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Kleinefelter's syndrome and micropenis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Penis Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
I have a 19 year old son with mocropenis and I suspect, although as yet unconfirmed, Kleinefelter's syndrome. He has just given up his university degree at Durham due to depression and I just don't know what to do to help him. He has very little self-confidence espescially among women and is terrified that he ie infertile. Where should I start in getting help for a young man who has always shown such promise? Thank you.
Doctor :   Hi
Doctor :   Let me read your query for few minutes to be able to have a good discussion here.
Doctor :   Ok, I guess you must already be aware of the
Doctor :   counselling sessions offered either by psychiatrists
Doctor :   or pyschologists at institutes of mental health
User :   Hi are you still there?
Doctor :   He could get back to the university if possible, as career is a very imporrtant component, especially for one who is
Doctor :   posed with such a problem
Doctor :   Is he attending any counseling sessions
Doctor :   ?
Doctor :   Counseling is not only offered for the affected,
User :   At present he feels worthless and useless, but he is a very clever lad and in the process of throwing everything away. He has seen various councellors at uni
Doctor :   but also for the guardians/relatives
User :   How do we go about getting counselling as a family?
Doctor :   You must continue your support for him in promptly attending
Doctor :   the counselling, with constant encouragement
Doctor :   The counselor will guide you
Doctor :   regarding how to maintain his
Doctor :   social life healthy
User :   Can anything be done medically about micropenis?
Doctor :   Yes, hormone replacement therapy might still work
User :   Is it too late at 19?
Doctor :   Yes it is.
Doctor :   a plastic surgery, if required
User :   Is it important that I get him to the GP as soon as possible?
Doctor :   Testosterone might be late to initiate
Doctor :   growth of penis
Doctor :   but it could still work in developing other
Doctor :   secondary sexual characters
User :   would the fact that Ben was extremely premature have any bearing on this?
Doctor :   Yes, please do take him to a Physicain or endocrinologist if you already havent
Doctor :   No it has nothing to do with
Doctor :   prematurity
Doctor :   It was decided the moment the egg & sperm fused
User :   I am so worried that he has alerted me to Kleinfelters. He has obviously had suspicions that he has this syndrome for quite some time
Doctor :   Hope his genetic evaluation has been donKlinefelter or not
Doctor :   From clinical features one could guess it with a true probability of 60-90%
User :   I have looked at all the physical symptoms online and they all smack so true in Ben's case
User :   My main concern is the mental issues such as low self esteem and low self confidence
Doctor :   Yes this is a common issue in patients having
Doctor :   such sex gene problems
Doctor :   The patient sometimes happens to have a good IQ
User :   I just want the best for him. He is an A grade student and has such a alot to offer the world
Doctor :   inspite of which, just the feeling of being different, brings their life down
Doctor :   a proper counselling & in some cases the help of
User :   Yes he feels he is inferior in every other way and tells me that the only thing he has in life is his academia!!
Doctor :   antidepressants
Doctor :   could pull his life back on tracke
Doctor :   already
User :   No he has no idea whether he has it and nor do we
Doctor :   If not, then that is is the only test that could confirm whether he is
User :   He is currently on antidepressants that he got while at uni
Doctor :   He needs to know that he is not alone
User :   Yes I feel guilty that I have just been putting his lack of application down to laziness!
Doctor :   there are many peoople, either silently prospering & flourishing or going down withit
Doctor :   The main concern now should be ADHERENCE to counseling
User :   Yes I am going to see my GP tomorrow to ask him which way we need to go now
Doctor :   Thats right, the GP would guide you to a formal genetic counseling
User :   Thank you for listening Doctor
Doctor :   Your welcome
User :   he means that world to me and I hate to see him suffering silently
Doctor :   you need not see him suffer if you continue to put your efforts
Doctor :   Constantly boost his morale
User :   Yes I will try to do that. He needs bolstering up and telling him how great he is
User :   I's great to know that it wasn't my fault for not being able to carry him to term
Doctor :   Yes, the way to keep him lively is a personal issue which the parents know too well.
User :   Too true! Thanks again Doctor.
User :   Hapy New Year!!
Doctor :   A very Happy & prosperous new year to your family,
Doctor :   Is there anything else I can help you with?
User :   no that sums it up
User :   Thamk you and goodbye
Doctor :   Thanks for consulting me. Bye for now.
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