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Matt Cook is editor-in-chief of Daily Medical Discoveries. Matt has been a full time health researcher for 26 years. ABC News interviewed Matt on sexual health issues not long ago. Matt is widely quoted on over 1,000,000 websites. He has over 300,000 daily newsletter readers. Daily Medical Discoveries finds hidden, buried or ignored medical studies through the lens of 100 years of proven science. Matt heads up the editorial team of scientists and health researchers. Each discovery is based upon primary studies from peer reviewed science sources following the Daily Medical Discoveries 7 Step Process to ensure accuracy.
Daily Medical Discoveries has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy .

Ascorbic Acid Reduces Blood Pressure and Arterial Stiffness in Type 2 Diabetes
https://www.ncbi.nlm.nih.gov/pubmed/12468561
To continue reading about vitamin c and other topics that pertain to men, click here . If you’d like further information, feel free to check out these references:

Vitamin C — Health Professional Fact Sheet
https://ods.od.nih.gov/factsheets/VitaminC-HealthProfessional/
Vitamin C | Linus Pauling Institute | Oregon State University
https://lpi.oregonstate.edu/mic/vitamins/vitamin-C
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The arteries in the penile chambers need to be opened up wide for great blood flow to reach the penis…
And when men are getting great blood flow to their penis, they get erections faster and stay hard for longer…
So you can enjoy the best erections of your life… and last 30 minutes or longer whenever you want.
Open up stiffened arteries to the penis for better erections
One of the biggest risk factors that comes along with type 2 diabetes is the effect it has on the vascular system…
Blood pressure goes up and the arteries stiffen.
And we know that increased blood pressure and stiff arteries are risk factors for heart attack and stroke.
Scientists have now discovered that vitamin C can lower blood pressure and decrease arterial stiffness in people with type 2 diabetes.
These researchers conducted their study at the Regional Centre for Endocrinology and Diabetes, Royal Victoria Hospital, Belfast, N. Ireland and published their results in the Journal of Hypertension .
In the United States, some doctors provide injections of high-dose vitamins.
But injecting vitamins is costly and time-consuming.
This study investigated the vascular effects of taking C orally .
They used a cheap and easily available form called ascorbic acid.
[cmamad id=”21752″ align=”center” tabid=”display-desktop” mobid=”display-desktop” stg=””]
They recruited 23 men and 7 women with type 2 diabetes, aged 45 to 70, and split them into two groups of 15.
The researchers measured the participants’ arterial stiffness before and after the four-week supplementation period.
They also took blood pressure readings at the same time.
Systolic blood pressure is the main risk factor taken from blood pressure measurements.
Diastolic blood pressure also went down in the vitamin C group after four weeks.
The doctors used pulse velocity measurements to analyze arterial stiffness – this measures the velocity with which the heart pumps blood around the body.
They did not see these beneficial effects on blood pressure and arterial stiffness in the placebo group.
The doctors now believe that oral vitamin C supplementation could lower the risk of heart problems in people with diabetes.
Eating fruits as your main carbohydrate source could probably get you close to the dose used in this study.
Guava fruit is probably the most easily accessible food that is high in vitamin C.
The supplement used in this study (ascorbic acid) lists diarrhea as a very common side effect.
The more ascorbic acid you take at one time, the higher the risk of diarrhea.
This will affect the amount of vitamin C your body will absorb too.
However, another type, called liposomal vitamin C , does not stimulate bowel movement as ascorbic acid does.
So this may be a better option for some people who want to take large amounts… But it is more expensive than ascorbic acid.
You should see a healthcare professional about diagnosing and treating cardiovascular problems.
—-Important Message about Vitamin C—-
When men take normal vitamin C, it only stays in the bloodstream for a few minutes .
But when men take SUPER vitamin C, it says in the bloodstream for HOURS…
And it penetrates the tissues, the organs, the glands, and even the brain.
So this new SUPER vitamin C delivers more health benefits than the regular stuff, and it can make men virtually immune to disease.
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External Penile Prostheses for Erectile Dysfunction (ED)

Verywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Ⓒ 2022 Dotdash Media, Inc. — All rights reserved

Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases.


