How To Deal With A Small Penis

How To Deal With A Small Penis

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Micropenis is an abnormally small penis that is discovered in infancy or very early childhood. In some patients early hormonal treatment may help stimulate growth of the penis toward a more normal length.

Tsang, S. When Size Matters: A Clinical Review of Pathological Micropenis. (https://www.jpedhc.org/article/S0891-5245(09%2900140-0/pdf) J Pediatr Health Care (2010), 24, 231-240. Accessed 9/17/2018.
Hatipoğlu N, Kurtoğlu S. Micropenis: Etiology, Diagnosis and Treatment. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3890219/) J Clin Res Pediatr Endocrinol. 2013 Dec; 5(4): 217–223. doi: 10.4274/Jcrpe.1135. Accessed 9/17/2018.
Custer, J, Rau R. The Harriet Lane Handbook, 18th ed. In S. Ballel, P. McIntosh, eds., Endocrinology (pp. 269-300). Philadelphia: Elsevier Mosby.

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Micropenis is a medical term for a condition usually discovered in infants through a newborn examination. As the term suggests, micropenis refers to an abnormally small but normally structured penis. The condition is caused by hormonal or genetic abnormalities.
Important things to know about a micropenis:

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Micropenis happens rarely. Estimates vary, but studies indicate 0.6 percent of men worldwide have the condition. In the years 1997-2000, 0.015 percent (1.5 in 10,000 births) of boys in the United States were born with micropenises.
The primary symptom of micropenis is a penis that measures less than 1.9 cm (0.75 inches) in length at infancy. The mean (average) stretched penile length for a newborn is 3.5 cm (1.4 inches).
Micropenis is diagnosed if the length is less than 2.5 standard deviation below the mean. In adult males micropenis is defined as a penis as 3 2/3 inches or less.
Micropenis may accompany other health problems due to hormonal disorders or congenital (present at birth) conditions, which can cause a variety of symptoms. Your child’s symptoms will depend on the cause of the micropenis.
Micropenis is usually caused by fetal testosterone deficiency which can be the result of a variety of conditions. The most common is hypogonadotropic hypogonadism .
Hypogonadotropic hypogonadism is a condition that occurs when the hypothalamus (the part of the brain that controls the autonomous nervous system and pituitary) does not secrete the hormones that stimulate the testicles to produce hormones (testosterone) necessary for normal maturation and reproductive function.
Micropenis may also be found with genetic syndromes that can cause other malformations. Or the condition may be idiopathic (have an unknown cause).
Micropenis is diagnosed through a physical examination. Usually found in infancy or young childhood, micropenis is diagnosed through measurement of penile length.
Chances for treatment of micropenis are greater if it is diagnosed in infancy. The doctor can diagnose a true micropenis by fully stretching the penis and measuring with ruler, caliper or modified 10 ml disposable syringe. The number is compared to the normal size range of the boy’s age.
A diagnostic workup follows to determine what kind of treatment should be used to stimulate penis growth.
Treatment of micropenis depends on the cause of the condition and each child is different. It’s important that treatment begin in infancy or very early childhood.
The first treatment is a short course of testosterone. This treatment tests the ability of the penis to respond to the growth hormone. Testosterone can be given with an injection or applied to the area as a gel or ointment. Studies show that penile growth is good with testosterone treatment in many infants, but whether the growth continues during puberty an adulthood is not known.
Other hormonal treatments may be tried if the testosterone treatment doesn’t add length to the penis.
Surgery for micropenis is only considered when medical treatments don’t work. Surgical reconstruction (phalloplasty) of the micropenis for younger children is complicated and risky but worth exploring. Surgery for young adults and adults is more common.
If you are a man considering surgery for your micropenis, make sure you clearly understand what the risks and benefits of the surgery are for your particular situation.
Primary care physicians, pediatric endocrinologists and when necessary surgeons need to keep parents aware of all options and potential outcomes.
With early treatment the prognosis for boys with micropenis due to hormone deficiency is good. They usually respond well to testosterone therapy, gain adequate penile length (though below average size) and are able to function normally as adults.
The outlook is not as positive for those boys with micropenises that are due to other disorders, such as androgen insensitivity, who can’t be helped with hormone treatment. In these cases, the penis remains small.
If early treatment is unsuccessful for micropenis, coping with the condition can be difficult for a boy and his family.
In all cases, psychological counseling and social services will probably be required to help the patient and his family emotionally.
Micropenis is a rare condition and what to do about the condition depends on many factors. Your doctors will help you along with your decisions as a parent or as a patient.
Last reviewed by a Cleveland Clinic medical professional on 09/14/2018.

