens inside the putting of contamination.
Try to have the affected person distinguish between the pain of the examination in preferred from any pain in particular
produced by means of pushing on the prostate. Assessment of rectal tone. This can be performed both at the beginning or
the cease of the examination. In positive diseases of the significant or peripheral fearful machine, innervation of the
sphincters that assist keep rectal continence may be affected (e.G. In the setting of sacral nerve root compression associated
with a tumor) and muscular tone may be faded or absent. There is a sure subjective tightness that you may word whilst you
input the rectum along with your finger. You can further investigate outside sphincter tone by way of asking the patient to try
to keep on on your finger with their rectum (granted, that is an unusual request), permitting you to feel the contraction of this
muscle. Exam of the stool. There is typically a few stool within the rectal vault on the way to coat your finger at the cease of
the examination. Inspect it once you withdraw your hand, seeking out purple or digested blood as defined above. Take the
stool guiac card which you have positioned at the desk prior to starting the examination and placed a small smear of stool in
ever. How To Enlarge Pennis By Food PDF of the home windows. Then turn the card over and open the back. Place a drop
of developer at the back facet of every window as well as over the control spot. The manipulate will flip blue, the colour
indicating hidden hemoglobin. If you're having a difficult time convincing your self that there's actually a few blue gift within
the specimen, take the card and preserve it up in order that mild passes through the windows, accentuating any shade
changes. Guaiac Testing Equipment. Guaiac Positive (Note blue colour in bins) As you are evaluating the stool, allow the
patient to wipe themselves off with the tissue paper that you made available to them earlier. It is commonly a pleasing idea to
tug the curtain and deliver them a few privateness whilst they easy up and get dressed. To cast off your stool-included glove,
take the index finger of your left hand (which ought to still be easy) and location it under the cuff of the right glove. Then pull
that glove down toward your palms, inverting it in the technique. In the event that the affected person can't stand, this
examination may be carried out with the affected person mendacity on the exam table. Place them on their facet, with knees
tucked up toward their chest. Their again must be as close to the brink of the desk (i.E. As near you) as possible. The the rest
of the examination is executed as described above. You may also both sit down or stand. Copyright ©2015, The Regents of
the University of California. All rights reserved. Last updated 10/15 .

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How To Enlarge Pennis By Food PDF

  • 2. Penis Enlargement Bible Page 2 Copyright © PenisEnlargementBible.com. All rights reserved. Copyright © PenisEnlargementBible.com. All rights reserved. The eBook is supplied for information purposes only, even though the contributors of this material are well conversed in the subject matter printed. The material content in this ebook does not constitute professional advice. This eBook is designed to provide accurate and authoritative information with regards to the subject matter contained. It is sold on the understanding that the publisher and its contributors are not engaged in rendering legal, accounting, or other professional advice. If professional advice or other professional assistance is required, the services of a competent professional should be sought. The readers are advised to consult with any appropriately qualified professional before taking any decisions. If you have or suspect an illness or have a health concern, always consult with your physician or health care provider. We have used our best judgment in compiling this information, however, the information presented may not have been evaluated by the Food and Drug Administration. Any reference to a specific product is for your information only and is not intended to diagnose, treat, cure, or prevent any disease.
  • 3. Penis Enlargement Bible Page 3 Copyright © PenisEnlargementBible.com. All rights reserved. Table of Contents Introduction.......................................................................................................................... 4 Know Your Penis ................................................................................................................... 6 Measuring Your Penis............................................................................................................ 8 Penis Exercises: The Basics................................................................................................... 10 Penis Exercises: Stepping It Up A Gear (Advanced Exercises) ................................................ 16 Penis Exercises: The Schedule.............................................................................................. 20 Conclusion........................................................................................................................... 24
  • 4. Penis Enlargement Bible Page 4 Copyright © PenisEnlargementBible.com. All rights reserved. Introduction First of all, congratulations on your choice to download this ebook. This ebook may be free, but I can assure you it‟s priceless. Soon you will know exactly how to enlarge your penis! So consider yourself lucky, my friend, because normally you have to pay $49 just to read guides that are less good than this one. This is a real treat indeed. Now let‟s talk about penis. Your penis, to be exact. I„d bet that your woman has not said in your presence that a bigger penis feels much better during sex than a small penis. It‟s no surprise because she doesn't want to hurt your feelings.
  • 5. Penis Enlargement Bible Page 5 Copyright © PenisEnlargementBible.com. All rights reserved. You see, one of the top complaints from women about their sex life is their partner's small penis size. So what can you do now to make sure your penis causes compliments, not complaints? Don‟t worry, I‟m here to help. If you want to know how to enlarge your penis, then doing exercises is one of most popular ways to increase the size of a man's penis. Nonetheless, there is some effort required - and a catch! By doing some penis enlargement exercises, you can train your penis to let more blood into it which will give you a harder erection and assist in penis growth if you follow the other necessary steps to cause big growth. (This is what the exercise "gurus" didn't want you to know!) But of course, exercises alone DON'T work. In the same way that your body does, your penis needs nutrients and biochemicals to repair itself and - more importantly for us - to grow. What's more, you can trick your body into restarting puberty style penis enlargement (i.e. natural growth) with biochemicals that were present in your body during puberty, but which left when it ended! When they left your body, penis growth ground to a sudden halt. A cool video all about biochemicals and their function in penis enlargement can be found at www.PenisEnlargementBible.com. However, right now you can read this amazing free penis exercise ebook and start straight away to improve your sex life. What I can say is that this guide has been changing the way a bucket-load of men think about treating their "size" problem. Within a few minutes, you will learn how to become a much better lover with a bigger penis. Now enjoy this free report and please pass it on to your family and friends. Tell them about PenisEnlargementBible.com. They need your help too. :) Let's get started! John Collins, PenisEnlargementBible.com
  • 6. Penis Enlargement Bible Page 6 Copyright © PenisEnlargementBible.com. All rights reserved. Know Your Penis I'm not going to waste this space (and your valuable time) by telling you all about your penis. You know what a penis is already, right?! :) But there is some important stuff that you need to know if you want to make your penis bigger... As you know, the penis is not a muscle. It's also not a bone. Instead, it's made up of delicate spongy tissue which grew because biochemicals in your body made it bigger as you went through puberty. The most important thing you've gotta remember is that the penis isn't a muscle that can be exercised in the conventional way. BUT... You can use exercises to accelerate penis growth. And this free guide is all about those exercises which are most effective at accelerating the growth of your penis.