Verywell Health articles are reviewed by board-certified physicians and healthcare professionals. These medical reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more .




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Is an internal penile prosthesis safe?


How do you choose a penis extender?


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A Complete Guide to ED



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Signs That a Painful Erection May Be Serious


How to Use a Penis Pump for Erectile Dysfunction


What Are the Benefits of Acupuncture for Erectile Dysfunction (ED)?


The Anatomy and Function of the Penis


What Can You Expect From Your Sex Life as You Age?


How the Male Reproductive System Works


How to Put On a Condom: 9 Steps for Safety


Erectile Dysfunction Cream: What You Need To Know


Could a High Blood Pressure Medication Boost Your Sex Life?


Best ED Pill Delivery Services of 2022


Causes of Erectile Dysfunction in Young Men


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Matthew Wosnitzer, MD, is a board-certified urologic surgeon and physician scientist. He specializes in male infertility.

For people with erectile dysfunction , having a satisfying sex life can be a challenge. One potential solution is an external penile prosthesis, a device that can be used by individuals who want the option of penetrating a partner without having to undergo surgery or use medications. Options include penis sleeves and penile supports.


External penile prostheses are readily available and require no medical intervention (although a consultation with a doctor or sex therapist can be beneficial). It is important to understand how the devices work and which may be most appropriate for you before making a purchase.


There are basically two types of external penile prostheses: one that slips over the penis and another that clamps onto the penis shaft. External penile prostheses are not medical devices per se. Some can be purchased online or from specialty sex stores. Others can be sourced through a sexual health professional or doctor.


A penis sleeve, as per its name, is a hollow, penis-shaped device that is slipped over the penis. In the world of sex toys, these are commonly referred to as penis extensions .


Penis sleeves are typically pliable and come in a variety of shapes, sizes, and textures. Some are ridged or come equipped with a vibrator for added sexual stimulation. 1


There are several different penis sleeves to choose from:


A 2017 study published in Translational Andrology and Urology reported that some cisgender men are able to reach an orgasm when using a penis sleeve despite having severe ED. 2

If looking for a penis sleeve, make certain the product states that it is appropriate for use with a flaccid penis or can be used by people with erectile dysfunction.

Marketed under brand names like Elator, Erektor, and others, this external penile device is less visible than a sleeve and may be ideal for men with mild to moderate ED.


The device employs two custom-fitted rings that are placed around the base and glans of the penis, which are then connected by a rigid rod. This creates a simulated erection that may be rigid enough for penetration. It also provides the insertive partner greater stimulation than with a sleeve and a better chance for an orgasm. 2


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Erectile dysfunction can occur for a variety of reasons, from cardiovascular disease and age to radical prostatectomy . Cisgender men who fail to respond to other ED treatments may be helped by a penile prosthetic, as well as transgender men who have undergone phalloplasty .


Transfeminine people and trans women who have ED due to common reasons or from taking estrogen can also benefit from these products.


External penile prostheses may be ideal for people who are not candidates for other ED treatments (either for medical or psychologic reasons) or are unable to afford more costly medical interventions.

Despite their potential benefits, external penile prostheses are not cheap. The devices range from $200 to $700, and they may not work well for everyone. Moreover, health insurance rarely covers such devices.

This can make purchasing a penile prosthetic a bit of a gamble. As such, you need to do your research and speak with a doctor or sex therapist if possible to ensure that your expectations are realistic. With that said, many couples find sex toys arousing and that alone may warrant a purchase.


If you do end up finding an external penile prosthesis that works for you, you may consider the cost a worthy investment for your sex life.


The most important factor in choosing an external penile prosthetic is how well it fits into your sex life. This requires not only a genuine acknowledgment of your own sexual desires (and limitations) but those of your partner as well. If using the device makes you or your partner embarrassed or uncomfortable, it is unlikely to work.


