30 Crisis
Hello doctor: I am a 30-year-old male and I would like to ask a question.
My penis seems to be getting shorter and smaller as my body size has increased from 60 kg to 95 kg.
My chest is as large as a woman's.
Additionally, my penis has become so small that it is almost not visible.
I find it very difficult to use a condom even when arguing with my girlfriend.
I am unsure what to do.
Also, I have not been circumcised, but given my current situation, is circumcision an option? Furthermore, my older brother is 35 years old and still a virgin; could there be an issue with him? I would like to know if a normal male would not get an erection when seeing a woman naked; does that indicate a problem? Can the appearance of the penis indicate any issues?
yu, 30~39 year old female. Ask Date: 2006/04/10
Dr. Xu Weikai reply Urology
Fish: Hello, I believe that the actual length of the penis is more likely to decrease only in old age; at 30 years old, it should not shrink.
The reduction in size may be due to fat accumulation.
The method to increase size is quite simple: weight loss can help.
Being 35 years old and having no sexual experience does not necessarily indicate a problem; it largely depends on the individual's mindset.
Regarding whether one will have an erection upon seeing a naked woman, I can only say that most men will have an erection, but there are still some who can control it and not have one.
Note: It is said that having an erection during a bed scene is considered impolite.
Response from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.
Reply Date: 2006/04/10
More Info
As a 30-year-old man, it's understandable that you have concerns about your urological health, especially regarding changes in your body and sexual function. Let's address your questions and provide some insights based on medical knowledge.
1. Changes in Penis Size and Body Weight
It's common for men to experience changes in their body as they age, particularly with weight gain. An increase in body mass index (BMI) can lead to a condition known as "buried penis," where the penis appears shorter due to the accumulation of fat in the pubic area. This can make it more challenging to use condoms and may affect your self-esteem and sexual confidence.
Weight loss through a healthy diet and regular exercise can help reduce the fat pad around the pubic area, potentially making the penis appear longer. It's crucial to focus on a balanced diet, regular physical activity, and possibly consulting a nutritionist or personal trainer to help you achieve your weight loss goals.
2. Circumcision Considerations
Regarding circumcision, it's a personal choice and can be performed at any age. If you are experiencing issues such as recurrent infections or discomfort, circumcision may be beneficial. However, it's essential to consult with a urologist who can evaluate your specific situation and provide recommendations based on your health and lifestyle.
3. Concerns About Sexual Function and Arousal
Your concern about your brother being a 35-year-old virgin is not uncommon, and it does not necessarily indicate a problem. Many factors can contribute to someone being single or not engaging in sexual activity, including personal choice, cultural background, or social anxiety.
As for the ability to achieve an erection when viewing nudity, it's important to note that sexual arousal can be influenced by various factors, including psychological aspects, stress levels, and overall health. If a man does not become aroused in certain situations, it does not automatically indicate a medical issue. However, if this is a consistent problem affecting your quality of life, it may be worth discussing with a healthcare professional.
4. Physical Examination and Concerns
Regarding the appearance of the penis, while some physical characteristics can indicate health issues (such as lesions, discoloration, or unusual shape), many aspects of penile health can only be accurately assessed through medical examination. If you have concerns about the appearance of your penis or any discomfort, it is advisable to consult a urologist for a thorough evaluation.
Conclusion
In summary, your concerns about body changes, sexual health, and function are valid and shared by many men. It is essential to approach these issues holistically, focusing on physical health through weight management, seeking professional advice regarding circumcision if necessary, and addressing any psychological factors that may affect sexual arousal. Consulting with a urologist can provide you with tailored advice and treatment options to improve your sexual health and overall well-being. Remember, open communication with healthcare providers is key to addressing these sensitive topics effectively.
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