Brief Answer:
let me know his size apart from report,his size is in normal range

Detailed Answer:
Hello,

Thanks for writing to us.

Normal size of penis in flaccid state is 2 to 4 inches while in erect position 4 to 6 inches. It varies according to body structure and race. Size of penis does not matter much for satisfying partner.
Anterior 3 inches of female vaginal wall is sensitive to sexual stimuli. Only 3.5 inches of erect penis is sufficient to satisfy female. Hope you are clear about concern of size of penis now.

According to reports his size of penis in normal range. You can check the foot note in report "Penile Doppler test is highly subjective with possibility of intra-observer variability and is to be interpreted by the physician with clinical correlation." In my opinion we cannot confirm any defect with this report. I need detail history.

Ask him following questions and revert back to me with answers.

- What is his size of penis in flaccid and erect state in general apart from report?

- Is he suffering from erectile dysfunction? Since when?

- Is he married? If yes how is sexual life? If not does he have girlfriend? What about that relationship?

- Did he take any medicine until now?

You already mentioned that he has low confidence due to relatively small size. So he just needs to understand the facts no specific medicine needed.

There is no specific medicine which can increase size of penis permanently.
5- PDE inhibitor group of medicines like sildenafil or tadalafil will be useful to increase size during sex. One of them should be used 2 hours prior to sex. They cause headache, stuffy nose nausea and gastric discomfort like common side effects. Proper physical check up of cardiac system should be done by a doctor before starting the same. These are prescription medicines and you need to consult doctor/psychiatrist/sexologist for the prescription.

As you are form XXXXXXX I would like to also mention ayurvedic medicine option. Tentex forte is the medicine which is used for ED. No studies are there suggesting confirm evidences of its effectiveness. No side effects have been reported. Two tablets daily at night with a cup of milk should be taken. It may help to improve penis size.

I will be happy to help you further after your response.

Regards,
Dr.Chintan Solanki.

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