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Happy, Texas: Would you have this bizarre procedure to boost your penis size?

Robert R. Howe 4658 Charmaine Lane Happy, TX 79042

LADS are forking out £4,500 for thicker manhoods.

Lots of lads are obsessed with the look and size of their penis.

And for those who feel like they’re seriously lacking in the trouser department, getting penis enlargement surgery or penoplasty might seem like the only option.

But length isn’t all that matters – a new cosmetic trend is seeing men opt for surgery to increase their girth down below.

Speaking exclusively to Dailystar.co.uk, certified plastic surgeon Dr David Alessi revealed everything you need to know about penis priming procedures.

“Men are asking for increase in girth,” he said.

But what does it take to bulk out the circumference of your trouser snake?

“Fat injections to increase girth involve taking fat from the belly and injecting it deeply into the penis," he continued.

The procedure takes around 45 minutes and will set you back £4,500 but you have abstain from sex for six weeks to let the penis heal.

As for the results of the manhood makeover, don’t expect to stretch more than 1inch wider than you were before.

And Dr Alessi revealed that the long-term effects of the procedure could be less than desirable.

“Unfortunately, upwards of 90% of men are dissatisfied with the results,” he said.

While penis enlargement surgery lasts forever, the same can’t be said for a girth job.

Shockingly just 12 months after going under the knife a man’s penis can become flat and uneven and it can also suffer from scarring.

“Lumpiness and loss of most of the fat within one year is the norm,” Dr Alessi admitted.

The medic, who founded the Alessi Institutes and Face Forward, a charity offering free procedures for victims of domestic abuse, warned that lads’ obsession with penis size could be a symptom of a serious psychological problem.

He said: “Most men who think they have a small penis actually don’t. Studies vary, but research suggests that the average erect penis ranges from under five inches to just under six inches.

“Most men who think their penis is too small have penis dysmorphic syndrome and would be better off seeing a shrink and not a surgeon.”

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Sheridan, Arkansas: Come Again?! Multiple Orgasms, Super-orgasms and the Women Who Have Them

Andrew B. Perry 2545 Edgewood Road Sheridan, AR 72150

“I can achieve 100 orgasms, even 200,” the anonymous female caller told Dr. Ronny Shtarkshall over the phone. “In effect, I can enjoy an orgasm for hours,” she told the sexologist and sexuality researcher at the Hebrew University of Jerusalem.

Shtarkshall had known about "super-orgasmic" women from the professional literature, but he'd never actually talked with someone who'd experiences it.

Shtarkshall had known about "super-orgasmic" women from the professional literature, but he'd never actually talked with someone who'd experiences it. After meeting with her, Shtarkshall decided to research the case, along with a post-doctoral student from Harvard, Dr. Becca Feldman. Their study included conversations with her and analysis of texts she wrote about her sexuality. They then decided to write a professional article, co-signed by the “anonymous” woman.

The problem was that it wasn’t easy to find a serious professional journal that would agree to publish an article signed by an anonymous person. In the end, however, it was published about a decade ago in an international scientific journal, The Journal of Sex & Marital Therapy.

She wasn't an isolated case. The first unidentified woman sent another woman to Shtarkshall, he told Haaretz during a recent phone interview. She too had the same surprising ability, but in a different way: One woman experienced orgasm as long as her vagina or her clitoris were continually stimulated, but when the stimulation ended, the orgasm stopped. As for the second woman, when she reached orgasm, she had to stop the stimulus for a short while, for between 20 seconds and two minutes, before continuing to climax. Evidently there was more than one mechanism in play behind continuous orgasm, Shtarkshall realized. He wanted to understand what those mechanisms are.

Just before Shtarkshall was about to publish, a senior researcher named Irving Binik, head of the sexuality clinic in the psychology department at McGill University, Canada, visited Israel, and shrugged that he didn't believe such things exist. Shtarkshall arranged for him to meet with the first anonymous woman (in the lobby of a Jerusalem hotel, that is more usually a matchmaking venue for ultra-Orthodox couples). After two hours of conversation, Binik was convinced, and on the spot he and Shtarkshall decided to study the phenomenon more extensively.

