Very Small Penis

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For the legal term, see Small penis rule.
Micropenis is an unusually small penis. A common criterion is a dorsal (measured on top) erect penile length of at least 2.5 standard deviations smaller than the mean human penis size,[1] or smaller than about 7 cm (2+3⁄4 in) for an adult when compared with an average erection of 12.5 cm (5 in).[2] The condition is usually recognized shortly after birth. The term is most often used medically when the rest of the penis, scrotum, and perineum are without ambiguity, such as hypospadias. Micropenis occurs in about 0.6% of males.[2]
Of the abnormal conditions associated with micropenis, most are conditions of reduced prenatal androgen production or effect, such as abnormal testicular development (testicular dysgenesis), Klinefelter syndrome, Leydig cell hypoplasia, specific defects of testosterone or dihydrotestosterone synthesis (17,20-lyase deficiency, 5α-reductase deficiency), androgen insensitivity syndromes, inadequate pituitary stimulation (gonadotropin deficiency), and other forms of congenital hypogonadism. Micropenis can also occur as part of many genetic malformation syndromes that do not involve the sex chromosomes. It is sometimes a sign of congenital growth-hormone deficiency or congenital hypopituitarism. Several homeobox genes affect penis and digit size without detectable hormone abnormalities.[citation needed]
In addition, in utero exposure to some estrogen based fertility drugs like diethylstilbestrol (DES) has been linked to genital abnormalities or a smaller than normal penis.[3]
After evaluation to detect any of the conditions described above, micropenis can often be treated in infancy with injections of various hormones, such as human chorionic gonadotropin and testosterone.[citation needed]
Most eight- to fourteen-year-old boys referred for micropenis do not have the micropenis condition. Such concerns are usually explained by one of the following:[citation needed]
Growth of the penis both before birth and during childhood and puberty is strongly influenced by testosterone and, to a lesser degree, the growth hormone. However, later endogenous hormones mainly have value in the treatment of micropenis caused by hormone deficiencies, such as hypopituitarism or hypogonadism.[citation needed]
Regardless of the cause of micropenis, if it is recognized in infancy, a brief course of testosterone is often prescribed[4] (usually no more than three months). This usually induces a small amount of growth, confirming the likelihood of further growth at puberty, but rarely achieves normal size. No additional testosterone is given during childhood, to avoid unwanted virilization and bone maturation. (There is also some evidence that premature administration of testosterone can lead to reduced penis size in the adult.)[5]
Testosterone treatment is resumed in adolescence only for boys with hypogonadism. Penile growth is completed at the end of puberty, similar to the completion of height growth, and provision of extra testosterone to post-pubertal adults produces little or no further growth.[citation needed]
Because hormone treatment rarely achieves average size, several surgical techniques similar to phalloplasty for penis enlargement have been devised and performed, but they are not generally considered successful enough to be widely adopted and are rarely performed in childhood.[citation needed]
In extreme cases of micropenis, there is barely any shaft, and the glans appears to sit almost on the pubic skin. From the 1960s until the late 1970s, it was common for sex reassignment and surgery to be recommended. This was especially likely if evidence suggested that response to additional testosterone and pubertal testosterone would be poor. With parental acceptance, the boy would be reassigned and renamed as a girl, and surgery performed to remove the testes and construct an artificial vagina. This was based on the now-questioned idea that gender identity was shaped entirely from socialization, and that a man with a small penis can find no acceptable place in society.[citation needed]
Johns Hopkins Hospital, the center most known for this approach, performed twelve such reassignments from 1960 to 1980, most notably[citation needed] that of David Reimer (whose penis was destroyed by a circumcision accident), overseen by John Money. By the mid-1990s, reassignment was less often offered, and all three premises had been challenged. Former subjects of such surgery, vocal about their dissatisfaction with the adult outcome, played a large part in discouraging this practice. Sexual reassignment is rarely performed today for severe micropenis (although the question of raising the boy as a girl is sometimes still discussed).[6]
^ Lee PA, Mazur T, Danish R, et al. (1980). "Micropenis. I. Criteria, etiologies and classification". The Johns Hopkins Medical Journal. 146 (4): 156–63. PMID 7366061.