  • 7. Penis Enlargement Bible Page 7 Copyright © PenisEnlargementBible.com. All rights reserved. Unlike muscle, your penis consists of three cylinders or tubes of tissue. These are arranged with two cylinders on top (as you look down on the penis) and one on the bottom. They are each roughly the size and shape of a pencil. Running through the bottom cylinder is the urethra, the tube through which urine and sperm pass. These cylinders of tissue are firmly held together by a wrap of tissue called Buck„s fascia. If you want to make your penis bigger then you have to enlarge these 3 cylinders and the Buck's fascia. Here's a diagram of the male sexual organs: Our objective is to make the shaft of your penis bigger in length and girth from the base all the way to the tip. When we do that you get a bigger penis. Penis exercises, unlike muscle exercises, are focused on trapping blood in the penis for longer than is natural. When I implemented my method of penis growth, this accelerated results and took me from a lowly 5” to a big 8”. This guide is focused on getting you gains that are between 2 and 4 inches personally. Before we look at the exercises themselves let's talk about measuring your penis...
  • 8. Penis Enlargement Bible Page 8 Copyright © PenisEnlargementBible.com. All rights reserved. Measuring Your Penis The truth is, the majority of men have no idea how to measure penis length accurately. To accurately measure your penis is vital if you want to record the increases in size. Here are the steps to measure your penis size accurately so you can give yourself an honest measurement about how you jack up to the male average of six inches… FIRST.... find a measuring device. A cloth measuring tape works best. IF you can't find one - then a piece of string will do. After measuring yourself with a piece of string you can place that string along a wooden ruler or some other measuring device! (I hope that makes sense)
  • 9. Penis Enlargement Bible Page 9 Copyright © PenisEnlargementBible.com. All rights reserved. IF your penis 'curves' or 'bends' [and many penises do!!] be sure to measure along the curve or bend. Don't measure STRAIGHT from your pubic bone to the tip of your penis - in other words! Now the fun part... GET ERECT! Take your measuring device and measure your penis from your pubic bone (the 'pubic bone' is the bone you feel when you press in the area that is covered by your pubic hairs). Don't press TOO hard - but hard enough to be firmly against that bone. Now hold your penis - if you have to! - and place the measuring device (whatever it is that your using) along the top of your penis. (That„s the part of your penis that YOU see!) You are measuring from the pubic bone along the TOP of the penis to the tip of your penis. THAT measurement [whether in inches, centimeters or millimeters] is your OFFICIAL length. The reason I suggest measuring FROM the pubic bone is because it puts every guy on a level playing field. It's a way of being more accurate. Some heavier guys have extra fat behind their pubic hairs - making the penis APPEAR smaller. But we're going for the scientific method to measure your actual size. If you are using a piece of string or whatever, find the distance from your pubic bone to the tip of your penis and then measure the piece of string. To measure the thickness or 'girth' or your penis - stay erect and find the thickest part of your penis (along the shaft). Take your measuring device and wrap it around your penis to get your actual girth measurement. Take note of how many inches, centimeters or millimeters it takes to go all the way around. That measurement will be the official girth of your penis. That's it. That's all there is to it. Now, onto the basics of exercises... J
  • 10. Penis Enlargement Bible Page 10 Copyright © PenisEnlargementBible.com. All rights reserved. Penis Exercises: The Basics Penis exercises are a way of trapping blood in the penis. While some people sell systems on penis exercises this guide is free. And it's free because I'm not going to lie to you about penis exercises. I'm not here to make a quick buck. I was once where you are – trying to get a bigger penis – and I was scammed countless times. Here is what “gurus” who rip you off with exercise programs will tell you: o “Penis exercises are a great way to make your penis bigger. They're all you need to grow by 2-6 inches!!!”
  • 11. Penis Enlargement Bible Page 11 Copyright © PenisEnlargementBible.com. All rights reserved. o “Buy my stuff!!!” o “Exercises work because the enlarge the blood vessels in the penis and then your penis can accommodate more blood. That means you get a bigger penis!!!” I gotta tell you right now though. That's total BS! What you need is the two-step biochemical method to penis enlargement. One of these steps is exercises. So here's what you need to know about exercises. This is basic exercises, advanced exercises and finally a schedule for when to do what. Here's what you need to know... Some men, all too eager to see gains, have gone straight in at the deep end and done harm to their penis by not following the routine structure. Please be careful! Warming up Just like any sports, warming up is very important to make sure that you protect your penis from any undue damage. If you fail to warm up properly then you're really putting a penis risk. I'll say it again, warming up is vital! First of all, you need to prepare your penis. Soak a washcloth in warm or hot water, then squeeze it out. Take the warm cloth and wrap it around the shaft of your penis (either flaccid or erect). Hold it right there for a minute, remove it, repeat at least twice. Next is to dry off your penis well. Many people have come up with different ways of warming up but I find the simplest to be dunking a towel in hot, but not boiling, water and wrapping it around your penis. The hotter the better – but please be careful not to burn yourself. Before you begin your daily exercises, you have to start off with this procedure for at least 5 minutes. The hot compress is useful because it draws blood to the area of your penis, thereby escalating the blood flow and making the skin more elastic. Another advantage is that this also ensures a good grip for the exercises you will be carrying out. Lubrication Lubrication is necessary for all of the techniques we recommend here. Using the right lubricant will help you avoid irritation to the sensitive skin of your love gear.