To that end, they drafted a detailed questionnaire in English, Hebrew and French, which was disseminated online.

Serial pleasure, small screen

Here is where Haifa-born Ayelet Rosen, 33, entered the picture. Rosen ended up moving to England with her partner, a doctoral student, and enrolled in a program focusing on media format development at the BBC Academy.

In August 2014, in the context of a story she wrote on the sex habits of millennials – aka Generation Y – Rosen contacted Shtarkshall. They ended up talking about the subject of multi-orgasm; the Israeli researcher told Rosen about his study, in cooperation with McGill University, which had already begun.

Rosen, who meanwhile had joined the content development team in the productions division of Britain's Independent Television News company, realized the potential of the research, and also understood that by means of a TV production on the subject, it might be possible to help obtain funding in the future for the clinical stages of the study. She proposed the idea of making the movie to Britain’s Channel 4 and got a green light.

The 45-minute documentary Rosen produced with ITN, called “The Super Orgasm,” aired in April, brought together women who experience dozens of serial orgasms, sexuality researchers, and neurologists from all over the world, for the first time. Although the project did not involve an official professional study, and dealt with experiments performed at the initiative of the production company and for the purpose of the film – the trials were conducted by leading researchers, in designated labs.

“The first thing I understood," Rosen tells Haaretz, "is that science knows very little about orgasms in general, and multi-orgasms are mentioned only on the level of footnotes in Masters and Johnson," those being the researchers who, in the 1950s, were first to study the physiology of sex.

“From discussions with researchers I realized that they have so few resources – that they prefer first of all to study the isolated orgasm. They know almost nothing about the female orgasm, or what mechanism even causes it. One of the female researchers appearing in the film says that we know more about stars than we know about what happens within a female sexual situation.”

According to Shtarkshall, the most important sexual organ in a woman’s body, as well as in a man’s, is the brain: “All the sex actually takes place in the brain. There are women who experience an orgasm if you tickle their ear. Researchers, beginning with Masters and Johnson, described the cycle of the sexual response: It was customary to believe that there is a stage of passion, then a stage of arousal, then a stage in which the arousal remains more or less fixed – and then the stage of orgasm. The last stage is [called resolution, or] dissipation.”

Fifteen years ago, the Canadian psychiatrist Rosemary Basson, who studied female sexuality, said that this cycle is too linear. "For women, she argued, there doesn't have to be a stage of passion before the stage of arousal – in other words, passion can be aroused at different stages in women. To this day there’s a debate on this subject among researchers. We have no proof, but the assumption is that in women who experience an extreme multi-orgasm, there is some kind of difference, not necessarily structural, but perhaps in the substances that are secreted to their nervous system, for example. But it’s difficult to research.”

After finding suitable women who agreed to be filmed, Rosen and her team approached sexuality researchers. The two senior brain researchers featured in her movie – Prof. Barry Komisaruk and Dr. Nan Wise, of the psychology department at Rutgers University in New Jersey – had studied orgasms and scanned the brain of a woman experiencing them, but had never scanned a super-orgasm.

"They never thought they'd manage to get that data,” says Rosen. She described the excitement when one of the participants, a young British woman named Janet, experienced two serial orgasms while lying inside the MRI machine, and the discovery of the fact that during the second orgasm, her brain activity was stronger than during the first.

The body part that secretes the hormone oxytocin was far more active, and between the first and second orgasms, there was no decline in the subject's brain activity.

The God particle?

The youngest participant in the experiment was Natalie, a 24-year-old bisexual, who doesn’t believe in monogamous relationships and works as a motorcycle mechanic; another was Francesca, 60, who grew up in a devout Catholic home in Portugal and abstained from sexual relations until she was married. In the Canadian study by Binik, too, many of the women who reported multi-orgasms grew up in religious homes.

“I don’t know what that means,” says Rosen. “Janet [also] said that she grew up in a religious home and believes in God, and she was taught that God wants us to be happy, so as far as she’s concerned, her sexuality doesn’t contradict any belief or any religion, it’s part of her. Her whole house is full of pictures of Jesus. We always see religion and sexuality as contradictory, but she has resolved this conflict.”

