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HERE'S WHAT YOU KNOW ABOUT THE MICROPENIS

On 25/08/2020
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HERE'S WHAT YOU KNOW ABOUT THE MICROPENIS

Micropenis is diagnosed at birth and is estimated to affect 1.5 in 10,000 newborn males2.
At birth, the average size of the unstretched penis is around 3.5 cm with a diameter of around 1 cm. 90% of newborns have a penis between 2.4 and 5.5 cm in size. The micropenis is then diagnosed for a penis of less than 2 cm. If it is due to insufficient testosterone, hormonal treatment by intramuscular injection is possible from the third month.

The average penis size at the onset of puberty is 6 cm. The micro penis is at this age less than 4 cm. Testing by the family is essential if it did not take place at birth.
In adulthood, the average size of an erect penis is around 12.5 cm. Thus, an adult penis measuring less than 7 cm in erection will be called a micropenis.
Apart from its reduced dimensions, the micropenis, if it is not associated with a malformation, does not cause any physiological problem.

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Causes
They are partly poorly understood, and can be numerous:
- insufficient production of androgens (male hormones);
-insensitivity of tissues to androgens;
-association with malformations with or without chromosome anomaly;
-exposure in utero to certain endocrine disruptors.

Treatment
Hormonal treatment
The growth of the penis both before birth and during childhood and puberty is strongly influenced by testosterone and, to a lesser extent, growth hormone, but their value in the treatment of micropenis is mainly limited to hormone deficient conditions, such as hypopituitarism or hypogonadism.

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Regardless of the cause of the micropenis, if recognized in childhood, a brief testosterone course is often prescribed 4 (usually no more than 3 months). This usually induces additional growth, confirming the likelihood of further growth at puberty. Treatment by injection should take place as soon as possible, as long as the child has not reached puberty, the necessary doses being higher in the just prepubertal individual. The treatment is then most often administered by gel2. However, the administration of too high a dose of testosterone during childhood leads to side effects such as unwanted virilization (precocious puberty, appearance of hair) and bone maturation, leading to a reduction in body size. adult. Studies have shown that early administration of too much testosterone can even lead to a decrease in penile size in adults.

In the prepubertal period, testosterone treatment therefore becomes less effective. It is only repeated in adolescence for boys with hypogonadism. Penile growth is complete at the end of puberty, similarly to the completion of height growth and the provision of additional testosterone for post-puberty adults produces little or no growth.

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Diagnosis of the micropenis
The diagnosis of micropenis involves measuring the penis. During this measurement, the doctor begins by stretching the penis 3 times, pulling gently at the glans level. Then he releases her. The measurement is done with a rigid ruler starting from the pubic bone on the ventral side. If a micropenis is diagnosed, a hormonal test is done to find the cause of the micropenis and treat it as best as possible.

Most cases of micropenis are thought to be ultimately due to a hormonal deficit linked to fetal testosterone during pregnancy. In other cases, testosterone is properly produced, but the tissues that make up the penis do not respond to the presence of this hormone. This is referred to as tissue insensitivity to hormones.

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