This has been a lifesaver for us. My husband has erectile difficulties and we had about given up on having sex. I hadn't had an orgasm for a long time until we bought this extension. by the time he has brought me to orgasm, he's fully erect and can remove the extension and finish with his penis in me. Tho it completely satisfies me, we're going to order a larger one. We always use this with a condom for sanitary reasons.