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PSYCHOLOGICAL
ASSESSMENT USING SURVEY STUDY OF THE INTERNATIONAL MALE
ENHANCEMENT WEBSITE PENILE FITNESS PROGRAM
By Dennis Rockwell, Ph.D,
Senior V.P. for EMARC, Inc.
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Here
are some penis lengthening surveys, penile enhancement research,
penis enlargement statistics and related information regarding
increase in penis size and penis girth. We'll start by giving
you a short introduction.
INTRODUCTION:
This study uses a survey approach to assessing
the various affects, psychologically and physiologically , of
the International Male Enhancement Website (IMEW) web site's penile
fitness program on the present participants, by randomly sampling
the male population at the IMEW web site chat line. In this manner
all areas relevant to the program are assessed by sampling questions
relating to age, penile length, and girth before using the program,
penile length and girth at present time of survey, length of time
(in minutes) per day using the program, any increase/decrease
in sex drive, any increase/decrease in sexual control, any increase/decrease
in self-confidence, and amount of days using the program.
A
summary of the program will be included and other known methods
of penile enhancement are explored and compared and contrasted
with IMEW's regime. In this manner all possible avenues are explored
and presented, so as to give a clear picture of the possible pros
and possible cons of the program from every viewpoint of the program
participants.
BRIEF SUMMARY OF PROGRAM
IMEW has put together a step-by-step easy to follow
procedure for penile enhancement and functioning based on a Sudanese
Arabic method called jelqing, which is stated as being hundreds
of years old. This method contains exercises performed by hand,
daily, and contains no mechanisms which could injure the penis.
Additionally, IMEW has added other various hand and muscle exercises
in the program to assist in penile enhancement, control, sensitivity,
and sex drive. IMEW's program is guaranteed, if the client isn't
satisfied after six months of using the program he will receive
his money back without question.
TOPIC DISCUSSION:
Male self-confidence in relationships and sexual
performance is directly affected by the male's penis size and
performance capabilities, as stated in the Miller study (2000).
Additionally, it has been shown that males and females believe,
falsely, that a male's sex organ is determined genetically and
can't be affected without surgery.
This
assumption places the male in a "no win" situation, without surgical
options, and if he isn't endowed with a substantial penis size
at birth then he automatically feels inadequate and this will
definitely affect his "performance anxiety" when in a sexual or
pre-sexual situation (Lidz, 1976). Also, it has been found that
as the human body ages it decreases tendon and ligament lengths
throughout the body, which causes it to shrink and this causes
decreased body height, length, and penis size in the male (Mader,
1994).
Sexual dysfunction in the male is a prevalent problem, in all
societies, and seriously affects the male's self-confidence and
ability to sexually perform. This problem is currently treated
with psychotherapy (by sex therapists), herbal treatments, and
medical applications. Not only can this dysfunction create serious
psychological ramifications, but it can become expensive in the
areas of doctor's visits, price of medications, and costly mechanisms.
Furthermore,
the medications presently used can have serious side affects,
depending on the individual's physiology and other current medications
that he is taking. Even the herbal applications can have counter
side affects with other medications and supplements, along with
various problems due to the individual's physiology (Finger, Lund,
& Slagle, 1997).
Testosterone levels in males steadily decrease during aging and
this affects the male's abilities to perform and their sexual
desire. People feel that sexual abilities are somehow a reflection
of something very basic in them; and each individual feels revealed
as well as naked before the other in physical and psychological
ways. Therefore, when the male's testosterone levels start decreasing
their sex drive also decreases, usually after 40; however, the
female's sex drive increases with age. This can cause severe intimacy
problems in a relationship as the male's desires decrease and
the female's increases (Lidz, 1983).
Sexual compatibility is also a variable in a relationship and
tends to be a critical measure of two persons' capacities to achieve
true intimacy (Masters and Johnson, 1966). After child birth a
female's vagina stretches, so as to assist in giving birth, and
after giving birth it maintains a more elastic capability. This
increased elasticity can create difficulties in sexual intimacy
with partners who have not had problems prior to child birth,
due to the male's penis not increasing in size, whereas the females
vaginal canal now becomes bigger and more loose during intercourse.
