[I]f you want to maintain your penis size and keep it ready to perform, it is important to know how to exercise your penis. While the “love muscle” is not actually a muscle itself, your member contains spongy tissue and chambers that fill with blood to make it harder and larger; so it’s important to exercise it like any other part of the body.

You can exercise your penis by engaging in activities that increase blood flow into it. And the best way to encourage blood flow and preserve penis length is to have regular sex and/or to masturbate more. Simply put, it’s a case of use it or lose it. The more you have sex or masturbate the better shape your penis will be in. Another thing you may not know is that your penis actually exercises itself while you sleep.

Exercising Your Penis in Your Sleep

Your penis actually gets a workout while you sleep. Those middle-of-the-night and early-morning erections have an important function. They are a way for your penis to pump itself up and get some exercise. These erections are called “nocturnal erections,” and they serve several purposes such as promoting oxygenation and blood flow to the penis and helping prevent erectile dysfunction (ED). Plus, from a biological perspective, waking up with your “little friend” ready to go with your partner nearby helps encourage reproduction. Isn’t that convenient?

This “nature’s little helper” is also a natural penis extension therapy, helping to maintain penis size by continuously stretching the penile tissue. When you have an erection, oxygenating blood fills the penis, making it hard. Having good blood flow is an essential component to achieving and maintaining that erection. All healthy men with normal erectile function have multiple erections during their sleep cycle.

As you get older, you may notice that these nocturnal and morning erections are not as strong or as frequent as you had in your younger years. One of the reasons nocturnal erections reduce as you age is because of decreased testosterone, but their absence and other erectile problems could indicate a larger health problem. If you can’t remember the last time you woke up with a hard-on, or if you have experienced erectile dysfunction while awake, talk to your doctor because erectile dysfunction (ED) can be a sign of heart disease.

The downside to having fewer nocturnal erections as you age is that you stop receiving the extension and exercise benefits they provide. That makes it so you have to start working harder in the non-sleeping hours. If you don’t exercise your penis regularly, your penis can actually shrink 1-2 centimeters. Some of the other risks for loss of penis length include weight gain, aging (due to lack of use and declining hormones), genetics, and prostate surgery.

About 70 percent of the men who have their prostate removed can expect to lose some of their penis length. Prostate cancer patients are often unable to achieve an erection for 6-24 months, so doctors sometimes prescribe penis pumps. A penis pump is a tool that keeps the blood flowing in and out, and it helps prevent permanent shrinkage by stretching the penile tissue.

How to Test for Nocturnal Erections

If you are not waking up with erections and are not sure if you still even have nocturnal erections, here’s a simple nocturnal erection test you can do over three nights in the privacy of your own home. Before you laugh, this is actually a real test used by urologists, and it has a name—the nocturnal penile tumescence (NPT) stamp test.

Get a strip of four to six postage stamps (you’ll need a strip for each night). Wrap the strip around the shaft of the penis and moisten to seal the ring. Once the stamp is dry, carefully place your penis into your shorts or underwear to protect the stamps from falling off. In the morning, check to see if the stamps have been broken along their perforation. During at least one of the three nights you should see the ring of stamps broken. If the ring is not broken there may be a physical problem, and you should talk to your doctor.

ED and Heart Disease

If you no longer are getting nocturnal erections or if you have had trouble with your erectile function during the waking hours, talk to your doctor to get your heart checked. A lack of nocturnal erections is one of the signs of ED, and ED is connected with another, scarier ED: early death. So even though exercising your penis is important, you also need to exercise your heart and eat a heart-healthy diet to protect both your heart and your love life.

When Size Matter

If you are concerned about losing your penis length, the best and most enjoyable plan is to use it as much as possible. There are penis-lengthening procedures, but they all have some cautions or drawbacks. One of the interesting penis facts, is that about 50 percent of your penis is actually inside your body courtesy of a suspensory ligament that attaches the penis to your pelvic bone. During surgery, a doctor releases the ligament so that more of the penis can move outside the body. It’s a serious procedure that takes awhile to heal, so you should look into whether gaining that extra inch or so is worth it.

If girth is more your concern than length there are some penile widening procedures as well. You can have a doctor implant silicone, fat, or tissue grafts into your penis. Another procedure that improves girth is to inject hyaluronic acid (a substance found in your body) into the penis. It is said to be painful but effective.

Maintaining a healthy sex life remains the best natural “sex-ercise plan” you can follow (along with exercise, diet, and lifestyle modifications). There are also other great sex exercises for men that can help strengthen muscles and increase stamina and flexibility for better performance. Most men will agree that having sex regularly to maintain penis size sounds much more inviting than cutting or injecting their favorite—and most sensitive—body part unless there is a serious medical reason for it.

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