Page semi-protected

Human penis size

From WikiProjectMed
Jump to navigation Jump to search

Diagram showing how to measure the length and circumference of an erect human penis

Human penises vary in size on a number of measures, including length and circumference when flaccid and erect. Besides the natural variability of human penises in general, there are factors that lead to minor variations in a particular male, such as the level of arousal, time of day, ambient temperature, anxiety level, physical activity, and frequency of sexual activity. Compared to other primates, including large examples such as the gorilla, the human penis is thickest, both in absolute terms and relative to the rest of the body. Most human penis growth occurs in two stages: the first between infancy and the age of five; and then between about one year after the onset of puberty and, at the latest, approximately 17 years of age.[1]

Measurements vary, with studies that rely on self-measurement reporting a significantly higher average than those with a health professional measuring. As of 2015, a systematic review of 15,521 men, who were measured by health professionals rather than themselves, concluded that the average length of an erect human penis is 13.12 cm (5.17 inches) long, while the average circumference of an erect human penis is 11.66 cm (4.59 inches).[2] A 1996 study of flaccid length found a mean of 3.5 inches (8.9 cm) when measured by staff.[3] Flaccid penis length can sometimes be a poor predictor of erect length. An adult penis that is abnormally small but otherwise normally formed is referred to in medicine as a micropenis, with the cutoff usually being defined as around 3 inches (7.6 cm).

A human penis, flaccid and erect. Flaccid length is a poor predictor for erect length.

Limited to no statistically significant correlation between penis size and the size of other body parts has been found in research. Some environmental factors in addition to genetics, such as the presence of endocrine disruptors, can affect penis growth.

Studies

Distribution of penis sizes by length. 45% of erect penises are between 12 and 14 cm long.[2]
Distribution of penis sizes by circumference. 81% of erect penises (green) are between 10 and 13 cm in circumference.[2]
Percentile of penile length[2]
Percentile of penile circumference[2]

While results vary slightly across reputable studies, the consensus is that the mean human penis, when erect, is in the range 12.9–15 cm (5.1–5.9 in) in length.[3][4][5]

Mean erect length with measurements
Adult male erection in the mean range, measuring 14 centimetres (5.5 in)

A 2015 systematic review published by Veale et al. of medical research on the topic over the previous 30 years published in BJU International showed similar results, giving mean flaccid, stretched non-erect, and erect lengths of 9.16 cm, 13.24 cm, and 13.12 cm respectively, and mean flaccid and erect circumferences of 9.31 cm and 11.66 cm respectively. Erect lengths in the included studies were measured by pushing the pre-pubic fat pad to the bone, and flaccid or erect girth (circumference) was measured at the base or mid-shaft of the penis.[2]

Length

Flaccid

One study (published in 1996) found the mean flaccid penis length to be 3.5 inches (8.9 cm) (measured by staff).[3] A review of several studies found average flaccid length to be 9–10 cm (3.5–3.9 in).[6] Length of the flaccid penis does not necessarily correspond to length of the erect penis; some smaller flaccid penises grow much longer, while some larger flaccid penises grow comparatively less.[7]

The penis and scrotum can contract involuntarily in reaction to cold temperatures, anxious or nervous level and participation in sports.[8] This decrease of flaccid penis size is referred to by the slang term "shrinkage", due to action by the cremaster muscle. The same phenomenon affects cyclists and exercise bike users, with prolonged pressure on the perineum from the bicycle saddle and the straining of the exercise causing the penis and scrotum to contract involuntarily. An incorrect saddle may ultimately cause erectile dysfunction (see crotch pressure for more information). Individuals with hard flaccid syndrome or other pelvic floor disorders may temporarily have an abnormally small penis.

Stretched

Neither age nor size of the flaccid penis accurately predicted erectile length. Stretched length has correlated with erect length in some cases.[3] However, studies have also shown drastic differences between stretched and erect length.[9] One study found that a minimal tension force of approximately 450 g during stretching of the penis was required to reach a full potential erection length. This study also found that tension forces exerted in this study by the urologist were shown to be significantly (P<0.01) lower than 450g.[10] This may account for differences between stretched and erect length.

  • The 2015 study of 15,521 men found that the average length of a stretched flaccid penis was 13.24 cm (5.21 inches) long, which is near identical to the average length of an erect human penis which is 13.12 cm (5.17 inches) long.[11]
  • An 2001 study of about 3,300 men published in European Urology concluded that flaccid stretched length was measured on average to about 12.5 cm (4.9 in). In addition, they checked for correlations in a random subset of the sample consisting of 325 men. They found a few statistically significant Spearman's correlations: between flaccid length and height of 0.208, −0.140 with weight, and −0.238 with BMI, flaccid circumference and height 0.156, stretched length and height 0.221, weight −0.136, BMI −0.169. They also reported a few non-significant correlations.[12]

Erect

Scientific studies have been performed on the erect length of the adult penis. Studies that have relied on self-measurement, including those from Internet surveys, consistently reported a higher average length than those that used medical or scientific methods to obtain measurements.[5][13]

The following staff-measured studies are composed of different subgroups of the human population (in other words, specific age range or race; selection of those with sexual medical concerns or self-selection) that could cause a sample bias.[13][14]

