Urological Concerns: Can Hormonal Issues Affect Growth?

Oh dear!

Hello, I am 20 years old.
I started masturbating around the third grade of elementary school, and since then, my penis has not grown and remains the same size as it was in elementary school.
I don't have an Adam's apple, and my throat looks flat.
Is there any way to address this? Currently, my ejaculation does not feel the same as before; it just happens without much sensation.
Is there any way to improve this? I often have erections that I cannot control, and when I am not erect, my penis appears smaller than others.
At 20 years old, do I still have a chance to improve? Can I get my hormone levels and semen analyzed?

Ai ya, 20~29 year old female. Ask Date: 2008/07/23

Dr. Zhang Chengye reply Urology

As per your suggestion, please schedule an appointment with the urology clinic for further examination.

Reply Date: 2008/07/23

More Info

It's important to address your concerns regarding hormonal issues and their potential impact on growth and sexual development. At 20 years old, many individuals are still experiencing changes in their bodies, but it is also a time when growth plates typically close, which means that significant increases in height are unlikely.
Firstly, let's discuss the relationship between hormones and growth. Hormones, particularly sex hormones like testosterone, play a crucial role in the development of secondary sexual characteristics and overall growth during puberty. Testosterone is responsible for the development of male characteristics, including increased muscle mass, body hair, and changes in voice. It also influences the growth plates in bones. During puberty, testosterone promotes the growth of bone and muscle, but once the growth plates fuse, which usually occurs in late adolescence to early adulthood, further height increase is unlikely.

In your case, you mentioned concerns about your penis size and the absence of a prominent Adam's apple. It's essential to understand that variations in physical development are normal. Some individuals may experience delayed puberty, which can result in a slower progression of these changes. If you feel that your development is significantly behind your peers, it may be worthwhile to consult with a healthcare professional who specializes in endocrinology or urology. They can evaluate your hormone levels through blood tests, which can provide insight into whether there are any underlying hormonal imbalances.

Regarding your experiences with ejaculation and erection, it's not uncommon for sensations to change over time, especially if there are psychological factors at play. Anxiety, stress, and even habits like excessive masturbation can affect sexual function and sensitivity. If you're finding it difficult to control erections or if you're experiencing changes in sensation, this could be related to both physical and psychological factors. A healthcare provider can help assess these issues and suggest appropriate interventions.

You also mentioned concerns about your ability to grow taller and whether there are ways to improve your situation. While it's unlikely that you will experience significant height increases at this stage, focusing on overall health can be beneficial. Ensuring you have a balanced diet rich in nutrients, maintaining regular physical activity, and managing stress can all contribute to your well-being. Additionally, if you have concerns about your body image or self-esteem, speaking with a mental health professional can provide support and coping strategies.

In summary, while hormonal issues can affect growth and sexual development, it's essential to consult with a healthcare provider for a thorough evaluation. They can help determine if there are any underlying issues that need to be addressed and provide guidance on how to improve your overall health and well-being. Remember, everyone's body develops at its own pace, and seeking professional advice is a positive step towards understanding and addressing your concerns.

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