^ a b ScienceDaily.com (2004). "Surgeons Pinch More Than An Inch From The Arm To Rebuild A Micropenis," 6 Dec. 2004, URL accessed 2 April 2012.
^ Center for Disease Control. "DES Update: Consumers".
^ Ishii T, Sasaki G, Hasegawa T, Sato S, Matsuo N, Ogata T (2004). "Testosterone enanthate therapy is effective and independent of SRD5A2 and AR gene polymorphisms in boys with micropenis". J. Urol. 172 (1): 319–24. doi:10.1097/01.ju.0000129005.84831.1e. PMID 15201804.
^ McMahon DR, Kramer SA, Husmann DA (1995). "Micropenis: does early treatment with testosterone do more harm than good?". J. Urol. 154 (2 Pt 2): 825–9. doi:10.1016/S0022-5347(01)67175-1. PMID 7609189.
^ Calikoglu AS; Calikoglu, A (1999). "Should boys with micropenis be reared as girls?". J. Pediatr. 134 (5): 537–8. doi:10.1016/S0022-3476(99)70236-2. PMID 10228285.
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Some symptoms of small penis syndrome or PDD include:
www.medicalnewstoday.com/articles/324569
https://www.flickr.com/photos/tags/smallpenis
Перевести · Micropenis is a medical term used to describe an abnormally small penis. An adult penis is considered abnormally small if it measures 3 inches (~8 cm) or less. For more …
https://en.wikipedia.org/wiki/Micropenis
Specialty: Urology
Duration: Permanent (Lifetime)
Frequency: around 0.6% of men.
Micropenis is an unusually small penis. A common criterion is a dorsal (measured on top) erect penile length of at least 2.5 standard deviations smaller than the mean human penis size, or smaller than about 7 cm (2 ⁄4 in) for an adult when compared with an average erection of 12.5 cm (5 in). The condition is usually recognized shortly after birth. The term is most often used medically when the rest of the penis, scrotum, and perineum are without ambiguity, such as hypospadias. Microp…
Micropenis is an unusually small penis. A common criterion is a dorsal (measured on top) erect penile length of at least 2.5 standard deviations smaller than the mean human penis size, or smaller than about 7 cm (2 ⁄4 in) for an adult when compared with an average erection of 12.5 cm (5 in). The condition is usually recognized shortly after birth. The term is most often used medically when the rest of the penis, scrotum, and perineum are without ambiguity, such as hypospadias. Micropenis occurs in about 0.6% of males.
Wikipedia · Текст по лицензии CC-BY-SA
https://www.medicalnewstoday.com/articles/324569
Перевести · 28.02.2019 · Some symptoms of small penis syndrome or PDD include: constantly comparing their penis size to that of others, including those in the media a belief that the penis is unusually small, in spite of evidence to the contrary distorted perceptions of penis size placing an unusually high value on penis ...
https://www.webmd.com/men/features/is-my-penis-too-small
Перевести · 19.01.2012 · Micropenis: When a Penis Really Is Too Small. There is, of course, such a thing as a very small penis. The medical term "micropenis" applies to the 0.6% of men with the smallest penises.
Микропéнис — половой член мужчины необычно малого размера, при котором полноценная половая жизнь может быть …
Текст из Википедии, лицензия CC-BY-SA
https://www.yourtango.com/2015277721/10-famous-men-who-have-small-penises
Перевести · 26.06.2015 · Thanks to the work of one sneaky paparazzo back in 2005, we didn't have to rely on hearsay to determine whether or not Jude Law's penis is small after catching a …
https://slate.com/.../2010/10/i-m-dating-a-man-with-an-extremely-small-penis.html
Перевести · 21.10.2010 · Here’s the problem: We recently became intimate for the first time, and he is, unfortunately, very poorly endowed—so small that I did some Google …
https://www.healthline.com/health/why-is-my-penis-small
Перевести · 26.02.2019 · Inconspicuous penis is an umbrella term for any number of conditions that cause the penis to appear smaller than normal. Srinivasan AK, et al. (2011). Inconspicuous penis…
https://en.m.wikipedia.org/wiki/Penis_size
Перевести · Human penises vary in size on a number of measures, including length and circumference when flaccid and erect. Besides the natural variability of human penises in …
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