  • In a study of 80 healthy males published in the September 1996 Journal of Urology an average erect penis length of 12.9 cm (5.1 in) was measured.[3] The purpose of the study was to "provide guidelines of penile length and circumference to assist in counseling patients considering penile augmentation." Erection was pharmacologically induced in 80 physically normal American men (varying ethnicity, average age 54). It was concluded: "Neither patient age nor size of the flaccid penis accurately predicted erectile length."
  • A study published in the December 2000 International Journal of Impotence Research found that average erect penis length in 50 Jewish Caucasian males was 13.6 cm (5.4 in) (measured by staff).[4] The study intended "to identify clinical and engineering parameters of the flaccid penis for prediction of penile size during erection."[4] Erection was pharmacologically induced in 50 Jewish Caucasian patients who had been evaluated for erectile dysfunction (ED) (average age 47±14y). Patients with penis abnormalities or whose ED could be attributed to more than one psychological origin were omitted from the study.
  • A review published in the 2007 issue of BJU International showed the average erect penis length to be 14–16 cm (5.5–6.3 in) and girth to be 12–13 cm (4.7–5.1 in). The paper compared results of twelve studies conducted on different populations in several countries. Various methods of measurements were included in the review.[6]
  • A 2015 study by BJU International concluded the average erect penis length to be 13.12 cm (5.16 inches).[2]
  • A 2013 study of 253 men from Tanzania found that the average erect penis length of Tanzanian males was 13.12 cm (5.17 inches)[15]
  • An Indian study (published in 2007) of 301 men ages 18 to 60 published in the International Journal of Impotence Research found flaccid, stretched and erect length to be 8.21 cm (3.23 in), 10.88 cm (4.28 in) and 13.01 cm (5.12 in), respectively.[9]
  • A Korean study (published in 1971) of 702 men ages 21 to 31 identified the average erect penis length to be 12.70 cm (5.00 in).[16] Another study (from 1998) of 150 Koreans found the average erect penis length to be 13.42 cm (5.28 in).[17] The most recent study (published in 2016) of 248 Korean men identified the average erect penis length to be 13.53 cm (5.33 in).[18]
  • A 2020 review in the Journal of Sex & Marital Therapy found that the majority of men believed that the average erect penis length is more than 15.24 cm (6 inches). This inaccurate belief has likely been fed by inaccurate and exaggerated data presented in studies where the size of a participant's erect penis is self-reported. Participants may report overestimates of the size of their penis in the belief that a larger penis is more socially desirable.[19] The same review analyzed the results from ten prior studies where measurements of erect penis size were made by researchers. They reported an erect penis to be between 12.95 and 13.92 cm (5.1 and 5.5 inches, respectively) in length, a result significantly below the average obtained in self-reported studies. The authors commented that results of such measurement studies may still be inflated due to volunteer bias – the possibility that men with larger penises may be more likely to choose to participate in such studies.[19]

Erect circumference

Similar results exist regarding studies of the circumference of the adult fully erect penis, with the measurement usually taken mid-shaft.[6] As with length, studies that relied on self-measurement consistently reported a significantly higher average than those with staff measuring. In a study of penis size where measurements were taken in a laboratory setting, the average penis circumference when erect was 11.66 cm (4.59 inches).[2]

Size at birth

The average stretched penile length at birth is about 4 cm (1.6 in), and 90% of newborn boys will be between 2.4 and 5.5 cm (0.94 and 2.17 in). Limited growth of the penis occurs between birth and 5 years of age, but very little occurs between 5 years and the onset of puberty. The average size at the beginning of puberty is 6 cm (2.4 in) with adult size reached about 5 years later. W.A. Schonfeld published a penis growth curve in 1943.[20]

Size with ageing

Authors of a paper reviewing research on area of penis sizes conclude that "flaccid penile length is just under 4 cm (1.6 in) at birth and changes very little until puberty, when there is marked growth."[1][6]

Age is not believed to negatively correlate with penis size. "Individual research studies have... suggested that penis size is smaller in studies focusing on older men, but Wylie and Eardley found no overall differences when they collated the results of various studies [over a 60 year period]."[6]

Size and height

A 2015 review of the literature found two studies finding height and stretched or flaccid length to be moderately correlated, seven studies finding weak correlation for flaccid, stretched, or erect length, and two studies that found no correlation between flaccid length and height.[2]

Size and hands

One study investigated the relationship with digit ratio and found that men with longer ring fingers than index fingers had slightly longer penises.[21][22] However, the common misconception that hand size predicts penis size has been widely discredited.[23][24]

Size and other body parts

One study, Siminoski and Bain (1988), found a weak correlation between the size of the stretched penis and foot size and height; however, it was too weak to be used as a practical estimator.[25] Another investigation, Shah and Christopher (2002), which cited Siminoski and Bain (1988), failed to find any evidence for a link between shoe size and stretched penis size, stating "the supposed association of penile length and shoe size has no scientific basis".[26][27]

A study by Ikegaya et al. (2021) concluded that nose size was highly related to stretched penile length in Japanese male cadavers.[28]

There may be a link between the malformation of the genitalia and the human limbs. The development of the penis in an embryo is controlled by some of the same Hox genes (in particular HOXA13 and HOXD13)[29] as those that control the development of the limbs. Mutations of some Hox genes that control the growth of limbs cause malformed genitalia (hand-foot-genital syndrome).[30]

Size, race, and ethnicity

Alleged differences in races have led to the creation of sexual myths. A 2005 study reported that "there is no scientific background to support the alleged 'oversized' penis in black people".[31]

A study of 253 men from Tanzania found that the average stretched flaccid penis length of Tanzanian males is 11.5 cm (4.53 inches) long, smaller than the worldwide average, stretched flaccid penis length of 13.24 cm (5.21 inches), and average erect penis length of 13.12 cm (5.17 inches).[15]

A 2014 study, conducted from 2011 to 2013 on 5196 Chinese males, reported an average flaccid unstretched penis length of 6.55 cm (2.57 inches) long, an average flaccid stretched length of 12.9 cm (5.08 inches) long, and an average erect length of 12.9 cm (5.08 inches) long. They stated that they had "also found that penile dimensions are different in different ethnicities, but further investigations are needed to validate this". However, the 'different ethnicities' referred to in the study were ethnicities within the Chinese population.[32]

A 2016 study of 248 Korean men identified the average erect penis length to be 13.53 cm (5.33 in).[18]

A study of 115 men from Nigeria found that the average flaccid stretched penis length of Nigerian males is 13.37 cm (5.26 inches) long, which is near identical to the worldwide average, stretched flaccid penis length of 13.24 cm (5.21 inches) and average erect penis length of 13.12 cm (5.17 inches).[33]

