Most people have been accustomed to believe that "Size Matters”. Men experience stress if they feel they fall short of average size. Men tend to conceptualize that they will be more attractive to their counterpart (partner) (or perceived to be more manly/masculine) if they possess a larger penile size. However, this is largely untrue. It is essential to keep in mind that there is no “normal” when it comes to size of penis. Too small or too large penis occupy only 1% of the population while rest lie at average size. Concern about the penile size can be of major stress and may proceed to have sexual dysfunction in men who tend to think that they have small penis. The major dilemma is that many men perceive that the "average penis" is actually larger than what they actually possess. Various research studies reveal that female counterparts inclined to prefer penises of average size as compared to a large penis. Once a male completes his puberty, the penis size is more or less "set." According to a research study conducted in 2014 on more than 15,000 men published in The British Journal of Urology, the average size of flaccid penis is 3.61 inches long and 3.67 inches in circumference, while the average size of erect penis coming in at 5.17 inches long and 4.59 inches in circumference. It’s interesting to know that, even though the official averages are revealed, it doesn’t mean a man’s penis will be of exactly same size at every moment in his life. While most men would rather be a bit above average than below, there’s nothing wrong with having a penis below the average size – it is an average after all, so 50% of men will. Having a larger penis may not always be a good thing. In fact, a 2015 study found that, among 75 women surveyed, one of every 15 had left a relationship because their partner's penis size was "too large” Women perceive penis size much differently than men do. What men think is small, she probably perceives as average, and what he consider average, she probably thinks is pretty big. That’s because unlike men, she doesn’t experience any penis size related anxiety. Moreover a women’s vagina is only around 3 or 4 inches, which may expand to 4 or 5 when a woman is aroused. Too big size could be discomfort and painful. A larger penis poses similar risks in MSM who have anal sex, including an increased risk of HIV. In a study of heterosexual people published in the British Journal of Urology International, 85% of women were satisfied with the size of their partner’s penis, while 45% of men thought that their own penis was too small. It is important to remember there is no “normal” when it comes to penis size. Remember that penis shouldn’t control one’s life, and hopefully, some of the researches prove that a below-average penis is not the end of the world and larger size doesn’t bring all the sexual pleasures. But if you’re truly unsatisfied, there are safe and effective ways to increase the size of your penis – its not end of the world

2. FOR AS LONG AS MANKIND HAD THE
CAPACITY FOR WONDER,
WE’VE PONDERED THE BIG QUESTIONS:

3. How did the
universe begin?
What came first,
the chicken or the
egg?
Does penis
Size matter?

5. Penis : A Symbol Of Masculinity
 The penis, particularly in its erect state, is considered a symbol
of masculinity.
 In many cultures, Penis symbolizes strength, endurance,
courage, intelligence, dominance over men and possession of
women
 It is no surprise that even today, many men give more
importance to the size of their penis.
 Society supports hegemonic masculinity (attribute of physical
strength, authority over women)

6. Penis : A Symbol Of Masculinity
Yes, for years men have looked down and asked themselves
the age-old question
 Is my penis normal?
 Is it too small? Too big?
Heck!!
Does it even matter at all?

7.  Men have a sort of primal instinct to
compare themselves to each other in
practically every aspect of life.
 Be it Height, career, sexual partners, and
last but not least, Penis size.
 As early as childhood, men start
to worry about being “normal”.

8. Frequently Asked Questions
 What exactly is “normal”?
 Do women even care?
 Does your penis size actually affect your sex life in any way?

9.  While the answer is a bit subjective and situationally
dependent
 Let’s take a look at a variety of research studies, polls,
and facts to give you the most comprehensive answer
possible.

10. Does size matter?
 Many people have been conditioned to believe
that "size matters" and experience stress if they
feel they fall short.
 A common belief: they will be more attractive or
masculine if they have a larger penis.
This is largely untrue

11. Am I Normal?

12. Am I
normal?
What if a
women will
laugh at me?
What if I
have the
smallest
size?
Should I
consider penis
enhancement
therapies

13. How do you compare down there with
the rest of the world?
Knowing the facts could be better or bitter
Alert you if in
doubt
Put your fears to
rest

14. What is the average size?

15.  Science has actually studied penis size—here's
what is considered normal.

16. Penis length measured in three states:
1. Flaccid
2. Stretched
3. Erect

17. How to measure your penis size?

18. Average Penile size
 According to a study published in the British Journal of
Urology International in 2014 on 15000 men
 Length : The average male’s penis is 3.6 inches flaccid and
5.1 inches erect.
 Girth: The average girth, is around 3.6 inches flaccid and
4.7 inches erect.

