Penile Dysmorphic Disorder: Is my penis too small?

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Men worry about the size of their penis

Penile Dysmorphic Disorder is a chronic illness and, if left untreated, the condition may persist or worsen.

Men of all ages and races worry about their penis size. In fact, the proliferation of penis augmentation and girth enhancement products and procedures has prompted men to feel even more inadequate about the size of their penis. Although it is a normal occurrence to wonder about size, those men who worry too much about the matter may be suffering from a condition called Penile Dysmorphic Disorder.

According to the Institute for Sexual Medicine, “Penile Dysmorphic Disorder is a psychological disorder in which a man is excessively concerned about and preoccupied by a perceived deficit in the size of his penis.” This is not the same as micropenis, which is when a man indeed has an unusually small-size penis. The average size of an adult erect penis is between 5 and 6.5 inches in length and 4.5 to 5.1 inches in girth.

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  • Symptoms

Penile Dysmorphic Disorder

Penile Dysmorphic Disorder is a psychological disorder in which a man is excessively concerned about and preoccupied by a perceived (not real) deficit in the size of his penis.

Men who suffer from Penile Dysmorphic Disorder could display the following behavior:

  • Being excessively fearful of judgment by others
  • Verbal complaints about perceived small penis size
  • Possibility of perceiving other body inadequacies
  • Psychological distress
  • Impaired social and/or occupational functioning
  • Severe depression
  • Anxiety
  • Social withdrawal
  • Complete social isolation

Besides possibly causing a man to heavily criticize himself and worry about his penis size, the disorder significantly decreases quality of life and those suffering from the disorder may be more prone to commit suicide.

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  • Treatment

Penile Dysmorphic Disorder is a chronic illness and, if left untreated, the condition may persist or worsen. Therefore, it is important to seek help. Treatment options include:

  • Psychotherapy
  • Psychiatric treatment
  • Cognitive behavioral therapy
  • Antidepressants
Men's sexual health

Surgical procedures on men with Penile Dysmorphic Disorder are not very successful because of the psychological nature of the condition - most of the time, the size of the penis is not an issue, but instead is the man's perception that leads him to believe that he is too small. (Shutterstock photos)

Surgery to augment the penis size should be the last resource. Non-surgical options should be considered before invasive penile enhancements are used. Penile enhancement treatments are still experimental and caution should be exercised before adopting any of these methodologies.

According to a study by the European Urology Association, the success rates of these types of procedures on men with Penile Dysmorphic Disorder are low due to the psychological nature of the condition - most of the time, the size of the penis is not an issue, but instead is the man’s perception that leads him to believe that he is too small.

So, before you decide to go under the knife or take any kind of medication for penis enhancement, consult with your primary care practitioner.

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