MEN'S HEALTH
COMMUNITY
Shrinking Penis
Avatar_n_tn
by pmaule, Dec 23, 2006
I have posted here before, but I feel that I must be persistent.  I am 29 years old, and have been impotent for about 2 years now.  2 years ago, I was absolutely fine.  I could have sex as many times as I wanted to.  3 times a night would be no problem.  I woke up with erections, and if I didn't have sex I would masturbate in the morning and before I went to bed.  

It is a different story now however.  No morning wood.  No libido.  If I am able to get an erection it doesn't last long.  Visual stimuli has no effect, I have to use my hand and that doesn't work very well.  When flacid, my penis is smaller now.  The skin feels different--less sensitive.  I see veins where I couldn't see any before.  When I walk around, it feels like I don't even have a penis anymore.  It feels like nothing is there.  As a result of this I have lost my girlfriend, my confidence in life, and I think I am losing my mind.  Oral drugs don't help.  

I've been to urologists at an ivy leage teaching hospital. He basically said 'that's life' and showed me penis pumps.  I really don't know why I am typing this message, as I don't think there is anything anyone can really do.  I am beyond the point of losing hope.  I quite honestly do not want to live like this anymore.  

My only questions are:
a.  Why & how did this happen?
b.  Is there any way to fix it?

If you know a doctor, please forward this to him/her because I really need help.  Thank you.
Related Discussions
Member Comments (353)
173939_tn?1333221450
by Trialanderror, Dec 24, 2006
Until you find a doctor who will give you better advice, I can only say that I know of two men age 40 and 60 with similar symptoms. Both of them drink quite a lot of alcohol daily and one of them has also consumed tons of beef throughout life in an area where cows are still raised with estrogen. He also developed prostate problems. What I`m getting at is that you might have too much estrogen in your system or maybe it is a side effect of any medication. And, oh yes, anti-depressants will do that to you too. I hear your despair and you`re too young to beat yourself up about this for the rest of your life. Find a different doctor.
Avatar_n_tn
by Anclerson, Jan 11, 2007
Pmaule,
I have the exact same condition that you have. Until now I thought I might be the only person with this problem because I couldn't find information diagnosing my symptoms. I'm 21 and about 3 months ago I noticed the change. Probably was happening gradually over a few weeks until I finally noticed. Like you, I no longer have morning wood. I have some libido, but not nearly as much as before the problem. When flaccid I'm much smaller now and I'm literally going crazy because it feels like I don't have anything down there. I am able to get an erection, but not nearly as easily as before. Also, they don't last very long and aren't as impressive. Measuring, I've only lost .25 inch in length but an entire 1.5 inches in girth when arroused! (I used to be pretty well endowed) I also can't get them from visual stimuli anymore. I've had blood testing done and nothing has indicated that I should have any problems. I am perplexed as to what caused/is causing this and am desperate for a solution. I have to literally try everyday to prevent it from making me go insane. I'm in college and I don't drink or go out much anymore because I feel so inadequate, and obviously my sex life is a joke now. I am scheduled to see a urologist in 3 weeks and am trying to stay optimist. I tried Viagra and it helped some, but is way too expensive to take everyday.  Not to mention that I think it is a little ridiculous for a healthy 21 year old to have to take it to have a functional penis. I am physically fit and exercise daily (have to in order to keep from getting anymore depressed about it). I have no idea what has caused this problem, but it needs to be fixed. I don't believe in suicide, but I doubt I can handle life much longer if this doesn't get fixed. I just can't enjoy things anymore. Please let me know if you find out any information on what's causing our condition, and I will gladly do the same. Good luck.
Avatar_n_tn
by santiago, Jan 12, 2007
Hey man, just read your post.  I know this seems like more than you can handle right now but have faith that everything is going to be ok.  It's such a damning thing to happen because it's so mysterious.  Just try to relax because the more worked up you get about it, the potency you do have will be diminished by the stress you're putting on yourself.  I've been dealing with some of the symptoms you've described for about 6 months.  I'm 26 and thank God above that I have a woman that loves me for me.  One day at a time.  Don't think about the past or the future.  Live for today.
Avatar_n_tn
by Anclerson, Jan 12, 2007
Thanks for the support man. I'm learning to cope with it better, I just don't want to underscore how paniced I feel. It would probably be easier to deal with if had a girlfriend for support that didn't feel any differently towards me because of my problem. Too bad I didn't see this coming or I'm sure I would have been a little more eager to find one. You said you've had this problem for six months. Any ideas as to what is causing it or how to fix it? Have/are you seeking any treatment? I just think it would be alot easier to handle if I knew it could be treated and fixed.
Avatar_n_tn
by santiago, Jan 12, 2007
I know, if we could just know what spawned it on it might give us a little bit more piece of mind.  Mine happened when I was in Asia.  My penis just became very itchy and i put some cream on it.  Next thing I knew it was pretty lifeless with hardly any feeling of blood in the head.  I've had all the bloodtests and appointments with hotshot urologists.  I'm seeing one right now that is going to  do the Duplex ultrasound on me.  They think it's my prostate that's causing the mayhem.  I just want an MRI of my prostate and the duplex.  I know it seems like you can read, read, read and schedule all the appointments but u never come to a knowledge of anything.  I'm just glad it works.  It's not like it used to be but it works.  It has restored a little bit since asia.  It's not as rubbery and  unresponsive.  I've got to stay positive.  What's so bothersome is even flaccid it doesn't feel right.  I used to be able to flex that PC muscle and do penis "push ups".  Now it's just like the PC muscle is atrophied.  Maybe cuz of stress.  I don't know.  Just stay positive man.
Avatar_n_tn
by Anclerson, Jan 13, 2007
Alright man. Not that I want anyone else to have to deal with this, but it does make me feel better that I'm not the only one that has had to suffer from this bizarre condition. Well good luck with your next appointment. Hope it works out. Let me know if they figure out what's going on.
Avatar_n_tn
by megazoid, Jan 19, 2007
OK Guy's, i found this thread by accident and i thought it would be important to reply. First off i want everyone to relax and stay calm and i don't want anyone to think about suicide, i suffered the exact same as you guy's did but no one to give me any kind of answers (i am only 24 myself). I have the answers you guy's need, so please let me explain my own story first.