19. Average Penis Size In India
 The average stretched length
 Before puberty: between 2.1 and
2.9 inches.
 Adult penis: After puberty is
complete, is between 4.6 and 5.8
inches

20. Average remains almost the same
in all ethnicities

22. Are you a
"Shower" or a "Grower”?

23. "Shower" or a "Grower?
 Another popular belief is that some flaccid penises
can "grow more" than others during an erection.
 No correlation of size of flaccid penis with erect
penis.

25. What is Grower and shower ?
 Growers: usually see more than 1.5 inches of growth
from their flaccid state to erect
 Showers: usually see less than 1.5 inches of growth from
a flaccid state to erect
 The smaller flaccid penises grew more than larger flaccid
penises, with all groups averaging an erect penis length of
around 6 inches.
International Journal of Impotence (2018 )
Conclusion:
The flaccid size
of a penis is not
a good predictor
of its erect size.

26. Growers vs Showers
 A study on 274 men revealed:
 Younger men were more likely
to be growers than showers
 No significant factors of race,
underlying health conditions,
or even the average size when
soft.

27. Factors that influence change in
size

28. Factors that influence change in size
 Interestingly, even though we know the official averages, that
doesn’t mean a man’s penis will be the exact same size at every
moment in the life.
 Various factors influence changes in size

29. Factors that influence change in size
 Genetics
 Hormones
 Environmental
 Climate
 Age
 Nutrition
 Body fat
 Disease condition

30. Genetics
Penis size depends on a combination of a person’s
 Parental genes: Y chromosome (70-200 genes) determines
development of penis & testis but not necessarily the size & girth.
These characteristics are dependent on X chromosome. (900-1400
genes).
 Own unique genes: The traits could be the result of de novo genes .
 External factors: Genetic mutations may also affect penis size and
appearance as well as other physical characteristics
Genetic conditions: Sometimes influence penis size include Kallmann
syndrome and Klinefelter syndrome

31. Hormones: Size also depends on
 Testosterone levels
 Androgen sensitivity despite Normal T levels
Nutrition:
 Malnutrition in the womb and adolescence (anorexia or
bulimia) may impact hormones and affect growth and
development.
Cold temperatures:
 Blood vessels in the penis constrict causing the penis to shrink
temporarily.

32. Environment
 Environmental pollutants, such as pesticides, plasticizers, and
other chemicals, may have a negative effect on penis size.
 They cause endocrine disruptors and impact gene and hormone
expression.
 Prenatal exposure to chemicals negatively impacts the genital
development of male newborns.
 A 2019 study also suggests that epigenetic-associated dietary
influences may slow genital progression in adolescent boys.

33. Disease Condition:
 Peyronie's disease:
A noncancerous condition resulting from fibrous scar tissue
that develops on the penis and causes curved, painful erections.
 Micropenis:
 Length is less than 2.5 SD below the mean with length of
3 2/3 inches or less in adult.
 Caused by structural or hormonal defects of the
hypothalamic-pituitary-gonadal axis.

34. Presence or absence of pubic hair:
It can make the penis appear larger or smaller without affecting its
true size.
Body fat :Body proportions may make an average sized penis appear
smaller.
 Obese : obese are likely to suffer from buried penis syndrome
(penis to be buried or hidden under your supra pubic fat pad)
 This encourages the penis to “turtle“ or retract back into the body.
 Losing weight can help visual appearance of increase the size

35. Factors that DO NOT affect size
 Numerous myths about what factors determine penis
size often lead to unnecessary stress and anxiety.
 Thus, the following do not affect penis size or
appearance:
• Shoe size (feet size)
• Height
• Masturbation
• Length of fingers
• Ethnicity

36. When does the penis start and
stop growing?

37. When does the penis start and stop growing?
 The penis grows gradually after birth. However, the most
significant growth occurs during puberty, or
between 9.5–14 years of age and can last up to 4 years
 A penis typically reaches its maximum length and girth
when a person is 18 or 19 years old.

38. Where does the problem lie?

39. What do most men think?
 Concerns about penis size can cause stress and lead to
sexual dysfunction in men who think that their
penises are small.
 The problem is that many men think that the "average
penis" is larger than it actually is.
Fact
Studies suggest that women tend to prefer penises of
this size compared to a large penis.