A 2014 American study by Herbenick et al. of 1,661 sexually active men involving Asian American, Black American, White American, Pacific Islander/Hawaiian, and Native American men, found average racial differences in erect penile length and circumference to be generally less than one centimeter, with averages in length being: 14.14 cm (5.56 inches) for Asian Americans, 14.66 cm (5.77 inches) for Black Americans, 14.88 cm (5.85 inches) for Pacific Islanders/Hawaiians, 12.86 cm (5.06 inches) for Native Americans, and 14.18 cm (5.58 inches) for White Americans (And in circumference: Asians 12.10 cm, Blacks 12.29 cm, Pacific Islanders 11.88 cm, Native Americans 11.36 cm, and Whites 12.25 cm).[34]

A 2015 systematic review of 15,521 men found "no indications of differences in racial variability", and stated that it was not possible to draw any conclusions about size and race from the available literature and that further research needed to be conducted.[2]

According to Aaron Spitz, a urologist, many websites and studies promoting variation of penis size between races use unscientific methods of collecting information and often ignore contradictory evidence. He concludes that "when you really take a good look at the naked data, there's not a whole lot there [showing racial variation in penis size]."[35]

Size preferences among sexual partners

In a 1994 cover story by Psychology Today,[36][37] 1,500 readers (about two-thirds women) were surveyed about male body image. Many of the women were not particularly concerned with penis size, and over 71% thought men overemphasized the importance of penis size and shape. Generally, the women polled cared more about width than men thought, and less about length than men thought, although the strength of caring for either among women showed a similar pattern.

In a small study conducted by University of Texas–Pan American and published in 2001 in BMC Women's Health, 50 undergraduate women were surveyed by two popular male athletes on campus about their perceptions of sexual satisfaction and it was concluded that the width of a penis feels better than the length of a penis, when subjects are asked to choose between the two (size was left unspecified). It was also concluded that this may show that penis size overall affects sexual satisfaction, since women chose between the two options they were given.[38]

A study published in 2002, conducted at Groningen University Hospital, asked 375 sexually active women (who had recently given birth) the importance of penis size. The results showed that 21% of women felt length was important and 32% felt that girth was important.[39]

A study conducted at the Australian National University, published in early 2013, showed that penis size influences a man's sex appeal, and the taller the man, the bigger the effect.[40] The study showed life-sized 3D computer-generated images, altering the height and other physical attributes, with women typically registering preferences in under 3 seconds. A preference for taller men's larger penis size was indicated.

A US study published in 2015 of the stated preferences of a panel of 75 women using 3D-printed models as scale references showed a preferred penis length of 16 cm (6.3 inches) and a preferred circumference of 12.2 cm for long-term sexual partners, with slightly larger preferred sizes of a length of 16.3 cm (6.4 inches) and circumference of 12.7 cm for one-time sexual encounters.[41]

Two possible causes of pain for the female during penile-vaginal intercourse shown with diagrams of the female anatomy

According to the study, however, when asked to estimate the length of their partner's penis, most women would say a size significantly smaller than what their partner was recorded to be. This suggests that perception of size is not entirely accurate.[41] The visual impression of the size is not necessarily in correlation with the feeling in the vulva and vagina. A very long penis can cause dyspareunia, if the man doesn't understand how to use it carefully.

Condom use

One Australian study of 184 men looked at penis length and circumference in relationship to condom breakage or slippage. 3,658 condoms were used. The study found that when used correctly, condoms had a breakage rate of 1.34% and a slippage rate of 2.05%, for a total failure rate of 3.39%. Penile dimensions did not influence slippage, although penis circumference and broken condoms were strongly correlated, with larger sizes increasing the rate of breakage.[42]

Biochemistry

Androgens like testosterone are responsible for penis enlargement and elongation during puberty.[43] Penis size is positively correlated with increasing testosterone levels during puberty.[44] But after puberty, administration of testosterone does not affect penis size, and androgen deficiency in adult men only results in a small decrease in size.[44] Growth hormone (GH) and insulin-like growth factor 1 (IGF-1) are also involved in penis size, with deficiency (such as that observed in growth hormone deficiency or Laron syndrome) at critical developmental stages having the potential to result in micropenis.[45]

Variance

Various size erect penises. There are large individual differences in penis size and shape.

Genetics

There are certain genes, like homeobox (Hox A and D) genes, which may have a role in regulating penis size. In humans, the AR gene, located on the X chromosome at Xq11-12, may affect penis size. The SRY gene located on the Y chromosome may have a role to play. Variance in size can often be attributed to de novo mutations. Deficiency of pituitary growth hormone or gonadotropins or mild degrees of androgen insensitivity can cause small penis size in males and can be addressed with growth hormone or testosterone treatment in early childhood.

Conditions

An adult penis with an erect length of less than 7 cm or 2.76 inches but otherwise formed normally is referred to in a medical context as having the micropenis condition.[46] The condition affects 0.6% of men.[7] Some of the identifiable causes are deficiency of pituitary growth hormone or gonadotropins, mild degrees of androgen insensitivity, a variety of genetic syndromes and variations in certain homeobox genes. Some types of micropenis can be addressed with growth hormone or testosterone treatment in early childhood. Operations are also available to increase penis size in cases of micropenis in adults.[47]

Measuring erect micropenis

Environmental influence

It has been suggested that differences in penis size between individuals are caused not only by genetics, but also by environmental factors such as culture, diet and chemical or pollution exposure.[48][49][50][51] Endocrine disruption resulting from chemical exposure has been linked to genital deformation in both sexes (among many other problems). Chemicals from both synthetic (e.g., pesticides, anti-bacterial triclosan, plasticizers for plastics) and natural (e.g., chemicals found in tea tree oil and lavender oil)[52][53] sources have been linked to various degrees of endocrine disruption.

