Question: Are Indians who eat meat regularly taller then Indians raised in India? What is the expected height of a male child born to a dad who is 65.5 inches (who grew up without eating meat or eggs) and a Western mom 63 inches tall? Note the child was raised outside of XXXXXXX and ate meat regularly.

Hello. I think you made a mistake. Mother is 161 cm an father is 167.7cm.
Please re calculate. Also please remember that dad did not eat meat or eggs. Child did eat meat and eggs. Not too much though.

Please re calculate

Father s diet has something to do with height. Dad always thought he was little so we would be little. He did not eat meat; nor eggs. So he was genetically probably taller than he became. For example, he has large feet and hands for someone his size. Please comment. I think he would have been taller if he had eaten egg and meat. Please comment.

My mom was a white european lady; does this have any effect; I was raised in the West.

I am only 5 7. My brother is 5 9. My grandfather on mom's side was 5 10.
My grandfather XXXXXXX side was 5 6.5. Is it really normal that I be only 5 7?

How could this happen? Yes, I am a bit taller than my dad but not really enough.

When I was a child I did not urinate at school because I was too shy; so basically from age 5 to 12 my bladder was full in the afternoon. I did not urinate from 7am to 3pm. Could this have caused a slowdown in kidney function and bone metabolism; lined to calcitriol and parathyroid hormone?

My problem is that if I had genetics to be a bit shorter but am taller than my dad; why are my hands and feet smaller than my dad? They are around 3% shorter; and 5% shorter than my brother's (he is 5 foot 9). And why are my testicles small? They are only 4.4cm tall. Is this because I am half Indian? Do Indians have smaller testicles than European men? I feel that my genetics were programmed to be taller but two environmental things messed them up; one is the shy bladder which caused a chronic renal insufficiency (like kids with renal disease who grow less)--basically I was malnourished? The other is the isotretinoine I took for Acne just before my 17th birthday. Evidence are the stunted hands; feet and testicles.

Please comment.

Dear Doctor:

How lucky your dad to have three kids. Now; I am pretty sure that just because your brothers are taller it does not mean they have larger hands than you?

You brothers are so much taller; is it so genetic? Are Indians getting taller? Did your brother eat meat or eggs; and did you eat eggs? Do you think you brothers had a more nutritious diet than you? Is it possible to inherit height genes from your dad and skin color genes from your mom? I have lighter eyes and skin color than my brother. My mom was the taller one and also white. Incidentally my brother was born in XXXXXXX and my mom had more sun. I Was born in Germany and mom had less son; so I think it made my skin lean towards more white tones. Fascinating; yes; i am saying that indians who would like lighter children should send the mom to London or a place with less sun.

First of all concern the kidney problem. Chronic renal insufficiency is known to cause changes in calcitriol and parathyroid hormone which effect growth. I know that if the bladder is full the GFR rate slows down. When I was younger; aged 5 to 12 I did not use the bathroom at school. So i believe that the GFR slowed down; hence; not urinating slowed down my kidneys for roughly 4 to 5 hours per day. Would the reduction in GFR not have reduced the calcitriol being put into the blood? Would this not effect the absorption of calcium from nutritional sources? Would this not have caused me to grow less; like I was undernourished? Could this be without any other symptoms?
I did a test for creatinine and the result was 90. Based on their model my GFR was 95 which I think is low for a healthy 38 year old male.

As far as my testicles, a doctor in Europe told me they are small. i believe in Europe the average is 5cm tall. That is why I was wondering if Indians have smaller testicles.

What is the AVERAGE EXPECTED (not a range) Bioavailable testosterone for a healthy 38 year non smoking male with regular exercise? What is the expected SHBG; and Prolactin level?

Please confirm.

So are you saying that possibly your hands are larger than your brothers ; even through you are not as tall.

So first you are saying that I may have reflux uropathy. Can you test for this with an ultrasound of kidney and bladder? I am a bit concerned that I have a GFR of only 95. Sounds low.


I don't know the symptoms of reflux uropathy but I do recall that if my bladder is full; and I don't void the need will become more urgent; but after about one hour the need will decline. Is this a symptom of reflux uropathy? Sort of like the bladder is slowly emptying back into the kidney because it can not empty the other way. As in to avoid exploding it slowly empties back into the kidney ; i think in this case the urine is put back into the blood. It would be so bad that once I was in a place where I could pee it might take me some time to relax the spicter PC muscle before urination started. Please comment.

Did you grow up eating meat regularly as your brothers; or did you start later eating meat? Did your parents eat meat? Can you tell me their approximate height.

Hello. When you say you ate meat; do you mean regularly?
You stated you are the same height as your dad? Are you sure? In XXXXXXX do you use metric or imperial for height? I ask because you said your dad is 165 cm; this is not the same as 5 7. 5 7 is 170cm.
Please confirm which is which and if you are same height; Also is your mom 158 cm or a different height in inches?
Also isotretinoine dries out epithelial tissue. It is an accutane medicine. Is there epithelial tissue in the testicles? How important is it that it be moist for proper growth during age 17 or so? Could taking isotretinoin (retonic acid vitamin A) dry out testicle tissue to harm growth?