This particular problem can create a sexual pleasure problem for
the female as well as the male, where there may not have been
a problem prior to child birth.
The human body responds; grows, develops, and adapts; to physical
stimulation and exercise. The tendons, ligaments, muscle fibers,
and cellular tissue stretch and heal to adapt to new stressors
on them (Berne, Levy, Koeppen, & Stanton, 1998). This is the
innate physiology of the human body, to grow and adapt to change,
and all tissue in the body responds to the various stressors exerted
on it.
Due
to this innate ability muscle fibers stretch and grow to accommodate
exercise, along with the tendons and ligaments. However, the penis
is not made up of muscle tissue, but it is affected by the ligaments
attaching it to the pubic bone. In addition, the erectile tissue,
corpora cavernosa, is a spongy tissue containing distensible blood
spaces, which increases in size when blood is pumped into it (Martini,
1998).
Can the corpora cavernosa increase its distensible blood space
size? The corpora cavernosa in the male penis is similar in construction
to the pore cells in marine life called sponges. Repeatedly stretching
the pore cells in a live sponge will cause it's absorption pores
to expand and heal in this expanded state to adapt to the minute
tearing of the cellular walls of the pores, thereby making the
pore cells larger and more capable of absorbing more water and
nutrients.
The
corpora cavernosa is a live tissue which responds similarly in
the manner of a sponge (Martini, 1998); therefore, continuous
stretching and healing should cause the distensible blood spaces
to increase their ability to absorb more blood, as a sponge does
with water, and thereby increase actual size of the erectile tissue.
The ligament which connects the penis to the pubic bone and runs
up the back of the penis, Fundiform Ligament, is cut in penile
enlargement surgery, so as to allow the longer extension of the
penis. However, this can have adverse effects, such as the penis
staying in a hanging state, even when erect, and other possible
problems. It has been proven in bodybuilding that the tendons
and ligaments will adapt to repeated stretching exercises and
thereby (using the same application to the penis ligaments) become
longer and allow the penis to increase in length and girth along
with the erectile tissues increase in blood capacity, when stretched
at the same time.
As the male ages and the testes decrease their output of testosterone
they become smaller and sex drive is decreased. However, continued
stimulation of the testes will stop and reverse this process;
thereby, increasing sex drive and sensitivity (Masters and Johnson,
1966). Masters and Johnson's study in 1966 showed that the more
a male has sexual stimulation the more their sex drive is increased
and that their later sex life is also increased. In other words,
the more the male has sexual activity in his earlier years the
more he will have sexual activity in his senior years.
This
has been shown by numerous studies and that the increase in sex
drive is related to the amount of testosterone levels in the body
and sexual self-confidence (Lue, 1998).
It is common knowledge that a man's ability to stave off orgasm
during intercourse can have a direct effect on the woman's ability
to reach orgasm during intercourse. The amount of sexual pleasure
each partner experiences, while having sexual intimacy, and the
male's self-confidence in performing during sexual relations are
also directly related. Therefore, if a male can control his ability
to refrain from having orgasm then the sexual pleasure is increased
for both parties and the male's self-confidence is increased,
thereby decreasing any performance anxiety that would be related.
The
orgasm can be controlled by exercising the muscles associated
with squeezing the penis' bulb of spongiosum (base of penis) and
resulting internal urethra, which is at the base of the scrotum
and directly effects the blood supply to the penis, along with
contracting the urethra and thereby staving off ejaculation. By
being able to control the Urogenital diaphragm muscle and associated
muscle groups (Levator ani, or Puborectalis, which includes the
Pubococcygeus, Iliococcygeus, and the Ischiococcygeus muscles
(Agur, 1991)) the male can stop orgasm and control ejaculation
thereby increasing the amount of sexual intimacy with his partner.
