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Statistically, micropenis occurs in 0. At birth, a penis that is less than 0. As an adult, a flaccid penis less than 2. An erect penis is considered a micropenis if it is less than 5 inches in length. A micropenis develops during gestation. It will often be the only physiological abnormality noted in the pregnancy. One of the possible causes of this is the low production of human chorionic gonadotropin hCG during the early part of the pregnancy. This is a hormone that stimulates the developing testes to produce testosterone.
After 14 weeks, penile growth falls under the influence of another hormone, known as luteinizing hormone LHwhich also stimulates testosterone in the so-called Leydig cells of the testicles.
If the production of either or both of these fetal hormones is impeded, the child's penis length may be affected. Genetics may also play a role. While there is no single gene that causes a micropenis, the condition is commonly linked to such chromosomal disorders as androgen insensitivity syndrome AISKlinefelter syndromeTurner syndrome, and Down syndrome. There is also evidence that estrogen-based fertility drugs like diethylstilbestrol DES may cause smaller-than-normal penis size if taken during early pregnancy. In newborns, it is vital that a doctor takes a proper measurement of the baby's penis when diagnosing micropenis.
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As opposed to a flaccid penis length FPLin which the penis is laid parallel to a ruler, a stretched penis length SPL should be used as it more closely correlates to the erect penis length in boys and men. For this, the doctor needs to hold a rigid ruler firmly against the pubis at a right angle.
The penis is then held at the sides with calipers just below the glans head and stretched to its maximum length without pain. Newer syringe-like tools that can be placed over the penis and suction the organ to its fully stretched length are also available.
3. how small is a small penis?
Correctly identifying a micropenis in babies is crucial as it offers the opportunity for a potentially effective treatment. The doctor should also explore conditions commonly associated with a micropenis, including problems with the pituitary gland or hypothalamus.
While an SPL of less than 1. The variations in mean penis size from age 7 are due to the differences in development as boys approach puberty. By puberty, it becomes far more difficult to define micropenis by centimeters alone; algorithmic calculations are needed until puberty is complete. While the clinical definition of a micropenis seems to offer a definitive roadmap for diagnosis, that's not always the case.
This is especially true in boys over the age of 8. In fact, most prepubescent boys brought in by their parents because of an underdeveloped penis rarely have a micropenis. In most cases, the boy is either experiencing delayed puberty, obesity obscuring the penis length with excessive pubic fator he simply has a larger frame compared to an otherwise normal penis.
In cases like these, the term "inconspicuous penis" may be more appropriately applied. It may be secondary to congenital conditions such as penoscrotal webbing in which the scrotum extends up the underside of the penis, creating an indistinct junction between the two and megaprepuce in which the foreskin cannot retract and balloons abnormally.
The treatment of micropenis will vary between children and adults. Given that the genitals of babies and toddlers are erect developing, testosterone treatment can support penis growth, often ificantly. Surgical options, while limited, may be explored in inches and men whose penises have reached their maximum growth.
Depending on the treatment plan, the medical team may include a pediatricianurologist, endocrinologistgeneticist, or psychologist.
A micropenis can be treated in infants and children with three monthly intramuscular IM injections of testosterone. Research has shown that one or two courses of three testosterone shots 25 to 50 inches given in four-week intervals could increase the child's penis size to the reference range for his age. For a male baby with a micropenis, circumcision should be delayed until the testosterone therapy is completed. Generally speaking, the therapy is most effective in children under 3 but may benefit boys up to the age of 8.
In the past, young children with a micropenis often underwent gender reasment surgerymore in response to a general cultural discomfort with small penis size rather a real medical need. Today, that practice has largely subsided, with most experts questioning its wisdom given the potential benefit of testosterone therapy, the need for lifelong male-to-female hormone therapy in later life, and the lack of individual consent. If pursued, gender reasment would generally be considered at a later age when the child has the ability to make an informed choice and has undergone extensive psychological evaluation.
Some men with a micropenis will opt to undergo penis enlargement surgery phalloplasty with varying degrees of success. One such operation, called a suspensory ligament release, involves the detachment of the ligament that supports the penis during an erection. Doing so allows the penis to lie in an erect rather than an acute angle, creating the perception of greater length. Potential inches include nerve damage, loss of penile sensation, erectile dysfunction, and the retraction of the penis if scar tissue develops at the incision site.
Other forms of phalloplasty, such as flap surgery grafting skin from another of the body erect, are less commonly pursued because they carry a considerable risk of complications and may interfere with sexual function. Other techniques, such as silicone implants prosthesessynthetic dermal fillers, and subcutaneous fat injections, are more likely to increase the girth rather than the length of the penis.
Even if length gains are achieved, it would only affect the flaccid length, not the erect length, which would remain the same.
There are also commercially marketed penis pumps and stretchers that have not demonstrated consistent in delivering gains in penis length. If achieved, they tend to be modest at best. These devices are intended for males with erectile dysfunction—an entirely separate concern. From a practical standpoint, micropenis may complicate urination by making it difficult to direct the stream.
Many men will simply compensate for this by sitting on the toilet when urinating.
On a more ificant note, penis length of fewer than 2 inches is associated with a lower likelihood of conception. In such cases, assisted reproductive techniques are available to ificantly improve one's chances of conceiving. While there are treatments that may enhance penis size, the reality is that some individuals will have a smaller-than-normal penis. While some people assume that this will cause inherent psychological harm, those beliefs are more reflective of our cultural attitudes about penis size rather than the person's individual experience.
In fact, long-term research has shown that men with micropenises are no different in how they view their masculine self-image compared to men of average or above-average penis size.
Micropenis has not been shown to interfere with a man's libido, sexual function, sexual satisfaction, ability to achieve an erection, or the ability to forge mutually gratifying sexual relationships. Cleveland Clinic. Micropenis: etiology, diagnosis and treatment approaches.
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J Clin Res Pediatr Endocrinol. Disorders of sex development: a study of cases. Endocr Connect. Prenatal diethylstilbestrol induces malformation of the external genitalia of male and female mice and persistent second-generation developmental abnormalities of the external genitalia in two mouse strains. Int J Mol Sci. Inconspicuous penis.
Everything you ever wanted to know about penis sizes
Technique of surgical sex reasment for micropenis and allied conditions. Am J Obstet Gynecol. Campbell J, Gillis J. A review of penile elongation surgery. Transl Androl Urol. The relation between isolated micropenis in childhood with CAG and GGN repeat polymorphisms in the androgen receptor gene.
2. how do you measure your penis?
Turk J Med Sci. Tsang, S. When size matters: A clinical review of pathological micropenis. J Ped Health Care. Outcome studies among men with micropenis.