Penile Development Issues: When to Seek Medical Advice - Urology

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Hello, Dr.
Zhou...
I would like to ask: 1.
Is it normal for the penis to be about 3-5 cm in length when erect and completely covered by the foreskin? 2.
Is a length of about 10-11 cm when erect, with the foreskin needing to be manually retracted, within the normal range? Is circumcision necessary? 3.
If the penis becomes flaccid quickly after erection without continuous stimulation, should I seek medical attention? 4.
Is a 45-degree bend to the left when erect something that requires medical treatment? 5.
Is it a concern if I am very sensitive and ejaculate easily (within about 1-3 minutes)? Should I seek medical treatment for this? 6.
Are there medications or treatments available that can promote further growth of the penis? I am not considering penile lengthening surgery!

Mr. Zhang, 30~39 year old female. Ask Date: 2012/06/11

Dr. Zhou Xinpei reply Urology


Hello: If you have phimosis combined with recurrent infections, surgical treatment is necessary.
For issues related to penile curvature or length, it is recommended that you visit the clinic for a detailed evaluation by a specialist.
Thank you!

Reply Date: 2012/06/11

More Info


Dear Patient,
Thank you for your questions regarding penile development and related concerns. It's important to address these issues with accurate information and guidance. Let's break down your questions one by one.

1. Erect Length of 3-5 cm: In a flaccid state, the size of the penis can vary significantly among individuals. An erect length of 3-5 cm is considered below the average range, which typically falls between 12-16 cm for adults. However, if this is your natural size and you have no other concerns, it may not be an issue. If you feel discomfort or have concerns about sexual function, it may be worth discussing with a healthcare provider.

2. Erect Length of 10-11 cm with Foreskin Issues: An erect length of 10-11 cm is within the normal range. The fact that you need to manually retract the foreskin may indicate a condition known as phimosis, where the foreskin cannot be easily retracted. If this causes pain or discomfort during sexual activity, it may be advisable to consider circumcision or other treatments.

3. Erection Softening Quickly: It is common for an erection to subside quickly after stimulation stops. However, if you find that you consistently have difficulty maintaining an erection or if this affects your sexual performance, it may be beneficial to consult a healthcare provider. This could be a sign of erectile dysfunction, which can have various underlying causes.

4. Curvature of the Penis: A curvature of about 45 degrees when erect can be normal for some individuals. However, if this curvature is accompanied by pain, difficulty during intercourse, or if it has developed suddenly, it may be indicative of a condition called Peyronie's disease. In such cases, seeking medical advice is recommended.

5. Premature Ejaculation: Experiencing ejaculation within 1-3 minutes can be classified as premature ejaculation. This is a common issue and can often be treated with behavioral techniques, counseling, or medications. If this is a concern for you, discussing it with a healthcare provider can help you explore treatment options.

6. Medications for Penile Growth: Currently, there are no scientifically proven medications that can significantly increase penile size. Most treatments marketed for this purpose lack clinical evidence and can sometimes be harmful. If you are considering any form of treatment, it is crucial to consult with a healthcare professional to discuss safe and effective options.

In summary, while some of your concerns may fall within the range of normal variations, others may warrant further evaluation. It is always best to consult with a healthcare provider who specializes in urology or sexual health. They can provide personalized advice, conduct necessary examinations, and discuss potential treatment options based on your specific situation.

If you experience any pain, discomfort, or significant changes in your sexual health, do not hesitate to seek medical advice. Early intervention can often lead to better outcomes.

Best regards,
Doctor Q&A Teams

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