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We talk all the time about how every woman is a unique sexual snowflake, and no type of vagina is better or worse than another. Well, the same thing holds true for dudes.
Unfortunately, guys with small peens don't always have the easiest time dating or getting busy with someone new. The stereotype goes that a smaller than average package makes for a lame time in the sack.
But to prove that that's not always the case, we asked several women who've dated (or married) guys with an XS situation in their pants for their feedback.
"I literally found out my boyfriend had a tiny penis on our fourth date. We were at his apartment, drinking wine and hanging out, and we started to play the game two truths and one lie. His story was: 'I was born on Christmas Eve; my left eye is fake; I have a really small penis.' I was laughing so hard and obviously thought that the penis one was the lie—because who says that? It turns out it was the truth and the eye was the lie. He made a joke out of the whole thing, and honestly, I feel like he's used this method before. Right after that, I asked to see it, because obviously we were going to hook up that night. It was definitely really small, but I guess I imagined it to be smaller. It's been a challenge figuring out how to have better sex with a small penis , but I really like how my boyfriend made a joke out of the whole thing and still keeps the joke going today." — Rochelle D., 28
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"My husband's junk is by far the smallest I've ever handled before. But it's not a big deal at all. He kind of delayed having sex with me for a few months, and I thought that was weird. The first time I saw his penis, I didn't notice how small it was. It was dark in his room and the whole thing happened so fast. The best part about having sex with someone with a small penis is that he is always down to try new positions to see what feels good for me. The worst thing is that it takes a lot for me to have an orgasm compared to when I was with guys with larger penises." —Lisa D., 31
"My boyfriend's penis is mini, but his confidence is out of this world. He's super cocky and you'd never guess he was lacking in that department. The first time we hooked up, I took off his pants, saw what he was working with, and laughed. I wondered if it would be bigger the harder he got but it wasn't. I didn't mean to be rude, but I laughed because I was nervous looking at it. He honestly doesn't care about the size of it and always tells me that size doesn't matter. Though I think that size matters somewhat, the benefit is that he's a very confident guy that treats me well in every way." —Teresa D., 28
Watch this video to learn everything you never knew about the male anatomy:
"I'm dating a guy who doesn't have a big package, but he knows how to please a women. The first time we had sex was the greatest sex of my life. Yes, I noticed he had a small penis, but he made up for it in so many ways. He knew how and where to touch me. There was a lot of teasing! It was fun sex, and I didn't even care that his penis was the size it was because he used his hands and tongue." —Gloria W., 36
"Right before we got hot and heavy, my now-boyfriend told me that I might be disappointed by the size of his man parts. I guess he had situations in the past where girls ditched him after the hook up. But honestly, it made it worse that he told me that before I saw it. I was scared and he was embarrassed. When I saw it, I thought it was small, but I could have done without the heads up. The sex is okay. We've worked on getting better at it with a lot of foreplay and different positions. The best part about our sex life is that we communicate openly about what we like and don't like, and I've never had that with anyone else." —Hannah V., 26

