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Penis have not grown since birth, very small but erects and works well. Treatment?

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General & Family Physician
Practicing since : 2001
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I am 28 M, my penis have not grown from my birth . Its very small as for a child. But Its erects. works well. Its XXXXXXX size is 4 inch when erects. when its normal its size is 2inch only. How can i be a normal man? Is it possible! Any treatment please suggest
Posted Sun, 30 Jun 2013 in Men's Health
Answered by Dr. Michelle Gibson James 36 minutes later
Hi, thanks for using healthcare magic

The average size of the erect male penis is 5.1 to 5.9 inches. Flaccid length is a poor estimate of erect length, the average flaccid length is 3.5 in to 3.9 in.

Most of the growth occurs between age 1 to 5 and then in adolescence / teenage years.

It is thought that the final length is dependent on genetics as well as environmental factors such as exposure to chemicals (from foods, sprays and pesticides etc), culture and diet.

In terms of treatment there are different options such as:(1) surgery- this is expensive, it can work but in some men there are complications such as infection, bleeding and deformity

(2) penile expanders or stretchers-this may take a few months to have an effect. It is provided by an urologist

(3)there are pills and supplements are offered but these have not been proven to be effective, there are also no studies saying if they are safe.If you wish to try one, you should consider taking it to your doctor first to see if he or she believes it would be safe to use.

(4) there are also penile exercises that can be done. There are different types and you can choose which ones you prefer.

I hope this helps,feel free to ask any other questions
Above answer was peer-reviewed by
Follow-up: Penis have not grown since birth, very small but erects and works well. Treatment? 30 minutes later
Thanx for the information. But my point is if my penis dint grow it could be becoz I guess I have Undescended testicle. But sometimes both testicle are in scrotum. But at times left goes inside and not hanging. My question is like if I have this problem and its not rectified in childhood, can it be rectified now, if yes then how and would it help in the growth. Or if I have low testosterone and I take medication to increase testosterone will it help me in growth of my penis or its no way possible to grow at my age I am 28 and half year old.
Answered by Dr. Michelle Gibson James 6 hours later

Undescended testes could have definitely had an impact because it would reduce the amount of testosterone present in the body.

Undescended testes needs to be corrected in childhood ,if it is left to adult hood the testes cannot grow to normal size.Even if it was corrected now, the testes would no grow to the size it should have been.

The fact that sometimes it is in the testes and other times goes up means that it is most likely retractile testes. Retractile testes are not normally treated.

In terms of testosterone and penile growth: there are receptors or meeting points on the penis for testosterone, these receptors decrease after puberty.
Testosterone would be mainly helpful in childhood and adolescence when these receptors are present.

At your age it would increase your muscles, bone density, enhance your libido but is not likely to increase the penile length, though in rare cases it can do this.

YOu can consider using it after speaking to your doctor and determining if your level is low, you may have a normal level

Please feel free to ask any other questions
Above answer was peer-reviewed by
Follow-up: Penis have not grown since birth, very small but erects and works well. Treatment? 4 hours later
That means I have Retractile testes. As you said these retractile testes are not normally treated. But it affected my growth. And above that I would like to tell you that I have erectile dysfunction as well when I try to have intercourse with my partner my penis erects but it gets normal as soon as I put it inside. Whn erect size is around 4.5 inch and normal it is 2inches only. Wl testosterone help correcting erectile dysfunction as well. Lastly I wana ask that whenever I discharge my sperms are in very less volume and very much transparent. Could it be infertile. Do testosterone effect fertility.
Answered by Dr. Michelle Gibson James 7 hours later

Low testosterone can affect sperm count. You may want to consider checking your testosterone levels to see if they are normal.

In a semen analysis test, the normal volume is 2.5 ml or greater, if the volume of semen ejaculated is greater than this amount ( 1/2 tsp) then it is normal, if you wish you can also do a semen analysis to determine if there are any issues with the semen.

In terms of the erectile dysfunction, this is a common problem.
It is normally treated with medications such as viagra, cialis, levitra which would be available by prescription from your doctor.

please feel free to ask any additional questions
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