Healthy Living - Many men are concerned about the size of their penis. In most cases, your penis size is perfectly normal. However, there is a medical condition known as "micropenis," where the penis is significantly smaller than average. Is having a small penis linked to infertility? Let’s explore this topic in detail.
What Penis Size Is Considered Normal?
The average size of an erect adult male penis is generally considered to be around 13.5 centimeters. For Indonesian men, the average is about 12 cm when erect. The term "micropenis" is used to describe a penis that is less than 2.5 standard deviations (SD) below the average size. A micropenis usually appears normal in structure but has a very short penile shaft.
How to Measure Your Penis Size
The most accurate way to measure penis size is when the penis is flaccid, using a method known as Stretched Penis Length (SPL). To do this, stretch the flaccid penis as far as possible without causing discomfort, then measure from the pubic bone to the tip of the penis using a flexible ruler or tape measure.
If your SPL measurement falls around 12 centimeters, with a tolerance of plus or minus 1.5 cm, your penis size is considered normal. Men with a micropenis are rare, affecting about 1 in 200 men.
What Causes a Small Penis (Micropenis)?
Most cases of a small penis are due to external factors such as excess fat in the waist and genital area, making the penis appear smaller than it actually is. This condition is known as a "buried penis." Another condition, known as an "inconspicuous penis," involves the penis being pulled inward, making it appear smaller.
In rare cases, a small penis may be caused by genetic factors that affect hormone production during fetal development. Conditions like hypogonadotropic hypogonadism, which involves a deficiency in testosterone, can impair penis growth.
Does a Small Penis Affect Male Fertility?
A small penis can lead to difficulties with urination and sexual intercourse. Some men with a micropenis may also have low sperm counts, which can impact fertility. However, penis size is not the primary determinant of male fertility. Many other factors play a more critical role in determining fertility.
Is There a Way to Enlarge a Small Penis?
If a micropenis is diagnosed as being caused by a deficiency in growth hormone or testosterone, hormone therapy may be recommended to promote penile growth. Hormone therapy has been shown to help children and adolescents achieve a more typical penis size as they mature.
In cases where hormone therapy is not effective, surgical options are available. Penis enlargement surgery involves the use of subcutaneous silicone implants to increase both the length and thickness of the penis.
Final Thoughts
While concerns about penis size are common, it’s essential to understand what constitutes a medical condition like micropenis and its implications for fertility. If you have concerns about your penis size or fertility, consult with a healthcare provider to explore your options.