40. How small is too small?
 While most men would rather be a bit above average than
below, there’s nothing wrong with having a penis below the
average size – it is an average after all, so 50% of men will.
 But there is a point at which a penis is too small to be of much
use during sex, and we even have a medical term for it – a
micropenis.
 Its very rare condition (1.5 in 10000 population)

41. How Big is Too Big?
 Myth : Bigger is better
Fact:
 The average depth of vagina is only 3 or 4 inches, which may
expand to 4 or 5 when a woman is aroused.
 Go any further than that and you’re hitting the wall of her cervix
and pleasure turns to pain and discomfort.
A study found that, among 75 women surveyed, one of every
15 had left a relationship because their partner's penis size
was "too large.“

42.  Cisgender women preferred a penis size of 6.4 inches (erect) for
a one-night sex partner. For a long-term partner, the preference
was slightly smaller: 6.3 inches.
According to a 2015 study in PLoS One
 85% of women were satisfied with the size of their partner’s
penis, while 45% of men thought that their own penis was too
small.
British Journal of Urology International

43. How much does the size matter?
 When it comes to sex, penis size really doesn’t matter. It
doesn’t affect desirability, function, or health
 Size only matters as much as you let it.
 Worrying about having a smaller-than-average penis can drain
the confidence and affect your ability to enjoy sex.
 Furthermore, stress and anxiety can make it more difficult to
get an erection or climax and cause erectile dysfunction.

44. Length vs. Thickness
 Studies reveal women prefer a shorter and thicker penis to
a longer and skinnier one.
 A study (BMC Women’s Health) reported that a thicker
girth was more pleasurable.
 Greater indirect clitoral stimulation during sex and a greater
feeling of fullness..

45. Women Perceive Penis Size Differently Than Men
 Women perceive penis size much differently than
men do.
 What you think is small, she probably perceives as
average, and what you consider average, she probably
thinks is pretty big.

46. In a study, both men and women were asked to give their own
estimate of the average male penis size and the ideal penis
size.
 Women consistently responded with lower numbers than
men.
 Women guessed an avg. preferred length of 13.8cm (5.4
inches), which was 3 centimeters shorter than what men
guessed at 14.1cm (5.5 inches).
 The gap was much wider when asked what they believed the
ideal penis size to be, with women saying 15.8 cm (6.2 inches)
compared to men who said 16.6 cm (6.5 inches) (diff of 8 cm)

48. If main concern is what a woman will think when she
sees the men’s penis, remember that their expectations
are a bit lower than men’s.
Hopefully, knowing
this will help men
relax a bit.

49. Can penis size make or break a relationship, or
does it not matter much at all?
 In a survey of nearly 1,000 women
 11% said penis size was “very important”.
 67% said that penis size was “somewhat important” to
them,
 21% responded saying that penis size was “not important”
to them at all.
88%

50. Does penis-size affect pleasure during intercourse?
 Size is ranked as one of the least important things for
people who have sex with penis-owners.
 Most women require external clitoral stimulation in
order to experience orgasm (penetration didn't even
rank in the top two ways to orgasm).
 Girth is definitely more important than length, which
is something we rarely discuss. It's thickness that
matters more.

51. Compensating for a Small Penis?
“Blind have heightened senses of hearing and smell”
 In a similar way, many men lacking in the penis
department end up compensating in other ways.
 They compensate by becoming better at other
sexual activities
 The general belief is that the
More proficient you become at pleasing your woman
in other ways, the less your penis size will matter.

52. When Penis Size Matters Too Much
 Body image is a sensitive issue, but it’s one that’s important
to talk about.
 Most of men are already stressed about height, weight, or
the hair on bodies and add penis size to that list.
 If still inadequate obsessing over it, measuring size multiple
times a day, then consider sex therapy.

53. Should You Consider Male Enhancement?
 If making penis bigger will solve all of problems,
then reconsider.
 If adding a few inches improve confidence, self-esteem,
then go ahead.
 Because anxiety about penis size can cause
frustrating sexual problems,
 Men often end up seeking out unhealthy and
dangerous male enhancement methods.

54. Bizarre practices to increase size
 Poisonous snakes to bite their penises to enlarge for six
months in Brazil
 Indian Sadhus men are known to use weights to increase the
length of their penis
 Dayak men in Borneo pierce the glans of penis and insert
items into the holes to stimulate their partner.
 Inserting petroleum jelly or material into penis to enhance
size

55. Penile enlargement therapies

56. Penis enlargement therapies
 Contact healthcare professional to discuss the best option
 Indication: If Penis measures less than 1.5 inches flaccid or 3
inches erect or a medical condition (micropenis)
 Surgery and hormone treatments are the only options that can
achieve a permanent increase in size. (start by prescribing
hormonal treatment, If this is not effective, they may suggest penile
reconstruction surgery)
 Most options carries the risk of potentially serious
complications.

