Is It Normal for a Young Man's Penis to Curve Downward When Erect? - Urology

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Hello! My boyfriend's penis curves downward when erect.
It's curved! Is this normal? It also doesn't seem to point upward at a 45-degree angle! (I'm not sure) (Additionally, my boyfriend is 20 years old).
If this is not normal, what should he do? If treatment is needed, what would that entail? I mean, would it be surgery or something else? Thank you for your response! Wishing you peace...

pp, 20~29 year old female. Ask Date: 2001/06/02

Dr. Liu Jianting reply Urology


No penis is absolutely 100% straight when flaccid; there is always some degree of curvature.
As long as it does not interfere with sexual activity, there is no need to worry.
However, if it does cause difficulties, it is advisable to consult a urologist.

Reply Date: 2001/06/02

More Info


It is not uncommon for young men to experience a downward curvature of the penis during an erection. This condition can be attributed to several factors, including anatomical variations, congenital conditions, or even previous injuries. In many cases, a slight curve—whether upward, downward, or to the side—can be completely normal and does not indicate any underlying health issues.
The penis is made up of erectile tissue, and during an erection, this tissue fills with blood, causing the penis to become firm and elongated. However, the shape and angle of the erection can vary significantly from person to person. Some men may have a naturally occurring curve, which is often benign and does not affect sexual function or pleasure.
In your boyfriend's case, if the curvature is not causing him pain or discomfort, and he is able to achieve and maintain an erection, it is likely within the range of normal anatomical variation. However, if he experiences pain during erections or if the curvature is severe enough to hinder sexual activity, it may warrant further evaluation by a healthcare professional.

One potential condition that could cause a significant curvature is Peyronie's disease, which is characterized by the development of fibrous scar tissue inside the penis, leading to curved, painful erections. If your boyfriend's curvature has developed suddenly or has become more pronounced over time, it would be advisable for him to consult a urologist.
In terms of treatment, if the curvature is mild and not causing any issues, no treatment may be necessary. However, if it is causing pain or affecting sexual function, treatment options may include:
1. Medication: There are oral medications that can help with the symptoms of Peyronie's disease, although their effectiveness can vary.

2. Injections: Some treatments involve injecting medication directly into the scar tissue to help reduce curvature and pain.

3. Vacuum Devices: These can help stretch the penis and may improve curvature over time.

4. Surgery: In more severe cases, surgical options are available. This could involve removing the scar tissue or placing a graft to correct the curvature. Surgery is typically considered when other treatments have failed and the curvature significantly impacts sexual function.

5. Penile Traction Therapy: This involves using a device to stretch the penis over time, which may help reduce curvature.

It is essential for your boyfriend to discuss his symptoms and concerns with a healthcare provider who can provide a proper diagnosis and recommend an appropriate treatment plan based on his specific situation.
In summary, a downward curvature of the penis during an erection can be normal for some individuals, but if it is accompanied by pain or functional issues, seeking medical advice is crucial. Open communication between partners about sexual health is also important, and supporting each other in seeking help can lead to better outcomes.

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Normal!

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