Penile shrinkage, atrophy. What causes it?

I don't think anything permanently causes shrinkage to the penis, but I found being on TRT caused my whole package to shrink in size.

How long were you on TRT before you noticed your whole package shrank, and how much did it shrink?

I've heard that TRT won't shrink your penis unless you already have a small one. Can anyone else verify that?
 
Thats funny reading this because Ive had this my whole life and didnt realize its not common. I suffer from generalized anxiety disorder so the second I wake up to about bed time my anxiety causes my package to shrink up. A stimulant like coffee makes it almost disappear and get really cold. I solved this through taking arginmax. It was a freakin 180 degree turn. My junk hung low and flacid state way bigger. I took that for a couple of months and now just supplement with high doses or l-arginine every day and maybe a bit more before the deed, Its funny because growing up sometimes people would see my flacid weiner and Id get accused of having a small di*k. I actually started to believe it until I started dating. Then every chick told me I was pretty big and I even had an ex-gf's friend call me drunk one night and left a message on my phone telling me she heard I had large junk and wanted to hook up, haha. Shit ruined my self-esteem when I was young but now I just know Im a "grower not a shower." Anyway, try that arginmax. GNC sells it and so does a company called Daily Wellness.
 
I had these symptoms:

Ball sack contraction, disappear.
Cold all the time, hot showers and baths helped for short time.
Penis acting dead, nothing would wake it.
Penis seemed smaller.
No morning wood.
Have super hot asian chick and would deflate most times.
Could not orgasm, only a hj would work and not all the time.
Loss of sensation.

.

sounds just like me
 
"All things being normal (laboratory), the one documented cause for penile shrinkage is OBESITY."

Well there are other documented cases of penile shrinkage, scar tissue from curved penis, radiation therapy even androgen deprivation therapy, i hate talk about this cause it makes me sound crazy, but it did happen to me when my androgens decresed. The problem is this, how would the medical community document this, it is a sympton after something happened, in other words, you see the doctor after your penis shrunk, and the doctor examines you and says you are within the normal range, so he says no shrinkage, but you know you were larger before, but the doc didn't see it before. So, the only way docs would know to see if certain things can cause shrinkage would be to measure before and after, and the only way they would think to measure before is if they heard enough complaints, this is what happens with radiation therapy and androgen deprivation for prostate cancer. they now have documented cases of before and after.
 
Neurotransmitter deficiencis here can cause it.

[ame=http://en.wikipedia.org/wiki/Autonomic_nervous_system]Autonomic nervous system - Wikipedia, the free encyclopedia[/ame]
 
I have not read this thread, but I can say that my wife, who went from doing Cross Fit, to not workoing out anymore has caused my atrophy:p

Porn helps, however[:o)]
 
The coldness and prpbably shrinkage is caused by a lack of blood flow. Similar to Rennauds syndrome where the small arterioles constrict locally in the extremities. This is under controlof the sympathetic nervous system. The signaling chemical is norepi (NE). I suspect that the parasympathetic NS is also involved, acetylcholine, since the genitiles sensory nerves are connceted to the brain thru the PNS.
While this may be the mechanism, it is not understood exactly what causes Renauds. I think the same is true here.
While E2 may play a role in this it is a gross oversimplicatioin to lay the entire cause on E2.
 
Hello Everyone, consider my posts the product of a layperson but I will share them all the same as they may provide a research direction. I would imagine more than one factor could cause the penis to hang small and tight. I notice that when I first wake in the morning having had no stress while sleeping my is fat and as flacid as can be hanging soft at about 4 to 5 inches with substantial girth. Once i have been out of bed though for about 20 minutes or so it shrinks and gets tighter down to very likely 3 inches in length and half the awakening girth. Though it could I doubt that T plays a roll as I am on injectible T replacement. I do one injection of 2mg vial weekly. Even at 5 days post injection my T level is about 780 which would mean right after injection it would be even higher. Even with these T levels though mine still shrinks as well. I also take Levothyroxine for thyroid. Penis shrunk up long before these meds and still does while I am on them.
In readining another post on these boards though I found something on this very topic. The poster is clearly very well versed on many issues discussed on these boards. That individual seems to believe that the cause for the penis hanging high and tight is due to High levels of Norepinephrine. In my own reading I have found that this problem is chronic in some. If nothing else it may be worth looking into.
 
This is caused by dysfunction of the pelvic floor muscles. Often times the root cause is a dysfunctional ANS - sympathetic dominance. Not always thought. It is a hallmark of Post Finasteride Syndrome...so any 5ar inhibitor can cause it - Saw Palmetto, Accutane, Propecia, Avadart, etc.

It goes by many names. ..
Hard Flaccid (HardFlaccid.org)
CPPS
Abacterial Prostatitis
Pelvic Floor Tension/Dynsfunction

Pudendal Neuropathy is another common issue, sometimes that goes hand in hand with this. My personal belief is that the penile insensitivity and lack of brain to penis connection if caused by inflammation trapping off the pudendal nerve.

