Using a penis pump may seem a little awkward at first, but it’s a fairly simple device to operate.

1. Start by placing the tube over your penis. You may want to use a lubricant to avoid irritation from the tube.
2. Turn on the pump if battery powered or use the hand pump to start removing air from inside the tube. The change in air pressure will cause blood to start engorging the blood vessels in your penis. It may only take a few minutes for you to achieve an erection.
3. You can then remove the tube and engage in foreplay or intercourse.

Should you use a penis ring?

Most penis pump systems include a penis ring or constriction ring that you wear at the base of your penis. It’s meant to help maintain your erection by limiting the flow of blood from your penis.

Once you have an erection, you can place the constriction ring around the base of your penis, and then remove the tube. Keep the penis ring in place, but for no more than 30 minutes, as it could affect blood flow and harm your penis.

Penis pumps are effective at producing erections for the majority of users. Duration of the erection depends on the individual, but 30 minutes or so may be expected. Some men may use the pump prior to foreplay or wait and use it just prior to intercourse.

The devices are generally safe and have none of the side effects that can accompany ED medications. It’s also noninvasive, compared with penile implants which require surgery.

A penis pump is usually less expensive in the long run than medications or other treatments, because it can be used repeatedly without any recurring costs.

A penis pump has the added advantage of being effective after procedures, such as prostate surgery or radiation therapy for prostate cancer.

One other benefit of a penis pump is that it can be used along with ED pills or other treatments without any additional risk. For some men, regular use of a penis pump may help lead to more naturally occurring erections.

How you prepare

When you see your doctor about erectile dysfunction, be prepared to answer a number of questions about your health and your symptoms. In some cases, erectile dysfunction has an underlying cause that can be treated.

Depending on your condition, you might need to see a doctor who specializes in treating urinary and reproductive disorders (urologist).

To determine whether a penis pump is a good treatment option for you, your doctor might ask about:

• Any illnesses you have now or have had in the past
• Any injuries or surgeries you've had, especially those involving your penis, testicles or prostate
• What medications you take, including herbal supplements
• What erectile dysfunction treatments you've tried and how well they worked

Your doctor will likely do a physical exam, which typically includes checking your genitals and feeling your pulse in arteries in different parts of your body (peripheral arteries).

Your doctor might perform a digital rectal examination (DRE) to check your prostate gland. During a DRE, your doctor will gently insert a lubricated, gloved finger into your rectum to feel the surface of the prostate.

If the cause of your erectile dysfunction is already known when you see your doctor, your appointment might be less involved.

Choosing a penis pump

Some penis pumps are available without a prescription, but talk to your doctor before purchasing one. Your doctor might recommend or prescribe a specific model. That way you can be sure it suits your needs and that it's made by a reputable manufacturer.

Penis pumps available online, in magazines and sex ads might not be safe or effective. Make sure the penis pump you use has a vacuum limiter, which keeps pressure from getting too high and injuring your penis.

Before using a penis pump for the first time, you might want to trim or shave any pubic hair near the base of your penis so that it doesn't get caught in the ring.

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Penis pumps for penis enlargement

Many advertisements in magazines and on the internet market penis pumps with the claim that they can be used to increase penis size, but there's no evidence that they work for this purpose. Attempting to use a penis pump specifically to enlarge your penis could cause injury.

What you can expect

Using a penis pump requires a few simple steps:

• Place the plastic tube over your penis.
• Use a hand pump or electric pump attached to the tube to create a vacuum inside the tube and pull blood into the penis.
• Once you have an erection, slip a rubber constriction ring around the base of your penis. This helps you maintain the erection by keeping blood inside the penis.
• Remove the vacuum device. The erection typically lasts long enough to have sex.

Don't leave the tension ring in place for more than 30 minutes — cutting off blood flow for too long might injure your penis.