Can Testosterone Therapy Help with Penis Size Issues in Men? - Urology

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Insufficient male hormones (the issue of a small penis?)


If a blood test indicates low testosterone levels in a male, will taking testosterone again help the penis grow larger? Age: 33.
What surgical methods are available? Which is the best? Are there any side effects? What are the costs? Thank you, doctor, for your response.

Chengren, 30~39 year old female. Ask Date: 2014/10/03

Dr. Xu Weikai reply Urology


Adults: Hello, testosterone replacement therapy carries a risk of cancer and should be carefully evaluated.
Additionally, the size of the penis needs to be measured accurately.
Note: 1.
After puberty, theoretically, the penis does not grow, but it should be assessed in practice.
Furthermore, individual responses to medication vary.
2.
If the penis is small and testicular development is poor, I would recommend chromosome testing.

Reply Date: 2014/10/03

More Info


Testosterone therapy has been a topic of interest for many men, particularly those who experience symptoms associated with low testosterone levels, such as decreased libido, fatigue, and even concerns regarding penis size. It is essential to understand the relationship between testosterone levels and penile size, as well as the implications of testosterone therapy.

First, it is important to clarify that testosterone therapy is primarily aimed at restoring testosterone levels to a normal range in men who have been diagnosed with hypogonadism (low testosterone). While testosterone plays a crucial role in the development of male sexual characteristics, including penis size during puberty, its effects on penis size in adult men are limited. In adults, testosterone therapy is unlikely to increase the size of the penis if it has already reached its adult size. However, it may improve erectile function and libido, which can enhance sexual satisfaction and confidence.

If a blood test indicates low testosterone levels, testosterone replacement therapy (TRT) may be recommended. This therapy can be administered through various methods, including injections, transdermal patches, gels, or pellets. The choice of method often depends on patient preference, lifestyle, and the specific medical context.
Regarding surgical options, there are procedures such as penile lengthening surgery or penile implants, but these are typically reserved for men with specific medical conditions, such as Peyronie's disease or severe erectile dysfunction. Surgical interventions carry risks, including complications such as infection, scarring, and dissatisfaction with the results. Therefore, these options should be considered carefully and discussed thoroughly with a qualified urologist.

As for the costs associated with testosterone therapy and surgical options, they can vary widely based on factors such as geographic location, healthcare provider, and insurance coverage. Testosterone therapy may range from $30 to $400 per month, depending on the method of administration and whether it is covered by insurance. Surgical procedures can be significantly more expensive, often costing thousands of dollars, and may not be covered by insurance.

In summary, while testosterone therapy can help alleviate symptoms associated with low testosterone, it is unlikely to increase penis size in adult men. If you are considering testosterone therapy or surgical options, it is crucial to consult with a healthcare provider who can evaluate your specific situation, discuss potential benefits and risks, and help you make an informed decision. Regular monitoring of testosterone levels and overall health is essential during any form of treatment.

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