In conclusion, empirical evidence has shown that as a man ages
his penis length shrinks, due to the ligaments and tendons in
his body getting shorter, along with the decreased testosterone
output of the testes. Also, that a man's penis size, ability to
perform, and sex drive are in direct correlation with his self-confidence
and ability to become intimate. Therefore, any program which can
stave off the effects of aging on the penis and testes would directly
effect his sexual performance, self-image, and decrease his performance
anxiety. This would also thereby increase his and his partner's
sexual intimacy and sexual pleasure.
BACKGROUND OF RELATED TOPICS AND PROGRAMS
Recent trends in advertising, psychotherapy, medicine,
and herbal treatments have been moving in the direction of dealing
with sexual dysfunction and it's ramifications. This advertising
of medicines, herbal applications, mechanical devices, and therapy
have been inundating the pages of our magazines, our television
commercials, and our junk mail. Impotence, penis size, performance
anxiety, and sexual intimacy are age old problems, which until
the last few years was kept secret and not talked about. However,
with the advent of new techniques and the all important marketing
dollar these difficulties have been exploited in all areas of
society, due to the overwhelming money making availability.
Males
all over the world have lived with these issues and have been
miserable in all aspects of their lives, due to them. It's no
surprise that they will go to any extent, financially and physically,
to alleviate these overwhelming dilemmas.
The drawbacks of these techniques are down played and sometimes
totally ignored. Some men have used these techniques with disastrous
results. Ahmed I. El-Sakka and Tom F. Lue recently published a
paper, with compiled research, on the possible problems resulting
from the use of these procedures (1997). They state, "Many devastating
complications have been reported, eg debilitating silicone granuloma
of the penis and scrotum, parafinoma of the penis and unsuccessful
or even crippling effects of not only autologous fat injection
but a variety of surgical procedures as well." These are only
a few of the possible complications from the various types of
surgery.
Disclaimers
are attached to all of the various procedures, surgical, medicinal,
herbal, and mechanical. These disclaimers describe everything
from mild side affects to possibility of amputation and death,
depending on the procedure.
Psychological issues are also a prominent factor in determining
whether or not the patients should attempt any technique. El-Sakka
and Lue describe how "patient's motives, expectations and psychological
health should be thoroughly evaluated, preferably by a psychologist
or psychiatrist familiar with the surgery.
A
severely depressed, disturbed, psychotic or unrealistic patient
must not undergo surgery." This emphasizes not only the importance
of weeding out patients who are not psychologically stable, but
also assist the physician in avoiding possible law suits if the
patient isn't satisfied. This also limits who would be allowed
these procedures and thereby limits the individual's options,
putting them back into a "no win" situation. Of course, these
psychological aspects should always be considered when surgery
is being performed. However, are these procedures worth the possible
anxiety, aggravation, and/or possible severe complications?
The various surgical techniques include, but aren't limited to:
skin incision where the Fundiform suspensory ligament is cut allowing
the penis to drop, fat grafts and transfers where fat from other
areas of the body are inserted in the penis, and splitting the
corpora cavernosa and inserting silicone. All of these surgical
techniques can have disastrous results such as: wound dehiscence,
scarring, hair on penis, shortening of the penis due to scarring,
penis staying pointed down even upon erection, granuloma formation
with fat transfer, reabsorption of fat and migration of fat, curved
penis, lumps in penis, distortion of penis, and possible amputation
if infection occurs or blood circulation restricts. In addition,
as with all surgeries possibility of complications from anesthetic
is also a factor.
The
results from surgery are mixed and many patients don't gain any
length at all. The girth is usually increased in the fat grafts,
but the length isn't affected and a large incision down the penis
is necessary. Splitting the corpora cavernosa, erectile tissue,
and inserting silicone can cause all of the above difficulties.