Both PCBs and the plasticizer DEHP have been associated with smaller penis size.[54] DEHP metabolites measured from the urine of pregnant women have been significantly associated with the decreased penis width, shorter anogenital distance and the incomplete descent of testicles of their newborn sons, replicating effects identified in animals.[55] According to a 2008 study published by the US National Library of Medicine, approximately 25% of US women have phthalate levels similar to those observed in animals.[55]

A 2007 study by the University of Ankara, Faculty of Medicine, found that penile size may decrease as a result of some hormonal therapy combined with external beam radiation therapy.[56] In addition, some estrogen-based fertility drugs like diethylstilbestrol (DES) have been linked to genital abnormalities or a smaller than normal penis (microphallus).[57]

Historical perceptions

Ancient

Perceptions of penis size are culture-specific.[58] Some prehistoric sculptures and petroglyphs depict male figures with exaggerated erect penises.[59] Ancient Egyptian cultural and artistic conventions generally prevented large penises from being shown in art, as they were considered obscene,[60] but the scruffy, balding male figures in the Turin Erotic Papyrus are shown with exaggeratedly large genitals.[60][61] The Egyptian god Geb is sometimes shown with a massive erect penis and the god Min is almost always shown with an erection.[59]

Ancient Greek kouros sculpture from Anavyssos dating to c. 530 BC, showing an idealized young man with a flaccid penis
Ancient Roman fresco from the House of the Vettii in Pompeii, dating to the first century AD, showing the god Priapus weighing his massive, permanently erect penis against a bag of gold[62][59]
David (1504) by Michelangelo

The males of ancient Greece believed that small penises were ideal.[58] Scholars believe that most ancient Greeks probably had roughly the same size penises as most other Europeans,[58] but Greek artistic portrayals of handsome youths show them with inordinately small, uncircumcised penises with disproportionately large foreskins,[58] indicating that these were seen as ideal.[58] Large penises in Greek art are reserved exclusively for comically grotesque figures,[58][59] such as satyrs, a class of hideous, horse-like woodland spirits, who are shown in Greek art with absurdly massive penises.[58] Actors portraying male characters in ancient Greek comedy wore enormous, fake, red penises, which dangled underneath their costumes;[63] these were intended as ridiculous and were meant to be laughed at.[63]

In Aristophanes's comedy The Clouds, "Mr. Good Reason" gives the character Pheidippides a description of the ideal youth: "A glistening chest and glowing skin / Broad shoulders, a small tongue /A mighty bottom and a tiny prong."[64] In Greek mythology, Priapus, the god of fertility, had an impossibly large penis that was always permanently erect.[65][59] Priapus was widely seen as hideous and unattractive.[65] A scholion on Apollonius of Rhodes's Argonautica states that, when Priapus's mother Aphrodite, the goddess of love and beauty, gave birth to him, she was so horrified by the size of his penis, his massive potbelly, and his huge tongue that she abandoned him to die in the wilderness.[65] A herdsman found him and raised him as his son,[65] later discovering that Priapus could use his massive penis to aid in the growth of plants.[65]

Nonetheless, there are indications that the Greeks had an open mind about large penises.[59] A statue of the god Hermes with an exaggerated penis stood outside the main gate of Athens[59] and in Alexandria in 275 BC, a procession in honor of Dionysus hauled a 180-foot phallus through the city and people venerated it by singing hymns and reciting poems.[59] The Romans, in contrast to the Greeks, seem to have admired large penises[59][62] and large numbers of large phalli have been recovered from the ruins of Pompeii.[59] Depictions of Priapus were very popular in Roman erotic art and literature.[59][62] Over eighty obscene poems dedicated to him have survived.[59]

Penis size is alluded to in the Bible:[59]

18 And she revealed her whorings, and she revealed her nakedness, and so I turned from her just as I turned from her sister. 19 Yet she increased her whorings, recalling the days of her childhood when she was prostituted in the land of Egypt. 20 And she lusted after her male lovers whose genitalia were the genitalia of male donkeys and their seminal emission was the seminal emission of horses. Ezekiel 23:18–20 Lexham English Bible

Ancient Chinese legend holds that a man named Lao Ai had the largest penis in history and that he had an affair with Queen Dowager Zhao (c. 280–228 BC), the mother of Qin Shi Huang, by pretending to be a eunuch.[59] Ancient Koreans admired large penises and King Jijeung (437–514 AD) of the Silla Dynasty is said to have had a forty-five-centimeter penis that was so large his subordinates had to search for a woman that fit him.[59] Traditional Japanese erotic paintings usually show genitals as exaggeratedly large.[59] The oldest known painting of this type, found in the Hōryū-ji Temple in Ikaruga, dates to the eighth century AD and depicts a fairly large penis.[59]

The ancient Indian sexual treatise Kama Sutra, originally written in Sanskrit, probably between the second and fourth centuries AD, divides men into three classes based on penis size: "hare" size (about 5–7 cm, or 2–3 inches, when erect), "bull" size (10–15 cm, or 4–6 inches), and "horse" size (18–20 cm, or 7–8 inches).[59] The treatise also divides women's vaginas into three sizes ("deer", "mare", and "elephant")[59] and advises that a man match the size of the vagina of the woman he is having sex with to the size of his own penis.[59] It also gives medically dubious advice on how to enlarge one's penis using wasp stings.[59]

Post-classical

Portrait of Lodovico Caponi (painted c. 1550–1555) by Angelo Bronzino shows a codpiece peeking from underneath the young man's jacket.[59] Larger codpieces were regarded as more fashionable.[59]

In medieval Arabic literature, a longer penis was preferred, as described in an Arabian Nights tale called "Ali with the Large Member". As a witty satire of this fantasy, the 9th-century Afro-Arab author Al-Jahiz wrote: "If the length of the penis were a sign of honor, then the mule would belong to the Quraysh" (the tribe to which Muhammad belonged and from which he descended).[66][59]

The medieval Norsemen considered the size of a man's penis as the measure of his manliness,[67] and a thirteenth-century Norse magic talisman from Bergen, a wooden stave inscribed with writing in runic script, promises its wearer: "You will fuck Rannveig the Red. It will be bigger than a man's prick and smaller than a horse's prick."[67] A late fourteenth century account of the life of Saint Óláfr from the Flateyjarbók describes a pagan ritual which centered around a preserved horse's penis used as a cult artifact[67] which members of the cult would pass around in a circle,[67] making up verses in praise of it,[67] encouraging it and the other members of the group to behave in sexually suggestive ways.[67]