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Another experiment conducted in the context of the Rosen's film for ITN, which involved testing both in laboratory and home settings, was examining alpha waves during orgasm. When the brain is working hard, as when solving a mathematical problem, the level of alpha waves is low. On the other hand, when the brain is at rest, alpha waves are high.

Past studies showed that when men and women are trying to achieve orgasm, alpha waves are high most of the time; in other words, the brain is at rest. But in a different study, American neuroscientist Nicole Prause discovered that a moment before the orgasm itself, alpha waves diminish and the brain is working hard: that is, it is concentrated and active. And that is the usual neurological situation during orgasm.

They saw a different pattern of activity in super-orgasmic women, Shtarkshall says. “If usually we see an increase in alpha waves and a decline right before orgasm, in their case, the level of waves remains high all the time. It’s possible that these women don’t need the sort of specific concentration that other women achieve at the moment of orgasm. In their case, the brain is always in a state of relaxation. The significance of this finding isn’t clear yet, but the difference compared to other women is clear.”

Arousal chamber

To examine the level of physical arousal of the super-orgasmic women, Rosen and her production team approached Dr. Gerulf Rieger of the psychology department of the University of Essex. Rieger built an “arousal chamber” to examine the physiological consequences of sexual arousal. The women sit inside this closed space, with a device called a vaginal photoplethysmograph inserted inside them that directs light into the vagina. Based on the amount of light that is refracted, the researcher can determine how much blood is flowing into the area.

The perception is that during arousal, blood vessels in the sexual organs expand.

During the experiment, the women watched porn films, and in order to “balance” their sexual arousal, between those clips, they were shown nature films narrated by David Attenborough. The findings, says Rosen, amazed Rieger: “Already while observing the small sampling of super-orgasmic women he saw that they become stimulated more quickly than ordinary women and that the intensity of their arousal is greater – in other words, much more blood flows to the area. It was twice as fast and twice as intense.

"From speaking to these women, he reached the conclusion that they came in in advance with a more open attitude to the option of sexual arousal, they’re very interested in it and permit themselves [to enjoy it], to the point where they are much quicker to identify what it is that stimulates them.”

The last element examined was the level of oxytocin in the bodies of the super-orgasmic women. Oxytocin, aka the “love hormone,” is secreted during breast-feeding, birth and sexual relations – and also when you meet someone you like.

So that the oxytocin levels wouldn’t be affected by the proximity of women to their partners, they were asked to isolate themselves an hour before the experiment.

Oxytocin levels can be sampled in saliva. A sampling was taken an hour before the experiment, then again after the women isolated themselves, and again after they masturbated and achieved as many orgasms as they wished, in their home environment, which was comfortable for them. A fourth sample was taken about an hour after the orgasm. In addition, during one evening when they didn’t experience anything sexual, they gave another sampling.

“We found that the moment they knew that they were going to experience something sexual, even an hour beforehand, their levels of oxytocin were already high," says Shtarksall. "When you know that you’re going to have sex, you come to it more stimulated and involved. Suddenly sexting and non-physical foreplay sound very logical, because the brain is getting ready for sex and as a result, so is the body. Somehow you’re more involved."

Also, the stronger the orgasm, the more oxytocin was secreted. "It’s not the number of orgasms but the quality of them. It makes no difference if there were 100 boring ones earlier: The one or two powerful ones produce more oxytocin and it remains high longer," he says. "It’s interesting, because oxytocin is related to calm and calm is a very healthy thing. In addition, there’s a chance that you’ll have a stronger relationship with a man who gives you the higher quality orgasms. Mother Nature was thinking about you here!"

Hopefully, with better understanding of the mechanisms of extreme orgasm, non-orgasmic women can be helped, Shtarkshall suggests. “If, for example, we discover that inability to experience an orgasm stems from a shortage of a certain substances, we’ll be able to administer this substance. If we discover that the inability stems from a surplus of a certain substance, we’ll be able to administer something that will block this substance.”

