Penis Size and Enhancement
By Dr. Abraham Kryger, MD, DMD
Men are often concerned about the adequacy of their genitals. Concerns over penis size and a desire for a longer penis are common in the male population. Many men wonder if it is possible for their penis to grow after puberty? Sometimes it can but most often it cannot.
The male penis normally starts to grow at ages 9 to 13 and completes its growth by 19 to 22 yrs. Most boys finish growing somewhere around age 16 or 17. Whether the penis has completed its growth during puberty determines how much residual growth is possible. Certain conditions do allow for penis enhancement. Hypogonadism, or testosterone deficiency, can actually create a Micropenis––a penis less than 4.5" in length when erect or stretched. Hypogonadism is defined as a total testosterone of less than 300 ng/dl or a free testosterone of less than 50 pg/ml in adult men. The effects occur mostly during puberty.
This does not mean that men with a 4 or 5" penis do not have an opportunity for increased length with testosterone treatment. Penis size is determined by the amount of blood in the penis in the non-erect state. This amount can be increased by treatment with Testocreme®.
Topical testosterone probably causes penile growth through systemic action, via IGF-1 [Laron Z.1998] and not merely through its local effect. [Jacobs SC, 1975.] Penile growth cessation is mediated by mechanisms other than down regulation of the androgen receptor.
Testosterone cream has been found effective in increasing the penis size in research with prepubertal boys with micropenis. [Klugo RC. 1970] Testosterone influences penile growth, possibly as a result of expansion of the shaft through the action of androgen receptors in the corpus [Bin-Abbas B, 1999, Godek JC, 1985].
What it does mean is that early administration of androgen to prepubertal male individuals with low serum or salivary testosterone [Rilling JK, 1996] can result in a longer penis or phallus in adulthood. [Baskin LS, 1997]
Men who have large penises show a rapid conversion of free T to DHT as measured by T/DHT ratio in their blood. Rapid conversion is a genetic trait indicated by amplified maleness early in life: increased body and beard hair, increased musculature, early male pattern baldness, short height (<5'8") and greater penile girth (>3.5" around) with length (>7"). A very strong sex drive, increased masturbation frequency, and early puberty are also associated with higher testosterone levels.
Research indicates that even in an adult male, penis growth is still possible with topical hormone application causing stimulation of the androgen receptors in the corpus cavernosa, the blood filled cavities along the shaft of the male penis.
In some cases a vacuum penis pump, the ErecAid™ device is prescribed for trial participants. Supplies, testing, and the testosterone hormone cream, Testocreme®, can be provided to all interested participants by prescription only after a medical visit.
You must travel to Monterey to be examined initially and to participate in the study. A prescription for Testocreme® is available locally after the visit. For more information, please visit http://www.Testocreme.com.
The number of male patients seeking an andrological consultation for the problem of 'short penis' is increasing. Contact the doctor at: DrK@WellnessMD.com.