During the Renaissance, some men in Europe began to wear codpieces, which accentuated their genitals.[59] There is no direct evidence that it was necessarily worn to enhance the apparent size of the wearer's penis,[59] but larger codpieces were seen as more fashionable.[59]

Contemporary perceptions

Sign in South Africa advertising penis enlargement

Male self-perception

Males may quite easily underestimate the size of their own penis relative to those of others. A survey by sexologists showed that many men who believed that their penis was of inadequate size had average-sized penises.[68] Another study found sex education of standard penile measurements to be helpful and relieving for patients concerned about small penis size, most of whom had incorrect beliefs of what is considered medically normal.[69] The study found that almost all of their patients that were concerned about their penis size overestimated the average penis size. The perception of having a large penis is often linked to higher self-esteem.[70] Fears of shrinking of the penis in folklore have led to a type of mass hysteria called penis panic, though the penis legitimately can shrink in size due to scar tissue formation in the penis from a medical condition called Peyronie's disease.[71][72] Marketers of penis enlargement products exploit fears of inadequacy, but there is no consensus in the scientific community of any non-surgical technique that permanently increases either the thickness or length of the erect penis that already falls into the normal range.

Shrinking and enlarging

Widespread private concerns related to penis size have led to a number of folklore sayings and popular culture reflections related to penis size. Penis panic is a form of mass hysteria involving the believed removal or shrinking of the penis, known as genital retraction syndrome. The penis can significantly shrink due to scar tissue formation from a condition called Peyronie's disease which affects up to 10% of men.[73] Products such as penis pumps, pills, and other dubious means of penis enlargement are some of the most marketed products in email spam. At present there is no consensus in the scientific community of any non-surgical technique that permanently increases either the thickness or length of the erect penis that already falls into the normal range (4.5" to 7").

Among male homosexuals

A study undertaken at Utrecht University found that the majority of gay men in the study regarded a large penis as ideal, and having one was linked to self-esteem.[74][75] One study analysing the self-reported Kinsey data set found that the average penis of a homosexual man was larger than the average penis of their heterosexual counterparts (6.32 inches [16.05 cm] in length amongst gay men versus 5.99 in [15.21 cm] in heterosexuals, and 4.95 inches [12.57 cm] circumference amongst gay men versus 4.80 in [12.19 cm] in heterosexual men).[76][77]

Evolution

The human penis is thicker than that of any other primate, both in absolute terms and relative to the rest of the body.[78] Early research, based on inaccurate measurements, concluded that the human penis was also longer. In fact, the penis of the common chimpanzee is no shorter than in humans, averaging 14.4 cm (5.7 inches), and some other primates have comparable penis sizes relative to their body weight.[79]

The evolutionary reasons for the increased thickness have not been established.[80] One explanation is that thicker penises are an adaptation to a corresponding increase in vaginal size. The vaginal canal is believed to have expanded in humans to accommodate the larger size of a newborn's skull. Women may then have sexually selected men with penises large enough to fit their vagina, to provide sexual stimulation and ensure ejaculation.[80]

Other evolutionary hypotheses to explain humans' relatively large penis length and girth include a sperm competition hypothesis and a mate competition hypothesis. The sperm competition hypothesis does not have much support as in other mammals where sperm competition is present, larger testes evolve, not larger penises. The mate competition hypothesis involves the prediction that a human with a larger penis would be able to displace the sperm of another. Studies have found that larger penises do not displace other sperm more effectively than smaller penises, but rather longer penises may ejaculate sperm inside the vagina in places that would be harder for a following penis to displace. The depth of pelvic thrusting was correlated to the displacement of competing sperm.[81]

