question-icon

Suggest Treatment For Erectile Dysfunction And Small Penis Size

default
Posted on Tue, 22 Dec 2015
Question: hi. i have a problem with my genitals. my testis and penis are small in size,1inch(testicles) and 3.5 4 inch(erect) and i'm 22yrs now. the pressure is nil during ejaculation. the semen jus oozes out.
doctor
Answered by Dr. Vivek Chail (3 hours later)
Brief Answer:
Please measure your genitals without error

Detailed Answer:
HI XXXX,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. The appearance of a smaller than normal testis and penis is a common misinterpretation by many men. It should be measured using right techniques and only then it will be clear whether you have normal testis and penis or it is smaller.

2. The normal testis measures 3 cm in (anteroposterior) x 2 to 4 cm (transverse) x 3 to 5 cm (length) in adults and this is measured using ultrasound scan. It will help to first get an ultrasound scan and then confirm if your testis is small or normal.

3. The average length of penis is about 5 inches when erect. The length of penis is measured from base of penis to the tip. Please measure it correctly and it is likely that your penis is of normal length if you measure it correctly.

4. To measure the penis properly please refer to information available online and if you still have doubt then consult the urologist.

5. Regarding oozing out of semen, ejaculation happens during orgasm. You should allow the orgasm to build up slowly and for this you should have a relaxed mind and slowly build up excitation. If you are unable to do it then you can use the start and stop technique which will help to build pressure and release with some force during orgasm.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Vivek Chail (4 hours later)
my testicles are similar size of a 6ml bead. The reason why i feel my genitals are smaller is, when i look at normal 14yr old kids, the bulge in crotch area which the get when they sit or stand is very big compared to the one i have. Apparently my crotch area appears flat (when i sit/stand) enough that it creates a doubt among my fellow boys, whether i have something known as male genitals inside behind the pants.

incase if i'm diagonised with small sized genitals, is it possible to treat me because i'm already 22yrs now. do i need to undergo any surgery?

sometimes i feel i have the symtoms of low testosterone..
- its difficult sometimes to keep things memorised.
- decreased muscle and body mass.
- decreased body hair
- near-obese body.
doctor
Answered by Dr. Vivek Chail (13 minutes later)
Brief Answer:
If you are having ejaculation then testis is functioning normally

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

1. The volume of testis is on average 18 cc in adults and can measure in the range of 12 cc to 30 cc. Since you can never be sure therefore doing the ultrasound scan testis is best method to know exactly if you have small testis.

2. If you have ejaculation then it looks like the testis is functioning normally and no treatment is required.

3. Normal testosterone level in adult males is 241 - 827 ng/dl and this can vary with age. In a 22 year old man it should be about 690 on an average.

Testosterone level in blood can be tested if you want to be sure about your testosterone level. The clinical features of difficulty in memorizing, decreased muscle mass and hair and near obese can be normal or due to multiple conditions depending on how your symptoms started.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Vivek Chail (55 minutes later)
thanks for that advise.

what is the enlargement medication given to a small size testicle? and what is the success rate post-medication?
what causes very low semen levels?
doctor
Answered by Dr. Vivek Chail (12 minutes later)
Brief Answer:
Testosterone replacement to be given after clinical evaluation

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

1. Small testis has to be clinically confirmed and testosterone level is estimated. Low semen volume can be due to many reasons including stress, anxiety, hormonal problems and certain medical conditions.

2. If testis is small and sterosterone level is low then testosterone replacement therapy is given under direct supervision of the urologist.

3. The testosterone replacement is by injections given intramuscularly, patches, tablets, subcutaneous implants, ointment, oral dissolving tablets. There are many side effects of testosterone replacement if not given as recommended and therefore to be given under close medical supervision. Successful enlargement of testis is seen after 3 to 12 months and is variable.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6873 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Erectile Dysfunction And Small Penis Size

Brief Answer: Please measure your genitals without error Detailed Answer: HI XXXX, Thanks for writing in to us. I have read through your query in detail. Please find my observations below. 1. The appearance of a smaller than normal testis and penis is a common misinterpretation by many men. It should be measured using right techniques and only then it will be clear whether you have normal testis and penis or it is smaller. 2. The normal testis measures 3 cm in (anteroposterior) x 2 to 4 cm (transverse) x 3 to 5 cm (length) in adults and this is measured using ultrasound scan. It will help to first get an ultrasound scan and then confirm if your testis is small or normal. 3. The average length of penis is about 5 inches when erect. The length of penis is measured from base of penis to the tip. Please measure it correctly and it is likely that your penis is of normal length if you measure it correctly. 4. To measure the penis properly please refer to information available online and if you still have doubt then consult the urologist. 5. Regarding oozing out of semen, ejaculation happens during orgasm. You should allow the orgasm to build up slowly and for this you should have a relaxed mind and slowly build up excitation. If you are unable to do it then you can use the start and stop technique which will help to build pressure and release with some force during orgasm. Hope your query is answered. Please do write back if you have any doubts. Regards,