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Health care professionals often give patients antibiotics at the time of surgery and often after the surgery to decrease the risk of developing an infection. Anxiety is also a concern, and it can lead to the inability to maintain an erection 178. Erectile dysfunction can be the first symptom of otherwise silent cardiovascular disease, so a full cardiovascular workup should be completed in all patients without an obvious cause of their ED. It s economical and safe way to increase penis size without penis enlargement medicine. Women who are more likely to have vaginal orgasms say it is easier to orgasm with men who have longer penises, according to a 2012 study published in the Journal of Sexual Medicine.