See also

References

Citations

  1. ^ a b Stang, Jamie; Story, Mary (2005). "Ch. 1. Adolescent Growth and Development" (PDF). In Stang J, Story M (ed.). Guidelines for Adolescent Nutrition Services. University of Minnesota. p. 3. Retrieved 26 November 2012.
  2. ^ a b c d e f g h i j Veale, David; Miles, Sarah; Bramley, Sally; Muir, Gordon; Hodsoll, John (June 2015). "Am I normal? A systematic review and construction of nomograms for flaccid and erect penis length and circumference in up to 15 521 men: Nomograms for flaccid/erect penis length and circumference". BJU International. 115 (6): 978–986. doi:10.1111/bju.13010. PMID 25487360.
  3. ^ a b c d e Wessells, Hunter; Lue, Tom F; McAninch, Jack W (1996). "Penile Length in the Flaccid and Erect States: Guidelines for Penile Augmentation". The Journal of Urology. 156 (3): 995–7. doi:10.1016/S0022-5347(01)65682-9. PMID 8709382.
  4. ^ a b c Chen, J; Gefen, A; Greenstein, A; Matzkin, H; Elad, D (2001). "Predicting penile size during erection". International Journal of Impotence Research. 12 (6): 328–33. doi:10.1038/sj.ijir.3900627. PMID 11416836.
  5. ^ a b "ANSELL RESEARCH – The Penis Size Survey". Ansell. March 2001. Retrieved 13 July 2006.
  6. ^ a b c d e Wylie, Kevan R; Eardley, Ian (2007). "Penile size and the 'small penis syndrome'". BJU International. 99 (6): 1449–55. doi:10.1111/j.1464-410X.2007.06806.x. PMID 17355371.
  7. ^ a b "Penis Size FAQ & Bibliography". Kinsey Institute. 2009. Retrieved 7 November 2013.
  8. ^ Dr. Andrew Siege (12 November 2018). "Is this normal? 10 common penile 'flaws' you may have". New Jersey Urology, 12 Nov 2018. Retrieved 23 May 2021.
  9. ^ a b Promodu, K; Shanmughadas, K V; Bhat, S; Nair, K R (2007). "Penile length and circumference: An Indian study". International Journal of Impotence Research. 19 (6): 558–563. doi:10.1038/sj.ijir.3901569. PMID 17568760.
  10. ^ Chen, J; Gefen, A; Greenstein, A; Matzkin, H; Elad, D (December 2000). "Predicting penile size during erection". International Journal of Impotence Research. 12 (6): 328–333. doi:10.1038/sj.ijir.3900627. ISSN 0955-9930. PMID 11416836. S2CID 17447888.
  11. ^ "Is Your Penis Normal? There's a Chart for That - RealClearScience". realclearscience.com.
  12. ^ Ponchietti, Roberto; Mondaini, Nicola; Bonaf&Egrave, Massimiliano; Di Loro, Filippo; Biscioni, Stefano; Masieri, Lorenzo (2001). "Penile Length and Circumference: A Study on 3,300 Young Italian Males". European Urology. 39 (2): 183–6. doi:10.1159/000052434. PMID 11223678. S2CID 46856727.
  13. ^ a b Aitken, Paul. "What's Average?". altpenis.com. Archived from the original on 26 April 2012. Retrieved 9 November 2007.
  14. ^ Biased sample. Center for Program Evaluation and Performance Management, Bureau of Justice Assistance. Archived from the original on 8 September 2015. Retrieved 26 July 2018 – via BJA.gov. A sample that is not representative of the population to which generalizations are to be made. For example, a group of band students would not be representative of all students at the middle school, and thus would constitute a biased sample if the intent was to generalize to all middle school students. {{cite encyclopedia}}: |work= ignored (help)
  15. ^ a b Chrouser, Kristin; Bazant, Eva; Jin, Linda; Kileo, Baldwin; Plotkin, Marya; Adamu, Tigistu; Curran, Kelly; Koshuma, Sifuni (August 2013). "Penile Measurements in Tanzanian Males: Guiding Circumcision Device Design and Supply Forecasting". Journal of Urology. 190 (2): 544–550. CiteSeerX 10.1.1.963.3280. doi:10.1016/j.juro.2013.02.3200. PMID 23473900.
  16. ^ "A Study on the Penile Size of Korea men". Korean Journal of Urology. Chung, KM. 12 (4): 401–404. December 1971. Retrieved 9 April 2019 – via kmbase.medric.or.kr.
  17. ^ Yoon, Jong Seon; Lee, Gil Ho; Chang, Dae Soo (16 June 2016). "The Relationship between Height and Body Weight and Penile Size in University Students". Korean Journal of Urology. 39 (11): 1061–1064.
  18. ^ a b Park, Jong Kwan; Doo, A. Ram; Kim, Joo Heung; Park, Hyung Sub; Do, Jung Mo; Choi, Hwang; Park, Seung Chol; Kim, Myung Ki; Jeong, Young Beom; Kim, Hyung Jim; Kim, Young Gon; Shin, Yu Seob (13 September 2016). "Prospective investigation of penile length with newborn male circumcision and second to fourth digit ratio". Canadian Urological Association Journal. 10 (9–10): E296–E299. doi:10.5489/cuaj.3590. PMC 5028213. PMID 27695583.
  19. ^ a b King, Bruce M. (2 January 2021). "Average-Size Erect Penis: Fiction, Fact, and the Need for Counseling". Journal of Sex & Marital Therapy. 47 (1): 80–89. doi:10.1080/0092623X.2020.1787279. PMID 32666897.
  20. ^ Schonfeld, William A (1943). "Primary and Secondary Sexual Characteristics". American Journal of Diseases of Children. 65 (4): 535. doi:10.1001/archpedi.1943.02010160019003.
  21. ^ "The secrets of the male hand". cnn.com.
  22. ^ Choi, In Ho; Kim, Khae Hawn; Jung, Han; Yoon, Sang Jin; Kim, Soo Woong; Kim, Tae Beom (September 2011). "Second to fourth digit ratio: a predictor of adult penile length". Asian J Androl. 3 (5): 710–714. doi:10.1038/aja.2011.75. PMC 3739592. PMID 21725330.
  23. ^ Christensen, Jen (8 March 2016). "Trump: Do small hands equal small penis, or a myth?". CNN.
  24. ^ II, Thomas H. Maugh (4 July 2011). "Judging penis size by comparing index, ring fingers". Los Angeles Times.