When i was born, i was a healthy, young baby boy. However it wasn't noticed that i had an undescended testicle (right testicle) until i was 2 year's old. The testicle was brought down but this in turn caused the testicle to remain small and atrophied (dysfunctional). My left testicle took over throughout puberty and became large and fully functional. I went through puberty as normal but my left testicle gained a huge size (2/3 inches) to compensate for the other 'lost' testicle.

6 months ago i got an injury to my left testicle which caused a varicocele to form (enlargement/swelling of the veins), this in turn causes blood pooling issues int he testicle and over-heating to occur (along with abnormal hormonal parameters). Over a course of 3 months my testicle atrophied and my sperm count dropped. During this time i just didn't "feel right" (so to speak) and wasn't getting morning erections or having a libido. I had joint and muscle pains and all manner of skin changes occured (more so on my penis like you guy's - skin thinning, maybe a little dry at times). What had happened was a hormonal inbalance had set in and caused low testosterone (hypogonadism). Like you guy's my penis shrunk up really bad and my testicles were always very tight and didn't hang as normal.

Flaccid penis size is controlled by the free testosterone levels available in the blood. DHT (A hormone that gives us "all things male") has a large degree of control over the penilie tissues (the "elasticness" of them for example). The Testosterone to estrogen ratio controls how "hard" your erections get and if this got knocked out (due to lack of testosterone for example) then getting erections will be tough and your flaccid penis will hang alot smaller and lifeless at times.

Morning wood is an indication of the correct ratio of Testosterone to Estrogen (E2). Lack of morning wood in almost all cases means either excess estrogen or low testosterone.

Imagine the flaccid penis like a balloon. When there isn't enough testosterone in the blood to support it "shrinks" up. You guy's need to be aware that unless you live with this for like 4/5 year's the penis dosen't "actually" shrink and lose tissue (it's already developed muscular tissue) but just shrinks up into itself.

You WILL get your penis size and erection ability back when you get your hormones in order.