  • 12. Penis Enlargement Bible Page 12 Copyright © PenisEnlargementBible.com. All rights reserved. There are many types of lubricants are used around the world. Of course, the most popular types are water-based personal lubricants. The water-based lubricants are so simple and easy to clean up, but tend to dry out quicker while you are exercising your penis. Therefore you may need to add more lube as you progress through your workout. While the petroleum-based lubricants are fine to use but they seem to be thicker and harder to clean up. Vaseline is the most popular of the petroleum-based lubricants, but we believe that Vig- RX oil works the best. This oil has been specially formulated to boost male enhancement. Now you are going to learn is standard stretching and standard Jelqing. Stretching Standard stretching involves stretching penis so that the ligaments get longer under penis therefore gains length. The purpose of this method is to create tension in the erectile tissues by stretching the skin of the penis while in an erect state. Not only does this make the skin of your penis slightly elastic, it also expands the amount of the space in your penis chambers, the corpora cavernosa. The higher the amount of blood that can fill these spaces results in an enlarging of the overall mass of your penis. Stretching is so simple that you need to do is stretch the penis to make it longer. This involves gripping the penis just below the head and stretching it out with force to the ligaments gain size. There are six stretches.  Stretch one: While sitting on the edge of a sofa or bed, begin stroking your penis using your thumb and forefinger (the same "a-ok" symbol used in our other methods).
  • 13. Penis Enlargement Bible Page 13 Copyright © PenisEnlargementBible.com. All rights reserved. Pulling the penis directly in front of you. You put the penis out directly in front of you from 30 to 40 seconds. As you stroke the penis from the base toward the head, maintain a firm grip and stretch the skin as best as you can.  Stretch two: you put the penis directly down for 30 to 40 seconds.  Stretch three: people the penis directly up for 30 to 40 seconds.  Stretch four: you pull the penis directly to the left for 30 to 40 seconds.  Stretch five: you pull the penis directly to the right for 30 to 40 seconds.  Stretch six: you rotate the penis all the way in a circular movement for 30 to 40 seconds. Repeat each direction 2-3 times. With these six stretches all you have to do is four sets of each everyday. Only do this after you have warmed up correctly. After you've finished the exercise you can release the grip on the base of your penis. You should feel the blood begin flowing again. Go ahead, you may ejaculate at this point if you feel the urge. Remember to use a firm grip and enough lubrication, always exercise caution! Do not grip your penis too tight so that you lose the circulation. If you are in pain or feel any discomfort, then you are doing the technique in the wrong way. Read the instructions again and retry the technique slowly. Jelqing Stretching exercises are useful for lengthening your penis. But in order for one man to increase the circumference, you have to perform stretching exercise while your penis is in a partially-erect state. Jelqing is the technique that develops the whole penis so that its length, thickness, weight, and density all become proportionately enlarged. Jelqing (also called "milking") is actually one of those ancient practices that has been performed for centuries by various tribes and cultures around the world. It's considered the most successful method of enlarging the penis. These “milking” exercises could force the blood into your penis. Over the course of several months, the blood spaces in the penis will gain volume. In other words; they can hold more blood. As a result, your penis gets larger.
  • 14. Penis Enlargement Bible Page 14 Copyright © PenisEnlargementBible.com. All rights reserved. Jelqing is slightly different from stretching. Standards Jelqing involves forcing blood through the shaft of the penis by using your hand to trap it so that the blood vessels expand. The standards jelq, the one that you'll be using for the first number of weeks, requires that you make a shape with your thumb and forefinger. To make this easier to explain simply make an okay symbol with your hand. The 'O' that you create through doing this will form the basis of your jelq. The Standards jelq involves gripping the penis at the very base, squeezing tightly, and milking penis as you would a cow so that blood is forced to the tip. Standard jelqs should each last 3 seconds from the base to the tip. 1. Apply your lubricant all over the skin of your penis. Keep your lubricant close by since you will want it to last for as long as you need it. Don‟t use the soap because it tends to dry the skin. 2. With your thumb and forefinger, squeeze the base of the penis shaft. Pull downward. Stop at the head. Repeat, alternating hands. Each stroke should last about three seconds. The stimulation will certainly help you reach an erection. 3. When your penis becomes semi-erect (not fully-erect), make the "A-OK" sign with the thumb and forefinger of your left hand. With this hand, grip tightly around the base of your penis. 4. Now starting from the base, pull the penis gently yet firm. Stretch downward and outward. You have to maintain your semi-erect penis at this point. Make certain to start from the base the head with each stroke. Note that the head of your penis will get bigger with blood. 5. Switch to your right hand and repeat the stroke, starting from the base and stretching downward to the head. Alternate both hands in a smooth rhythmic ("milking") movement, touching upon every part of the penis except the very top part of the penis head. This is the very foundation of jelqing. Don‟t forget that jelqing exercises are not performed during fully-hard erection. Make sure that your penis is between half to 3/4 erect. Results cannot be obtained until a partial erection is present. After this exercise has been done for quite some time, you will notice that your penis appears both longer and thicker. This is a fact. And we can assure you that from within one to several months of routine exercise, your penis will emerge quite huge; this is due to the impaction of blood in the penile tissues.