  25. ^ Siminoski, Kerry; Bain, Jerald (1988). "The relationships among height, penile length, and foot size". Annals of Sex Research. 6 (3): 231–235. doi:10.1007/BF00849563. S2CID 198915780.
  26. ^ Shah, J; Christopher, N (2002). "Can shoe size predict penile length?". BJU International. 90 (6): 586–587. doi:10.1046/j.1464-410X.2002.02974.x. PMID 12230622. S2CID 20887458.
  27. ^ Cecil, Adams (26 August 2003). "The size of things to come". The Straight Dope. Archived from the original on 16 December 2008. Retrieved 5 August 2006.
  28. ^ Ikegaya, Hiroshi; Suzuki, Motofumi; Kondou, Hiroki; Kawai, Taketo; Sato, Yusuke; Kitamura, Tadaichi; Kume, Haruki (4 February 2021). "Nose size indicates maximum penile length". Basic and Clinical Andrology. 31 (1): 3. doi:10.1186/s12610-021-00121-z. PMC 7860195. PMID 33535970. Retrieved 28 June 2022.
  29. ^ Goodman, Frances R (2002). "Limb malformations and the humanHOX genes". American Journal of Medical Genetics. 112 (3): 256–65. doi:10.1002/ajmg.10776. PMID 12357469.
  30. ^ Mortlock, Douglas P; Innis, Jeffrey W (1997). "Mutation of HOXA13 in hand-foot-genital syndrome". Nature Genetics. 15 (2): 179–80. doi:10.1038/ng0297-179. PMID 9020844. S2CID 24522600.
  31. ^ Mondaini, Nicola; Gontero, Paolo (2005). "Idiopathic short penis: Myth or reality?". BJU International. 95 (1): 8–9. doi:10.1111/j.1464-410X.2005.05238.x. PMID 15638885.
  32. ^ Chen, X B; Dai, R X; Li, H N; Yang, J C (April 2014). "A comprehensive, prospective study of penile dimensions in Chinese men of multiple ethnicities". International Journal of Impotence Research. 26 (2): 172–176. doi:10.1038/ijir.2014.9. PMID 24784891. S2CID 6468136.
  33. ^ Orakwe, J C; Ogbuagu, B O; Ebuh, G U (29 August 2007). "Can physique and gluteal size predict penile length in adult Nigerian men?". West African Journal of Medicine. 25 (3): 223–225. doi:10.4314/wajm.v25i3.28282. PMID 17191423.
  34. ^ Herbenick, Debby; Reece, Michael; Schick, Vanessa; Sanders, Stephanie A. (January 2014). "Erect Penile Length and Circumference Dimensions of 1,661 Sexually Active Men in the United States". The Journal of Sexual Medicine. 11 (1): 93–101. doi:10.1111/jsm.12244. PMID 23841855. S2CID 9498368.
  35. ^ Spitz, Aaron (2018). The Penis Book: A Doctor's Complete Guide to the Penis—From Size to Function and Everything in Between. Rodale Books. p. 43.
  36. ^ Michael Pertschuk; Alice Trisdorfer. "Men's bodies—the survey". Psychology Today. Retrieved 17 July 2007.
  37. ^ Jill Neimark. "The beefcaking of America". Psychology Today Nov–Dec 1994. Retrieved 24 June 2022.
  38. ^ Eisenman, Russell (2001). "Penis size: Survey of female perceptions of sexual satisfaction". BMC Women's Health. 1 (1): 1. doi:10.1186/1472-6874-1-1. PMC 33342. PMID 11415468.
  39. ^ Francken, A.B; Van De Wiel, H.B.M; Van Driel, M.F; Weijmar Schultz, W.C.M (2002). "What Importance Do Women Attribute to the Size of the Penis?" (PDF). European Urology. 42 (5): 426–31. doi:10.1016/S0302-2838(02)00396-2. hdl:11370/c999b218-0b41-4410-a30a-d8b20f5d4e54. PMID 12429149. S2CID 206054651.
  40. ^ Mautz, B. S; Wong, B. B. M; Peters, R. A; Jennions, M. D (2013). "Penis size interacts with body shape and height to influence male attractiveness". Proceedings of the National Academy of Sciences. 110 (17): 6925–30. Bibcode:2013PNAS..110.6925M. doi:10.1073/pnas.1219361110. PMC 3637716. PMID 23569234.
  41. ^ a b Prause, Nicole; Park, Jaymie; Leung, Shannon; Miller, Geoffrey (2015). "Women's Preferences for Penis Size: A New Research Method Using Selection among 3D Models". PLOS ONE. 10 (9): e0133079. Bibcode:2015PLoSO..1033079P. doi:10.1371/journal.pone.0133079. PMC 4558040. PMID 26332467.
  42. ^ Smith, Anthony M A; Jolley, Damien; Hocking, Jane; Benton, Kim; Gerofi, John (2016). "Does penis size influence condom slippage and breakage?". International Journal of STD & AIDS. 9 (8): 444–7. doi:10.1258/0956462981922593. PMID 9702591. S2CID 29431895.
  43. ^ Laura Rosenthal; Jacqueline Burchum (17 February 2017). Lehne's Pharmacotherapeutics for Advanced Practice Providers - E-Book. Elsevier Health Sciences. pp. 551–. ISBN 978-0-323-44779-9.
  44. ^ a b Eberhard Nieschlag; Hermann Behre (29 June 2013). Andrology: Male Reproductive Health and Dysfunction. Springer Science & Business Media. pp. 54–. ISBN 978-3-662-04491-9.
  45. ^ Hartmut Porst; Jacques Buvat (15 April 2008). Standard Practice in Sexual Medicine. John Wiley & Sons. pp. 263–. ISBN 978-1-4051-7872-3.
  46. ^ "Surgeons Pinch More Than An Inch From The Arm To Rebuild A Micropenis". 7 December 2004. Retrieved 25 July 2007. "Whereas the average size of the human penis is around 12.5 cm or 5 inches, a micropenis spans less than 7 cm or just over two inches."
  47. ^ "Length-boosting surgery for 'micro-penises'". New Scientist. 6 December 2004. Retrieved 6 August 2006.
  48. ^ Swan, Shanna H; Main, Katharina M; Liu, Fan; Stewart, Sara L; Kruse, Robin L; Calafat, Antonia M; Mao, Catherine S; Redmon, J. Bruce; Ternand, Christine L; Sullivan, Shannon; Teague, J. Lynn (2005). "Decrease in Anogenital Distance among Male Infants with Prenatal Phthalate Exposure". Environmental Health Perspectives. 113 (8): 1056–1061. doi:10.1289/ehp.8100. PMC 1280349. PMID 16079079.
  49. ^ "PCBs Diminish Penis Size". copa.org. Archived from the original on 3 March 2012. Retrieved 9 April 2007.
  50. ^ Miner, John (29 April 2006). "Pesticides may affect penis size". London Free Press.
