Small Genatles

I am 28 and physically normal, except for my penece and testicles. I am 6 feet tall and180 lbs, normal in all ways except  that. Erect I am about 3.5. I went through  puberty  at a normal rate but my genitals  never seemed  to get larger. I can remember in about the 5th grade my testicle not being in the scrodum, but then one day in the bath tub they were their and never disapered again.  Everything  functions correctly , so my question is: can anything be done to make me normal, or am I just unlucky  to be small? If there is something wrong what could possibly  have caused  it? Being that my testicles are small does that make me more likely  to get cancer?

[Kevin Pho, MD]

The thing that comes to mind first would be hypogonadism.  This essentially means that the testosterone level is low.  This can be easily tested by measuring a testosterone level, LH and FSH - which as sex hormones that can affect testicular development.

Other considerations would be a semen analysis or biopsy - which would be the most definitive test.  

Anatomical abnormalities in the testicle can be evaluated via an ultrasound.  

If there is evidence of a low testosterone level, to my knowledge, this is not associated with testicular cancer.

I would discuss these options with your personal physician.  An endocrinology referral may be considered.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.

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