What are the current treatment options for genital shortness?

Patient's question:

What are the current treatment options for genital shortening?

Doctor's answer:

First, determine the specific cause, and then consider treatment.
The causes of true micropenis include:
(1) Hypogonadotropic hypogonadism originating from the testes, where 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 commands to secrete testosterone.
(3) Partial androgen insensitivity syndrome, where the penis is insensitive to androgens. The patient's testosterone levels are normal, but secondary sexual characteristics are abnormal, and even hypospadias may occur.
(4) Idiopathic micropenis, where the cause remains unknown.

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