Short Penile Length: Causes and Solutions - Urology

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I have an erection that is less than five centimeters, resembling that of a young child!

Xiao Hei, 20~29 year old female. Ask Date: 2016/05/03

Dr. Liu Jiaju reply Urology


If you continue to experience excessive worry, it is advisable to visit a urology clinic for a thorough physical examination by a physician, to rule out possible causes and arrange appropriate treatment.

Reply Date: 2016/05/03

More Info


Understanding concerns about penile size is a common issue that many individuals face, and it can be a source of anxiety and self-esteem issues. The perception of penile size can be influenced by various factors, including genetics, hormonal levels, and overall health.
Firstly, it’s important to understand what is considered a "normal" penile size. Research indicates that the average erect penis size is approximately 5 to 6 inches in length. However, there is a wide range of what is considered normal, and many men fall outside of this average without any medical issues.
In your case, if you are experiencing an erect length of less than 5 centimeters (approximately 2 inches), it may be classified as a condition known as micropenis. Micropenis is defined as a penis that is significantly smaller than average, typically less than 2.5 standard deviations below the mean size for age and race. This condition can be caused by hormonal imbalances during puberty, genetic factors, or developmental issues during fetal growth.
If you are concerned about your penile size, it is essential to consult with a healthcare professional, such as a urologist or an endocrinologist. They can conduct a thorough evaluation, which may include hormonal testing to check for conditions such as hypogonadism (low testosterone levels) or other endocrine disorders that could affect growth and development.
In terms of solutions, treatment options vary depending on the underlying cause. If hormonal deficiencies are identified, hormone replacement therapy may be recommended. In some cases, surgical options are available, but these are typically reserved for severe cases and should be approached with caution, as they can carry risks and complications.

Additionally, psychological support can be beneficial. Many individuals may experience anxiety or depression related to their body image, and speaking with a mental health professional can help address these feelings. Cognitive-behavioral therapy (CBT) has been shown to be effective in helping individuals manage body image issues and improve self-esteem.

It is also worth noting that sexual satisfaction is not solely dependent on penile size. Factors such as emotional connection, communication with partners, and overall sexual technique play significant roles in sexual relationships. Educating yourself about sexual health and exploring different ways to enhance intimacy can also be beneficial.

In summary, if you are experiencing concerns about penile size, it is crucial to seek professional medical advice to explore potential underlying causes and treatment options. Remember that you are not alone in this concern, and there are resources available to help you navigate these feelings and improve your overall well-being.

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