Compare the pendant to a coin, which coin is the size (top to bottom)? A quarter?

yes almost the size of a quarter .

Is this big enough for a man to wear?

I think the stone is big enough for a man the chain is really thin though. It really is beautiful!!!

Is it possible to get a 22" necklace for this pendant?

no i am sorry we only carry 18inches

Is this a real Amethyst? Not made in a lab, cubic zirconia?

Yes 100% Natural Genuine Amethyst.

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Gem Stone King 6.50 Cttw Amethyst Teardrop Pendant Necklace For Women | 925 Sterling Silver | Pear Shape 16X12MM | Gemstone Birthstone | With 18 Inch Silver Chain

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