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What causes shrinking of penis and pain in groin upon ejaculating?

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Posted on Mon, 1 Dec 2014
Question: HI,
I am 46 years old. sexually I funtioned fine until about 1 year ago. Now my penis has shrunk a lot. From soft 7 inches down to maybe 3 inches if lucky. Erect it is also several inches smaller than just a year ago. Also I have to pee more than usual although I do have a good stream when I go. One more thing. I have pain in my groin area when I start ejaculating. 6 out of 1-10 of pain.
doctor
Answered by Dr. Muhammad Sareer Khalil (1 hour later)
Brief Answer:
need more information

Detailed Answer:
Hello and Welcome

I appreciate your concern.

You have shrinking of your penis and pain in groin upon ejaculating. I would like to ask a few questions before I proceed.

Do you refer to 3 inches when erect or flaccid ?
Do you have diabetes, Hypertension ?
What medications are you currently using ?

Keep in touch

wishing you best of health

thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Muhammad Sareer Khalil (15 minutes later)
HI Doc,
As I stated in my original post I went from a flaccid 7 down to three. And when erect it is still several inches shorter than a year ago.
I do not have diabetes as of two year ago checkup, or Hypertension. I am currently on no medications.
doctor
Answered by Dr. Muhammad Sareer Khalil (21 minutes later)
Brief Answer:
Explained

Detailed Answer:
Hi.

Shrinking of the penis requires further workup before treatment is initiated directly. Get a hormone profile to check for testosterone and if there is any need for hormone replacement. Low testosterone can lead to a greatly reduced penis size.

Obesity and having a BMI eg greater than 30 can adversely affect penis size. The duration you described compels for a screening for STDs and urine infection. An ultrasound of penis and groin region for adequate and patent vessels confirmation should also be done.

The pain associated with ejaculation is most likely associated with an infection of the genitourinary system samples of urine or semen should be tested. Antibiotics would be required if infection is suspected. An enlarged prostate should also be ruled out on physical and on ultra sound.

Lastly Psychiatric issues may also be responsible esp perception issues with penis size.I would suggest you consult a psychiatrist
so that a XXXXXXX mental state exam is performed.
to ascertain depression and or anxiety,
Meds can be adjusted afterwards in addition
to cognitive behavioral therapy.

Let me know if you have any query



wishing you best of health

thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2909 Questions

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What causes shrinking of penis and pain in groin upon ejaculating?

Brief Answer: need more information Detailed Answer: Hello and Welcome I appreciate your concern. You have shrinking of your penis and pain in groin upon ejaculating. I would like to ask a few questions before I proceed. Do you refer to 3 inches when erect or flaccid ? Do you have diabetes, Hypertension ? What medications are you currently using ? Keep in touch wishing you best of health thanks