Delayed Growth in Young Adults: A Medical Perspective

The bird has not been growing?

Hello doctor, I am 23 years old and my penis has not grown much, still resembling that of a child.
However, I can achieve an erection that reaches deep inside my wife.
We have been married for three years and have been living without contraception, but I have not seen any signs of pregnancy.

Taiwan, 20~29 year old female. Ask Date: 2016/02/15

Dr. Zeng Guosen reply Internal Medicine

Hello, it is recommended to visit an obstetrician-gynecologist for further examination.
Thanks.

Reply Date: 2016/02/15

More Info

Delayed growth in young adults can be a complex issue that encompasses various physiological, genetic, and environmental factors. At 23 years old, if you are experiencing concerns about your growth or development, it is essential to understand the underlying mechanisms that contribute to height and overall physical development.

Firstly, growth in height is primarily determined by the growth plates in the long bones, which are areas of cartilage that allow for bone elongation. These growth plates typically close after puberty, around the ages of 16 to 18 for females and 18 to 21 for males. Once these plates close, no further increase in height is possible. If you are still concerned about your height at 23, it is likely that your growth plates have already fused, which means that any potential for further growth has been lost.

Genetics plays a significant role in determining height. If your parents are shorter than average, it is possible that you may also have a shorter stature due to hereditary factors. However, environmental factors such as nutrition, physical activity, and overall health during childhood and adolescence also significantly impact growth. A balanced diet rich in essential nutrients, particularly calcium, vitamin D, and protein, is crucial for optimal growth during the developmental years.

In your case, you mentioned that you are experiencing a lack of growth despite being married for three years and engaging in a sexual relationship. It is important to note that sexual maturity and physical growth are not always directly correlated. While you may have reached sexual maturity, other factors could contribute to your current physical state. Hormonal imbalances, nutritional deficiencies, or underlying medical conditions could potentially affect both growth and sexual health.

If you are concerned about your growth or any related issues, it is advisable to consult with a healthcare professional, such as an endocrinologist. They can perform a thorough evaluation, including blood tests to check hormone levels, and possibly imaging studies to assess bone age and growth plate status. This assessment can help identify any underlying conditions that may be contributing to your concerns.

Additionally, it is essential to focus on overall health and well-being rather than solely on height. Engaging in regular physical activity, maintaining a balanced diet, and managing stress can contribute to better health outcomes. If you have concerns about your body image or self-esteem related to your height, speaking with a mental health professional can also be beneficial.

In summary, while it may be challenging to change your height at 23, understanding the factors that contribute to growth and focusing on overall health can lead to a more fulfilling life. If you have specific concerns about your growth or health, seeking professional medical advice is the best course of action.

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