Health & fitness
The 7 reasons your penis might be shrinking – and how you can stop it before it’s too late
PENISES come in all sorts of shapes and sizes and most men tend to be pretty well acquainted with how their member looks.
The appearance of your penis probably won’t change much throughout your life – though it might temporarily appear smaller when you’re chilly.
But sometimes penises do shrink for reasons that have nothing to do with the cold – and it may be permanent.
According to superintendent pharmacist at Chemist Click, Abbas Kanani, the shrinking and reduction of size in your penis is known as penile atrophy.
“If you’ve ever noticed your manhood appears smaller than usual, it can be hard to accept,” he says.
Penile atrophy can happen for a number of reasons, including medical conditions, hormonal imbalances, how much you exercise and the inevitable process of ageing.
Read more on sexual health
Here we go through seven key reasons why your penis may be looking smaller – and when you can do something about it.
1. You’re getting older
Your body goes through many changes as you naturally age, some of which impact sexual function.
Your penis is one body part that you might start to see change as the years go by.
“As men get older, blood flow reduces and penile tissues receive less oxygen and essential nutrients,” Abbas explains.
“When this happens over a prolonged period of time, it can lead to tissue damage and atrophy.
“Blood flow issues also cause the tissues to lose elasticity, making it more challenging to stretch and maintain your penis’ normal length and girth size.”
Another side effect of reduced blood flow could be an “increase in collagen, which can lead to fibrosis, the thickening and scarring of tissue”, the pharmacist adds.
“This can reduce the overall size and elasticity of your penis.”
2. Your hormones are imbalanced
Hormones can also affect the look of your penis.
Testosterone is a crucial hormone for male sexual health, which tends to decline as you age.
According to Abbas: “Testosterone preserves your penis’ structure, the function of smooth muscle and connective tissue.
“When these are no longer being maintained because of a decline in hormones, shrinkage can happen over time.”
Aside from a difference in size, you may also notice your erections becoming less frequent or weaker as testosterone levels wane.
“This means that your penis is no longer benefiting from the stretching effect that helps to maintain its size and elasticity, which can lead to a gradual decrease in penile size,” Abbas says.
While ageing is a common cause, it could be down to other imbalances.
3. You’re a smoker
Smoking can decimate your body in a number of ways and your penis is yet another part that can suffer.
“There are chemicals found in cigarettes, such as nicotine and carbon monoxide, which cause blood vessels to constrict and reduce blood flow,” Abbas notes.
“They also decrease the production and availability of nitric oxide, which is vital for the dilation of blood vessels and the initiation of erection.”
Yep, you heard right – smoking can also affect your ability to hold and maintain an erection, as it increases your risk of erectile dysfunction.
According to Abbas, it can mean your penis is not stretched and oxygenated on a regular basis, which can lead to overall shrinkage.
Penis fact vs. fiction
Though penises are the subject of much contemplation, certain myths around them reign rampant – from shoe size reflecting the size of your member, to creams and oils being able to make it larger.
On top of this, it can often feel taboo or embarrassing to ask questions about your private parts.
GP and author Dr Philippa Kaye answers burning questions you might have about your nether regions.
What is the average penis size?
The average size of a penis is approximately 9cm when flaccid/soft and about 13cm when erect.
Does your shoe size reflect your penis size?
No.
A study looking at the penises of over 100 men of varying ages looked at shoe size and penis length and found no correlation between the two.
Why is the penis shaped like a mushroom?
So, there is a ridge between the top of the shaft of the penis and the glans, which is shaped rather like a mushroom.
One theory as to why this is is known as the ‘semen displacement theory’, which suggests that the shape of this ridge essentially scoops out and removes any sperm left behind in the vagina by a previous partner, who might be a genetic rival evolution-wise.
Can you break your penis?
There are no bones in the penis, but you can still break it.
During an erection there are spongy tissues called corpus cavernosum, which fill with blood to make the penis erect.
If there is a trauma, often a violent twisting or bending motion when the penis is erect, then part of the covering of the corpus cavernosum called the tunica albuginea can burst, leading to bleeding into the penis and a very painful swelling.
It is rare and tends to occur during sex, often when a partner is on top.
Read more on penis facts and fiction here.
4. You have Peyronie’s disease
Peyronie’s disease is a condition that causes your penis to curve when it’s erect.
It typically affects men over 40, but younger men can also get it.