Other types of alternative treatments are offered to the individual
if they aren't able to have surgery, or aren't considering that
option. These include mechanical devices such as the penile pump
and weights. The penile pump is a device which is placed over
the penis and creates a vacuum around it so that blood is forced
into the erectile tissue. By forcing the expansion of the tissues
of the penis, by using a vacuum, the penis is forced to stretch
and thereby fill by sucking blood into the blood spaces and veins.
However, any misuse of this device can create serious malformations,
breakage of capillaries and veins, and even breaking open the
distensible blood spaces of the corpora cavernosa. The gains are
varied and repeated use of this device and storage is necessary.
The
device is used prior to sexual activity to gain an erection for
sex; however, it is stated that possibility of erection without
the device may occur after prolonged use. This means that just
before having sex with your partner you need to bring out the
pump, apply it to your penis, and then after gaining an erection
with it remove it and perform your sexual activity. This can be
embarrassing and cumbersome for the individual and their sex partner.
Prices for the device can vary from approximately $150.00 to as
much as $500.00 and more, depending on the device and where it
is obtained.
An additional mechanical device used for penile enhancement is
the weights. This is a relatively inexpensive device, which is
basically using varied weights (depending on the individual's
tolerance to the weight) attached to a noose and strapping the
noose just below the glans of the penis. The device is left on
the penis for a period of time, daily, to allow the weight to
stretch the Fundiform ligament and the erectile tissue. However,
this device can cause problems in glans of the penis, due to it
possibly cutting off the blood circulation to the penis. If the
device is left on for any lengthy period the glans receives a
restricted blood flow and this can cause the tissue to atrophy
and desensitize the glans.
This
device is usually used after various surgical techniques, in a
limited manner, to assist in stretching the surgically augmented
tissue. Overuse of this device can cause the glans to have nephropathy
(hemorrhaging and inflammation) and neuropathy (caused by restricted
blood supply to the neural tissues). These can possibly lead to
tissue death, ulceration, infection, and loss of the tissue (Martini,
1998), the glans.
Penile injection therapy uses a diabetic needle to insert a medication
into the corpora cavernosa, which acts on the smooth muscle tissue
allowing erection. This can be painful from the injection and
costs approximately $20 to $25 per injection. The injection is
done just prior to sex and can be part of the intimate experience.
Medications such as Viagra and Vasomax are oral medications which
allow for the penis to become erect, but don't increase size of
penis nor sex drive and are strictly used for ED (erectile dysfunction).
Viagra states possible side effects of headache, flushing, and
visual problems. In addition, Viagra can't be taken with any nitrate
drug, due to the body using both in a similar fashion and the
synergistic effect can be physically harmful.
Vasomax expresses possible side effects of tachycardia, dizziness,
rhinitis, and hypotension. Natural herbal treatments include the
use of Yohimbehe, which is from the bark of a South American tree
and this can also cause similar side effects as Viagra.
Using testosterone replacement therapy can decrease impotence,
if the problem is caused by a deficiency in the hormone. However,
testosterone therapy can effect the heart, kidneys, liver, and
prostate severely. Growth hormone therapy is very expensive and
needs to be injected into the fat surrounding the stomach. Growth
hormone therapy has not been shown to improve ED and serious side
effects can result with continued use. Neither of these have been
shown to increase penis length or girth and both can be extremely
expensive and prescription prohibitive. In addition, extensive
use of testosterone can cause shrinkage of the testes, due to
the body adapting to the extra hormone levels.
COMPARISON AND CONTRAST OF PROGRAM AND ITS
RESULTS
IMEW's program approaches all of the above problems
with more natural and less invasive techniques. The self-help
program IMEW is offering uses a regime of various hand and muscle
exercises to alleviate these difficulties. The problem of ED and
sex drive, excluding medical causes, are attacked by having the
client do numerous kegels, flexing the Urogenital diaphragm and
adjoining muscle groups, daily and also massaging and stimulating
the testes daily.
