In this Q&A, we covered a lot of the usual suspects: overwork, pumping pressure, extender angles, all-day stretchers, pelvic floor fatigue, diet for blood volume, and whether girth or length should come first.
The biggest theme this time was pretty clear: most guys are doing too much, not too little. If erection quality is dropping, size is snapping back immediately, or the tissue feels irritated, that is usually not a sign to push harder. It is usually a sign to back off, recover, and make the routine more sustainable.
Posture, hip alignment, and high erection angle
A question came in about a very high erection angle that had not changed much even after months of between-the-cheeks stretching. The answer went beyond one stretch and into the bigger picture: hip mobility, anterior pelvic tilt, psoas tightness, adductors, and lower-lumbar guarding.
The main idea is that the pelvis needs to sit “under you” instead of being pulled into a tilted position. A psoas stretch can help, but only if the glute is flexed to keep the pelvis locked in place. Basic groin/adductor stretching can also help because tight hips can bias the pelvis into a worse position.
The important takeaway: this is probably not a one-exercise fix. Posture, hip mobility, pelvic floor behavior, and lumbar bracing can all feed into each other. This may need to become a full series because “every time I learn something new, it pulls back another layer of the onion.”
Bleeding, high pumping pressure, and doing way too much work
One user described hanging, then using the auto pump for long sessions at around 36 kPa, with bleeding starting to happen. The answer was blunt: that is a lot of work.
Even 20 minutes total could be borderline depending on the rest of the routine, and 40 minutes on top of hanging is likely too much. Most men probably do not need 36 kPa, and the better approach is to find the lowest pressure that creates full expansion without forcing it.
A key sign of overwork came up here: getting to 7 inches inside the pump, then dropping right back to 6 inches almost immediately. That does not necessarily mean the routine is working. It may mean the tissue is temporarily swollen in the tube but too fatigued to hold that expansion afterward.
The message was simple: cut the workload back before assuming you need more.
Are PE gains permanent?
The answer here was nuanced. Tissue accrual itself is treated as permanent. If you actually build more collagen or endothelial tissue, that tissue does not just disappear under normal circumstances.
But there is a catch: if erection quality drops, usable size can drop too.
The example given was that once inflammation clears after stopping PE, size should stay roughly the same. But if someone loses more than about an eighth to a quarter inch in girth, or more than a quarter inch in length, that is probably not “lost tissue.” It is more likely an erection quality issue.
In other words, gains are only as useful as your ability to fill them.
Overwork is the real enemy, not underwork
This was one of the strongest points in the whole stream. A viewer brought up marathon girth work: hours of pumping or clamping that created large temporary expansion but also severe petechiae, lymphatic issues, EQ drops, and no permanent gain.
The response was that overwork is probably the number one enemy in PE. Long sessions can create impressive temporary size, but that does not mean they are productive. In fact, the more the pelvic floor and tissues get stressed, the more likely EQ drops, hard flaccid symptoms, lymphatic problems, and discoloration become.
The memorable line here was essentially: people keep acting like underwork is the problem, but overwork is usually the bigger problem.
Best extender angle and why straight up gets weird
The recommended extender angle was around 10 degrees above parallel to the floor for a good shaft bias.
Straight down can be useful if someone is specifically trying to work suspensory ligament mobility, but going too far upward is not recommended. The analogy used was trying to pull a turnip out of the ground. Pulling straight up creates weird stress and can involve the pelvic floor in a less desirable way.
The practical takeaway: avoid going directly upright. Staying around parallel or slightly above parallel gives a better risk-to-reward ratio.
Length vs. girth: should you separate routines?
A user asked whether length and girth should be trained separately, and which one should come first. The answer was that there is no universal rule.
The old idea that you should train girth first because “a thicker rope is stronger” was called misguided. Since the same tissue type is being loaded, increasing girth first can actually increase the amount of force needed for length work later.
A more practical way to decide is to look at your goals. If someone is closer to their length goal than their girth goal, they may choose to finish length first and then bias girth later. The suggested structure was often something like 4–6 months of length bias, then 4–6 months of girth bias, with breaks between phases.
The real goal is not to do everything at once forever. It is to rotate emphasis so workload stays reasonable.
Plateaus: change the routine or take time off?
For plateaus, the first move is usually not to throw in a totally new routine. It is to take time off.
The reasoning was that there are only so many actual PE training categories. Vacuum hanging, extending, pumping, and clamping have differences, but they are not magic categories that completely reset adaptation just because you swap tools.
The strongest point: if you hit a plateau, the easiest way to fix it is often to stop. Strength adaptations can fade after several weeks off, and that can make the same workload effective again when you return.
Diet, blood flow, blood volume, carbs, and electrolytes
A viewer asked what to increase in the diet for blood flow and blood volume. The answer focused heavily on carbohydrates and electrolytes.
The basic logic was that carbs are stored as glycogen, and glycogen pulls water into muscle. More glycogen and better hydration can support blood plasma volume. Sodium was described as the main driver for blood volume, with potassium helping hold it and magnesium helping keep things balanced.
The advice was not “just eat junk carbs.” It was more about matching carbs, electrolytes, activity level, and body size. For people who train, carbohydrate needs may be much higher. But if someone does not exercise, suddenly increasing carbs and salt may just cause bloating instead of better performance.
The bigger takeaway: blood volume is not just about one supplement. It is carbs, salt, potassium, magnesium, hydration, and training status working together.
