Hormone Testing for Urological Concerns: What You Need to Know - Urology

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Hormone testing


Hello, Dr.
Hsu.
I feel that my penis has not developed properly since childhood, and it is very small, with little to no erection.
The foreskin has always been tight, and I would like to consult a doctor to see if this is a hormonal development issue.
If the doctor wants to test my hormones, should I look for an endocrinologist or an internal medicine specialist online? Some people say I need to fast, while others say I don't.
Since I want to see a urologist, do I need to fast?
Also, could you please tell me at what age sexual organs typically finish developing? Textbooks say it's between 18-22 years old, but some say it can be during middle to high school years.
Is it necessary to consider individual physiology? Once development is complete, how can it be assessed? Is it observable externally? Thank you, doctor!

Daxue xinxue sheng ren, 10~19 year old female. Ask Date: 2015/09/01

Dr. Xu Weikai reply Urology


Hello, as a college freshman: Generally, fasting is not required for urology outpatient visits, and hormone testing typically does not require fasting either.
The measurement of penile length is taken from the base of the penis to the tip of the glans.
Note: http://john547.pixnet.net/blog/post/93091768-pennis.
The penile length described in your textbook may be debatable, and I suggest you visit a nearby medical facility for a more detailed examination.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses should only be used as a reference; if necessary, it is best to seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/09/01

More Info


When it comes to hormone testing for urological concerns, particularly regarding male sexual development and function, there are several key points to consider. Your concerns about underdevelopment and erectile function are valid and warrant a thorough evaluation by a healthcare professional.


Hormonal Testing and Its Importance
Hormonal imbalances can significantly affect sexual development and function. In males, hormones such as testosterone, luteinizing hormone (LH), and follicle-stimulating hormone (FSH) play crucial roles in the development of secondary sexual characteristics, including penis size, testicular function, and overall sexual health. If you suspect that your development may be linked to hormonal issues, it is essential to undergo testing to assess your hormone levels.


Which Specialist to Consult
For your concerns, a urologist is the most appropriate specialist to consult. Urologists are trained to handle male reproductive health issues, including hormonal assessments. While endocrinologists (specialists in hormone-related conditions) can also be involved, starting with a urologist can provide a more focused approach to your specific concerns regarding sexual development.


Fasting Requirements for Hormonal Testing
Regarding whether you need to fast before hormone testing, it generally depends on the specific tests being conducted. For testosterone levels, fasting is not typically required. However, it is advisable to have your blood drawn in the morning when testosterone levels are usually at their peak. Always follow the specific instructions given by your healthcare provider or the laboratory conducting the tests.


Age and Sexual Development
Sexual development in males typically occurs during puberty, which can start as early as age 9 and continue into the late teens. Most males will reach their full sexual maturity by the age of 18 to 22. However, individual development can vary significantly based on genetics, health, and environmental factors. If you feel that your development has not progressed as expected, it is essential to discuss this with your doctor.


Assessing Development
To assess whether sexual development has reached completion, healthcare providers will often consider both hormonal levels and physical examinations. A physical exam can reveal signs of development, such as testicular size and penile length. Hormonal testing can confirm whether your body is producing adequate levels of testosterone and other relevant hormones.


Next Steps
If you have not already done so, I recommend scheduling an appointment with a urologist. During this visit, you can discuss your concerns in detail, and the doctor may recommend specific tests to evaluate your hormone levels. These tests may include measuring testosterone, LH, and FSH levels, among others.

In conclusion, addressing your concerns about hormonal development is crucial for your overall health and well-being. By consulting with a urologist and undergoing the necessary hormone testing, you can gain a better understanding of your condition and explore potential treatment options if needed. Remember, it is essential to communicate openly with your healthcare provider about your symptoms and concerns to receive the best possible care.

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