The only way to work through these issues is to talk about them. Being upfront about your needs and desires may encourage your partner to embrace an external prosthetic as a natural part of sexual play rather than as a "fetish." 3


People sometimes think that Viagra is the only form for ED treatment, and that's simply not true. In addition to PDE inhibitors like Viagra (sildenafil), Levitra (vardenafil), Cialis (tadalafil), and Stendra (avanafil), there are other options to discuss with your urologist , including:


Sex is about more than just the penis. Just as safe sex works best when couples find ways to eroticize it, so, too, does an erectile prosthesis.


In the end, erectile dysfunction doesn't have to be a limitation. It can be an invitation to explore new pathways of intimacy and pleasure if you keep an open mind and an open pathway of communication.

All surgical procedures carry some risk, but penile implants have a high success rate (between 90% and 95%) and low risk of complications. 7 However, some possible problems to be aware of include uncontrolled bleeding after surgery, infection, scar tissue, erosion or shifting of the implanted material, and the mechanical failure of the pump that inflates the prosthesis.
Comfort and function are the most important things. Makers of penis extenders and sleeves may tout a lot of bells and whistles, but be sure those features will be comfortable for both you and your partner. You also want to do your research to ensure that the item is designed for your needs such as supporting erectile dysfunction. 1
Tatem A, Kovac JR. External penile prosthesis as a novel approach to the treatment of erectile dysfunction . Transl Androl Urol. 2017 Nov;6(Suppl 5):S795-6. doi:10.21037/tau.2017.11.01.
Li H, Gao T, Wang R. The role of the sexual partner in managing erectile dysfunction . Nat Rev Urol. 2016 Mar;13(3):168-77. doi:10.1038/nrurol.2015.315.
Bhasin S, Brito JP, Cunningham GR, et al. Testosterone therapy in men with hypogonadism: An endocrine society clinical practice guideline . J Clin Endocrinol Metab. 2018;103(5):1715-44. doi:10.1210/jc.2018-00229
Mirheydar H, Zhou T, Chang DC, Hsieh TC. Reoperation rates for penile prosthetic surgery. J Sex Med. 2016 Jan;13(1):129-33. doi:10.1016/j.jsxm.2015.11.013

By Elizabeth Boskey, PhD

Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases.

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One of the most important questions people ask about urethral play is how to open the pee hole. This is particularly important for those who want to try urethral stimulation for the first time. In order to prevent injuries and other problems, it is extremely important to enlarge your pee hole and urethra. This is the only way to be able to accept full-size urethral toys such as urethral sounds or larger penis plugs. That’s why it is so crucial to know how to open the pee hole.
You may wonder why it’s important to know how to open the pee hole. After all, it is already open; this is a hole you use to urinate and ejaculate. There is a passage open and a very noticeable hole on the top of your penis. So, why need for further opening? The thing is, the natural pee hole is not particularly large. This is why it is not a good idea to just try to shove full-size urethral toys in it. On the other hand, it is important to remember that the pee hole is also larger than it may seem. A regular pee hole may look like a slit or a tiny opening but it is actually much more flexible and much bigger than it seems. This is one of the reasons why urethral play is possible to perform. The way to approach opening your pee hole is simple: it is already open. So, the goal is not to create a passage or to open a hole but to widen it. This is an important difference that you need to understand if you are wondering how to open the pee hole. Why is this difference important? Because it makes the whole process easier. Instead of approaching the problem of forcing a tiny slit open, you simply stretch it to become wider. This is a much easier process and it can be very fun! However, it is important to keep some things in mind. Being informed will help you a lot and it will keep you safe during your urethral play experimentation.
If you want to know how to open the pee hole, here are some basic tips. Again, keep in mind that you are not actually opening your slit but enlarging the already existing hole. Here are some quick tips for those who want to learn how to open the pee hole:
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