THE SHORT PENIS SYNDROME
JOSE GIMENEZ RAMIREZ
M.D. with Specialty
in Medical Sexology
penis is very short. That is why I have not been able to
have successful sexual relations. I am very ashamed when
being naked in front of women and men. Using public bathrooms
has been a pain experience to the point that, if there are
no stalls available or dividers in the urinals for privacy,
I cannot urinate. I do not want to masturbate all my life.
I wish to have sex with a woman and to have a family. Is
there any medical procedure or alternative to increase the
size of my penis? ”
Facing these kinds of situations, doctors are frequently
required to give our opinion and definitive concept about
the possibility that men’s penis size is not appropriate.
The cause? Information, often from novels, which often
provides exaggerations, extravagances, inadequate interpretations
and misunderstandings. People have become insecure about
this topic; men doubt and mothers compare. Many doctors
as well as pediatricians, endocrinologists and urologists
also express their doubts and refer these patients to us
is not enough to know that the penis is an organ that provides
the most intense sexual sensations. Now, it is necessary
to see it, measure it and analyze it. Forty years ago, communication
and information on this issue were limited and relative
to an individual’s interpretation. Besides, details
concerning sexual anatomy and physiology were unknown. The
sexual revolution in the 1960’s, at par with communication
media development, originated excesses in notes and outlines,
that still remain, and they are full of hyperboles, false
explanations, wrong ideas, mistakes and lies on this particular
motives of consultation
To determine the normal size of the penis, two types of
consultation are made. The first one refers is performed
by the mother or the father – or both – who
take their kid to have the doctors to clarify if the boy’s
penis size is normal or can be qualified as reduced,
or in the terms often used, little or short (that
it means future incompetence for the parents). Considering
this last possibility, they ask what it is necessary to
do for avoiding shame that the supposed shortness and
possible inefficiency of the reduced penis can cause
him when becoming an adult. The second one is the consultation
made by the adult man who has classified his penis in the
embarrassing category because he thinks that, for
not having a bigger and longer one, it has caused him –
or it will end up in – a low genital self-image, and
maybe later, a supposed sexual inefficacy.
Generally, the boy four to ten years old, who’s
timid and surprised, lets his parents take him to the doctors.
It is not uncommon that, in front of the child, the parent’s
expectations and at times requirements are expressed as
well as comparison of their kid’s penis to his brother’s
or cousin’s who have them bigger or longer.
In most of the consultations, average males, or slightly
overweight, are attended. Fat tissue accumulates in front
of the pubis forming a kind of “pillow” that
hides a great proportion of the penis, more than fifty percent.
Then, having the boy lying and his penis between two fingers,
the doctor pushes back the protruding fat and a normal size
penis emerges. This is known as Dipped Penis. This
maneuver is performed by just few physicians.
Other boys have a penis in harmony with their bio-typical
features and, after a brief explanation to the parents,
they understand that their boy’s penis is normal and
that it does not have to be compared with others. We have
to be aware that genetics makes it different, even among
brothers, cousins or friends.
However, it is imperative to mention a very rare and infrequent
disorder named Micropenis or Microphalus.
This congenital pathology is present in boys who are born
with a very little and short penis due to an inadequate
organ stimulation by androgenic hormones. The hormonal treatment
is effective in some cases, not in others. We diagnose a
Microphalus when, at stretching the newly born penis from
the glans, it measures less than 1.5 cms (almost half an
How do you compare to other Males?
During consultation, some adult men express directly or
indirectly their fear because they think that their penises
are shorter than what it should be. This is due to:
1. In a public bathrooms, he compared himself by watching
other men. (Ask a man how many wholes the urinal has? He
won’t be able to answer because he does not even
look and pay attention.)
2. When watching pornographic videos, he made his own
conclusion, without knowing that only the best endowed
are chosen to act in these kinds of films and based
on camera techniques and angles, the penis exhibited look
3. His sexual partner referred him.
4. In any group masturbation activity, he compares his
penis to the other boys’.
5. He concluded on his own.
6. He read about penis measurements in various sources
of information and wanted to corroborate his findings as
he deduced his penis was under the average.