Survey
results show that 90% of the sampled population found their sex
drive, after performing the program for 3 to 4 weeks, to have
increased from a rate of approximately once every two weeks to
daily + and that they found no problems in attaining an erection
during sexual intimacy. IMEW's program approaches all of the above
problems with more natural and less invasive techniques. The self-help
program IMEW is offering uses a regime of various hand and muscle
exercises to alleviate these difficulties.
The
problem of ED and sex drive, excluding medical causes, are attacked
by having the client do numerous kegels, flexing the Urogenital
diaphragm and adjoining muscle groups, daily and also massaging
and stimulating the testes daily. Survey results show that 90%
of the sampled population found their sex drive, after performing
the program for 3 to 4 weeks, to have increased from a rate of
approximately once every two weeks to daily + and that they found
no problems in attaining an erection during sexual intimacy.
The issue of penis length and girth is also alleviated with the
prescribed exercises and various increases, with an average of
1/4" in length and 1/8" in girth every 6 weeks, were reported.
The variance was found to be mainly due to amount of time allotted
daily and dedication to the recommended regime. None of the participants
of the survey were disappointed and some were astounded by their
results, in all areas of the program.
A few of the surveyed clients had tried some of the above stated
options, in the previous section, and found their results with
IMEW's program to have alleviated some malformations that they
had experienced from opting to try some of these programs. For
example, one client had used a pump and after 6 months found that
his penis had a severe bend to the side when erect. After doing
the program for 3 months this condition was alleviated.
Another person surveyed had reported having the surgery done,
where the Fundiform ligament had been cut, and found that his
penis gained approximately 1 ½" in length, no attributable girth,
and would hang in the flaccid state even when erect. After doing
the program for 6 months this person had an increase of 3 1/2"
in length and 1 1/4" in girth; however, due to the Fundiform ligament
being cut his erection would still stay in a down turned state.
This
individual also expressed that there had been no sex drive increase
with his surgery and that his sex drive has now increased to 1
to 2 times a day from once every two weeks, on average. Another
aspect presented by this person was that his sexual control had
not been increased by the surgery, but by doing the program exercises
it had increased at a considerable rate. This aspect has advanced
to the point where he can now stave off ejaculation during intercourse
so that he can not only perform for longer periods of time, he
stated as long as he wants, but that he has control to have partial
orgasms and thereby have more than one orgasm during copulation.
Sensitivity is also an issue in sexual performance and all of
the surveyed group reported an increase in sensitivity to the
glans of their penis. One of the surveyed individuals had expressed
trying weights, pump, testosterone treatments, and growth hormone
treatments with no results in girth, sensitivity, or sex drive
and minimal results in length, 1/4" to 1/2" maximum. This individual
is a doctor and owns an anti-aging clinic of his own, where these
options are available. He expressed that he is 65 years of age
and upon doing the program for six months has found his sensitivity
and sex drive to have increased to when he was a teenager. He
additionally stated that growth hormone and testosterone, long
term usage, can have physical side affects to the various organs
of the body.
The flaccid length, length of penis when not erect, has been reported
to be one of the first things to increase and alleviates the "shower"
anxiety that occurs when an individual has to shower with other
males. Another surveyed client said that his flaccid length has
increased to approximately 7" since doing the program, his length
and girth have increased from 6.8" to 8.5", and his sex drive
and sexual control have also increased considerably.
He stated, "I can now have sex until my girlfriend wants to stop
and the program has taken me to the next level in my sex life."
Furthermore, he expressed that he was at Mardi Gras in New Orleans
recently and that women were throwing beads and coins at him to
pull his pants down. He expressed feeling a strong self-confidence
and also increase in testosterone.
This last testimonial exemplifies some added bonus' that other
programs don't and that is sexual prowess, increase in personal
confidence, and knowledge of their ability to please their partner
in all areas. Age appears not to be a factor in any of these areas,
when a medical condition is not present. Clients surveyed were
from age 16 to 76 and all of the sample expressed results of gratification
with the program. However, this program survey only surveyed those
who are presently in the program and use IMEW's chat line and
doesn't include any who may have left the program or don't use
his chat line. IMEW stated that the drop out rate has decreased
and that the complaints are usually related to client's not staying
with doing the program daily, as designed.
