Penile Shrinkage: Causes and Concerns for Men - Urology

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Hello doctor, in the cold winter weather, when I ride a motorcycle or feel very nervous, my penis shrinks significantly, and the foreskin also retracts and appears wrinkled, making it look smaller than usual.
It feels strange, and I often have to rush to the bathroom to retract the foreskin, but it returns to normal when I have an erection.

Niming, 20~29 year old female. Ask Date: 2015/01/31

Dr. Xu Weikai reply Urology


Anonymous: Hello, it should be due to the cold weather.
You can observe it for a while.
If you're still concerned, you can visit a urologist for relevant examinations.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses can only serve as a reference; if necessary, it is still important to seek medical care at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/01/31

More Info


Understanding penile shrinkage can be a concern for many men, and it is important to recognize that this phenomenon can be influenced by various factors, including temperature, anxiety, and physical activity.
Firstly, it is essential to understand that the penis is made up of erectile tissue, blood vessels, and nerves. When exposed to cold temperatures, such as riding a motorcycle in winter, the body naturally responds by constricting blood vessels to preserve heat. This vasoconstriction can lead to a temporary reduction in blood flow to the penis, causing it to appear smaller. Additionally, the body’s response to cold can cause the skin to contract, which may make the penis look even smaller than usual.
Similarly, anxiety or stress can trigger the body's fight-or-flight response, which can also lead to vasoconstriction. When a person is anxious, the body releases adrenaline, which can divert blood flow away from non-essential areas, including the penis. This can result in a temporary shrinkage of the penis, which is often accompanied by a feeling of tightness in the surrounding skin, including the foreskin.
Physical activity, such as running, can also contribute to this phenomenon. During intense exercise, the body prioritizes blood flow to the muscles and vital organs, which may lead to a temporary decrease in blood flow to the penis. This is a normal physiological response and is not indicative of any underlying health issues.
It is important to note that these changes are typically temporary and should resolve once the body returns to a normal state, such as warming up after being in a cold environment or calming down after a stressful situation. The fact that you mentioned that your penis returns to normal size upon erection is a reassuring sign that there are no significant underlying issues.
If you experience persistent changes in size or any discomfort, it is advisable to consult a healthcare professional. They can provide a thorough examination and determine if there are any underlying conditions that need to be addressed.
In summary, penile shrinkage in response to cold temperatures, anxiety, or physical activity is a common and typically harmless occurrence. It is a natural physiological response that does not usually indicate any serious health concerns. However, if you have ongoing worries or experience other symptoms, seeking medical advice is always a good step to ensure your overall health and well-being.

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