  • 15. Penis Enlargement Bible Page 15 Copyright © PenisEnlargementBible.com. All rights reserved. Carefully choose ONE of these jelqing exercise techniques that you feel comfortable with to include in your daily routine. PC Muscle Workout What nearly everyone doesn‟t know is that the pubococcygeus muscle (pyoo-bo- cocksee-gee-us) or PC muscle plays a critical role in the functioning of the penis. The pubococcygeus muscle is actually a group of muscles that run from the pubic bone to the tailbone. The PC muscle is the muscle you bring into play to stop the flow of urine from the bladder. It is also the muscle that contracts whenever you ejaculate, moving the semen up through the penis and out of the body. The PC muscle is a busy little muscle, you know? But as far as most men are concerned, it is still grossly unknown. Mastering the techniques of male multiple orgasms is easy once you know how to train your pubococcygeus muscle. When you urinate and you want to get the last drop out, you use your PC muscle in the opposite direction. By doing this you'll feel your anus open and the feeling will be somewhat different. Most men can do Kegels anywhere, since they're seldom aroused by the exercises. Continued over a lifetime, the exercises can help men and women avoid urinary incontinence as they age. That, plus greater arousal, enhanced orgasms and longer- lasting sex, make Kegels one of the simplest, most beneficial exercises a man or woman can do throughout their lifetime. Be careful though. Using your PC muscle can have negative effects. If you produce too much testosterone then you will find that you ejaculate prematurely. However if you follow our guidelines you will actually enhance your ejaculation control. The basics of the PC muscle work out involve you clenching your muscle as hard as you can for a certain amount of time. To find the muscle in question all you have to do is stop the flow of urine when you are in the toilet. In the e-mails that we send you we will give you an exact routine every week.
  • 16. Penis Enlargement Bible Page 16 Copyright © PenisEnlargementBible.com. All rights reserved. Penis Exercises: Stepping It Up A Gear (Advanced Exercises) These next exercises are more advanced. You will use these as your penis becomes more used to being exercised in this way. They introduce more strain to the penis. If you were to use more advanced exercises immediately then you would do far more damage than good. The stretches and jelqs are slightly more complex. You will not be using these exercises for a number of weeks. You will be e-mailed exactly what you should be doing that week, and these exercises will make up a part of your later routines. Advanced Stretching Advanced stretching it's just different ways of forming stretching exercises. They stretch different parts of the penis. The Wrist Stretch The wrist stretch is a way of applying pressure to the middle section of your penis mid- stretch. It stretches the ligaments more authority, but could also do more damage to your penis if your penis hasn't been trained by doing the simpler exercises first. The Wrist Stretch involves gripping your penis just below the head, as with the standard stretch, and stretching penis directly in front of you, to the left, to the right, up and down. To add more pressure to this stretch, you take the wrist of your free hand and apply pressure to middle of your shaft as you stretch before force. So, if you were stretching to the left, you would apply the wrist pressure on the left hand side of your shaft. If you were stretching up, you would apply wrist pressure to the other side of your shaft. If you stretching down, it would apply pressure to the bottom etc. Please don't attempt the Wrist Stretch unless directed by one of our e-mails. The Big Seated Stretch This is a very long stretch for those of you who have time and privacy. Each stretch takes 10 minutes to complete. By that I mean literally 10 minutes of nonstop stretching.
  • 17. Penis Enlargement Bible Page 17 Copyright © PenisEnlargementBible.com. All rights reserved. To perform the stretch, grip your penis while seated by raising one leg up and putting your hand underneath it then gripping just below the head. Then, pull with full force and hold for 10 minutes. For the next set, lift up your other leg and using your other hand repeat the process. The Big Squeeze The Big Squeeze is placed in this section because it is more a stretch than a Jelq. This routine simply involves squeezing your penis by putting it on the table, and using the flattened palm of your hand, push down on the penis. For this you push firmly by placing one hand on top of the other and using all your weight to squash the penis. You separate the penis into the upper and lower parts, and push down on each for 45 seconds Advance Jelqing Advanced Jelqing is for those of you who want to see big girth and length gains. We've already seen standard Jelqing, but these advanced techniques will do much more to improve your size. You will notice there are quite a lot of Jelqing exercises that you can do. After you have completed our program, you will be a pro, and then you can develop your own jelqs. However, by the end of our program you will probably have reached the size that you desire anyway -- so you can forget all about Jelqing! Most Jelqing improves your length and girth. Stretching is reserved for length gains, but then length can also be obtained from Jelqing correctly. However, the main reason for using Jelqing is to improve your girth. The Double-Handed Jelq Erection strength: 95% This is a variation of the standard jelq, the difference lies in using both of your hands instead of one. What you must to his start a standard jelq using your right hand, moving it up your shaft by about an inch, then with your other hand grip at the very base i.e. where your first hand started. Your left-hand is being used to trap the blood.