This very personal misconception – Ghost Syndrome
– can be a result of negative fantasies. In other
cases, they are vulnerable individuals. It is worth mentioning
that those men’s partners formulated innocent
comparisons or in good faith, inadvertently caused
a loss of genital and sexual image, disability to flatter,
erectile dysfunction, sexual performance fear or anxiety,
and low self-esteem. On the other hand, we have to highlight
that men with relatively short penises under the average
size, never have realised it and their partners have not
told them anything about it.
The relationship of the penis size in flaccidity and in
erection depends on the elasticity of tissues. For example,
a penis 8 cms in flaccidity could double its size in erection,
becoming about 14 cms or longer., and one 11 cms could reach
14 to 15 cms (though it is evident that the last one comes
up with advantage). This is explains how individuals with
a very short flaccid penis could be categorized as not
very well endowed, though when having an erection, can
be a normal size. On the contrary, there are cases in which
individuals who seem to have a very big and long penis in
flaccidity, when erected, they are not.
An investigation in 1996, on 80 American men, resulted
in 8.8 cms for flaccidity and 12.8 cms in erection as average
measurements of the penis. The methods to measure it require
skills, training, and knowledge on human anatomy to use
reference anatomical points. Such measuring can be done
during flaccidity or erection, not only in length but also
in circumference. So, do not try to measure your penis
on your own. You could make mistakes and they would
generate unnecessary consequences.
Is the passenger known by the baggage?
Most men are unaware of the aspects on woman sexual response.
According to what we have been dealing with, men have to
know that the most external 4 to 5 cms of the vagina are
the most sensitive ones and, in this area, vaginal walls
congest more, forming what it is called Orgasmic Platform.
Besides, in this little segment, perineal muscles surround
the vagina and the contraction of them during orgasm is
felt by men and women, providing them with very pleasurable
sensations. In light of this, it is obvious that the myth
created on the need of a big and long penis to fulfil a
woman with lots of pleasure is false. This is also applied
to the anus, where the area rich in innervations is very
limited, just between both anal sphincters, the external
and the internal, which measures about 2 cms. The bottom
of the vagina is not very sensitive or the rectus. This
supports a very wise saying: Do not believe everything
you read or hear.
Surgical treatments to enlarge the penis, aside from eliminating
the pre-pubic fat pillow by loosing weight or liposuction,
consist of cutting the suspender ligament of the penis that
keeps it attached to the pubis. The only disadvantage of
this procedure is the loss of suspension or attachment while
the penis is erected (making it point down and not up, and
it oscillates side to side). To increase width, skin is
infiltrated with fat, which leads to infection as its main
complication and the formation of abscesses in the puncture
sites. The achieved width is lost if body reabsorbs the
fat. Another surgical technique with this objective is transdermical
tissue grafts through placing skin strips (extracted
from buttocks skin) with fat under the penis skin. The complication
of this surgical method is the formation of scars that can
make penis retract, resulting in a shorter penis than what
you started with. Where the identity of your sexual organ
is involved, why subject yourself to these consequences
only for the sake of having a penis as people say or believe
“it should be”?
Many funny sayings refer to the short penis syndrome. One
of them is: “No matters the long and the thick but the
stiff”. In fact, if an erection is not rigid enough
for a good sexual performance, independent of the penis
dimensions, will never be able to penetrate. Nevertheless,
there is another funny saying I would like you to consider:
“It’s not the size of the ship but the way it sails”.
A standard penis, owned by a man who has developed a wide
erotic repertoire on flirting skills, seduction, sensuality,
variation of penile movements during penetration to stimulate
all the vaginal walls (and anal walls too, of course) and
track the labia minor of the vulva for an appropriate clitoris
friction, can achieve intense pleasure and total satisfaction
for him and his partner
compare yourself to others. You and your penis are unique!
Before worrying about penis size, concentrate on becoming
a better lover everyday. Feel proud when it erects in the
presence of your partner who you are going to have sex with.
Exhibit YOUR HONORABLE SEXUAL ORGAN!
GERARDO JOSE GIMENEZ RAMIREZ
WITH A DEGREE ON MEDICAL SEXOLOGY