My penis is small. Is there a way to increase my penis size?

Question

Hello doctor,

I am a 32-year-old male, and have been having hypothyroidism and pituitary problems, where my body is not making enough testosterone. I was undergoing some treatment for hormones, and what is now happening is something related to a sexual problem.

My penis in the flaccid state looks so small, as if it is only an inch. I am not sure that after hitting puberty, my body has fully developed my sexual organs. It makes me feel inferior now.

I want to know if there is any possible way that penile size can increase, or if there is any treatment.

I am unable to reach the erect state without stimulation, and in the flaccid state, it looks like about an inch only, and is so thin.

It has been happening since childhood, although I never faced this flaccid issue in my teenage years, but it has been happening since my 20s. I went to a urologist who gave me some medicines to improve my libido, but that did not work.

Also, I was referred to an endocrinologist, and we have been working on hormone therapy, but it is not helping either; my testosterone levels are severely down.

I went through an ultrasound of the scrotum, which was fine, but the testicles' size was small as per the report.

Also, I have been checking the TSH levels as advised by the doctor, and my thyroid medication dosage was also adjusted, but it did not help. Currently, I am on Thyroxine and sometimes some antidepressants.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

From your description, it seems that your condition is primarily related to hormonal imbalance, particularly hypogonadism (low testosterone) that originates from pituitary dysfunction and hypothyroidism.

These hormonal systems are closely linked to male sexual development, libido, and the maintenance of penile tissue and testicular size.

When testosterone levels remain low for a long time, especially during or after puberty, it can lead to underdeveloped genitalia, decreased erectile strength, reduced libido, and shrinkage of penile and testicular tissue over time.

The fact that your testicular size is small and testosterone remains severely low despite therapy suggests that either the current hormone replacement dosage or route is not optimal, or there is an underlying pituitary issue (secondary hypogonadism) that needs a more specialized approach.

Penile size in adulthood cannot usually be increased significantly through any pill or non-surgical treatment, but restoring testosterone to a healthy level can improve erections, penile fullness, and tissue tone, making it appear and function more normally.

You should consult an experienced endocrinologist or andrologist to review your hormone therapy, including testosterone replacement therapy (TRT) options such as injectable testosterone (like testosterone enanthate or cypionate), gels, or patches, depending on your medical condition.

In some cases, treating the underlying pituitary cause with specific medications (like gonadotropins: hCG (human chorionic gonadotropin) and FSH (follicle-stimulating hormone)) may stimulate natural testosterone and testicular growth.

Additionally, maintaining a healthy weight, exercising regularly (especially strength training), getting enough sleep, and avoiding antidepressants that suppress sexual function can all help improve your hormonal balance and erections.

Surgical penile enlargement procedures are not recommended unless there is a structural abnormality or severe psychological distress, as they carry significant risks and limited results.

The best and safest approach for you is to optimize hormonal treatment under medical supervision and work on weight reduction, since obesity can further reduce testosterone levels.

With the right hormonal control and lifestyle management, many men in your situation notice improved sexual function, stronger erections, and better confidence over time.

I hope this will help you.

Thank you.