MicroPenis

On average, micropenis  effects 0.6 percent of the human population, making it a rare disorder. The term is most commonly applied when all additional features of the genitals  are normal. During fetal growth, abnormalities may occur as a result of a defective genes or be triggered by abnormal hormones.

Symptoms and Causes

A newborn babies penis that is shorter than 0.75 inches in length is regarded as a micropenis. In adults a flaccid phallus shorter than 2.75 inches in length is deemed a micropenis. An erect penis is considered a micro penis if it is shorter than 5 inches in overall length.

All micropenises form in the course of gestation. It will typically be the sole physical abnormality observed in the fetus.

 A deficient production of human chorionic gonadotropin (hCG) during the early part of the pregnancy may be the cause. HCG boosts the developing testes to manufacture the dominate male sex hormone testosterone.

Soon after 14 weeks, penis development decreases because of another hormone called luteinizing hormone (LH), which likewise boosts testosterone in the Leydig cells of the testicles. If the manufacturing of either or both of these prenatal hormonal agents is disrupted the child’s penis size may likely be negatively impacted.

Genes inherited from the parents can additionally play a role. Although there isn’t a single gene that causes micropenis, the disorder is generally related to such chromosomal diseases as androgen insensitivity syndrome (AIS), Klinefelter syndrome, Turner syndrome, as well as Down syndrome.

Evidence also exist that estrogen based fertility medications such as Diethylstilbestrol can cause smaller than average penis size if consumed during early gestation.While toxic wastes in the environment are a much less common cause, some studies suggests that exposure to certain forms of pesticides while pregnant may cause micropenis and other penile abnormalities in male infants.

Identifying Micropenis

In newly born babies, it is crucial that a physician obtains a correct measurement of the infant’s penis when determining micropenis. Instead of a flaccid measurement whereby the penis is placed lateral to a ruler, a stretched penis length should be done since it more closely mimics the erect penile size in young boys as well as men.

To perform this procedure,the physician needs holds a ruler securely against the pubis at an appropriate angle. The penis is then held with medical calipers below the glans(penis head) and stretched to its maximum overall length without causing pain to the patient. Newer pump like tools that can be positioned over the penis to suction the organ to its full extended length can also be used.

Accurately identifying a micropenis in newborns is critical as it provides the chance for a likely effective treatment. The physician should likewise explore disorders generally related to a micropenis, like disorders of the hypothalamus or pituitary gland.

Defining MicroPenis

A stretched penis length (SPL) of shorter than 0.74 inches is evidence of a micropenis in full term newborns but for older children and adult men, a micro penis is defined by a penile size two and a half times smaller than the average for the age.

As a rule of thumb,John Hopkins University’s Harriet Lane Handbook defines micro penis as follows:.

6 to 12 months: shorter than (0.9 inches).
1 to 2 years: shorter than (1.02 inches).
2 to 3 years: shorter than (1.14 inches).
3 to 4 years: shorter than (1.3 inches).
4 to 5 years: shorter than (1.38 inches).
5 to 6 years: shorter than (1.5 inches).
6 to 7 years: shorter than (1.54 inches).
7 to 8 years: shorter than (1.46 inches).
8 to 9 years: shorter than (1.5 inches).
9 to 10 years: shorter than (1.5 inches).
10 to 11 years: shorter than (1.46 inches).
Adult males: shorter than (3.66 inches).

Contrasting Diagnosis 

  Although the scientific definition of a micropenis seems to offer a definitive set of rules for medical diagnosis, it’s not always the case. This is especially truthful in boys older than the age of 8.

Its a known fact that a large number of prepubescent young males brought in by their parents because of an undersized penis, rarely have a micropenis. In these instances the child is either experiencing (1)delayed puberty (2)he is overweight (Fat from the surrounding pubic area is covering the penis)(3)he merely has a larger body which makes his penis look smaller in comparison.

In circumstances like these, the designation “inconspicuous penis“ would be the appropriate medical term. It may possibly be secondary to congenital conditions such as penoscrotal webbing in which the testicles are sucked up into the bottom of the male organ, forming an indistinct junction and megaprepuce in which the foreskin can not retract and swells abnormally.

Treatment

The medical treatment for a micropenis will differ between young boys and adult men. Since the genitals of newborns as well as toddlers are still growing, testosterone therapy can in many cases dramatically assist penis development. Surgical alternatives, while limited in effectiveness, may be explored in males whose sex organs have reached their maximum development.

The medicinal staff may consist of a geneticist,endocrinologist,pediatrician, urologist, or psychologist.

With regard to a male newborn with a micropenis,testosterone therapy should be completed before circumcision is performed. This type of therapy is most effective in young males under 3 years old however it could possibly benefit boys as old as the age of 8.

Sex Reassignment Surgery

Previously sex reassignment surgery was a typical medical solution for young males with a micropenis, more so in reaction to a deeply rooted cultural unease with a very small penis size than medical necessity.

As of today, that procedure has mostly declined, with most experts challenging its wisdom given the undeniable benefit of testosterone treatment. Also the need for lifelong feminizing hormone therapy and the lack of individual consent makes sex reassignment surgery a radical option for a micropenis.

If insisted on,sex reassignment would generally be an option later in life when the patient has the ability to make a well informed choice and has received extensive mental health evaluation.

Penis Enlargement Surgery.

A number of adult males with micropenis may opt to undertake penile enlargement surgery which offers differing degrees of effectiveness. One type of penis enlargement operation known as penile suspensory ligament surgery, involves cutting the ligament that supports the penis during an erection.

This operation allows the penis to rest in an obtuse instead of an acute angle, causing the illusion of greater size. Potential dangers consist of erectile dysfunction,loss of penile sensation,nerve damage,and the drawing in of the penis if scar tissue develops at the laceration area.

Other methods of penis enlargement surgery like flap surgery which involves the grafting of skin from a different part of the body,are less frequently performed because of the considerable likelihood of complications and the possibility of sexual dysfunction.

Various other techniques like synthetic dermal injections,subcutaneous fat injections and silicone implants has shown to increase penile thickness instead of length. Even by chance length gains are attained,erect length would not be affected only flaccid.

Penis pumps and even stretchers are also available  but these devices have not shown consistent outcomes in providing increases in penis size. If any size is achieved it will be meager at best. These tools are meant for men with erectile dysfunction which is a completely separate medical issue.

  Alternative Forms of Penis Enlargement

If a male has reached adulthood without the standard testosterone treatment in adolescents,penis enlargement surgery may be an extreme and frankly ineffective way to correct micropenis. It would behoove any man who’s faced with this problem to explore all other safe alternatives  and leave penis enlargement surgery as a last resort.

One safe and effective way of enlarging a micro penis is the African penis enlargement system which entails the use of African herbs and penis manipulation. This system has shown impressive results in expanding both the length and girth of the male sex organ .

Living With MicroPenis

Micropenis may likely disrupt a male’s sex drive, sexual function, sex related contentment, ability to achieve an erection and the ability to forge mutually satisfying sex related relationships.

Functionally, micropenis could make urination more difficult by interfering with urine flow. Many men will merely make up for this problem by simply sitting on the toilet when urinating.

Perhaps the most troubling side effect of micro penis is that penis length of less than 2 inches is associated with a lower possibility of fertilization. It appears that micropenis may be a sign of an underlying pituitary disorder  that causes low sperm count.In such instances, assisted fertilization techniques are available to greatly increase one’s prospects of having children.