Patient's question:
I have quite a bit of facial and pubic hair, and when my penis is flaccid, it's even more pitiful than that of a 13-year-old boy. My testicles are also small. Is it effective to take methyltestosterone orally? (1) For male hypogonadism, the initial dose is 30-100mg per day, and the maintenance dose is 20-60mg per day. But I feel that my secondary sexual characteristics are quite good. What's going on? I hope to get specific methods. I went to the hospital, but there were no effective treatments. Thank you.Doctor's answer:
Hello: The causes of true micropenis include:(1) Hypogonadotropic hypogonadism where the pathology originates in the testes. In this case, the hypothalamus and pituitary are normal and can issue strong commands, but the testes are diseased and unable to execute the commands to produce hormones and sperm.
(2) Hypogonadotropic hypogonadism, where the hypothalamus and pituitary are affected and cannot issue instructions to secrete testosterone downward.
(3) Partial androgen insensitivity syndrome, where the penis is insensitive to androgens. The patient's testosterone levels are normal, but the secondary sexual characteristics are abnormal, and there may even be hypospadias.
(4) Idiopathic micropenis, where the factors or causes remain unknown.
General treatment still involves hormone regulation therapy. It is recommended that you follow the guidance of your doctor for treatment.