Small penis, medically known as “Micropenis” is a diagnosis in medicine determined by a precise assessment of size of the male reproductive organ. This condition is a medical disorder in which the penis is unnaturally tiny but has a regular structure. This disorder affects approximately 0.062 percent of the population. It may manifest as a distinct anomaly or as a clinical symptom in numerous disorders.
A variety of variables can contribute to the development of this illness. One typical explanation is an issue with the hormonal system that regulates growth and development, notably the hypothalamic-pituitary-gonadal axis. This structure comprises the brain and glands that create hormones required for appropriate sexual growth. Micropenis can occur when these hormones are not properly metabolized. Micropenis can also be found in a variety of non-sex chromosomal genetic abnormality disorders. It is possible that hypopituitarism is caused by a lack of growth hormone from childhood. Numerous genes influence penis size without resulting in noticeable hormonal changes.
Micropenis is a common yet inaccurate medical diagnosis. An incorrect diagnosis could bring about parental concern and result in unneeded examinations and tests.
Medical professionals evaluate the level of hormones in the micropenis development, including testosterone, dihydrotestosterone (DHS), luteinizing hormone (LH), and follicle-stimulating hormone (FSH). They additionally conduct an hCG stimulation test to assess how effectively the testes are functioning by measuring testosterone before and after hCG administration. If testosterone is less than 300 ng/dL, it indicates gonadal dysfunction. To rule out rare disorders such as congenital adrenal hyperplasia (CAH), which can cause underdeveloped male genitalia, doctors utilize a pelvic ultrasound to examine the gonads and internal genitalia, as well as an MRI to evaluate the pituitary gland in the brain.
Treatments include the following ways:
1. Hormonal treatments: This includes three major hormonal therapies:
a. Testosterone Treatment: In the beginning, testosterone is injected for a brief duration to assess penile responsiveness. Treatment options include injections into the muscles or topical applications.
b. LH-FSH Applications : Therapy with recombinant human FSH-LH in the initial few years after birth improves testicular growth and penile length in hypogonadotropic hypogonadism individuals, however the impact is not substantial.
c. Topical 5-a Dihydrotestosterone (DHT) Gel: In prepubertal individuals suffering from androgen insensitivity, using DHT gel to the peri scrotal area three times per day for five weeks has been proven to raise serum DHT values (DHT is a hormone that plays an important part in the sexual maturation of males. Particularly, DHT is an androgen, or a hormone that aids the maturation of masculine traits)
Surgical treatment: Penis enlargement surgery is a procedure that makes your penis appear bigger in size. This is done for cases of micropenis or hidden penis, when hormone therapy or any other alternative remedies does not work even after trying it for a considerable period of time. Men with these disorders frequently seek surgery to restore a functional penis. The healing time is usually brief considering only a single incision around the pelvic region is necessary. They will most certainly need to take several days off from work or other forms of exercise, but most men can quickly return to their usual schedule. They should avoid having sexual relations until they are entirely recovered.
Natural ways: Ayurvedic remedies for micropenis include a variety of herbs and medicinal plants. However, it is vital to know that the dosage of ayurvedic herbs is quite significant and should be followed. Some herbs that can be utilized for treating micropenis are Ashwagandha (Withania somnifera), which is utilized to enhance hormonal harmony and stamina,, Shatavari (Asparagus racemosus), which is known to improve reproductive health and hormonal control, Gokshura (Tribulus terrestris), which is claimed to boost libido and testosterone levels and Safed Musli (Chlorophytum borivilianum), which is used to improve endurance and sexual wellness.
Hence, understanding and treating conditions such as a small penis can actually improve one’s social, personal and sexual life to a very large extent.
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