OK Members - looking for your opinions here.

We have had the parent of a 14yo contact us wanting to bring the son in for a consult. My staff have tried to gently decline. There are rules for cosmetic procedures in Australia about minors having cosmetic procedures - seeing their family doctor, waiting 3 months, parental approval. So we advised seeing the family physician first and see if they will give a referral. Consider seeing a sexual psychologist as well prior. Asked the front desk to pass on that it is a Girth and not length procedure.

My thought is that if the parent is reaching out to us and will come to the appointment, even if they do not sit in, it may be worthwhile to the kid to at least be given the opportunity to speak with a health professional (me) about this. It does not mean I am willing to do it on a minor even with the best of reasons. It certainly in a risk to my practice if it ends up on a current affairs TV show.

What does everyone think?

Well since you wont be performing any procedures, I can't see this being in conflict with Australian law. This could be a good opportunity to impart good advice, explain to him that he is still growing, and that there is much more to life, health, and happiness than sheer size.

I wouldn't be surprised that the proliferation and ease-of-access to adult content on the internet is exacerbating male penis-dysmorphia (I feel like I'm the only one hammering on about it), and you can also point out the importance of consuming any content in moderation (without necessarily accusing him of being a "pervert" lol).

I'd argue that legitimate Phalloplasty practitioners would yield better consultation and advice to a 14yo than any family doctor, that's just my 2cents. If I were in your shoes, I'd probably have a sincere talk with him, or at the very least, give his parent(s) a stern message about not affirming their son's dysmorphia by taking him to a doctor for size enhancement.

Now if he has micro-penis or a heavily buried penis, this would justify medical consideration if possible, in my opinion.

I wonder if this kind of case is a rare occurrence or will continue to grow as social media, pornography, over-sexualized pop culture, and increasingly unrealistic beauty expectations become the norm. I'm all for self-improvement, and that includes elective medicine, but 14 is too young to be taken into a cosmetic procedure.

I think that the father is a very smart man and I wish my father had been this smart. This child deserves a life and a future.

If he has a mkcropenis or a very small one, he needs to be prescribed a big dose of human growth hormone, administered to him on a regular basis, as long as he is young and his organism can still respond to it.

This is his chance. If that doesn't work, then he needs Phalloplasty. You really should make the time and help this kid, as a human being first of all.

antoineclamaran wrote: I think that the father is a very smart man and I wish my father had been this smart. This child deserves a life and a future.

If he has a mkcropenis or a very small one, he needs to be prescribed a big dose of human growth hormone, administered to him on a regular basis, as long as he is young and his organism can still respond to it.

This is his chance. If that doesn't work, then he needs Phalloplasty. You really should make the time and help this kid, as a human being first of all.

At 14 you're still developing and growing. There is no way to adequately assess whether or not he's truly "under-average" short of being diagnosed with micro-penis, until he's fully grown. Even if there is a way to assess his eventual growth gains (much like how doctors can predict adult height), still not sure the individual is mature enough mentally to understand the ramifications of his decision.

I suppose if the family doctor, a sex psychologist, and parents are all okay with it, and it satisfies the law within that jurisdiction, it can be done; however, I can't imagine the benefits outweighing the negatives if things go wrong on the procedure table. It'd be a PR nightmare if things go awry.

Skeptical_One wrote:

antoineclamaran wrote: I think that the father is a very smart man and I wish my father had been this smart. This child deserves a life and a future.

If he has a mkcropenis or a very small one, he needs to be prescribed a big dose of human growth hormone, administered to him on a regular basis, as long as he is young and his organism can still respond to it.

This is his chance. If that doesn't work, then he needs Phalloplasty. You really should make the time and help this kid, as a human being first of all.

At 14 you're still developing and growing. There is no way to adequately assess whether or not he's truly "under-average" short of being diagnosed with micro-penis, until he's fully grown. Even if there is a way to assess his eventual growth gains (much like how doctors can predict adult height), still not sure the individual is mature enough mentally to understand the ramifications of his decision.

I suppose if the family doctor, a sex psychologist, and parents are all okay with it, and it satisfies the law within that jurisdiction, it can be done; however, I can't imagine the benefits outweighing the negatives if things go wrong on the procedure table. It'd be a PR nightmare if things go awry.

You are right that he is still growing.
But an under-average penis could be significative if paired with low testosterone blood levels.

If I was Dr.Oates I would accept to consult, since he is a patient asking for doctor’s opinion. Prior to consult I’d make it clear there is no way to do that procedure untill adult age.
Anyway I think a consult with:
- pediatrician or general medicine doctor
- endocrinologist
Should be prioritized before seeing dr.Oates.
Eventually a psychologist or a neuro-psychiatrist.

I am not a doctor but isn't first course of action to check the hormone levels of the boy? Perhaps he has hypogonadism which can explain the possible micro penis. In that case an early TRT program may be the best solution to save the boy from never truly developing fully. If he does not have an hormonal issue then convincing them that he should wait until he's at least 20. At 14 it just started growing on some boys for christ sake.

WorldWideWebbed wrote: I At 14 it just started growing on some boys for christ sake.

Actually, at 14 boys should be pretty grown and it is hard to tell if another round of develooment will happen. Most have one between 15 and 18 too. Very few grow a little until 20-22.

Some stay like at 14-15, they are already looking like men.

The way to save this poor soul drom a life of misery is to intervene now and pump his ass full of hormones. Nothing will be regretted. At 14 it may already be too late.

Actually it is the mom asking to bring him in. Not seen him yet. Yes he may be 6' and 90kg and Flaccid hang 6" or he could have a true micro penis, I dont know yet. Yes endocrinology RV may be indicated, but endocrinologist are generally not the kind of specialist to give hormones for 'lifestyle' reasons. Hopefully have something to report at some time.