He goes on to mention a phenomenon similar to the extreme multi-orgasm, but far less pleasant: women who suffer from a constant stimulation of the sexual organs. Research on the multi-orgasm should help to solve this problem, too, according to Shtarkshall.

“The American researcher Sandra Leiblum explained the defect and began to study it. When she visited Israel we talked about the idea that there may be a connection between the two phenomena – multi-orgasms and constant stimulation – although the women in one group enjoy themselves while the others suffer immensely. We thought of studying the connection between the two things. Unfortunately, three months later she was hurt in a bicycle accident and died. I don’t have a budget to study these things, because I’m actually retired."

If you ask Prof. Nicole Prause, who also participated in the film, she’ll tell you that the health advantages of sexual arousal have never been researched, says Ayelet Rosen. "Many women will say that it relaxes them, increases their confidence, and they’ll say that they masturbate in order to sleep better – and nobody has studied that. She’s trying to research it, because her vision is that a few years from now, you’ll go to a doctor because you’re suffering from sleeplessness and he’ll recommend masturbation as a cure.”

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Portsmouth, New Hampshire: The ‘sex slave’ scandal that exposed pedophile billionaire Jeffrey Epstein

Danny D. Bailey 235 Grasselli Street Portsmouth, NH 03801

In 2005, the world was introduced to reclusive billionaire Jeffrey Epstein, friend to princes and an American president, a power broker with the darkest of secrets: He was also a pedophile, accused of recruiting dozens of underage girls into a sex-slave network, buying their silence and moving along, although he has been convicted of only one count of soliciting prostitution from a minor. Visitors to his private Caribbean island, known as “Orgy Island,” have included Bill Clinton, Prince Andrew and Stephen Hawking.

According to a 2011 court filing by alleged Epstein victim Virginia Roberts Giuffre, she saw Clinton and Prince Andrew on the island but never saw the former president do anything improper. Giuffre has accused Prince Andrew of having sex with her when she was a minor, a charge Buckingham Palace denies.

“Epstein lives less than one mile away from me in Palm Beach,” author James Patterson tells The Post. In the 11 years since Epstein was investigated and charged by the Palm Beach police department, ultimately copping a plea and serving 13 months on one charge of soliciting prostitution from a 14-year-old girl, Patterson has remained obsessed with the case.

“He’s a fascinating character to read about,” Patterson says. “What is he thinking? Who is he?”

Patterson’s new book, “Filthy Rich: A Powerful Billionaire, the Sex Scandal That Undid Him, and All the Justice That Money Can Buy,” is an attempt to answer such questions. Co-authored with John Connolly and Tim Malloy, the book contains detailed police interviews with girls who alleged sexual abuse by Epstein and others in his circle. Giuffre alleged that Epstein’s ex-girlfriend Ghislaine Maxwell, daughter of the late media tycoon Robert Maxwell, abused her. Ghislaine Maxwell has denied allegations of enabling abuse.

Epstein has spent the bulk of his adult life cultivating relationships with the world’s most powerful men. Flight logs show that from 2001 to 2003, Bill Clinton flew on Epstein’s private plane, dubbed “The Lolita Express” by the press, 26 times. After Epstein’s arrest in July 2006, federal tax records show Epstein donated $25,000 to the Clinton Foundation that year.

Epstein was also a regular visitor to Donald Trump’s Mar-a-Lago, and the two were friends. According to the Daily Mail, Trump was a frequent dinner guest at Epstein’s home, which was often full of barely dressed models. In 2003, New York magazine reported that Trump also attended a dinner party at Epstein’s honoring Bill Clinton.

Last year, The Guardian reported that Epstein’s “little black book” contained contact numbers for A-listers including Tony Blair, Naomi Campbell, Dustin Hoffman, Michael Bloomberg and Richard Branson.

In a 2006 court filing, Palm Beach police noted that a search of Epstein’s home uncovered two hidden cameras. The Mirror reported that in 2015, a 6-year-old civil lawsuit filed by “Jane Doe No. 3,” believed to be the now-married Giuffre, alleged that Epstein wired his mansion with hidden cameras, secretly recording orgies involving his prominent friends and underage girls. The ultimate purpose: blackmail, according to court papers.