Abbas explains: “Fibrous plaques form within the penis and this can prevent the penis from expanding evenly, causing it to painfully bend, during an erection.
“If this happens over time, the penis can shorten typically where the plaque is situated on the penis.”
The condition can lead to a loss of elasticity in the penis when it’s both erect and flaccid, which can make shrinkage of your member worse.
According to the NHS, symptoms of Peyronie’s disease include:
- Swelling that later causes a hard lump to develop on the shaft of your penis and stops it stretching during erections
- A curve in your penis when it’s erect (if the hard area is on the top of your penis it will curve upwards, if it’s on the bottom it will curve downwards)
- Painful erections that can make having sex difficult
- Problems getting or keeping an erection (erectile dysfunction)
- Other changes to your penis – for example, you may have a hard area on the top, bottom and side of your penis, shortening it and making it narrower in the middle
If you have Peyronie’s disease, your skin may also be thicker and less flexible in other parts of your body, such as in your hands and feet.
5. You’re taking certain medications
If you’ve been prescribed medications, it’s important to continue taking them.
But some can take an effect on the size of your penis over time, Abbas says.
“Regular erections are important for the health of your penis because they increase blood flow and oxygenation of the tissues,” the pharmacist explains.
“Some medications, such as hormonal and hair loss treatments, antidepressants and high blood tablets can impede on hormonal balance, blood flow and nerve function, contributing to penile atrophy.
“Some drugs also suppress the production or reduce the conversion of testosterone and impact blood flow to the penile tissue.”
6. You have chronic diseases
Whether you have diabetes, cardiovascular disease or cancer, these chronic conditions may make a mark on your penis.
For diabetes sufferers, blood flow can be an issue.
“Blood vessel damage caused by high blood sugar levels in people with diabetes impair the supply of blood to the penis,” Abbas says.
“As a result, tissues can become deprived of oxygen and nutrients causing shrinkage.
“Cardiovascular disease causes plaque to build up in the arteries and restricts blood flow around the body, including the penis causing it to appear shorter in length.
“In chronic cases, atrophy can become permanent”.
Both diabetes and cardiovascular disease can increase your risk of experiencing erection issues.
Men with prostate cancer may also notice a change in penis size, as radiation therapy has been linked to shrinkage.
A small study found that patients undergoing prostate cancer treatment saw a gradual decrease in the length of their penis when stretched.
7. You’re overweight or not exercising enough
Finally, your weight and levels of exercise can both affect your todger.
“Poor circulation and hormonal imbalances can occur if you do not exercise enough or are overweight,” Abbas says.
“Not only is this bad for your overall health and well-being, it can also directly affect your ability to get or maintain an erection and your body’s ability to produce enough sex hormones.
“Physical activity helps to boost circulation and maintain healthy testosterone levels.”
Should I worry about penis shrinkage?
Though it can be concerning to see your member shrink before your eyes, Abbas says it can be managed with the right approach.
“One of the most noticeable signs and symptoms is a reduction in length and girth, but you may also notice a loss of elasticity leaving your penis feeling stiff even when not erect,” he says.
“You may also have weaker erections, decreased sensations when stimulated or changes in appearance of your penis such as wrinkling, curving or indentation.
“Men should book an appointment with their GP if they think they may be experiencing penile atrophy, so you can be correctly diagnosed and offered the most appropriate treatment.”
To help avoid shrinkage, you could also take steps to address any of the concerns above, such as quitting smoking, getting active and speaking to a doctor about any medications you are taking.
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Health & fitness
‘We’re hurtling towards another winter crisis,’ experts warn as NHS figures show A&E is busier than ever
THE NHS is “in bad shape for winter”, experts warn as figures show A&E departments are busier than ever.
The Royal College of Nursing said the health service is “hurtling towards another winter crisis”.
Hospitals and ambulance services are plunged into difficulty every year and this season is set to bring more of the same.
Medical director of NHS England, Professor Sir Stephen Powis, admitted it will be “incredibly busy”.
Last year, three in 10 casualty visitors waited more than four hours to be seen and a near-record 54,000 languished for 12 hours or more in January.
NHS statistics showed today that 2.21million people went to A&E last month, the highest ever for September.
It follows the busiest summer on record and comes before winter coughs and colds set in.
The NHS is approaching winter in bad shape. Patient care continues to fall short of expectations
Siva Anandaciva
Ambulance delays and A&E waits have already begun to get worse, the latest data show.
