Before using the pump, a light massage and/or Rice Sock can serve as a way to warm up the penis and prepare it for the workout. Another alternative is using a warm/hot wrap. Although it's not absolutely necessary, you would do best to start out with a full or 3/4 erection. Be sure to apply adequate lubrication to the interior of the flange and to the head of your penis in order to avoid possible friction caused by your penis getting caught against the interior side of the cylinder as it expands. The penis is then inserted in to a clear (usually acrylic) cylinder chamber in such a manner as to ensure an airtight seal between the base of your penis and the cylinder chamber. (A helpful tip for maintaining a better seal is to Shave/trim your pubic hair) Air is then sucked out of the chamber through a gentle and gradual pumping action thereby creating a vacuum environment inside the chamber.Another type of vacuum pump used is called the hydro pump and it is typically used with warm water. Pumping with warm water feels great and can in itself help to stimulate a good erection. The distinguishing feature of these pumps is that they have a water reservoir to prevent water from being sucked back into the pump during the pumping action. Use of water combats the bruising/hickey effect that is caused by blood cells being trapped under the skin. Water enables the ability to with stand higher pressures for longer periods of time, i.e. (can eliminate the doughnut effect from extreme pumping sessions) It is recommended that beginners stay between 3 inches and 6 inches of pressure. You will need to find your own comfort level. You can pump 4 days a week and still get gains.
Here is a basic routine that will eventually lead you to a steady three 20 minute sessions per day:
Week 1: One 10 minute session per day
Week 2: One 15 minute session per day
Week 3: Two 10 minute sessions per day
Week 4: Two 15 minute sessions per day
Week 5: One 20 minutes session, one 10 min session, per day
Week 6: Two 20 minute sessions per day
Week 7: Three 20 minute sessions per day
Week 2: One 15 minute session per day
Week 3: Two 10 minute sessions per day
Week 4: Two 15 minute sessions per day
Week 5: One 20 minutes session, one 10 min session, per day
Week 6: Two 20 minute sessions per day
Week 7: Three 20 minute sessions per day
You may continue in this manner until you achieve your goals or create your own personal routine as you learn more about how your penis responds to your PE efforts.