Developmental issues
Hello Doctor: My reproductive organs have not developed since middle school, and now at 20 years old, my penis is 3 cm when not erect and only 11 cm when erect.
What troubles me the most is that my testicles seem very small, similar in size to my younger brother who is in sixth grade.
What is the normal size range? I have not engaged in excessive masturbation, but I do have a problem with premature ejaculation, and my semen is quite thin (even after a long period without ejaculation, it remains the same).
Due to family circumstances, I have been working since middle school to help support my family, and I have been working night shifts during high school.
Now at 20, I work two jobs a day.
Am I damaging my body this way? Is there still hope for improvement?
Awei, 20~29 year old female. Ask Date: 2016/02/17
Dr. Xu Weikai reply Urology
Hello, it is recommended to visit a specialist outpatient clinic for relevant tests such as endocrine, hormone, and semen analysis.
There are specific guidelines for measuring the testicles and penis.
I don't think work-related factors are the cause.
It is concerning if there is an endocrine imbalance.
If there are any unclear points, feel free to ask again for further discussion and research.
Answers found online should only be used as a reference; it is essential to seek medical care at a healthcare facility if necessary.
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: 2016/02/17
More Info
Understanding developmental issues in male reproductive health is crucial, especially for young men experiencing concerns about their sexual development and reproductive capabilities. Based on the information you've provided, it seems you are facing several challenges, including underdeveloped genitalia, concerns about testicular size, premature ejaculation, and the consistency of your semen. Let's break down these issues and explore potential avenues for support and treatment.
Firstly, regarding the development of your reproductive organs, it is important to understand that male sexual development typically occurs during puberty, which can start anywhere from ages 9 to 14. If you have not experienced significant growth or changes in your genitalia by the age of 20, it may indicate a condition known as hypogonadism, which is characterized by insufficient testosterone production. This can lead to underdeveloped genitalia and other symptoms, such as reduced libido and fertility issues.
Testicular size is also a significant factor in male reproductive health. The average size of adult male testicles is typically around 3 to 5 centimeters in length and 2 to 3 centimeters in width. If your testicles are smaller than this range, it may be indicative of a developmental issue or hormonal imbalance. It is essential to consult with a healthcare provider who can perform a physical examination and possibly order hormone level tests (such as testosterone and luteinizing hormone) to assess your condition accurately.
Your concerns about premature ejaculation and the consistency of your semen are also valid. Premature ejaculation is a common issue among men and can be influenced by psychological factors, hormonal levels, and physical health. The consistency of semen can vary, but if you notice it is consistently thin or watery, it may be worth discussing with a healthcare professional, as this could be related to sperm production or other underlying health issues.
Regarding your lifestyle, working multiple jobs and the stress associated with financial responsibilities can impact your overall health, including hormonal balance and sexual function. Chronic stress and fatigue can lead to hormonal imbalances, which may exacerbate issues related to sexual health. It is crucial to prioritize self-care, including adequate rest, nutrition, and stress management techniques.
In terms of treatment options, it is advisable to seek a consultation with a urologist or an endocrinologist who specializes in male reproductive health. They can provide a comprehensive evaluation and discuss potential treatment options, which may include hormone therapy if a deficiency is identified. Additionally, counseling or therapy may be beneficial for addressing psychological factors related to sexual performance and anxiety.
Lastly, it is essential to remember that you are not alone in facing these challenges. Many young men experience similar concerns, and there are effective treatments available. Seeking help is a positive step toward understanding and improving your reproductive health. Don't hesitate to reach out to a healthcare professional who can guide you through this process and help you achieve better health outcomes.
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