True un­der­de­vel­op­ment of male gen­i­talia is rare

Moose Jaw Times Herald - - OPINION -

Can you give any rea­son why a pe­nis wouldn’t grow or form like it is sup­posed to? My pe­nis is un­der­size. It is not reg­u­lar size for a man. I’d just like to know what could cause this.

I hear this ques­tion fre­quently, and most of the time when I per­form an exam, the pe­nis size is in the nor­mal range (I ex­am­ine a lot of men, and have a bet­ter ap­pre­ci­a­tion of nor­mal vari­a­tion than most). How­ever, there are med­i­cal con­di­tions that can cause male sex­ual or­gans not to de­velop prop­erly. The most im­por­tant is fail­ure of male hor­mones to work at the time of pu­berty, so in that case, many male char­ac­ter­is­tics are de­creased or ab­sent, in­clud­ing fa­cial and body hair and deep voice. Both the pe­nis and testes will be small. How­ever, it is very un­usual for this to go un­rec­og­nized and un­treated into adult­hood.

Many men are em­bar­rassed to ask about this, but please do see your med­i­cal provider and get an exam. Let me just add that you should ig­nore ad­ver­tis­ing about pe­nile en­large­ment, as there are no treat­ments I know of that are both safe and ef­fec­tive.

I am 60 years old, and for years have had trou­ble with a Bartholin cyst on one side. It is sore in that gland again, af­ter tak­ing turmeric for two months. It would bother me when­ever I took hor­mone re­place­ment a few years ago. Is it nor­mal to still have trou­ble at this age? It doesn’t get big any­more, just sore some­times.

The Bartholin glands are small struc­tures lo­cated in a woman’s vulva. They se­crete fluid that acts as a lubri­cant dur­ing sex­ual ac­tiv­ity. The most com­mon prob­lems with Bartholin glands are cysts and ab­scesses.

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