Penile Angle and Testicular Size: Concerns and Solutions - Urology

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Penile drooping during erection?


Hello Doctor: My penis is completely straight when erect, with no curvature.
However, when erect, it is positioned between horizontal and pointing straight down (about 45 degrees downward from horizontal).
I am wondering if this will affect my long-term sexual function and if any treatment is necessary.
Additionally, I would like to know how to measure testicle size, as I often include the thickness of the skin.
I heard that you can use the "OK" hand gesture, where one testicle should fit through the circle made by the fingers.
What should I do if my testicles are a bit smaller? Thank you.

Jin Cheng Wu, 20~29 year old female. Ask Date: 2018/09/07

Dr. Fu Shizhang reply Urology


It is recommended to visit an outpatient clinic for a physician examination to determine whether the external genitalia are normal.

Reply Date: 2018/09/07

More Info


When it comes to concerns about penile angle and testicular size, it's essential to approach these topics with a clear understanding of normal anatomy and function.
Firstly, regarding the angle of your penis during erection, it is not uncommon for men to have a slight downward angle. An angle of approximately 45 degrees, as you described, is generally considered normal and should not significantly impact sexual function or performance. The key factors that contribute to sexual health include overall physical health, psychological well-being, and the quality of your intimate relationships. If you are not experiencing any pain during erections or sexual activity, and if your erections are firm and satisfactory, there is likely no need for concern or treatment.

However, if you notice any changes in your erections, such as pain, significant curvature, or difficulty achieving or maintaining an erection, it would be prudent to consult a healthcare provider. Conditions like Peyronie's disease can cause abnormal curvature and may require medical attention.
As for measuring testicular size, it is indeed a common concern among men. The average testicle size is typically around 3 cm in length and 2.5 cm in width, but there is a wide range of normal sizes. To measure your testicles accurately, you can use a ruler or a measuring tape. It's important to measure the testicle itself, avoiding the skin or any surrounding tissue.
The "OK" hand gesture you mentioned is a rough method some people use to gauge testicular size, where the testicle should fit comfortably through the circle formed by the thumb and index finger. However, this method is not precise and can vary significantly from person to person. If you find that your testicles are smaller than average, it is usually not a cause for concern unless accompanied by other symptoms such as pain, swelling, or changes in texture.
If you are worried about the size of your testicles or any potential implications for fertility or sexual function, it may be beneficial to consult a urologist. They can provide a thorough examination and discuss any concerns you may have regarding testicular health and function.
In summary, a slight downward angle of the penis during erection is generally normal and should not affect sexual performance. Testicular size can vary widely, and measuring them accurately can help you understand your anatomy better. If you have any concerns about either issue, seeking professional medical advice is always a good step to ensure your health and peace of mind.

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