THE SURVEY
This survey was done over a 3 week period and included
sampling the population of males who are presently using the program
and visit IMEW's chat line, which is associated with the program.
Sampled group was 62 males of various ages, ranging from 16 to
76, with various backgrounds, various time allotted to doing the
program per day, and varying results with the program. The areas
which were surveyed are: age, penis length and girth prior to
program, penis length and girth presently, time in the program,
time allotted per day for using the program, sexual drive prior
to program, sexual drive presently, sexual control prior to program,
sexual control presently, self-confidence prior to program, and
self-confidence presently (as relates to sexual confidence in
self).
Besides the empirical data of actual measurements the other stated
data compiled is subjective as to the individuals' own understanding
of their drive, control, and confidence. The subjective data is
not considered to be unreliable, due to the program's approach
to these aspects being fundamental issues to each individual.
Even though these are subjective feelings of the participants,
they do show the personal effects each individual has experienced
in using the program.
The sample group was selected at random and at various times during
the day and evening from IMEW's chat line, which is associated
with his program. This sample group's data expresses their experiences
with IMEW's program and an evaluation of the program with this
group. Inability to sample other populations and to increase the
size of the sample population is a limitation of this survey.
Data from this sample group was correlated and charted so as to
find averages, means, variances, and standard deviations of the
survey questions, including other statistical data. These statistical
calculations were graphed for comparisons between the sample population
group.
The data was collected as follows: age in years,
prior length and girth in inches, present length and girth in
inches, time allotted to program per day in minutes, sex drive
prior and present (with a scale of 1 to 10 with 1 being the least
and 10 being the most), sexual control prior and present (with
a scale of 1 to 10 with 1 being the least and 10 being the most),
and sexual confidence prior and present (with a scale of 1 to
10 with 1 being the least and 10 being the most). The data is
charted with each sample subject being assigned a number and logged
accordingly, with their information following.
CONCLUSION
The statistical data shows that on average if a man who is approximately
40 years of age engages in the use of IMEW's penile enhancement
program for an average of 70 days and performs the program for
approximately 45 minutes per day he should see an increase in
his penis size by approximately 1 inch in length and an increase
in girth by approximately ½ inch to 3/4 inch. In addition, this
man's sex drive should increase by almost two times what he previously
had and his sexual control should increase by approximately the
same. The sexual confidence variable also showed an approximate
doubling of effect with the use of this program.
Surveyed individuals showed an increase in all of the variables
to various degrees and two of them advised that one variable,
each, was not applicable to their lifestyles and therefore couldn't
answer that particular part of the survey. However, they did show
gains in all other areas of the survey and were highly satisfied
with their results. All surveyed men advised they were pleased
with their results and are going to continue with the program,
so as to attain the results they are looking for. Each individual
surveyed had different results they were looking for and also
different areas of the program that they were more interested
in obtaining maximum results. However, all participants were looking
for penis length and girth increase, but some were looking more
for length due to already having (in their view) a sizable girth.
Additionally, every surveyed person expressed a flaccid length and
girth increase, which wasn't posted or surveyed for results. They
also advised that their respective sexual partners were very pleased
with the results they are obtaining.
One of the surveyed individuals stated having difficulties in
the areas of sleeping on his stomach, due to his flaccid length
increase being so great that he would roll over on his penis at
night and his pelvic bone would pinch his penis. He also expressed
that he had been used to wearing pants without wearing underwear
and that he would get looks and comments on his size to the point
of embarrassment.
Therefore, he has started wearing underwear, so as to limit this
situation. He additionally said that when not wearing underwear,
especially when wearing jeans, that due to the increased flaccid
length his penis would be stimulated from the rubbing. Finally,
he had experienced other males making comments to him when he
would be using the urinals in mens' rooms, some men would ask
if they could hold his penis, which would embarrass him. However,
only one of the surveyed men expressed this and his flaccid length
was 8 plus inches and his erect length was 11 inches, from an
original of 71/2 inches.