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Guys with small penises have to be amazing at oral, right?
Well, let’s, erm, tackle that old cliche.
A vagina’s most stimulating parts are quite close to the entrance, so surely any penis would do the job?
As for the anus, I’ve always been of the opinion it’s best to keep anything going up there as petit as possible.
The main thing to remember is penises come in many shapes and sizes, and are all pretty great. What might not be so great, however, is the reaction to them.
I never judge a man by his penis, but it seems many men judge it themselves. They look at my face for my reaction to them and I’m left in a limbo of what to say. I started asking around to find chaps with a smaller chopper who might give me a bit of advice on what they would like a partner to say, do, or ask.
There are a couple of great resources out there for anyone looking for advice. MiniWilly.co.uk is a new dating site that not only promotes a bit of chat, but also have regular get-togethers.
I asked the members what their experiences and advice might be.
‘Past girlfriends have gone a bit silent when they first saw my cock and then not said anything,’ John tells Metro.co.uk
‘I think it would have been better to say, “Oh how cute”, because it shows that at least they noticed his existence.
‘I adopted the oral sex stereotype and put a lot of effort into it, but not all women like receiving lots of cunnilingus, so I found I was rather over-relying on it,’ says JM. ‘Actually what I needed to do to satisfy women was to learn to use my cock well.’
For more in-depth insight, I went to Ant Smith, the author of The Small Penis Bible, and asked him if there is anything we should avoid saying to our smaller partners.
‘The very best penis for sex is the one that’s in bed with you, whatever its shape or size,’ he says.
‘In terms of what to say, that so depends on the situation, the person, the relationship. If it’s just a fling or one-nighter, probably best not to mention size at all as you have no idea how the guy will take it, and such comments can do a disproportionate amount of harm.
‘If talking size is unavoidable then you have to take the cue from the guy. If he thinks he’s massive and he’s bragging, and you hardly know him – then just play along. Why not? Unless you like hurting people?
‘Otherwise, it’s a matter of judicious truth. If a guy is miserable because he thinks he has a small penis – and it is, in fact, small – the thing to do is to make him feel better about this truth, not to lie.
‘The worst thing to say to a guy who actually has a small penis is, “Oh no, that’s quite big”. He has the measurements and he’s read the stats; he knows that isn’t true.
‘By you saying “it’s big” just reinforces how important size is.’
Smith says there are no particular positions he would recommend to those with a small willy.
‘Doing so just leaves people feeling like they’re missing out on something a “real man” should be able to have,’ he says. ‘But the truth is any couple will have positions that do and do not work for them.’
‘You can’t go looking up the details of the “best sex possible for you” as though there’s a whole range of Haynes’ manuals of the man. This is the height of objectification.
‘The only way to work out what does and doesn’t work is to experiment with the person.’
So is the term micropenis offensive, or descriptive?
‘It is a terrible term,’ says Smith. ‘How can we say a 76mm willy is normal but 74mm is a micropenis?
‘And even if we do say that what does it mean in fact? What extra help is unlocked because you’ve acquired a new label? None, whatsoever. Labels are for shelves, not for people.’
Let’s return to that cliche we mentioned at the start.
‘Yeah, “get good at oral” is bandied around so much,’ says Smith.
‘But a guy with a small cock will just feel, “Yeah but then my rival packing eight inches can get good at oral too and still have that to finish with”.
‘Again, it doesn’t help. Any suggestion about how to ‘make up for’ having a small penis just reinforces the issue.
‘The best way to help is to forget all about penis size and to concentrate on two things: telling him when he does something that feels good, and listening to him when you try something you hope will feel good.
‘Listen and explore and talk. And repeat.
‘Guys with small dicks have all the same erogenous zones as guys with big dicks. There’s no secrets in that. Attraction and sex – and orgasms – go way beyond a couple of minutes of sticking it in.’
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Ant adds: ‘Some people, of course, feel dick size matters and they want a big one to play with. .
‘Which is fine. We’re all individuals and I’d rather know that than spend time trying to be that person for them. But those people are, I believe, pretty much in the minority – but for some reason as a society we promote that as normal, when it isn’t.
‘It’s all complex stuff, but the world is on a journey and I am full of hope.’
If you liked this story you should give our new sex podcast Good Sex Bad Sex a listen – it’s out every Wednesday.
The show is available now on iTunes here and on Soundcloud here .
Metro bloggers Miranda Kane and Bibi Lynch co-host the show, chatting to a different guest about all things sex and relationships each week.
Think good cop bad cop – but with more handcuff action.

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