  • 18. Penis Enlargement Bible Page 18 Copyright © PenisEnlargementBible.com. All rights reserved. Now, with your right hand, jelq all the way up to just below the head of your penis. At this stage lots of blood will be trapped. Now, to gain length, finish your jelq with the first hand (your right hand) and slowly move your left hand up to just below the head. Then, take your right hand and gripped the very base again and continue this cycle. Important things to remember: your penis must be, and remain 95% erect. Only ever do this exercise after you have warmed up properly. This exercise is mainly for length gains, but by making a small variation you can turn it into a girth jelq. That is what we shall be looking at now... The Double-Handed Girth Jelq Erection strength: 95% This Jelqing exercise is designed solely for improving girth. Start as you did the previous exercise -- so that your hands are either end (one at base, one just below the head). The only difference with this exercise compared to the last one is that this is your starting point. Now all you have to do, when there is lots of blood trapped in your penis, is to slowly push to hands together while maintaining a tight grip. What you will notice is that your shaft is being expanded as the blood is forced outwards. This is held for 30-60 seconds. Important things to remember: again, your penis must be, and remain, 95% erect. Only ever do this exercise after you have warmed up properly. The Double-Handed Girth Bend Erection strength: 95% This exercise is similar to the last. With one hand at either end of your shaft, literally bend the penis forwards slowly, ruling it so that the bend moves from top to the bottom. Do this for 30-45 seconds. Repeat the exercise but in reverse i.e. bend it the other way. The Ultimate Girth Jelq Erection strength: 95%
  • 19. Penis Enlargement Bible Page 19 Copyright © PenisEnlargementBible.com. All rights reserved. Similar to the Double-Handed Girth Jelq, the object of this is to force your hands closer until they almost touch. The time spent on the movement from each end of your shaft to the center point should be 30-45 seconds. You can concentrate on different parts of your penis shaft while doing this. If you want to see more gains at the base than simply don't move your base and. If you want to see more gains closer to the tip, then don't move your upper hand. You can mix up the exercise depending on whether your girth gains are level or different at different points of your penis. Important things to remember: 95% erection. Ensure that you warm up. Warming Down Each step of exercises should be ended with a gentle massage and a warming down session with the help of a hot towel. When you give a massage to your penis and apply some heat to it, it helps healing and rebuilding of the cell tissue. You see, heat promotes faster growth of tissue cells and it restores the sensibility problems you may have had during your enlargement exercises. So after each exercise, you have to massage your penis softly for about 1 minute. You should perform a soft and circular motion with your forefinger and middle finger along the base and the shaft of the penis. Be very gentle with your moves here since your penis has just been through some serious hard workout. Following the massage session, you should apply another hot towel around your penis, just like you did for the warm up. This part of the practice is as essential as the first one because the heat will stimulate the damaged parts and will make them function well again.
  • 20. Penis Enlargement Bible Page 20 Copyright © PenisEnlargementBible.com. All rights reserved. Penis Exercises: The Schedule This is the schedule that you can start today. Alone, it won't have any affect. Until you have assimilated all of the required nutrients and biochemicals into your body, you will just get improved erections and maybe a very small amount of growth. Usually it takes 10 weeks to see real gains, but you will notice a harder penis after a few weeks. Biochemical growth will cause rapid growth – it's what worked for me when I finally - after years of trying – stumbled upon the secret to getting a bigger penis. But exercises increased the speed at which I gained by about 22% when those biochemicals were present. Here is the exact exercise schedule that I used...
  • 21. Penis Enlargement Bible Page 21 Copyright © PenisEnlargementBible.com. All rights reserved. Exercises Weeks 1-3 Time spent on exercises per day: 15-20 minutes. Gently massage your penis and surrounding area with a warm cloth. You want to loosen up your penis and the muscles around it. Do this for 2-3 minutes. Standard stretching is the only way to begin! For this hold each stretch (outwards, up, down, left, right and around) for 30 seconds. Your penis must be flaccid to do this or you will hurt yourself. Go through this cycle twice. Exercise you PC muscle in the process by flexing it in the manner similar to controlling your bladder flow. This technique helps you preclude premature ejaculation. After 20 minutes, give your penis a rest. Wrap a warm towel around your penis and then repeat the routine after a few minutes of sufficient rest. Now continue on to the standard jelq. Do this for 10 minutes, and then warm down. Perform these exercises 5 days a week. Give yourself the weekend (or any two days) off. You will notice that your erections become harder and you may see a little growth. In week 3 spend 10 minutes doing the Double-Handed Jelq as well. Exercises to use: Standard Stretching Standard Jelqing Weeks 4-5 Time spent on exercises per day: 15-20 minutes. Exercises to use: Standard Stretching Take a seat with you back vertically straight and mare sure to lubricate you penis. With one hand, grab the base of your penis squeezing the
  • 22. Penis Enlargement Bible Page 22 Copyright © PenisEnlargementBible.com. All rights reserved. penis shaft as you move towards the penile head. Once there, use your other hand and start anew. Do the squeezing routine for 3-5 seconds as you moved from the penis base to the head. Repeat this action over a 5 minute period without attaining a full erection or ejaculation. Standard Jelqing Gently encircle your penis and moving your hand up to the head, concentrate of pushing the blood up the penis. On reaching the head of your penis, take your other hand to the base and perform the same motion with your other hand. The Wrist Stretch Grip your penis firmly just below the head and stretch it gently to the left, to the right, up and down. Repeat this technique for about 5 minutes. The Big Squeeze Place your penis on the table, squeeze and put pressure on your penis with your palm firmly. But don‟t be so hard on your penis. Keep repeating this for about 2 minutes. Weeks 6-8 At the end of this cycle you will have your body at its optimum. This is the last transitional stage. Because of that you shouldn't do everything yet. However, you can split your exercises into morning and night. You should do more advanced, intensive jelqs and stretches as your penis starts to get ready for growth. Spend between 20-30 minutes a day exercising. Now you can do everything but the Ultimate Girth Jelq and the Double-Handed Girth Bend. If at this stage you have already begun to see growth then by all means do the others. You'll now know the feeling of a good workout so you will know which exercises you respond to best. Also, mix up what you do. Keep your routines fresh for the best results.
