Penile hypoplasia?
Hello, doctor.
I have noticed that my penis has not developed from puberty until now, at the age of twenty-three.
I had surgery for cryptorchidism when I was younger.
Based on your expertise, is there still a chance for development during the second puberty, or is penile reconstruction the only option?
Tangmu, 20~29 year old female. Ask Date: 2020/06/14
Dr. Liu Mingyue reply Urology
It is recommended that you visit a urology clinic to determine if any relevant tests are needed.
Thank you, and wishing you good health!
Reply Date: 2020/06/14
More Info
When it comes to penile growth and development, it is important to understand the biological processes that govern this aspect of male anatomy. Typically, penile growth occurs during puberty, which for most males begins between the ages of 9 and 14 and can last until the late teens or early twenties. By the age of 23, most males have completed their physical development, including penile growth.
Puberty is marked by the onset of secondary sexual characteristics, which include not only penile growth but also testicular enlargement, the growth of pubic and body hair, and changes in voice. The growth of the penis is primarily driven by hormonal changes, particularly the increase in testosterone levels that occurs during puberty. Once puberty is completed, the growth plates in the bones close, and further physical growth, including penile growth, is generally not expected.
In your case, having undergone surgery for cryptorchidism (undescended testicles) in childhood may have implications for your development. Cryptorchidism can affect hormonal levels and, consequently, the development of secondary sexual characteristics. If the surgery was successful and the testicles are functioning normally, testosterone production should be adequate for normal development. However, if there were complications or if the testicles did not descend properly, this could potentially impact growth.
At the age of 23, if you have not noticed any significant penile growth or development, it is unlikely that you will experience further natural growth. The penis typically reaches its full size by the end of puberty, and while some minor changes can occur due to weight fluctuations or hormonal changes, significant growth is not expected.
If you are concerned about the size or development of your penis, it is essential to consult with a healthcare professional. They can evaluate your hormonal levels and overall health to determine if there are any underlying issues that may be affecting your development. In some cases, hormone therapy may be an option, but this is typically reserved for individuals with specific medical conditions.
For those who are dissatisfied with their penile size, surgical options do exist. Penile enlargement surgeries can involve various techniques, including lengthening or girth enhancement procedures. However, these surgeries carry risks and potential complications, and it is crucial to have realistic expectations and a thorough understanding of the procedures involved. Consulting with a qualified urologist or plastic surgeon who specializes in penile surgery is essential to discuss your options, potential outcomes, and risks.
In summary, by the age of 23, significant natural penile growth is unlikely. If you have concerns about your development, it is advisable to seek medical advice to explore any underlying issues or discuss surgical options if you feel that is appropriate for you. Remember that self-acceptance and understanding that penis size does not determine worth or masculinity are also important aspects of mental health and well-being.
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