Changes in Penis Size and Color in Middle Age: What to Expect - Urology

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Hello doctor, may I ask why the penis of middle-aged men appears longer, thicker, and darker during erection? Is this related to age? Does the penis change over time, even after puberty? Additionally, I recently underwent a circumcision.
How long should I wait before engaging in sexual intercourse or masturbation? How long after the surgery can I start masturbating and having sex? If the wound has healed, can I start masturbating? What precautions should I take when having sex or masturbating shortly after circumcision? Thank you.

Aqi, 20~29 year old female. Ask Date: 2007/04/04

Dr. Xu Weikai reply Urology


Hello, I am not sure about the basis for your claim that middle-aged men's penises become thicker, as generally, with increasing age, the levels of male hormones decrease, which can lead to changes in penis size.
Regarding increased pigmentation, it is more common in many middle-aged and older individuals due to pigment deposition.
Additionally, it is generally recommended to wait at least two months after circumcision before resuming sexual activity.
Note: Typically, there is a decrease in size.
Response from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2007/04/04

More Info


As men age, particularly entering middle age, they may notice various changes in their bodies, including the penis. These changes can include variations in size, color, and overall appearance.

Changes in Size and Color
1. Size Changes: It is common for men to perceive their penis as larger during erections in middle age. This perception can be attributed to several factors:
- Weight Gain: Many men experience weight gain as they age, which can lead to a decrease in the visibility of the penis due to the accumulation of fat in the pubic area. When weight is lost or if the body is more toned, the penis may appear larger.

- Erectile Function: Changes in erectile function can also affect how the penis appears. With age, some men may experience erectile dysfunction, which can lead to less firm erections. Conversely, if a man is maintaining good health and has no erectile issues, he may experience fuller, firmer erections, making the penis appear larger.

2. Color Changes: The penis may also appear darker as men age. This can be due to:
- Increased Blood Flow: During arousal, increased blood flow can lead to a darker appearance.

- Skin Changes: The skin can become thicker and darker due to aging, which can also contribute to the change in color.


Ongoing Changes Post-Puberty
Even after puberty, the penis can continue to undergo changes. Factors such as hormonal changes, health conditions, and lifestyle choices can all influence the size and appearance of the penis throughout a man's life.

Post-Circumcision Care
Regarding your recent circumcision, it is crucial to follow proper aftercare to ensure healing and prevent complications. Here are some guidelines:
1. Healing Time: Generally, the healing process after circumcision can take about 1 to 2 weeks, but this can vary based on individual health and the specifics of the surgery. It is essential to follow your doctor's advice regarding when to resume sexual activities.

2. When to Resume Sexual Activity: Most healthcare providers recommend waiting at least 4 to 6 weeks before engaging in sexual intercourse or masturbation. This allows sufficient time for the surgical site to heal properly.

3. Signs of Healing: Before resuming sexual activity, ensure that the incision site is healed, with no signs of infection (such as increased redness, swelling, or discharge). If you have any concerns about the healing process, consult your healthcare provider.

4. Post-Operative Care: After circumcision, it is essential to keep the area clean and dry. You may be advised to use a gentle soap and avoid any harsh chemicals or fragrances. Wearing loose-fitting underwear can also help minimize irritation.

5. Pain Management: If you experience discomfort, over-the-counter pain relievers may be recommended. However, consult your doctor before taking any medication.

6. Avoiding Irritation: When you do resume sexual activity, be cautious and gentle to avoid irritating the healing tissue. Lubrication may be beneficial to reduce friction.


Conclusion
In summary, changes in penis size and color during middle age are normal and can be attributed to various physiological factors. After circumcision, it is crucial to allow adequate healing time and follow your healthcare provider's recommendations to ensure a safe and healthy recovery. If you have any concerns or experience unusual symptoms during your recovery, do not hesitate to reach out to your healthcare provider for guidance.

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