And stats from the UK Health Security Agency show the number of people admitted to hospital with Covid is increasing, from a rate of 3.72 per 100,000 people last week to 4.55 per 100,000.
Siva Anandaciva, of the King’s Fund think-tank, said: “The NHS is approaching winter in bad shape.
“Industrial action is continuing, financial pressures are rising, and important performance targets continue to be missed.
“Patient care continues to fall short of expectations.”
‘Trade-offs’ between crisis management and reform
Ministers say they are preparing for winter but Health Secretary Wes Streeting has pledged to stop the health service burning cash to cope with daily demands.
Mr Anandaciva added: “NHS services will have to make harsh trade-offs between immediate winter preparations and longer-term improvement.”
Surgery waiting lists remain stubbornly high, rising to 7.64million in August.
Patricia Marquis, director at the Royal College of Nursing, said: “The NHS appears to be hurtling towards another corridor care crisis this winter.
“Without intervention, the government’s next 100 days will be defined by patients crammed into fire escapes, store cupboards and corridors.
“The government’s long-term reforms to the NHS are necessary, but patients and nursing staff also need action in the here and now.”
Saffron Cordery, of NHS Providers which represents hospital bosses, said: “The NHS has had its busiest ever summer and is heading for another tough winter.”
Health minister Karin Smyth said: “We have laid out our plans with NHS England to make sure the system is prepared for winter.”
TIMELINE OF THE NHS WAITING LIST
THE NHS waiting list in England has become a political flashpoint as it has ballooned in recent years, more than doubling in a decade.
The statistics for England count the number of procedures, such as operations and non-surgical treatments, that are due to patients.
The procedures are known as elective treatment because they are planned and not emergencies. Many are routine ops such as for hip or knee replacements, cataracts or kidney stones, but the numbers also include some cancer treatments.
This is how the wait list has changed over time:
August 2007: 4.19million – The first entry in current records.
December 2009: 2.32million – The smallest waiting list on modern record.
April 2013: 2.75million – The Conservative and Liberal Democrat coalition restructures the NHS. Current chancellor Jeremy Hunt was Health Secretary.
April 2016: 3.79million – Junior doctors go on strike for the first time in 40 years. Theresa May is elected Prime Minister.
February 2020: 4.57million – The final month before the UK’s first Covid lockdown in March 2020.
July 2021: 5.61million – The end of all legal Covid restrictions in the UK.
January 2023: 7.21million – New Prime Minister Rishi Sunak pledges to reduce waiting lists within a year, effectively April 2024.
September 2023: 7.77million – The highest figure on record comes during a year hit with strikes by junior doctors, consultants, nurses and ambulance workers.
February 2024: 7.54million – Ministers admit the pledge to cut the backlog has failed.
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Day 17 – 30 MIN FULL BODY BURNER HIIT WORKOUT – Full Body, No Equipment, No Repeat
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Health & fitness
Urgent call to shut down ‘rogue BBL clinics’ after mum, 33, becomes first in UK to die from dodgy op
SHUT down rogue butt-lift clinics and only let qualified doctors do them, top surgeons have warned.
The Joint Council of Cosmetic Practitioners issued the plea on Thursday after a 33-year-old Brit mum died in September following a botched BBL.
Brazilian butt-lifts, also known as buttock augmentation procedures, involve injecting fat or filler into the bum to shape it.
But wrongly injecting too deep into the buttock can pump chemicals into the bloodstream and cause deadly clots, infections or sepsis.
They can also go wrong if the anaesthetic is bungled or people have allergies.
Two people were arrested on suspicion of manslaughter after mum-of-five Alice Webb, from Gloucestershire, died in September following complications of the procedure.
She became the first person to die this way in Britain, although others have suffered fatal ordeals after surgery abroad.
UK regulation is lax as they can be considered “non-surgical” and untrained beauticians can get the kit to do them.
A lack of regulation for unlicensed medical practitioners puts people’s health at serious risk, particularly with buttock fillers
Elaine Sassoon
The JCCP said BBLs must be classified as surgical procedures and strictly controlled so that only qualified, registered and experienced plastic surgeons can do them.
The British Association of Aesthetic Plastic Surgeons, which only recently ended a four-year plea for members not to do the procedure at all, co-signed the report.
The Sun has called on ministers to tighten regulation of fillers and cosmetic procedures in our Had Our Fill campaign.
