Sari, mother of the Son (6), later wondering about the normalcy of his vital organs. He felt his son penis growth does not match his age.
"I see, really, in contrast to its development with his brother. Too small," said the woman resident of Tangerang, Banten, was some time ago. He then took his son to the pediatrician at a hospital. Doctors recommend measuring first. But, child continues to resist and cry every time the genitals to be measured so that they return no results.
At the age of six years, the Sari continues to feel his son's penis does not grow. "With her age, height 128 cm and weighs 30 pounds, my son just seruas penis thumb. The scrotum is also not getting bigger, "he said.
When he returned to the hospital, doctors recommend that Sari saw further developments. The doctor, according to Sari, fear of side effects if the therapy is done too quickly.
"The doctor said, 'Later children increased libido and physical changes occur too fast,'" he said. Go home Sari with curiosity that continues to depend.
Sari not only the restless. Andrology and sexology expert doctors, Wimpie Pangkahila, lately more and more frequent arrival of small patients. In one month, five to six boys aged 6-10 years with a case of penis is too small to come to him. In the language of medicine, a condition called micropenis. There are just over 1 inch penis.
"It seems the more common case of micropenis. However, to prove the phenomenon, there must be research, "said Vice Chairman of the Indonesian Society of Antiaging Medicine (Perkapi) it.
Wimpie suspect, cases of micropenis has something to do with the food consumed. The development of the penis associated with the hormone testosterone which is responsible for male characteristics. He suggests that consumption of livestock products which contain no estrogen. Estrogen plays a role in the production of female sex hormones and the development of female secondary sex characteristics.
Livestock could get through the feed or injection of estrogen. Usually with the goal of keeping cattle fat fast. However, Wimpie again stressed the need for research on the connection with the case of livestock products.
Substances nuisance
Endocrine specialist children from the Faculty of Medicine, University of Indonesia, Aman B Pulungan, argued, micropenis more due to hormonal factors since children are still in the womb.
In various studies of the case there are known chemical substances that interfere with or alter endocrine function, called endocrine disrupter chemicals (EDCs).
Substances that can inhibit labor bullies androgens, particularly disturb the substance responsible for the formation of sexual organs and the development of secondary male characteristics. EDC, among others, are a number of substances contained in pesticides, for example diklorodifeniltrikloroetan (DDT). World Health Organization (WHO) has banned a number of formulations of pesticides because it is dangerous to overall health. DDT includes active ingredients that are prohibited.
Confounding substances such as components, can interact with the estrogen or androgen receptor as well as antagonists (as opposed to endogenous hormone). Scientific evidence shows that there is also a bully substance modulates the activity or expression of enzymes steroidegenik. EDC also has led to the disorder and the development of sexual organs. The disturbance occurred in the womb.
Safe pointed out, a study in China had noted the cases of micropenis in babies who are born in a certain area at a particular time. It turned out after examination, the phenomenon associated with chemical content (in the case of pesticides) that enter the body.
The size that fits
Parents may worry if their children micropenis penis looks small, looks hood alone, or fused with the penis such as bags of penis so hard to see. These conditions present at birth. "For accurate diagnosis, the size of the penis must be ensured by the correct measurement technique," said Aman, who is also Chairman of the Coordination Unit of Endocrinology Indonesian Pediatric Association.
He gave an example, the length of the penis newborns in relaxed conditions are generally 3.1 to 4.7 cm, 1-year olds from 3.9 to 5.6 cm, and children aged 6 years from 5.2 to 7 cm. Shortage of 2.5 cm from the normal size range still do not have to worry about. The penis is less than the normal size is called a small penis and do not need hormone therapy. However, if the shortcomings of 2.5 cm more than the normal size range, the child may be called micropenis, so should be.
Micropenis and fertility is a different matter. More fertility problems associated with the testes (testicles). Not necessarily the owners of micropenis are infertile.
It's just a boy with micropenis penis does not go down very risky impaired fertility. There are times when cases of micropenis is followed by a small penis, penis does not go down, or piss hole is not in place (hypospadia).
Can be handled
Parents need not panic or worry. Safe to say, cases of micropenis can be addressed. Conversely, if left untreated, the child remains at risk of micropenis. Abnormalities should be detected and addressed early on so that immediate treatment. In fact, therapy can begin in infancy.
"Instead, therapy is not passed the age of puberty or growth period (14 years)," said President Elect of the Asia Pacific Paediatric Endocrine Society is. Handling will be very difficult and side effects must be assessed carefully.
In therapy, endocrine specialist child giving testosterone in doses tailored to the needs of children. Therapy is given 4 times every 3-4 weeks with a total of only 4 shots. Mild side effects that may arise, among others, is often an erection. There are also side effects such as spurring the closure of bony plates (inhibits growth) and accelerated puberty if excessive doses, although such cases are rare. With therapy, the small penis would be able to grow well.
