Hormonal Issues: Concerns About Penis and Scrotum Size - Urology

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Hello doctor, I am currently 19 years old, but both my penis and scrotum are quite small.
Could this be due to a deficiency in testosterone? Which specialty should I consult? If I start hormone replacement therapy now, will my penis and scrotum still grow? I sincerely hope you can address my concerns as I am feeling very confused and troubled.
Thank you.

Huang, 10~19 year old female. Ask Date: 2016/06/20

Dr. Fu Shizhang reply Urology


It is recommended to consult a urologist for an examination to determine if there are any endocrine issues.

Reply Date: 2016/06/20

More Info


Understanding hormonal issues, particularly concerning penis and scrotum size, is a common concern among young men. At 19 years old, it is natural to have questions about your development and whether it is within the normal range.
Firstly, the size of the penis and scrotum can be influenced by several factors, including genetics, hormonal levels, and overall health. Testosterone, the primary male sex hormone, plays a crucial role in the development of male genitalia during puberty. If there is a deficiency in testosterone production, it could potentially lead to smaller than average size of the penis and scrotum. However, it is essential to understand that size can vary significantly among individuals, and what is considered "normal" can encompass a wide range of sizes.

If you suspect that your size may be related to hormonal issues, it would be advisable to consult an endocrinologist, a specialist in hormonal disorders. They can conduct a thorough evaluation, which may include blood tests to measure your testosterone levels and other hormones that play a role in sexual development. Additionally, they may assess your overall health and development to determine if there are any underlying conditions that could be contributing to your concerns.

Regarding your question about hormone replacement therapy, it is important to note that if a testosterone deficiency is diagnosed, treatment options may be available. Hormone replacement therapy can help restore testosterone levels to a normal range, which may promote further development of the penis and scrotum. However, the extent of growth that can be achieved through treatment varies from person to person and is influenced by several factors, including age, the duration of the deficiency, and individual response to therapy.
It is also worth mentioning that while hormone therapy can be beneficial, it is not without risks and potential side effects. Therefore, it is crucial to have a detailed discussion with your healthcare provider about the benefits and risks associated with treatment. They can help you weigh your options and make an informed decision based on your specific circumstances.

In addition to hormonal evaluation, it may be helpful to consider psychological support. Concerns about size can lead to anxiety and affect self-esteem. Speaking with a counselor or therapist who specializes in body image issues can provide you with coping strategies and support as you navigate these feelings.

In summary, if you are concerned about the size of your penis and scrotum, it is advisable to consult with an endocrinologist for a comprehensive evaluation of your hormonal health. They can provide guidance on whether hormone therapy is appropriate for you and what potential outcomes you might expect. Remember, you are not alone in your concerns, and seeking help is a positive step towards understanding your body and health better.

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