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WHAT IS THE NORMAL SIZE FOR A PENIS?

If your penis is three inches or longer, you are more than adequately endowed to satisfy a woman. It is important for men with erections in the smaller category to try to focus on clitoral stimulation. Most women receive their orgasms from clitoral rather than vaginal wall stimulation. To improve this type of stimulation, the penis should be rubbed up against the clitoris during intercourse. This is best achieved in the 'missionary' position (the man on top of the woman lying on her back). The other frequently used positions are the man behind the woman kneeling ('doggy style') or the woman on top of the man which produce vaginal wall stimulation. In these positions the woman may require manual clitoral stimulation to achieve orgasm.

PENIS SIZE

My receptionist looked quite stressed. She'd had a very difficult week and it was Friday.
'What's wrong? Is everything OK?' I asked.
'This next patient is going to be a real handful. He's arrogant and refuses to give me any of his details. I don't need this at the end of a hard week,' she said.
I've faced this arrogance in my patients many times before. The consultation often becomes long and drawn-out. I mainly focus on relaxing the patient and making him realize that his condition is not unique. Some men don't accept that it's OK for them to have a medical condition affecting their sexual capability.
Mark was tough, though. From the moment I introduced myself, I could feel his animosity towards me and what I represent.

Mark, 46 years old, factory worker
'Hi Mark, come in and sit down.'
He sits down and folds his arms, leans back in his chair and folds his legs. His foot starts tapping away. 'I just want to tell you that I don't know what I'm doing here. I've been to see others of your kind and they've all been useless.'
'How old are you, Mark?'
'What's that got to do with my problem? He snaps back. 1 don't know what your problem is yet, Mark, but it will help knowing how old you are.' Tm in my 40s.' 'Are you married?' 'No.'
'Are you in a relationship?'
'I've never had a relationship with a woman in my life.'
'And what type of work are you doing?'
Listen, what good is you knowing this going to help me?'
'It may have influenced your condition and your position. It may be important'
'Whatever I can get A bit of this, a bit of that,' he said begrudgingly.
'OK, Mark, what appears to be the problem?'
'My penis is too small,' he answers.
'And do you have any problem getting and sustaining an erection, or premature ejaculation?'
'What's the point in getting a bloody erection if the penis is too small to start with?'
'How long have you felt this way about your penis?'
I've only ever tried to bloody have sex twice in my life. They were both disasters. The first woman took one look at my penis and started laughing. She refused to have sex with me after tha. That was 23 years ago. I didn't try again for 20 years. Three years ago I met this woman who said she liked small penises. She was weird. But I couldn't even get a bloody erection when I tried to have sex with her,'
'Have you seen anyone for this problem before?'
'Yeah, I've spoken to some doctors in the past but they're all bloody useless.'
'OK then, Mark, let me have a look at your penis. I have a fair amount of experience in erection size. I have seen probably over 10 000 penises in my career.'
Mark begrudgingly moves over to the examination couch, pulls down his pants and underpants and lies down on the bed. I take one look at his penis and feel incredibly sorry for him. His penis size is actually above the average size in men, and that's in its flaccid state. It will most definitely be above average in the erect state.
That lady 23 years ago has given you a lifelong complex for no reason at all. Your penis is definitely a normal size. In fact, a man only needs to have three inches of penis to satisfy a woman. You have at least five inches.'
Mark looks at me in disbelief. 'Have you shown your penis to any of the doctors you saw before?' I ask him.
'Nah, none of them asked me to show them.'
'Mark, your penis size is more than adequate, and don't let any person make you believe otherwise. I should know, I have seen more penises than most people [have] in this world. I see more penises in a day than most women see in a lifetime.'
'Then why would she say this to me?'
'I don't know. Perhaps you had a personality clash and she used this to hurt you. A man's penis is one of the great prides of  his life. To be told you have a small penis is one of the most crushing insults any man can ever receive. I think she told you this maliciously.

Mark's story ended satisfactorily. He had developed a performance anxiety as a result of a poor blood flow from many years of abstinence. This condition was exacerbated by a low level of self-confidence. He was later able to get and sustain erections with medication. He is still self-conscious about his abilities in the bedroom for which he is receiving assistance from a psychologist, but he is enjoying a vastly improved sex life.

Why are all the penises you see in change rooms and in X-rated movies so big?
Why are all the penises you ever see exposed large penises? Well, it's obvious. Only those men who are truly large, and who have been told so, will frequently expose themselves because they are proud to do so. And good luck to them.

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EPILEPSY AND PREGNANCY

Women with epilepsy are quite often concerned about getting pregnant. There appear to be five reasons for this concern. They wish to know:
if they are likely to hand their epilepsy on to their children;
whether their fits will get worse during pregnancy;
whether it is safe for the baby that the mother should take anticonvulsants drugs during pregnancy;
if there will be any problems in the newborn baby from these drugs;
if they can safely breast feed the baby.
With regard to handing on epilepsy to one’s children – as mentioned earlier, if one parent has epilepsy, the chances of one of the children having epilepsy are no greater than in the population at large. If both parents have epilepsy, it would appear that the risk of a child having epilepsy is about 10 per cent. So in fact the chance of a child inheriting epilepsy, particularly idiopathic epilepsy, is negligible.
As far as seizures during pregnancy are concerned, the situation is not as clear as it might be. There is evidence that for some women, seizure control may deteriorate, while for others there may in fact be no change or even an improvement. A patient told me recently that “she would like to remain pregnant forever” as she had not had a single fit during her pregnancy, compared with six fits in the preceding nine months!
As a general working rule, it is suggested that people who have more than one grand mal fit a month are those who are most likely to have a deterioration in seizure control during pregnancy. The deterioration, if it occurs, is most likely during the first three months of pregnancy. There are a number of theories why this may happen, but none has been proved. It may be of value to check the blood anticonvulsant levels during pregnancy, especially if there is a deterioration in seizure control. The blood levels may fall, necessitating an increase in dosage during the pregnancy.
The main concern for parents is whether the anticonvulsants can harm the unborn baby (foetus). It is known by most people with epilepsy that this is a potential hazard. The effects include physical abnormalities in the baby, a process known as teratogenesis. Abnormalities have been reported in the offspring of mothers on all the commonly used anticonvulsants with the exception of carbamazepine. This is particularly applicable to phenytoin, barbiturates and sodium valproate. Babies born to mothers who have been on carbamazepine have not been shown to have any physical abnormalities, but have a smaller head size than other babies. This has not been shown to be any handicap to the babies who have been followed up for five years.
The risk of abnormalities in the baby is difficult to assess, but it seems to be most common in mothers on polytherapy (receiving numerous drugs), especially if they are on three or more anticonvulsants. The risk in mothers on phenytoin, with or without other medications, appears to be about a 10% chance of the baby showing features of the ‘foetal hydantoin’ syndrome. This syndrome consists of cleft palate, abnormalities of the fingers, possible heart abnormalities and mild mental retardation. Thus, at present, if it is possible, it would seem wise to try to change patients over to carbamazepine before conception. This may not be possible in all patients and, of course, many women will first visit their doctor when already pregnant, at which time there is no purpose in making the change.
Anticonvulsants taken by the mother during pregnancy may have some effects on the baby immediately after birth, as they are transmitted to the baby across the placenta. These include the possibility of a mild bleeding tendency and some drowsiness. In mothers who have been taking barbiturates, the infant may occasionally show features of a withdrawal reaction with irritability, jitteriness and poor sucking. None of these features is [...]

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