Q. My boyfriend has a very small penis. It’s the size of my little finger. This is something we do not talk about. Someone told me this is called a micropenis. Is this right? Is there anything that can be done with it to increase its size? Why didn’t it develop properly? How common is this? I’m at a loss about this situation.

A. A micropenis is usually diagnosed at birth. The penis of a newborn boy is, on average, 1.9cm (about three-fourths of an inch) in length. When a newborn’s penis measures 2.5 standard deviations below average, it is called a micropenis. This happens when a hormonal abnormality occurs during the baby’s development in his mother’s uterus after the 14th week of gestation. Either the developing fetus doesn’t make the hormone testosterone, or the developing penis doesn’t recognize it. The result is a poorly developed penis; the shape of the head and shaft are normal, only too small.

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