  • 23. Penis Enlargement Bible Page 23 Copyright © PenisEnlargementBible.com. All rights reserved. Week 8 Well done, my friend! You have been through a great experience towards enlarging your penis. Don‟t get too excited though because your first week is nothing. But now you can create your own routine. You‟ll have noticed what you respond to best. Tailor-make your exercises and growth will happen. Spend at least 15 minutes a day on intense workouts. Note: Before any exercise you have to warm up and afterwards you have to warm down.
  • 24. Penis Enlargement Bible Page 24 Copyright © PenisEnlargementBible.com. All rights reserved. Conclusion That's the basis of penis exercises! This is a complete part of the system that I discovered (almost by accident!) which caused my penis to get bigger by 3 inches in length and 2 in girth. Why am I sharing this? I'm sharing this information because some really sneaky “gurus” are selling this information and making a profit out of it. That would be cool, and I'd be fine with it if it worked. But, here's the thing, it doesn't on its own! I personally wasted hundreds, if not thousands of dollars on penis enlargement stuff. And ALL of it failed until I stumbled upon the solution that worked wonders for me. So, this free guide is here to stop you getting ripped off. I am not a wealthy guy and at some points when I shelled out a fortune on these products I was really frickin' poor. So if I help one guy save a bit of money and get better educated then I think this guide is a good thing. So how do natural size gains happen? I've said exercises accelerate growth, and here's how my complete system worked for me. Please remember that I'm not an expert! I'm just a regular dude who found
  • 25. Penis Enlargement Bible Page 25 Copyright © PenisEnlargementBible.com. All rights reserved. something that's worked incredibly well for me and the few people I shared this info with. The way that my biochemical method works is by making your penis naturally grow. All you need to do is to restart the production of certain biochemicals in the body. These biochemicals were responsible for growth when you were going through puberty, and can be made to be produced in the body now, just like they were then. If you can do this then you will begin penis growth. Most people don't know about this vital technique because the enlargement industry makes much more money selling very expensive methods which don't deliver results. However, getting your body ready to make your penis bigger is the only way (other than surgery) that you can cause real gains in your penis size. That is the reason why other products (as you probably have discovered) fail, because they ignore this highly important aspect of growth. The way to make your penis bigger is by getting those biochemicals (which caused penis growth during puberty) back in the body. Then: BOOM! You will start to see gains. If you guys are interested in this then let me know. If you're not part of my members email list then sign up now - and you can email me directly from there! It's at www.PenisEnlargementBible.com. If you guys want these secrets badly enough then I'll tell you them! I would rather that than you getting scammed by the big businesses like I did. All the best. Your friend, John Collins http://www.PenisEnlargementBible.com
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  • 38. How To Enlarge Pennis By Food PDF Male penile growth photos. The "daVinci Anatomy Icon" denotes a link to related gross anatomy images. Male Genital And Rectal Exam. Preparing and Positioning the Patient: This is normally the last part of the whole bodily examination. While it may cause the patient (and possibly you) some embarrassment in addition to pain, it gives vital information and must now not be skipped. Explain to the affected person what you are going to do (and why) after which proceed. If they have now not already achieved so, ask the affected person to dispose of their underclothes. I accept as true with that this examination is less difficult to perform and yields greater records if it is executed with the patient status while you are seated in the front of them. In this function, it's far easier to take a look at the testes, compare for inguinal hernias and perform the rectal exam. However, if the patient is unable to stand/unsteady on their toes, it could be performed at the same time as they lie at the examination desk. The Genital Exam: Have the affected person stand in the front of you and raise their gown to the level of the umbillicus, exposing the entire genital vicinity. Put on a pair of gloves previous to starting. The gloves do now not must be sterile. Observation: Note if there are any bulges or scars in the inguinal area, constant with contemporary or beyond hernias. Any apparent penile or scrotal abnormalities? Any obvious pores and skin abnormalities at the penis, scrotum or surrounding regions? The Penis: First take a look at the glans (i.E. The head) of the penis. If the patient is uncircumcised, draw back the foreskin so that you can have a look at the glans in its entirety. Make sure that you go back the foreskin to its everyday function on the stop of the exam, else it is able to motive extreme venous and arterial obstruction, main to necrosis of the pinnacle of the penis, a condition called paraphymosis. Occasionally you will be not able to retract the foreskin from the top of the penis, referred to as phymosis. Paraphymosis: Picture on left demonstrates edematous foreskin which has come to be trapped behind the head of the penis. Picture on proper demonstrates foreskin in appropriate role covering head of penis. This became executed through making use of regular strain to the pinnacle of the penis, reducing edema, which then allowed repositioning of foreskin. Note that patient has Foley catheter inserted. Phymosis: Scarred down foreskin which cannot be retracted over head of penis. Look at the outlet of the urethra. Make notic. How To Enlarge Pennis By Food PDF of whether or not it is extra or much less at the tip of th. How To Enlarge Pennis By Food PDF penis, on the top-s > Penile Condyloma: Growth at edge of glans due to HPV contamination. Syphilitic Ulcer. In popular, the left testis lies a bit lower within the scrotum then the right. The testes must seem as 2 discrete swellings, despite the fact that if the room is mainly cold, they may retract a piece up in the direction of the inguinal canal (greater of problem in pediatric then person medication). Gently experience the testes, palpating the tissue among the thumb and subsequent 2 hands of your examining hand. Each need to be of the identical consistency and length. If there's a big length discrepancy (or whole absence of one of the testes) ask the affected person if this has always been the case. They may additionally have had one