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Lack Of Muscles, Small Hands, Thin Wrists, Small Penis, Hypospadias. On Steroids To Build Muscle Mass. Hormonal Problems?

Posted on Wed, 20 Jun 2012

Question: I'm a 23 year old male. I am concerned about my muscles. They seem to have not developed properly. I have tried lifting weights for years now. But i cant gain any muscle. I am 6ft tall,But i have small hands and really thin wrists. And my penis has not reached full size. And i have hypospadias. I seen a doctor about my concerns. And he said it's just the way im built. But i disagree. I have got so low about having low muscle mass, that i have tried steroids[i know i shouldn't of] and they haven't worked. Which makes me think i could be insensitive to androgens. I'm really depressed about my situation and i dont know what to do

Answered by Dr. V. Kumaravel (5 hours later)

Hello,
Thanks for posting your query.

I do understand about your concern of low muscle mass.

I presume that your secondary sexual characters and testis volume is normal. Given the history of hypospadiasis, I would prefer to get your complete hormonal evaluation which would include determining levels of
•     Testosterone
•     Dihydrotestosterone
•     Luteinizing hormone
•     Follicle stimulating hormone
•     Free T4 levels
•     Thyroid stimulating hormone

Based on your reports and clinical findings, your physician will help you in treatment. You need not be depressed as these problems are easily treatable.

Regards

Above answer was peer-reviewed by : Dr. Aparna Kohli

Follow up: Dr. V. Kumaravel (7 hours later)

I have very little facial hair also. How do i get tested. Because i went to the doctor and told him about my concerns. And asked him could i have my hormone levels tested. And he said there is not enough evidence to send me for a hormone test.

Answered by Dr. V. Kumaravel (1 hour later)

Hello

Thanks for your feedback.

I feel having a decrease facial hair along with history of hypospadiasis itself warrants further hormonal evaluation

Based on the reports we can decide on further mode of treatment.

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. V. Kumaravel (47 minutes later)

So do i go to my GP. I haven't been diagnosed with hypospadias. But i think i have it because the opening of my penis is on the underside. Instead of the tip of my penis

Answered by Dr. V. Kumaravel (31 minutes later)

Hello

I prefer you get your penis checked by a urologist to confirm whether you have hypospadiasis or not . Even if you don't have hypospadiasis I would still prefer to have your hormones checked as your facial hairs are scanty.

I feel there is nothing wrong in evaluating as you are going to treat only if it is abnormal.

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. V. Kumaravel (58 minutes later)

How do i get the doctor to send me for a hormone test. because the last doctor i seen wouldn't send me for a hormone test.

Answered by Dr. V. Kumaravel (8 hours later)

Hello.

I do understand the difficulties in testing from your side.

Either you can directly see an endocrinologist or you can see your PCP. You highlight him that you have a decreased facial hair and muscle mass. You inform him that you feel your penis is small.

Based on your clinical examination findings, we generally order hormonal test in our setting and I am sure your doctor will help you.

Hope, this helps. Please accept my answer in case you have no follow up queries.

Wish you good health.

Regards.

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Jyoti Patil