It appears that extremem stress reduction and physical therapy / myofacial treatment (often internal stimulation) is the only known treatment. GHB or high doses or GABApentin could very well help as well.
 
Hello Everyone, consider my posts the product of a layperson but I will share them all the same as they may provide a research direction. I would imagine more than one factor could cause the penis to hang small and tight. I notice that when I first wake in the morning having had no stress while sleeping my is fat and as flacid as can be hanging soft at about 4 to 5 inches with substantial girth. Once i have been out of bed though for about 20 minutes or so it shrinks and gets tighter down to very likely 3 inches in length and half the awakening girth. Though it could I doubt that T plays a roll as I am on injectible T replacement. I do one injection of 2mg vial weekly. Even at 5 days post injection my T level is about 780 which would mean right after injection it would be even higher. Even with these T levels though mine still shrinks as well. I also take Levothyroxine for thyroid. Penis shrunk up long before these meds and still does while I am on them.
In readining another post on these boards though I found something on this very topic. The poster is clearly very well versed on many issues discussed on these boards. That individual seems to believe that the cause for the penis hanging high and tight is due to High levels of Norepinephrine. In my own reading I have found that this problem is chronic in some. If nothing else it may be worth looking into.

When my T levels were low I was constantly "turtling". I'd have to grab it and pull it out to pee. Since improving my lifestyle with diet, losing weight and getting my test up I'm always hanging low and at 1/4 staff. It certainly makes my penis appear bigger now. As for erect, it does seem bigger but I thinks thats a combination of less adipose at the base and harder erections.

I don't even turtle now after sex or masturbation and could be up and ready to go within a few mins if the circumstances were right. In the past orgasm would cause super-turtling and my refractory period was days long.
 
Penile dryness
Loss of sensation
Veins that look varicose
Poor skin elatisity
Somewhat loose prepubitum
Weak penis
Penis gets cold like hands and feet.
Feels like I don't have a dick anymore.

idmd could you relate to this prior before fixing your situation ?
 
Penile dryness
Loss of sensation
Veins that look varicose
Poor skin elatisity
Somewhat loose prepubitum
Weak penis
Penis gets cold like hands and feet.
Feels like I don't have a dick anymore.

idmd could you relate to this prior before fixing your situation ?

I've never experienced any of those....sorry.
 
I found an interesting post by megazoid in another forum, below is the copy/paste:
-----------------------------------------------------------------------------------------------
by megazoid, Jan 19, 2007 12:00AM

Flaccid penis size is controlled by the free testosterone levels available in the blood. DHT (A hormone that gives us "all things male") has a large degree of control over the penilie tissues (the "elasticness" of them for example). The Testosterone to estrogen ratio controls how "hard" your erections get and if this got knocked out (due to lack of testosterone for example) then getting erections will be tough and your flaccid penis will hang alot smaller and lifeless at times.

Morning wood is an indication of the correct ratio of Testosterone to Estrogen (E2). Lack of morning wood in almost all cases means either excess estrogen or low testosterone.

This notes some very interesting points that I will need to look into. I have heard it said that medically a penis cannot decrease in size from what it was. I am not sure but to a point this may or may not be true. I too am having the same problem but rather than to say that my penis has shrunk I would instead say that it is not getting as large as it use to when erect. In my case the erections are only about 70% as firm as they use to be . This of course mean less blood creating the erection. Less blood fill is going to equal less size. I can say that this can be a significant decrease in size as in a couple inches less. I have found that most docs will do little to nothing in helping with such problems. My VA doc , a female actually told me that either way I am still clearly above average in size. To that I said even so like most guys I still want what I was born with and had grown use to throughout my life. She , the doc just smiles and says Im more than average. This all said I guess we guys simply have to work out these types of issues on our own. Though I have asked, the VA to date has not been willing to check my estrogen levels with my bloodwork. Not sure why given they supply me with Test but all the same they will not check my E levels. Perhaps I can find a way to get them checked without a doctors lab slip and simply pay cash at time of blood draw.
 
Mine seems to get longer and thicker
when pretty naked girls are near me.

What can this mean?

Cialis always has it looking very nice in the flaccid state

AND when it gets cold, it can sometimes
shrink down to 7", which makes me a little self conscious.

The new battery operated heated boxers
seem, to be working very nicely though
 
LOL MW , I have the same problem. In reality though mine only hangs at about 5 inches flaccid , ole boy ain't what he use to be which was always an easy 10" when erect. No more though Im lucky getting close to 8" because the blood seems in short supply. I do agree though that when I take levitra it definitely goes back to a larger more normal flacid state. Damn Levitra though only worked perfect for full erections one time, the very first time I tried it. After the first time it was as if my brain countered that perfect Levitra effect. I wont complain though as at least the Levitra still works about 70% for me, Viagra and Cialis do nothing for me. As of this writing I have some Staxyn on the way in the mail just for a try out. Hmmmmm with out flaccid issues maybe all we need for the flaccid is some Vaso-Dilators MW.
 
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