surgically removed. Or perhaps be afflicted by a congenitally undescended testis. The affected person have to have the ability to narrate whether or not he became ever capable of feel each testes or if everyone has ever informed him that he has a testicular abnormality. If there seems t. How To Enlarge Pennis By Food PDF be a unmarried testis, carefully have a look at the inguinal canal (see below) for evidence of a discrete swelling that might constitute the place of an undescended testis. Make careful word of any discrete lumps or bumps inside the frame of the testis. The presence of a firm nodule would be worrisome for testicular malignancy. Occasionally, the complete testis feels enlarged. This is most usually caused by a hydrocele, that is a group of fluid that fills a potential space surrounding the testis. Hydroceles have a characteristic texture that is unique from that of testicular tissue. You also can distinguish them from the body of the testis by trans-illumination. To do that, close off the lights in the exam room and region a flash mild on the scrotum, without delay over the area in query. A hydrocele will permit the transmission of mild, at the same time as testicular tissue will not. Testicular enlargement resulting from hydrocele. Orchitis: Picture on left demonstrates testicular expansion due to infection inside the frame of the testis. The inflammation has unfold from the testis to the skin of the scrotum, with ensuing edema causing fewer skin folds over the right testicle in comparison with the left. No transillumination is seen (photo on right) because the inflamed testis does no longer allow the passage of light (rather than hydrocele shown above, which comfortably conducts mild). This isn't always always the case, as on occasion orchitis will motive a "reactive hydrocele" to form, for you to transilluminate. The epididymis is a discrete shape which lies toward the top and lower back of each testis. If there is any testicular ache, it could be easier to perform the exam at the same time as the patient is supine. Assessment of the spermatic cord systems: The vas deferens, testicular artery/vein, ilio-inguinal nerve, lymphatics and fatty tissue make up the spermatic twine, a shape that runs from the epididymis up through the inguinal canal. The vas may be distinguished from the relaxation of these stuctures because it lies along the posterior factor of the package and feels company and twine-like. You will commonly be unable to mainly identify the remaining systems. Identify any discrete swellings inside this series of tissues. If gift, notice their dating to the testes and inguinal canal. Dilated veins, called a varicocele (feels like a bag of worms. Simply!), may be palpable throughout the length of the wire structures. Evaluation for inguinal hernias: If you detect a diffuse swelling amidst the twine structures or word the inguinal canal area to be protuberant, the patient in all likelihood has an inguinal hernia. The following exam, but, must be completed on all male patients, regardless of whether you think any underlying abnormality. Before palpating this location, have the patient undergo down (i.E. Valsalva) or cough (although have them turn their heads first in order that they do not expectorate into your hair) whilst you observe the inguinal location. Both of these maneuvers boom intra-belly pressure, forcing intestines/omentum/peritoneal fluid thru any illness which may additionally exist and creating a hernia extra apparent. Right Inguinal Hernia. If you are inspecting the right inguinal place, area the index finger of your right hand along the spermatic twine, inverting the scrotal pores and skin as you trace the wire to wherein it emerges from the external ring of the inguinal canal. You may be capable of placed the top of your finger into this slender commencing. Put the hands of your left give up the inguinal canal, which runs obliquely closer to the patient's anterior-superior iliac crest, or on pinnacle of any particularly swollen location. Have the affected person repeat the above maneuvers that increase intra-belly strain and notice if you may experience, with either hand, any bulging tissue that might
  • 39. be consistent with a hernia . Exam of the left inguinal region is carried out inside the same way, although hand positioning is reversed. Hernias are commonly non-smooth and there need to be no evidence of acute irritation (i.E. Pores and skin edema or redness). If present, it shows incarceration/strangulation of the entrapped contents, the most dreaded hardship of a hernia, and constitutes a surgical emergency. Inguinal hernias are available in all sizes. Distinguishing direct from indirect hernias on the premise of exa. How To Enlarge Pennis By Food PDF is rather difficult and now not clinically critical as both ought to commonly be repaired and the final dedication can be made on the time of surgical procedure. Some hernias might be barely palpable via the index finger positioned inside the outside ring of the inguinal canal. Others can be quite big. In this putting, it is able to be tough to distinguish the wire systems or testis from the contents of the hernia, even though supply it a try. The testis must be placed at the bottom of the scrotum. Large proper inguinal hernia: Prominently visible in picture on left. Picture on proper demonstrates look in identical patient after manual discount. Auscultation on top of a hernia can also permit the detection of bowel sounds, which can be beneficial facts in case you are uncertain as to the nature of an inguinal bulge. In the event that the patient is not able to face, the above examination may be achieved as defined with the affected person supine. This might also without a doubt be a higher position for evaluating the inguinal canal in case you are concerned that it could incorporate a discrete mass, as inside the case of a suspected undescended testicle. Rectal/Prostate Exams: Have the affected person turn around and teach them to relaxation their chest on the examination table. This gives you an possibility to perform the examination at the same time as providing the affected person with some thing to lean in opposition to for help. You can stay seated. Separate the cheeks of the buttocks and look at the peri-anal region. Make observe of any pores and skin abnormalities, bleeding sites, fissures or hemerrhoids. Thrombosed External Hemerrhoid Prolapsed Internal Hermerrhoid Rectal Fissure and Prominent Skin Tag. The digital rectal examination can offer data approximately several essential organ structures, which includes: Gross inspection of the stool. Is there obvious proof of blood, which normally implies that the bleeding website online is near the anus? Does the stool seem black/tarry, which happens when blood launched from an higher intestinal supply is digested and