Elaine Sassoon, a member of the BAAPS council, said: “The cosmetic sector faces a lack of regulation for unlicensed medical practitioners.
“This puts people’s health at serious risk, particularly with buttock fillers for BBL.
“While specialist surgeons follow safety guidelines, untrained individuals can inject unsafe, bulk-purchased products in unregulated settings.”
The report said the same rules should be applied to any procedures on the genitals or breasts.
It said: “These procedures should only be performed by appropriately trained specialist plastic surgeons and fully qualified General Medical Council registered medical doctors who possess additional qualifications and have proven competence.”
Tragic mum told she didn’t need work done
Alice Webb, herself an aesthetic practitioner, had travelled to a training session where she would learn how to perform the procedure before having her own done.
But cops rushed to a house at around 11.30pm that night after the alarm was raised, with ambulances already at the scene.
Alice was taken to Gloucestershire Royal Infirmary but died in the early hours of Tuesday, September 24.
The tragedy happened after her cousin, Dianna Webb, told her she did not need the procedure.
A tearful Dianna, who calls herself Alice’s “second mum” as she helped raise her, told The Sun: “We had talked about it a lot before she went to have the procedure.
“She had told me she was going to have this done and I said she didn’t need it – she already looked beautiful.
“And she was stunning on her own.
“We were on the phone for two hours before she went. Alice said they seemed really professional and put her at ease about the procedure.
“She was not one of these people that would go and just have something done without looking at every little detail first, obviously because she worked in the industry too.
“Alice put her heart into her work.
“She took every course she could take, including this one, because she wanted to make sure she got everything right.”
Dianna said her family would demand the government ban liquid BBL injections to make sure Alice’s death was “the first and the last” on British shores.
A Department of Health spokesperson said: “Our deepest sympathies are with Alice’s family and friends in this tragic case, which is incredibly concerning.
“The safety of patients is paramount, and we would urge anyone considering a cosmetic procedure to consider the possible health impacts and find a reputable, insured, and qualified practitioner.
“Work is ongoing to explore options around oversight of the non-surgical cosmetics sector and we will provide an update at the earliest opportunity.”
What are Brazilian Bum Lifts and why are they so popular?
Buttock enlargement surgery – known as a Brazilian bum-lift (BBL) – is used to make the bum look bigger, rounded and lifted.
Surgeons transfer fat, inject filler or insert silicone-filled implants.
It is the fastest growing cosmetic procedure but also one of the most dangerous, according to the British Association of Aesthetic Plastic Surgeons (BAAPS).
Many patients are travelling to the likes of Turkey or seeking out unregistered surgeons in the UK and are not given full information on the risks.
BBLs carry the highest risk of all cosmetic surgeries – with more than one death occurring per 4,000 procedures.
Due to celebrities undergoing such ops, many women are hoping to emulate their looks.
Consultant clinical psychologist Dr Anu Sayal-Bennett, a chartered member of the British Psychological Society, told the BBC: “Despite there being so much about body positivity, there are pressures for women – and men too – to look a certain way.”
Many people travel abroad for the procedure because it is cheaper and advertising is “terribly seductive”, combined with the idea of a beach holiday, added Dr Sayal-Bennett.
Health & fitness
Mum-of-two, 32, with ‘vampire disease’ vomits 30 times a day and lives in fear of dropping dead at dinner
A MUM-of-two says she lives in fear of dropping dead at the dinner table due to a condition known as “vampire disease”.
The rare disorder, known as acute intermittent porphyria, means Phoenix Nightingale has to avoid garlic at all costs.
The 32-year-old could have a potentially “fatal attack” if she eats too much of the allium, which contains sulphur.
During an attack, she can suffer severe pain, migraines and constipation for three days at a time.
Eating garlic could also leave her vomiting up to 30 times a day, Phoenix said.
Her immune system crashes during an attack, causing her body to go into shock, meaning she could stop breathing.
Read more on rare diseases
As a result, eating sulphur-rich garlic could be fatal.
Porphyrias are a group of uncommon disorders caused by problems with the production of chemicals called porphyrins in the body, according to the NHS.
Porphyrins are the chemical building blocks of haem, which form haemoglobin, the component of red blood cells that allows oxygen to be carried around the body.
There are eight different types of porphyria disorders, which affect the skin and nervous system.
