Because many parents are appearing in the small penis of their sons, they are able to find a specialist for pediatrician and hormone specialist. They are actually concerned enough about the issue. This is actually a body structural problem at some time; Many times the problem of hormonal problems. But it is important to be sure that it is really small at the beginning. Hormone experts compare the size of an organ with a specific method and compare it with the shape of a boy's penis size. If the size of the penis (which is usually measured with a certain pressure, is measured with the help of a tissue), then the size of the penis size of a boy is not less than 2.5 standard, then it is not called a micropenis.
There may be other problems in this case. For example, due to physical obesity, the sinking penis in the surrounding fat can be the main reason. It may also be thought that the lower part of the penis is associated with the orthopedic skin. During khartan, the penis may be covered on the surrounding skin.
Causes: (1) Depression of testosterone hormone production- (a) Due to testicular problems; (vi) Inefficiency of endocrine gland, pituitary bribery etc. (2) Problems in the functioning of testosterone hormone (a) Growth hormone, IGF-1 deficiency, and viability of the androgen infections etc. may cause obstruction of testosterone. .
Disease Determination: After the birth of the boys who have come to the world due to their small penis, it is important to evaluate the disease of most diseases. In it, it is important to see the correct history of newborn jaundice, hypoglycemia, bitch delivery, after the birth of breathing, excessive body growth, etc. Whether the boy's smell strength is OK, that is also an important information. Physical abnormalities carry genetic error samples. In that case, if fingers are okay, palm of the hand, whether the palms of the feet are normal, the upper and lower portion of the body: how it looks, whether the face is unusual or whether the breast is growing. If the testicle is inaccessible to the child's scrotum, it can be assumed that it is stuck on any part of the abdomen. In that case, testosterone deficiency problems will be revealed, and other issues will have a minor penis.
Examination: At first, the child's blood test of testosterone hormones, LH, FSH, DHT, etc. should be measured. There is a possibility of any one or more hormones deficiency. An incentive is tested with HCG. It is important to evaluate the levels of thyroid hormone. The lower part of the stomach is ultrasonogram. Some people need to do MRI abdominal area. Genetic Test: Cario typing and some time janeeti analysis is needed.
Treatment: If there is a lack of testosterone (hypogonadism), it is a very easy way to treat testosterone from outside. Testosterone injections are usually given after three weeks in the depth of the muscles. But it is given after four weeks or even after two weeks. The results of this injection are found very quickly, but it should be kept in mind that it is never given for long use; It can be reversed in the opposite direction. The testosterone injections of those whose testicles were stuck on the top of the stomach, are likely to fall into the scratch. But in all cases there is no chance that there will be good results with testosterone. Genetic errors usually do not have a chance.
One should remember that as many boys are being taken to a doctor for a small penis, most of them are apparently suffering from visual problems due to physical stereotypes. In that case, the parents will have to pay more attention to achieving desired physical weight depending on the child's physical height and age. The arrangement of food management and physical labor would be very helpful.
Author: Assistant Professor, Bangabandhu Sheikh Mujib Medical University, Department of Endocrinology (Hormones and Diabetes)
Penises start out small, and stay fairly small until hormones at puberty cause growth starting around age 10-14. At birth, an average penis is 1.5 inches long, and anything over ¾ of an inch is considered normal. An average 8 year old (and, really, an average any-year-old prior to puberty) has a penis size of about 2 inches—that’s gently stretched, while pushing back the pubic fat pad that can sometimes “bury” the base of the penis. A more detailed table of normal and abnormal penis sizes by age can be found here.
A penis that appears much smaller than expected is sometimes the result of obesity or a thick body type that makes the penis look “pushed in.” This is called a “hidden penis.” If the penis can’t be pushed back out (by pressing back on the fat pad), it may be a truly “buried penis,” which may require surgery. Sometimes, the scrotal skin is attached up high on a “webbed penis,” which can also be corrected surgically.
Parents who have concerns about penis size should bring this up with their doctor—don’t expect that a pediatrician is going to measure Junior’s penis at his well check, or that we’ll more-than-eyeball that part of the exam. If it’s really small, we’ll probably notice, but if you’re worried, bring it up and discuss it to make sure that that part of the exam is done carefully and recorded. Along with penis size, a careful exam should also include a complete genital look-see, checking to make sure testicles are where they’re expected to be and that there are no other signs of unusual genital development.
A truly too-small penis is called a micropenis. This can be treated initially with testosterone injections, which usually enhance growth. If that fails, the family of a boy with a very small penis may have to consider the difficult and ethically challenging issues of whether gender reassignment is appropriate
Anyone facing that kind of situation should certainly be working with university specialists in endocrinology and urology to learn about and explore every option.