  51. ^ "Hormone Hell". DISCOVER. Retrieved 5 April 2008.
  52. ^ "Lavender and Tea Tree Oils May Cause Breast Growth in Boys". NIH. Retrieved 7 April 2008.
  53. ^ Henley, Derek V; Lipson, Natasha; Korach, Kenneth S; Bloch, Clifford A (2007). "Prepubertal Gynecomastia Linked to Lavender and Tea Tree Oils". New England Journal of Medicine. 356 (5): 479–85. doi:10.1056/NEJMoa064725. PMID 17267908.
  54. ^ "Chemicals and Male Reproductive Health". Ces.iisc.ernet.in. Retrieved 14 August 2010.
  55. ^ a b Swan, Shanna H (2008). "Environmental phthalate exposure in relation to reproductive outcomes and other health endpoints in humans". Environmental Research. 108 (2): 177–184. Bibcode:2008ER....108..177S. doi:10.1016/j.envres.2008.08.007. PMC 2775531. PMID 18949837.
  56. ^ Haliloglu, Ahmet; Baltaci, Sumer; Yaman, Onder (2007). "Penile Length Changes in Men Treated with Androgen Suppression Plus Radiation Therapy for Local or Locally Advanced Prostate Cancer". The Journal of Urology. 177 (1): 128–30. doi:10.1016/j.juro.2006.08.113. PMID 17162022.
  57. ^ Center of Disease Control. "DES Update: Consumers". Retrieved 7 November 2013.
  58. ^ a b c d e f g Dover, Kenneth James (1989) [1978]. Greek Homosexuality. Cambridge, Massachusetts: Harvard University Press. pp. 126–128. ISBN 978-0-674-36270-3. size.
  59. ^ a b c d e f g h i j k l m n o p q r s t u v w x y z aa Kim, Won Whe (2016). "2: History and Cultural Perspective". In Park, Nam Cheol; Moon, Du Geon; Kim, Sae Woong (eds.). Penile Augmentation. Berlin and Heidelberg, Germany: Springer-Verlag. pp. 11–26. ISBN 978-3-662-46753-4.
  60. ^ a b Robins, Gay (1993). Women in Ancient Egypt. Cambridge, Massachusetts: Harvard University Press. pp. 189–190. ISBN 978-0-674-95469-4. Turin erotic papyrus.
  61. ^ Schmidt, Robert A.; Voss, Barbara L. (2000). Archaeologies of Sexuality. Abingdon-on-Thames, England: Psychology Press. p. 254. ISBN 978-0-415-22366-9.
  62. ^ a b c "Phallus in Wonderland". CBC Radio. Archived from the original on 16 October 2007. Retrieved 13 November 2007.
  63. ^ a b Storie, Ian C.; Allen, Arlene (2005). A Guide to Ancient Greek Drama. Malden, Massachusetts, Oxford, England, and Victoria, Australia: Blackwell Publishing. p. 181. ISBN 978-1-4051-0215-5.
  64. ^ Roche, Paul (2005). Aristophanes: The Complete Plays: A New Translation by Paul Roche. New York City, New York: New American Library. p. 178. ISBN 978-0-451-21409-6.
  65. ^ a b c d e Kerényi, Karl (1951). The Gods of the Greeks. London, England: Thames and Hudson. pp. 175–176. ISBN 978-0-500-27048-6.
  66. ^ Ulrich Marzolph (2004). The Arabian Nights: An Encyclopedia. Santa Barbara, Calif: ABC-CLIO. pp. 97–8. ISBN 978-1-57607-204-2.
  67. ^ a b c d e f Mitchell, Steven A. (2011). Witchcraft and Magic in the Nordic Middle Ages. Philadelphia, Pennsylvania: University of Pennsylvania Press. pp. 55–57. ISBN 978-0-8122-4290-4.
  68. ^ "Men Worry More About Penile Size Than Women, Says 60-Year-Old Research Review". ScienceDaily. 31 May 2007.
  69. ^ Shamloul, R. (2005). "Treatment of men complaining of short penis". Urology. 65 (6): 1183–1185. doi:10.1016/j.urology.2004.12.066. PMID 15922413.
  70. ^ Lever, Janet; Frederick, David A; Peplau, Letitia Anne (2006). "Does Size Matter? Men's and Women's Views on Penis Size Across the Lifespan". Psychology of Men & Masculinity. 7 (3): 129–143. doi:10.1037/1524-9220.7.3.129.
  71. ^ Rigaud, Gilbert; Berger, Richard E (1995). "Corrective Procedures for Penile Shortening Due to Peyronie's Disease". The Journal of Urology. 153 (2): 368–70. doi:10.1097/00005392-199502000-00021. PMID 7815586.
  72. ^ Peyronie's disease. Mayo Clinic
  73. ^ Levine, Laurencea (2006). "Peyronie's disease and erectile dysfunction: Current understanding and future direction". Indian Journal of Urology. 22 (3): 246. doi:10.4103/0970-1591.27633.
  74. ^ "Size does matter (to gays)". Mail & Guardian online. 20 February 2006. Archived from the original on 12 February 2009. Retrieved 23 April 2022.
  75. ^ Woertman, Liesbeth; De Wit, John; Hoogesteeger, Marcel (2005). "Tevredenheid met het eigen lichaam en zelfwaardering van homoseksuele mannen: Maakt een grote(re) penis een man gelukkig?" [Body satisfaction and self-esteem of gay men: Does a large penis make a man happy?]. Tijdschrift voor Seksuologie. 29 (4): 181–188. Retrieved 23 April 2022.
  76. ^ Bogaert, Anthony F; Hershberger, Scott (1999). "The relation between sexual orientation and penile size". Archives of Sexual Behavior. 28 (3): 213–21. doi:10.1023/A:1018780108597. PMID 10410197. S2CID 42801275.
  77. ^ "Research says erect gay penises are bigger". Salon.com. 4 November 1999. Archived from the original on 4 March 2007. Retrieved 9 November 2006.
  78. ^ Small, Meredith F. (1995). What's Love Got to Do With It? The Evolution of Human Mating. Anchor Books. ISBN 978-0-385-47702-4.
  79. ^ Dixson, A. F. (2009). Sexual selection and the origins of human mating systems. Oxford University Press. pp. 61–65. ISBN 9780191569739.
  80. ^ a b Bowman, Edwin A (2007). "Why the Human Penis is Larger than in the Great Apes". Archives of Sexual Behavior. 37 (3): 361. doi:10.1007/s10508-007-9297-6. PMID 18158617. S2CID 28199803.
  81. ^ Cotner, Sehoya; Wassenberg, Deena (2020). The Evolution and Biology of Sex.

General and cited sources

External links