“Jane Doe No. 3” also alleged that she had been forced to have sex with “numerous prominent American politicians, powerful business executives, a well-known prime minister, and other world leaders.”

“The reader has to ask: Was justice done here or not?”

Epstein, now 63, has always been something of an international man of mystery. Born in Brooklyn, he had a middle-class upbringing: His father worked for the Parks Department, and his parents stressed hard work and education.

Epstein was brilliant, skipping two grades and graduating Lafayette High School in 1969. He attended Cooper Union but dropped out in 1971 and by 1973 was teaching calculus and physics at Dalton, where he tutored the son of a Bear Stearns exec. Soon, Epstein applied his facility with numbers on Wall Street but left Bear Stearns under a cloud in 1981. He formed his own business, J. Epstein & Co.

The bar for entry at the new firm was high. According to a 2002 profile in New York magazine, Epstein only took on clients who turned over $1 billion, at minimum, for him to manage. Clients also had to pay a flat fee and sign power of attorney over to Epstein, allowing him to do whatever he saw fit with their money.

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Still, no one knew exactly what Epstein did, or how he was able to amass a personal billion-dollar-plus fortune. In addition to a block-long, nine-story mansion on Manhattan’s Upper East Side, Epstein owns the $6.8 million mansion in Palm Beach, an $18 million property in New Mexico, the 70-acre private Caribbean island, a helicopter, a Gulfstream IV and a Boeing 727.

“My belief is that Jeff maintains some sort of money-management firm, though you won’t get a straight answer from him,” one high-level investor told New York magazine. “He once told me he had 300 people working for him, and I’ve also heard that he manages Rockefeller money. But one never knows. It’s like looking at the Wizard of Oz — there may be less there than meets the eye.”

“He’s very enigmatic,” Rosa Monckton told Vanity Fair in 2003. Monckton was the former British CEO of Tiffany & Co. and confidante to the late Princess Diana. She was also a close friend of Epstein’s since the 1980s. “He never reveals his hand .?.?. He’s a classic iceberg. What you see is not what you get.”

Both profiles intimated that Epstein had a predilection for young women but never went further. In the New York magazine piece, Trump said Epstein’s self-professed image as a loner, an egghead and a teetotaler was not wholly accurate.

“I’ve known Jeff for 15 years,” Trump said. “Terrific guy. He’s a lot of fun to be with. It is even said that he likes beautiful women as much as I do, and many of them are on the younger side. No doubt about it — Jeffrey enjoys his social life.”

Three years after that profile ran, Palm Beach Police Officer Michele Pagan got a disturbing message. A woman reported that her 14-year-old stepdaughter confided to a friend that she’d had sex with an older man for money. The man’s name was Jeff, and he lived in a mansion on a cul-de-sac.

Pagan persuaded the woman to bring her stepdaughter down to be interviewed. In his book, Patterson calls the girl Mary. And Mary, like so many of the other girls who eventually talked, came from the little-known working-class areas surrounding Palm Beach.

A friend of a friend, Mary said, told her she could make hundreds of dollars in one hour, just for massaging some middle-aged guy’s feet. Lots of other girls had been doing it, some three times a week.

Mary claimed she had been driven to the mansion on El Brillo Way, where a female staffer escorted her up a pink-carpeted staircase, then into a room with a massage table, an armoire topped with sex toys and a photo of a little girl pulling her underwear off.

Epstein entered the room, wearing only a towel, Mary said.

“He took off the towel,” Mary told Pagan. “He was a really built guy. But his wee-wee was very tiny.”

Mary said Epstein got on the table and barked orders at her. She told police she was alone in the room with him, terrified.

Pagan wrote the following in her incident report:

“She removed her pants, leaving her thong panties on. She straddled his back, whereby her exposed buttocks were touching Epstein’s exposed buttocks. Epstein then turned to his side and started to rub his penis in an up-and-down motion. Epstein pulled out a purple vibrator and began to massage Mary’s vaginal area.”

