[52M] Experiencing delayed puberty, small genitalia, and erectile dysfunction

What might be happening

Based on the information you've provided, possible conditions include:

• Partial Androgen Insensitivity Syndrome (PAIS): This is a condition that affects sexual development before birth and during puberty. People with this condition are typically resistant to male sex hormones (androgens). As a result, they may have mostly male sex characteristics or signs of both male and female sexual development. The symptoms you've described, such as a small penis size, small testicles, and erectile dysfunction, could be indicative of this condition.

  • Diagnosis usually involves genetic testing to identify mutations in the AR gene.
  • Treatment can vary depending on the severity of the condition and the individual's personal preferences. It may involve hormone therapy or surgery.

• Hypogonadism: This is a condition in which the body doesn't produce enough testosterone - the hormone that plays a key role in masculine growth and development during puberty. Symptoms can include erectile dysfunction, small testicles, and a decrease in muscle mass.

  • Diagnosis usually involves blood tests to check hormone levels.
  • Treatment typically involves testosterone replacement therapy.

• Micropenis: This is a term used to describe a penis that is 2.5 standard deviations smaller than the mean average size for age. It can be a symptom of several conditions, including hormonal or genetic abnormalities.

  • Diagnosis is typically based on physical examination and measurement.
  • Treatment can involve hormone therapy or surgery.

What you can do

It's important to consult a healthcare professional for a formal diagnosis. They may refer you to a specialist, such as a urologist or endocrinologist, for further evaluation and treatment.

What you should look out for

If you notice any of the following, it's important to seek medical attention:

• Pain or discomfort in your genital area
• Lumps or swelling in your testicles
• Changes in your sexual desire
• Any other symptoms that concern you

Remember, it's important to communicate openly with your healthcare provider about your concerns. They are there to help you and can provide you with the most accurate information and treatment options.