exceeded through the whole alimentary canal? In such instances it'll actually have a feature odor. Normal performing stool have to be examined with a unique agent designed to discover hemoglobin (see underneath). This is referred to as checking for occult blood (i.E. Blood that could not otherwise be identifiable). In those instances, the source of bleeding is most often within the colon, even though it may be from everywhere inside the GI tract. Palpation upwards, posteriorly, and laterally will allow you to sense for rectal based totally hundreds. Feeling anteriorly will permit you to observe the prostate gland. Before intending, offer the affected person with a field of tissue paper that they can use for cleansing themselves on the end of the examination. Open a stool guiac card and area it at the exam table subsequent to the affected person. Then: Put numerous lubricant (a.K.A. Surgi-lube) on the index finger of your right hand. Tell the affected person that you're going to region your finger in their rectum. Remember, this is a sensitive aspect of the examination, and the patient frequently feels quite inclined. Thus, it is an awesome idea to speak them through every step. Place your well lubricated index finger against their anus, however do now not yet insert it into the rectum. Ask the patient to undergo down as if they are trying to have a bowel movement. This helps to loosen up their external sphincter and need to lower pain. As they bears down, gently push forward until you've got placed the complete finger inside the anal canal. Pay interest to the following : As your finger enters, make notice if you hit any resistance. You may additionally run into some stool, which have to without difficulty move out of the way. A mass (e.G. A large rectal tumor) will now not flow. If this occurs, do now not force your finger forward. By lightly rotating your hand, you could use the pad of your index finger to experience to the left, right after which immediately backwards (i.E. Towards yourself) and along the sacrum. Make observe of any irregularities/hundreds. What you come upon will range with the medical scenario. You might, for example, experience a fluctuant collection in a patient with a pelvic abscess related to a perforated appendix. Orient your finger in order that it's far directed anteriorly (i.E. Toward the affected person's umbillicus). It ought to now be resting at the prostate gland, that i. How To Enlarge Pennis By Food PDF palpated through the wall of the rectum. Make observe of the subsequent: The prostate has two lobes with a cleft running between them. Can you experience each lobe extraordinarily? Do they experience symmetric? Are their any discretely firm regions (referred to as nodules)? Normal prostatic tissue feels more or less just like the tip of your nostril. Anything less assailable is suspicious for malignancy. If you experience a company place, take a look at and see if the prostate is freely cell or if it feels constant to the pelvis, which can occur through direct extension of a malignancy. Does the prostate gland sense large? You will manifestly don't have any concept till you have got had an possibility to examine many to get a experience of the variety of normal. In general you should be able to get you finger over the top of the gland. This may be tough if: the affected person is obese/has large glutteal cheeks, you have got small hands they have a massive prostate Do the quality that you may. One useful way of looking to experience the overall extent of the prostate is to ensure that the patient is leaning over the exam table, which has the effect of directing the prostate out towards you. Then take your left arm and wrap it around their waist, enabling you to attract the patient toward you as you push with your inspecting finger. Any pain on palpation, that's suggestive of prostatic contamination? Does the gland experience swollen? Again, this is a very subjective finding that's best obvious after examining many normal prostates. It happens inside the putting of contamination. Try to have the affected person distinguish between the pain of the examination in preferred from any pain in particular produced by means of pushing on the prostate. Assessment of rectal tone. This can be performed both at the beginning or the cease of the examination. In positive diseases of the significant or peripheral fearful machine, innervation of the sphincters that assist keep rectal continence may be affected (e.G. In the setting of sacral nerve root compression associated with a tumor) and muscular tone may be faded or absent. There is a sure subjective tightness that you may word whilst you input the rectum along with your finger. You can further investigate outside sphincter tone by way of asking the patient to try to keep on on your finger with their rectum (granted, that is an unusual request), permitting you to feel the contraction of this muscle. Exam of the stool. There is typically a few stool within the rectal vault on the way to coat your finger at the cease of
  • 40. the examination. Inspect it once you withdraw your hand, seeking out purple or digested blood as defined above. Take the stool guiac card which you have positioned at the desk prior to starting the examination and placed a small smear of stool in ever. How To Enlarge Pennis By Food PDF of the home windows. Then turn the card over and open the back. Place a drop of developer at the back facet of every window as well as over the control spot. The manipulate will flip blue, the colour indicating hidden hemoglobin. If you're having a difficult time convincing your self that there's actually a few blue gift within the specimen, take the card and preserve it up in order that mild passes through the windows, accentuating any shade changes. Guaiac Testing Equipment. Guaiac Positive (Note blue colour in bins) As you are evaluating the stool, allow the patient to wipe themselves off with the tissue paper that you made available to them earlier. It is commonly a pleasing idea to tug the curtain and deliver them a few privateness whilst they easy up and get dressed. To cast off your stool-included glove, take the index finger of your left hand (which ought to still be easy) and location it under the cuff of the right glove. Then pull that glove down toward your palms, inverting it in the technique. In the event that the affected person can't stand, this examination may be carried out with the affected person mendacity on the exam table. Place them on their facet, with knees tucked up toward their chest. Their again must be as close to the brink of the desk (i.E. As near you) as possible. The the rest of the examination is executed as described above. You may also both sit down or stand. Copyright ©2015, The Regents of the University of California. All rights reserved. Last updated 10/15 .