It's extremely common to feel anxious or insecure about the size of your penis, regardless of whether you're a "grower" or a "shower". And this can be seriously compounded if you think that your penis might have actually gotten smaller. Fortunately, if this is the case, it's likely that there's a perfectly reasonable explanation—and solution.
In a new video on her YouTube channel, urologist and pelvic surgeon Rena Malik, MD explains that the length of a penis can change subject to a wide range of factors, including temperature, how erect it is in that moment, as well as stress. "When urologists measure penis length, we measure it in the same way each and every time," she says. "Typically, the guidelines are to measure it in a flaccid state, at a stretched length, in a warm room."
Malik goes on to list four major reasons why the length of a penis might possibly decrease over time:
"The number one reason why people think that their penis is shrinking when it's actually not, is because they've gained some weight," she says. "Specifically, they've gained weight that makes it harder to see the entire length of the penis."
The second instance in which somebody might think their penis has shrunk, Malik continues, is when they have had their prostate surgically removed. "You may notice a shortening of the penile length, and that can range anywhere from half an inch to three quarters of an inch," she says. "Occasionally that can come back over time, but that does happen very commonly after prostate surgery."
The third potential reason for a change in penis size is Peyronie's disease. This is a condition wherein a plaque build-up on the penis causes it to curve or change shape. "You will notice it, because you'll see a noticeable lump on your penis, or see that it is bending or curving in a different way," says Malik.
The fourth most common reason is corporal fibrosis, where the penis loses blood flow, which also affects erections. This can be caused by health issues such as heart disease and diabetes, as well as micro-fracture injuries sustained during sports or vigorous sexual activity.
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