Small penis

　　According to sexual medicine research, the size of the penis is determined by the size and expansion structure of the corpus cavernosum. The main factors causing small penis are eight:

　　1. The most fundamental factor is the influence of genetic genes.

　　2. Internal coldness, fear of coldness, and severe deficiency of yang in the body, which prevents the penis from being fully protruded, with part of the penis still retracted within the abdominal cavity.

　　3. Acquired small penis is mainly caused by testicular atrophy, such as men engaged in long-term work with microwaves, ultrasound, high temperatures, and radiation, who have parotitis and orchitis before puberty, and those who have long eaten crude cottonseed oil, etc., all of which can cause testicular atrophy.

　　4. During pregnancy, improper medication may affect the secretion of androgens, leading to congenital deficiencies, lack of nutrition and elements for robust sexual function, and resulting in poor congenital development.

　　5. During the period of adolescent development, insufficient intake of zinc, androgens, vitamin E, and related protein nutrition, lack of postnatal energy supplementation, which fails to strengthen the sexual organs.

　　6. Oversexuality, weakness of the body, or frequent masturbation during the early stage of adolescent development, which prevents the kidneys from having energy to strengthen the development of sexual organs during development, leading to a small penis.

　　7. Men who have suffered from orchitis, cryptorchidism, incomplete testicular development, and endocrine imbalance, with insufficient androgen.

　　8. Men with abundant and prominent abdominal, pubic symphysis, and perineal fat often have poor penile development, which is relatively shorter than that of normal men. Indeed, compared to a bulky body, this small penis may bring certain difficulties and unsatisfactory experiences in conjugal life after marriage.

　　The size of the penis is mainly influenced by genetic factors. True male micropenis is more common in congenital cases, with a few being acquired. Congenital cases include incomplete testicular development, also known as Klinefelter's syndrome. These patients are tall, but their penises are short, the testicles are small, and although the penis can become erect, it has normal sexual functions such as libido, ejaculation, and seminal emission. However, since the testicles cannot produce sperm, the seminal fluid lacks sperm, and thus there is no ability to sire children.

　　The main harm of a small penis is that it may cause a sense of inferiority in these people, as well as possible dissatisfaction in conjugal life. Therefore, it is necessary to resolve the psychological sense of inferiority by learning sexual life skills to compensate for the shortcomings of a small reproductive organ, or by surgery to extend it to make up for it.

　　Small penis often accompanied by underdeveloped or gradually degenerating male secondary sexual characteristics (pubic hair, armpit hair, beard, voice change, Adam's apple, male reproductive organ shape, etc.), languid spirit, whole body weakness, lack of male masculinity; sparse pubic hair, decreased libido, or sexual dysfunction such as impotence and premature ejaculation.

　　Patients with small penises are often very self-conscious, and under this psychological condition, even sexual dysfunction such as premature ejaculation and erectile dysfunction may occur. Then, in addition to psychological symptoms, what other symptoms do patients with small penises have?

　　1. The length from the pubis to the tip of the penis when flaccid is less than 6.5cm, and some small penises are less than 3cm in length.

　　2. The testes are very small, some are only the size of a peanut or thumb, and are soft in texture. Some scrotums have no testes, known as cryptorchidism.

　　3. Underdeveloped secondary sexual characteristics, without beard, armpit hair, and pubic hair, and show female characteristics such as delicate skin, high pitch, and no Adam's apple to varying degrees.

　　4. Body shape changes, such as obesity, breast development, buttock enlargement, short stature, etc.

　　5. Low or absent libido, if married, most cannot complete sexual life.

　　6. There are often no sperm in the seminal fluid, but sometimes spermatogenic cells can be seen.

　　7. The testes, scrotum, and prostate are underdeveloped.

　　8. The penis is weak during erection or cannot be erect, most of which cannot.

　　9. Severe small penis can cause difficulty in urination.

　　Small penis is a problem that every man does not want to face, deeply hurting the psychological and physical defenses of male friends. So what are the preventive methods for small penis? Experts point out that in order to prevent small penis, the following points should be done:

　　One, more exercise, maintain a balanced diet.

　　Two, in order to avoid the above situations, it is recommended that you pay special attention to avoid long-term compression of the penis and scrotum, especially at night when sleeping. Therefore, choosing the correct underwear is very important.

　　1. The loose underwear is pulled too high to the left or right, which is easy to lead to the penis bending to the left or right.

　　2. The penis is pressed for a long time by intimate underwear (especially when sleeping), which is easy to lead to small and curved penis.

　　Three, eat less high-calorie food, because eating high-calorie food frequently is easy to lead to obesity. Clinical medicine has proven that acquired small penis is related to obesity, and for such patients, drug treatment should be chosen in principle with few side effects.

　　For patients with small penises, a systematic endocrine examination is required, including chorionic gonadotropin stimulation test, to detect any malfunctions in the pituitary or testicular function. Radioimmunoassay for sex hormones shows that the concentration of plasma testosterone (T) and estradiol (E2) is low, and both E2 and T are high. The pathological examination of testicular tissue shows dysplasia of the seminiferous tubule epithelium, basal glassy degeneration or fibrosis, and no mature sperm cells. Chromosome karyotyping is performed to exclude gender abnormalities. Endocrine examination should be performed for idiopathic small penis to see if the examination is normal. No matter what the situation is, as long as the correct method is used, it can be treated.

　　The length of a man's penis is related to race, family, genetics, adolescent nutritional status, region, and individual differences. Generally speaking, the penis mainly develops during puberty and stops growing after puberty. If you want to increase the length, only surgery can be used to extend or implant a prosthesis, and it is unlikely that drugs or other methods can extend it. Therefore, there is no special attention to diet for patients with small penises, and they should pay attention to avoiding spicy and stimulating foods in their daily life.

　　Patients with small penises can take hormones orally or inject hormones for treatment. Many people choose Western medicine treatment because it works quickly, but it has many disadvantages, such as shrinkage after discontinuation of medication, and due to inaccurate dosage control, allergic reactions often occur, common symptoms include vomiting, rash, breathing difficulties, and even temporary shock. There are also other treatment methods for patients with small penises:

　　1. Increase the capacity of the penis

　　Mainly increase the volume of the corpus cavernosum and the corpus spongiosum of the urethra in time, thereby increasing the length and diameter of the penis.

　　2. Maximize the extension of the penis suspensory ligament

　　Stretching the suspensory ligament of the penis can effectively increase the length of the penis. Removing the patient's suspensory ligament can achieve the purpose of extending the patient's penis, but it is generally applicable to the extension surgery after an accidental penis amputation. However, it should be reminded that removing the suspensory ligament of the penis also has a disadvantage, that is, the penis lacks the support of strength after erection, leading to insufficient rigidity, and the head of the penis is not upward but drooping.

　　3. Expose the penis completely

　　Many men's penises are not fully exposed outside the pubic bone, so there is still a large part of the penis inside the pubic bone. Therefore, if the unexposed part of the penis can be exposed, it can also achieve the purpose of increasing the penis length. Penile activation growth factor drugs and psychological treatment can be used for this purpose.