Penile Development Concerns at Age 20: What to Do? - Urology

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Concerns about penile development?


At the age of 20, I feel that I haven't developed properly in terms of erections, both in terms of size and growth.
Doctor, is it urgent for me to see a physician now? Is there still a chance for development at 20, or does it depend on individual physiology? If I visit a urologist, will they conduct relevant tests, such as hormone levels, or should I see an endocrinologist instead? Will the endocrinologist assess penile development? I have read articles where others mentioned that doctors could identify penile development issues just by examining it.
Is that true? Or would it be sufficient to see both specialties? I'm concerned that they might overlap in their evaluations and waste medical resources, so I'm asking here.
Thank you.

Xiao Qian, 20~29 year old female. Ask Date: 2015/08/31

Dr. Fu Shizhang reply Urology


It is indeed possible that it is related to the endocrine system, but treatment becomes more challenging after puberty.
It is recommended to first consult a urologist for an examination.

Reply Date: 2015/08/31

More Info


At the age of 20, concerns regarding penile development and growth are not uncommon, and it is understandable to seek medical advice about this issue. First and foremost, it is important to recognize that penile development can vary significantly among individuals, and factors such as genetics, hormonal levels, and overall health can influence this process.
In general, penile growth typically occurs during puberty, which can start as early as age 9 and continue into the late teens. By the age of 20, most males have completed their physical development, but there can still be variations. If you feel that your development has not progressed as expected, it is reasonable to consult a healthcare professional.

When considering which type of specialist to see, both urologists and endocrinologists can play important roles in addressing your concerns. A urologist specializes in the urinary tract and male reproductive system, and they can conduct a physical examination to assess penile size and development. They may also evaluate any potential anatomical issues or conditions that could affect development. During the examination, the doctor may be able to identify any abnormalities or conditions that could be contributing to your concerns.

On the other hand, an endocrinologist focuses on hormonal health and can evaluate whether hormonal imbalances may be affecting your development. Hormones such as testosterone play a crucial role in male sexual development, and low levels of testosterone can lead to concerns about growth and development. Blood tests can be performed to measure hormone levels, and if any deficiencies are found, appropriate treatment options can be discussed.

It is not uncommon for doctors to perform a physical examination to assess penile development, and they may be able to provide insights based on their observations. However, it is essential to approach this with an open mind and understand that development can vary widely among individuals.
If you are concerned about the potential for further development, it is advisable to seek medical advice sooner rather than later. While most growth typically occurs during puberty, there may still be opportunities for further development, depending on individual circumstances.
In summary, it is advisable to consult with a urologist for a physical examination and assessment of penile development. If hormonal concerns are suspected, an endocrinologist can also be consulted. Both specialists can work together to provide a comprehensive evaluation and address any underlying issues. Remember that seeking medical advice is a proactive step towards understanding your health, and there is no need to feel embarrassed about discussing these concerns with a healthcare professional. They are trained to handle such matters with sensitivity and confidentiality.

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