57. Hormonal therapy
Hormonal therapy (hCG) on Penile
length
hCG treatment (1500-2000IU) IM 3
times a wk for 8 wks seemed to be
effective in IHH having micropenis,
because it successfully increased the
serum testosterone levels, testicular
volume and resulted in a satisfactory
gain in penile length.
Flaccid length: from mean 3.39 to 5.14 cm
Stretched length: 5.49 to5.58 cm

58. Penis enlargement therapies
Traction devices
 Traction devices aim to increase the
length of the penis by stretching the
penile tissue.
 Placement of weight or small
extending frame on the flaccid penis
tsuggesto gently lengthen it.
 Can lengthen the penis by as much as
1–3 centimeters (cm) (0.4–1.2 inches
[in]).
 In most of these trials, participants
wore the devices for 4–6 hours a
day.

60. Vacuum devices
 A vacuum device, also known as a
penis pump, contains a tube that
fits over the penis.
 Pumping out air creates a vacuum
that draws blood into the penis,
causing it to swell.
 People usually use vacuum devices
to treat erectile dysfunction.
 No scientific evidence suggests
that they can increase penis size.

61. Pills and lotions
 Various pills and creams promise to increase penis size. They
usually contain vitamins, minerals, herbs, or hormones. (no
proven scientific evidence)
Jelqing
Jelqing is an exercise where a person repeatedly pulls the
non-erect penis with their thumb and forefinger. It aims to
stimulate blood flow, which may increase penis size during an
erection (no proven scientific evidence)

62. Penis Augmentation surgery
Injecting fat cells
 Penile augmentation involves injecting fat cells from
elsewhere in the body into the penis.
 The aim is to increase girth, or width.
 This can add an average of 2.39–2.65 cm (0.94–1.04 in) after
12 months.
 The graft can also lose 20–80% of the new volume within 1
year of surgery

63. Biodegradable frame
 Another method for increasing girth
 It involves pulling back the penis skin and wrapping a
biodegradable scaffold, or frame, around the shaft.
 The frame, which is biodegradable, uses substances derived
from tissue cells.

64. Penis Augmentation surgery
Ligament release
 In this surgery, the surgeon cuts the ligament to increase
the length of the penis.
 They may also carry out a skin graft at the base of the
penis to allow for the extra length. However, cutting the
ligament can lead to a lack of support for the penis during
an erection. This can make penetration difficult during
sex.
The American Urological Association considers penile
augmentation surgery neither safe nor effective

65. Ligament release

67. Liposuction
 If a person has high levels of fat in the lower abdomen,
removing fat through liposuction can reveal buried penis
or make the penis look bigger.
 Bariatric surgery and abdominoplasty can also have this
effect. It can increase a person’s self-esteem. However,
they will need to follow dietary and exercise
recommendations to prevent the fat from returning.

68. What is the
Final answer?

69. The Final Answer
 If anyone wants a straight answer “yes” or “no” to
whether or not penis size matters,
 Sorry for disappointment, but there is no one answer
 The best and most concise answer is “sometimes” or
situational

70. Final Answer
 It may matter to one woman, and mean nothing to
another.
 It may matter during sex but doesn’t matter otherwise.
 It may matter going into a serious, long-term relationship,
and not matter at all on a one-night-stand.

71. Let’s keep this in perspective though
 Too big of a penis can be painful and average size is just right.
 There isn’t a magical number and it’ll be different for every
partner
 Our bodies are covered in erogenous zones. By pleasuring
these areas, there is less pressure put on the internal
sensations than partner can receive from penis.

72. A few things that might actually help
 Communicate with partner
 Focus on intimacy and connection: Many women find just as
important as sex.
 Get in shape: lose fat
 Talk to your health care provider or a counselor
 Advice men to better know how to satisfy partner without
resorting to cosmetic penis enlargement

73. Summary
 Remember that penis shouldn’t control one’s life, and
hopefully, some of the researches prove that a below-
average penis is not the end of the world and larger size
doesn’t bring all the sexual pleasures.
 But if a man truly unsatisfied, there are safe and
effective ways to increase the size of your penis – so
relax, it’s not the end of the world.

74. Public views
Long penis don’t give
pleasure
Fatty penis is better

75. Average size is
better
Thick penis is
more
pleasurable

76. Let us prefer sizes only for chocolates
bigger the better