So how did you develop this condition? Well there are 3 forms. Primary Hypogonadism which means testicular dysfunction (caused by tramua to the testicles - hernia, varicocele, mumps, hard kick, etc) and secondary which indicates a problem with your piturity gland not sending out enough messages to keep your testosterone level high. Central Hypogonadism is a problem with both the piturity gland and the testicles (this is rare).

Secondary hypogonadism can indicate a piturity tumour or be brought on from head tramua. An MRI is needed and frequent blood work to elevate (generally secondary will be indicated by low LH/FSH in the 1/2 range).

A normal testosterone level of 23nmol (or more) is required for sperm production and normal male functioning, anything lower (even if your doctor "claims" you are normal) isn't.

Low testosterone can lead to high estrogen which in turn can cause prostate rated problems (prostitis for example).

If you are overweight or have stomach fat you most likely have higher levels of estrogen which again cause erection problems and smaller flaccid penis size.

I will monitor this thread and will answer any questions you guy's have.

Avatar_n_tn
by Anclerson, Jan 20, 2007
Thank you so much man. I can't tell you how much better I feel. The urologist I saw a month ago gave me Androgel 5mg packets to use once a day bc my T-level was only 356. Low-Normal range but still low for a 21 year old right? My mood has improved substantially since (I don't get depressed/irritable much anymore). However, my penis is still small flaccid, my libido is still low, no morning wood, etc. (all the above symptoms are still occuring). For this reason I thought the diagnosis must have been wrong. I have been taking the Androgel for 3 weeks now and still haven't seen any improvement down there. I also still have a little excess belly fat that I never used to have (I work out alot and have always been skinier than most people). I also noticed that if I consume alcohol (even just a beer) it exascerbates the symptoms. Do you think the gel just isn't working? Or is it that I have too much estrogen? I'm scheduled to see another urologist in two weeks. Any suggestions. Again, thanks alot. I really appreciate the feedback.
Avatar_n_tn
by megazoid, Jan 20, 2007
No problem, i am here to help.

You have mentioned a few thing's that are important for me to point out. First off we are both of similar age and i also got prescribed androgel. The problem is when you take Androgel it can (and almost does) shut down your own natural production (HPTA supression), so it dosen't work in a "suppliment" like fashion. In the long term this can have a negative effect on fertility and testicular size and can sometimes cause irreversible tissue and cell changes to occur in the testicles.

Because you have mentioned have you some excess body fat around your stomach this means you are most likely prone to having an estrogen problem (E2 - Estridol). High estrogen will lead to your penis retracting alot more and hanging alot smaller (getting erections will be more difficult). Free Testosterone and DHT are the most important hormones for penile tissue sensation and flaccid penis size. DHT controls the vascular blood flow and nerve function. DHT is converted from testosterone via the liver and is considered 5 times more powerful than testosterone. DHT can have negative effects on the prostate (PSA is a good gauge for this) and on male pattern baldness (but only if you are genetically prone to this).

The problem with androgel is that once it shuts down your own natural production, sometimes the gel isn't enough to even get you above your previous levels (300/400). What dosage are you using? Because you mention you have some body fat it's possible that this is causing absorption issues and most likely converting to E2 and DHT but not getting your total t or free t into good ranges.

Zinc is a good natural inhibitor of estrogen and can stop the conversation of testosterone into estrogen in the liver. I advise taking the following suppliments:

ZMA (1 tablet daily)
Vit E (800iu daily - get the gel capsules this helps with vascular function and prevents penile fibrosis)

I have since stopped all TRT (Androgel, Tesim, etc) as i had my varicocele fixed and i am going to run HCG which is an LH analogue to regain testicular size and hopefully function. I advise anyone on TRT to use HCG alongside to help with libido, mood and fertility. If your testicles are capable it can double (if not more) your natural testosterone production. This is injected 3 times weekly while on androgel (or a similar topical gel) to prevent testicular atrophy/shrinkage and the constant "tight" scrotum you get while on TRT.

Make sure you get the following tests done on your next blood work out:-

Total T
Free T (or Bioavailable)
SHGB (high SHBG usually means high E2)
LH/FSH
DHT
Estridol
Prolactin
TSH

Feel free to ask any other questions!