Palm Beach assigned six more detectives to the investigation. They conducted a “trash pull” of Epstein’s garbage, sifting through paper with phone numbers, used condoms, toothbrushes, worn underwear. In one pull, police found a piece of paper with Mary’s phone number on it, along with the number of the person who recruited her.

On Sept. 11, 2005, detectives got another break. Alison, as she’s called in the book, told Detective Joe Recarey that she had been going to Epstein’s house since she was 16. Alison had been working at the Wellington Green Mall, saving up for a trip to Maine, when a friend told her, “You can get a plane ticket in two hours .?.?. We can go give this guy a massage and he’ll pay $200,” according to her statement to the police.

Alison told Recarey that she visited Epstein hundreds of times. She said he had bought her a new 2005 Dodge Neon, plane tickets, and gave her spending money. Alison said he even asked her to emancipate from her parents so she could live with him full-time as his “sex slave.”

She said Epstein slowly escalated his sexual requests, and despite Alison’s insistence that they never have intercourse, alleged, “This one time .?.?. he bent me over the table and put himself in me. Without my permission.”

Alison then asked if what Epstein had done to her was rape and spoke of her abject fear of him.

An abridged version of her witness statement, as recounted in the book:

Alison: Before I say anything else .?.?. um, is there a possibility that I’m gonna have to go to court or anything?
Recarey: I mean, what he did to you is a crime. I’m not gonna lie to you.
Alison: Would you consider it rape, what he did?
Recarey: If he put himself inside you without permission .?.?. That, that is a crime. That is a crime.
Alison: I don’t want my family to find out about this .?.?. ’Cause Jeffrey’s gonna get me. You guys realize that, right? .?.?. I’m not safe now. I’m not safe.
Recarey: Why do you say you’re not safe? Has he said he’s hurt people before?
Alison: Well, I’ve heard him make threats to people on the telephone, yeah. Of course.
Recarey: You’re gonna die? You’re gonna break your legs? Or?—
Alison: All of the above!

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Alison also told Recarey that Epstein got so violent with her that he ripped out her hair and threw her around. “I mean,” she said, “there’s been nights that I walked out of there barely able to walk, um, from him being so rough.”

Two months later, Recarey interviewed Epstein’s former house manager of 11 years, documented in his probable-cause affidavit as Mr. Alessi. “Alessi stated Epstein receives three massages a day .?.?. towards the end of his employment, the masseuses .?.?. appeared to be 16 or 17 years of age at the most . . . [Alessi] would have to wash off a massager/vibrator and a long rubber penis, which were in the sink after the massage.”

Another house manager, Alfredo Rodriguez, told Recarey that very young girls were giving Epstein massages at least twice a day, and in one instance, Epstein had Rodriguez deliver one dozen roses to Mary, at her high school.

In May 2006, the Palm Beach Police Department filed a probable-cause affidavit, asking prosecutors to charge Epstein with four counts of unlawful sexual activity with a minor — a second-degree felony — and one count of lewd and lascivious molestation of a 14-year-old minor, also a second-degree felony.

Palm Beach prosecutors said the evidence was weak, and after presenting the case to a grand jury, Epstein was charged with only one count of felony solicitation of prostitution. In 2008, he pleaded guilty and nominally served 13 months of an 18-month sentence in a county jail: Epstein spent one day a week there, the other six out on “work release.”

Today, Jeffrey Epstein is a free man, albeit one who routinely settles civil lawsuits against him, brought by young women, out of court. As of 2015, Epstein had settled multiple such cases.

Giuffre has sued Ghislaine Maxwell in Manhattan federal court, charging defamation — saying Maxwell stated Giuffre lied about Maxwell’s recruitment of her and other underage girls. Epstein has been called upon to testify in court this month, on Oct. 20.

The true number of Epstein’s victims may never be known.

He will be a registered sex offender for the rest of his life, not that it fazes him.

“I’m not a sexual predator, I’m an ‘offender,’?” Epstein told The Post in 2011. “It’s the difference between a murderer and a person who steals a bagel.”

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