This individual stated he is going to continue using the program
and hoping to possibly obtain a 14 to 15 inch length, or possibly
only use the program on a maintenance level so as to maintain
his obtained results at the present time.
There were no other complaints observed from any of the other
participants and one individual surveyed had used other devices
which had caused his penis to have a permanent bend which caused
him discomfort. However, since using IMEW's program this bend
has been alleviated, along with increase in length and girth of
his penis. This participant was extremely pleased with his results,
so far, and his unexpected side effect of alleviating the previously
expressed bending problem.
The surveyed results show no true negative side effects, possibility
of alleviation of previous difficulties in all areas, and an ability
for the practitioner to obtain all desired gains by continued
usage of IMEW's penile enhancement program. The statistical data
obtained through usage of the survey results support this conclusion.
However, as previously expressed, the survey was limited to 62
males who are presently using the program and does not include
any males who may have been dissatisfied with the usage of the
program, or why they may have been dissatisfied.
Furthermore, the statistical data from the survey shows that time
using the program daily and amount of days are a factor, along
with individual physiological makeup, in the participants' obtained
gains and the time it takes to make these gains. No damage to
the penis or testicles were observed in any of the men surveyed.
Age does not appear to be a factor in the gains obtained, only
time per day and amount of days using the program. However, due
to the physiological effects of a younger man's body being more
flexible and pliable, in addition to extra high hormones of testosterone
levels in the blood, this could possibly effect the speed of which
desired results are obtained. This would be because the Fundiform
ligament can stretch easier in a younger male and the corpora
cavernosa should also be able to heal and stretch easier. In addition,
men at the upper levels of age, 60's and 70's, found no problem
with obtaining their gains or in using the program, but it was
expressed that stretching was a vital part of the program for
them.
REFERENCES
Agur, Anne M.R., "Grant's Atlas of Anatomy". Baltimore: Williams
and Wilkins, 1991.
Berne, Robert M., Levy,; Matthew N., Koeppen, Bruce M., and Stanton,
Bruce A., "Physiology Fourth Edition". St. Louis: Mosby, Inc.,
1998.
El-Sakka, Ahmed I. and Lue, Tom F., "Penile Augmentation: Myths
and Realities". Urology International. Feb. '97.
Finger, W.W., Lund, M., and Slagle, M.A., "Medications that may
Contribute to Sexual Disorders: a Guide to Assessment and Treatment
in Family Practice". Journal of Family Practice. 1997: 44 (1):
33-43.
Lidz, Theodore, "The Person His and Her Development Throughout
the Lifecycle". New York: Basic Books, 1983.
Lue, T.F., "Physiology of Penile Erection and Pathophysiology
of Erectile Dysfunction and Priapism". Campbell's Urology. 7th
ed. 1998: 1157-79.
Mader, Sylvia S., "Introduction to Biology". Dubuque: Wm. C. Brown
Communications, Inc., 1994. Martini, Frederic H., "Fundamentals
of Anatomy & Physiology". London: Prentice Hall, 1998.
Martini, Frederic H., "Fundamentals of Anatomy & Physiology".
London: Prentice Hall, 1998.
Masters, W. and Johnson, V., "Human Sexual Response". Boston:
Little & Brown, 1966.
Miller, Thomas A., "Diagnostic Evaluation of Erectile Dysfunction".
American Family Physician. Jan. 2000: Vol. 61 (1) 95-104.
This study, survey, and statistical analysis was conducted and
performed by Dennis Rockwell, Ph.D, in concert with EMARC, Inc.,
and was completed on April 1, 2000. Dennis Rockwell, Ph.D Senior
V.P. EMARC, Inc. 301 Southwest 1st Street Suite 508D · Boca Raton,
Florida 33432
