Overcoming Body Image Issues: A College Student's Struggle with Size - Urology

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I'm a college student, and our class trip was to a hot spring.
When all the male classmates and teachers met, I noticed that everyone else was larger than me...
I felt so embarrassed.
So, I went to see a doctor, and he said that my penis appears smaller because I'm overweight.
He advised me to lose weight to look more like a normal guy.
However, after almost six months, I still look the same.
I've gone from 130 kg to 90 kg, but my size hasn't changed.
What should I do? I don't want to be laughed at by my classmates.

Bu Shuo, 20~29 year old female. Ask Date: 2004/09/11

Dr. Chen Xiuyi reply Urology


Hello: There is no standard size for the penis.
Generally, the length of an adult male in China when flaccid is about 5 to 7 centimeters.
In some obese patients, due to the accumulation of fat in the lower abdomen and pubic area, the entire external genitalia may be buried in subcutaneous fat, making the penis appear shorter.
Some patients may have a smaller penis due to underdevelopment caused by pituitary dysfunction or insufficient testicular function, which typically requires treatment before puberty.
Since you have already lost weight, you can follow up for treatment at the urology clinic.
Sincerely, Dr.
Chen Hsiu-Yi, Urology.

Reply Date: 2004/09/11

More Info


Body image issues are a common concern among college students, especially when it comes to physical appearance and self-esteem. Your experience of feeling embarrassed about your size in comparison to your peers is not uncommon, and it can significantly impact your mental health and social interactions.
Firstly, it's important to understand that body image is influenced by a variety of factors, including societal standards, personal experiences, and individual perceptions. The pressure to conform to certain ideals of masculinity and body size can be overwhelming, particularly in a college environment where social comparisons are frequent.
You mentioned that you have lost a significant amount of weight, going from 130 kg to 90 kg, which is a commendable achievement. Weight loss can lead to improvements in overall health, but it does not always correlate with changes in specific body parts, such as the size of the penis. The perception of penis size can be influenced by various factors, including body weight, body fat distribution, and individual anatomical differences.
When a person carries excess weight, particularly in the abdominal area, it can create the illusion of a smaller penis due to the fat pad that can develop around the pubic area. As you lose weight, this fat pad may decrease, potentially leading to a more favorable perception of size. However, it’s crucial to recognize that penis size varies widely among individuals and does not determine one's worth or masculinity.
If you have lost weight and still feel that your penis size is smaller than average, it may be beneficial to consult with a urologist. They can provide a professional assessment and discuss any concerns you may have regarding size and function. Additionally, they can help rule out any underlying medical conditions that may be affecting your perception or experience.

Moreover, addressing body image issues often requires a multifaceted approach. Here are some strategies that may help you cope with your feelings:
1. Cognitive Behavioral Therapy (CBT): This form of therapy can help you challenge negative thoughts about your body and develop a healthier self-image. A mental health professional can guide you through this process.

2. Support Groups: Connecting with others who share similar experiences can provide emotional support and reduce feelings of isolation. Look for groups focused on body image or weight loss.

3. Focus on Health, Not Size: Shift your focus from appearance to health. Engage in activities that promote overall well-being, such as regular exercise, balanced nutrition, and mindfulness practices.

4. Educate Yourself: Understanding that body diversity is normal can help you accept your own body. Learning about the wide range of human anatomy can alleviate some of the pressure to conform to unrealistic standards.

5. Limit Social Comparisons: Try to reduce the time spent comparing yourself to others, especially on social media. Remember that images can be misleading and do not represent reality.

6. Talk to Someone: If you feel comfortable, discuss your feelings with a trusted friend or family member. Sometimes, just talking about your concerns can provide relief.

In conclusion, overcoming body image issues is a journey that takes time and effort. It’s essential to be patient with yourself and recognize that self-acceptance is a process. Seeking professional help can provide you with the tools and support needed to navigate these feelings and improve your overall well-being. Remember, your value is not determined by your size or appearance, but by who you are as a person.

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