Penile Size Concerns: When to Seek Medical Advice - Urology

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The penis is indeed very small?


Doctor, my question is: I am already in the second year of high school, but my penis only has an erection size of zero to one centimeter, and it is one to two centimeters when flaccid.
Is this considered normal? Also, if it is not normal, would surgery be necessary? If surgery is required, are there non-surgical options available?

Xiao Tian, 10~19 year old female. Ask Date: 2015/12/02

Dr. Xu Weikai reply Urology


Hello, Xiaotian: Surgery cannot solve all problems.
It is recommended to undergo relevant hormone testing in the fields of endocrinology and urology.
If there are any unclear aspects, feel free to ask again, and we can discuss and research further.
Answers found online should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare, who cares about your well-being.

Reply Date: 2015/12/02

More Info


Concerns about penile size and development are common among adolescents, and it's important to approach this topic with sensitivity and understanding. At your age, it's crucial to remember that everyone develops at their own pace, and variations in size and function are normal. However, if you have specific concerns about your development, it may be beneficial to seek medical advice.

Firstly, let's address the issue of penile size and erectile function. During puberty, which typically occurs between ages 9 and 14 for boys, significant changes happen in the body, including the development of the penis and testicles. It's not uncommon for some boys to experience delayed development, which can lead to concerns about size and function. The average size of an erect penis varies widely, and many factors can influence this, including genetics, hormonal levels, and overall health.

If you are experiencing a lack of erections or very minimal growth, it could be a sign of a condition known as "hypogonadism," where the body does not produce enough testosterone. This hormone is crucial for the development of male sexual characteristics, including penile growth and the ability to achieve erections. In such cases, a healthcare provider may recommend blood tests to check hormone levels and assess whether any underlying issues need to be addressed.

Regarding surgical options, it's essential to understand that surgery is typically not the first line of treatment for concerns about penile size or erectile function. Surgical interventions are usually reserved for specific medical conditions, such as Peyronie's disease (curvature of the penis) or severe cases of erectile dysfunction that do not respond to other treatments. Most concerns about size can often be addressed through non-invasive methods, such as counseling, hormone therapy, or lifestyle changes.

If you feel that your development is significantly delayed or if you have persistent concerns about your penis size or erectile function, it is advisable to consult a healthcare professional, such as a urologist or an endocrinologist. They can provide a thorough evaluation, discuss your concerns in detail, and recommend appropriate treatment options if necessary.
In addition to medical advice, it may also be helpful to talk to a trusted adult or counselor about your feelings. Adolescence can be a challenging time, and discussing your concerns can provide emotional support and help alleviate anxiety.

In summary, while variations in penile size and erectile function are normal during adolescence, if you have concerns about your development, it is important to seek medical advice. A healthcare professional can help determine if there are any underlying issues and guide you through the best course of action, which may not necessarily involve surgery. Remember, you are not alone in your concerns, and there are resources available to help you navigate this stage of your life.

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