Penile Size Variations: When to Seek Medical Advice

The term "老二

The penis is typically small, measuring only 2-3 centimeters when flaccid.
During an erection, the penis rises significantly, almost touching the lower abdomen, resembling an upright column, with an erect length of about 9 centimeters.
How serious is this condition? Please provide a detailed explanation.
Thank you!

Xiao Ming, 20~29 year old female. Ask Date: 2001/01/30

Dr. Liu Jianting reply Urology

It's quite interesting how something that is usually soft and small can become longer and larger when erect; it's quite strange! Actually, this is due to the engorgement of the erectile tissue within the penis.
Your situation is completely normal and similar to that of other men your age, so there's no need to worry.
Remember, "bigger" does not necessarily mean "better." I recommend you check out a book published by Tianxia called "About Sex."

Reply Date: 2001/01/30

More Info

When it comes to variations in penile size, it is important to understand that there is a wide range of what is considered normal. The average erect penis size is typically reported to be around 5 to 6 inches (approximately 12.7 to 15.24 cm) in length, with a circumference of around 4.5 to 5 inches (approximately 11.43 to 12.7 cm). However, variations exist, and many men may fall outside of this average range without any underlying health issues.

In your case, you mentioned that your penis measures about 2-3 cm when flaccid and approximately 9 cm when erect. While these measurements may be below the average, it is crucial to consider several factors before determining the severity of the situation.

1. Functionality: The most important aspect of penile size is its functionality. If you are able to achieve an erection and engage in sexual activity without pain or discomfort, then the size may not be a significant concern. Sexual satisfaction is influenced by many factors, including emotional connection, technique, and partner compatibility, rather than just size.

2. Psychological Impact: Concerns about penile size can lead to anxiety, low self-esteem, and body image issues. If you find that your size is affecting your mental health or your relationships, it may be beneficial to speak with a mental health professional or a sex therapist. They can help you address these feelings and provide coping strategies.

3. Medical Evaluation: If you are experiencing any physical issues, such as pain during erections, difficulty achieving or maintaining an erection, or any other sexual dysfunction, it is advisable to seek medical advice. A healthcare provider can perform a thorough evaluation to rule out any underlying medical conditions, such as Peyronie's disease (which can cause curvature and pain) or hormonal imbalances.

4. Hormonal Factors: Hormonal levels, particularly testosterone, can influence penile size and erectile function. If you suspect that hormonal issues may be at play, a healthcare provider can conduct blood tests to assess your hormone levels.

5. Genetics and Development: Penile size is largely determined by genetics and can vary significantly among individuals. If there are no associated medical issues, variations in size are typically normal and not a cause for concern.

6. When to Seek Help: You should consider seeking medical advice if:
- You experience pain during erections or sexual activity.

- You have difficulty achieving or maintaining an erection.

- You notice any unusual changes in your penis, such as lumps, bumps, or changes in color.

- You have concerns about your sexual health or function that are affecting your quality of life.

In conclusion, while your measurements may be below average, the severity of the situation largely depends on functionality and your overall well-being. If you have concerns about your size or any associated issues, consulting with a healthcare professional can provide clarity and support. They can help you understand whether your situation is typical or if further evaluation is necessary. Remember, sexual health is multifaceted, and size is just one aspect of a much larger picture.

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