If the disorder is ‘acute’ – as in Phoenix’s case – the onset of symptoms can be rapid.
They can include stomach pain, nausea and vomiting, changes in blood pressure or increased heart rate, muscle weakness, paralysis, anxiety, confusion, hallucinations and seizures.
It’s believed that vampire myths – such as that of Count Dracula – sprung out of porphyria.
According to Michael Hefferon, assistant professor at the Department of Paediatrics at Queen’s University, some patients with porphyria suffer with sensitivity to light, receding gums that make teeth look like fangs, dark red urine – which led people of yore to think they were drinking blood – and aversion to garlic due to attacks.
“People call it the vampire disease,” Phoenix, of Robbinsdale, near Minneapolis, Minnesota, US, said.
“Count Dracula had it. It comes from the legend about them needing to avoid garlic, having to stay out of the sun, looking pale and having receding teeth.
“Neurological side effects can make people think that those with the condition must have been monsters or are possessed.”
The mum was first diagnosed with acute intermittent porphyria in August 2023.
“There’s too much sulphur in garlic and I have a sulphur allergy,” she said.
“I avoid sulphurs in general. Eating garlic in high amounts or over an extended period could be fatal.
“I haven’t eaten garlic since I was diagnosed. I could never eat garlic bread. It could send me into an attack.
“Attacks happen when the body reaches a toxic load large enough to make it crash.
“It’s life-threatening for me. When I have an attack, my body wants to exit everything.
“I’ll puke 60 times over two days. I can stop breathing and it can cause paralysis.
“I’ve almost died. Different foods and things I ingest can make me have an attack.
“Sometimes there can be a buildup, so if I have small amounts of a certain food over a few days.
“Symptoms can start one to two weeks before an attack or it can come out of nowhere.”
What is acute intermittent porphyria?
Porphyria is the name given to a group of very rare metabolic disorders that occur when your body is unable to produce enough of a substance called haem.
Haem is required for many bodily functions.
It is a component of haemoglobin, a vital protein which helps transport oxygen around your body and the pigment that gives red blood cells their colour.
Acute porphyrias are characterised by attacks of pain and other signs of neurological distress.
The majority of people who inherit the disorder do not have attacks.
Where symptoms do occur, they are sudden and can last for days or weeks.
They can include:
- Anxiety, restlessness and insomnia
- Severe abdominal pain
- Pain in your arms, legs or back
- Vomiting and constipation
- High blood pressure (hypertension)
- Muscle pain, tingling, numbness, weakness or paralysis
- Confusion, hallucinations and seizures
- Breathing difficulties (respiratory paralysis), possibly requiring ventilation
- Reddish coloured urine
Acute attacks happen when the levels of porphyrins in your body become very elevated.
They range in severity and usually require having to go to hospital. In the worst case they may require emergency procedures to prevent death.
Source: British Liver Trust
The mum-of-two says she’s suffered with symptoms since she was a baby but struggled to get a diagnosis as the condition is so rare.
She has had more than 480 attacks in her life and says that they’re “more painful than childbirth”.
Phoenix said: “I had one attack where I didn’t go to hospital and it went on for 40 hours. It was non-stop vomiting, losing consciousness, screaming and crying.
“It was horrific pain that prescription pain medication hardly touches.
“I’ve pushed out two children and it’s worse than childbirth. It’s agony.”
DINNER DRAMA
Phoenix says going out for dinner is upsetting as she worries about what ingredients will be in her meal.
She said: “When I go out for dinner, unless it’s a place I know, I look at a menu and I cry because I don’t know what I can eat and prefer to stick with my safe foods.
“I can’t eat red grapes, coffee or soy and I can’t have any alcohol at all.”
She is sharing her story to help raise awareness of the condition, as it took Phoenix 31 years to get a diagnosis.
Phoenix said: “It’s hard as a diagnosed person not being able to find a doctor who can help. When I see a doctor or go to hospital, they have to google the condition.
“It took 31 years to get diagnosed and I had to pay out of pocket and spend years running analytics on it.
“I had to take it into my own hands.
“I’m very careful about what I put in my body. I avoid a lot of food. I stick to the food that I know is safe. I can’t even take most medications.
“It’s been a huge struggle for me.
“I have been through so much with my health so I’m very passionate about getting my health stable enough that I can someday help make changes in the medical system for mystery diagnoses and chronically ill patients.
“There has to be more people out there suffering with it and being called crazy.”
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