Dear Doctor:

Okay first of all if you are 173 cm you are around 5 8; not 5 7. You are quite a bit taller than your dad. 8cm. I think one of your brother is 180cm which is over the top of the expected range.

My testicles are only 10 to 12ml in volume. They are not over in any way over 15 to 20ml. Since I can remember I had small testicles. Even when I was 15 they were smaller than my friends but I just thought it was variation. On the ultrasound they were only 34mm in length X 24mm X 15mm Some doctors tell me I was born this way ; as my mom was type I diabetic (under insulin before getting pregnant); but I am not so sure this is the reason.

I think the reason is I had a kidney insufficiency. My GFR Was probably really low; even during puberty it was still low (recovering). Kidney insufficiency ; even mild can alter the Gonadtrophic function which would effect the stimulation of leydig cells and maturation of sertoli cells.

I think also my penis did not grow as much as it would have due to the lack of testosterone. Even now my bio available Testosterone level is only 43 to 72% of laboratory normal levels. My sperm count was only 50 million/ML which is well below average in health men and shows that the testicles are small.

Would there be perhaps use of trying a testosterone injection program, with HCG 2000 IU X 3 week? I know I would need an aromatese inhibitor also. And a bottle of Rogaine. Which type of testosterone? I read that HCG can help hypogonadic men who did not complete virulization (even if over 25). Also can testosterone cause penis growth in men who have low testosterone and always did (even during puberty). And what about a dht gel like Andractim. Please let me know your thoughts.let me specify bioavailable was 1.46 nmol/L ; two weeks later is 2.24 nmol/L
both of these readings are 42 and 74% respectively of the LOWER LIMIT for the normal range of the lab; and much lower than the average level.let me specify bioavailable was 1.46 nmol/L ; two weeks later is 2.24 nmol/L
both of these readings are 42 and 74% respectively of the LOWER LIMIT for the normal range of the lab; and much lower than the average level.

Dear Doctor:

I am not saying I suffered from complete hypogonadism. Only partial. This has probably been since I was a child. I think I HAD mild to moderate undiagnosed kidney disease (or renal insufficiency) as a child. It only effected my height growth. As I grew it became less severe but still effected the GNRH pulse frequency and duration; so LH levels were lower as a teenager. So all things male in me did not fully develop. Even if bone closure was delayed; growth before was delayed. And then the isotretinoin advanced the bone age anyway so catch up growth was limited.

The LH and FSH levels were normal. 5 to 10. My wife got pregnant last Nov by mistake because we had sex once without birth control . But also lot's of sperm are dead or not moving forward.

i do not desire to have a baby. I would like just that my testicles be more normal size and produce more testosterone; I would also like that my voice be deeper and that my penis grow some.



If someone suffered from hypogonadism during puberty and it is not treated until now will the testosterone help penile growth; larynx and vocal cords? Little penis growth; or none? Which testosterone to take and how much?

Also what about adractim DHT Gel 2.5%?

Please advise.

Dear Doctor:

See I think the kidney problem caused my growth to suffer. My hands are quite small. Seems like there was a calcium processing deficit. In fact smaller than pretty much any guy I would run into (waiter; hotel receptionist, etc.). In fact I am not as short; there are shorter men than me but almost always they have bigger hands than me. I am pretty sure that if you do not urinate for 8 hours a day as a kid; and on most days; you will cause a reduction in kidney function which will harm calcitriol levels, and eventually parathyroid hormone and gnrh levels. Remember I did become chubby starting around 9 years old and this lasted for three or four years. As i started using toilets at school ; and with puberty my kidney function improved; but I believe GNRH function was harmed even through puberty. And my Glomular filtration rate was still low until I finished growing which sort of repaired some damage. That is why I grew some ; otherwise I was supposed to be 5 foot 4 (when I was 10 they thought this). They were thinking of putting me on growth hormone. But then they felt I would be 5 foot 6 and that it was not necessary. So sad they did not do any other tests. Remember hands stop growing at 16; that is why they are small; especially the distal phallanges which are really thin compared to the middle and proximal ones. Fortunately most long bones stay growing until later so i did do some catch up growth. I had my IGF 1 level tested in Feb and it was 209 U/L which is reasonable I think. I do not think I had a growth hormone deficit per say. Also not urinating 8 hours a day would probably have reduced blood flow; because if you hold in your urine you are tightening muscles which I believe restrict blood flow to the penis and testicles. So their childhood growth (however little) ; would have suffered. Please comment on this? Does the penis grow during the daytime during childhood? Do the testicles grow during the daytime? For children?

My thyroid level was tested last Feb and found at around 1.7 (normal). The prolactin level was around 17 to 18; which is a bit high; at end of the range. In fact the upper limit of normal level was 16. At the time my bioavailable testosterone was 2.24 nmol/L. The lower reference of the lab normal range starts at 3.

I would like the testosterone that you would have given to me if you had met me when I was 10. My goal is not to gain a ton of muscle. I need to know which one to get? I just want to androgenise my body the way it should have been one when I was younger (like 13).

Will the sertoli cells respond favourably (perhaps) to the type of testosterone you prescribe; like they would in a 10 year old?

I heard that when they give a 10 year old testosterone his penis will grow and I would think also the testicles? Is this true? Please confirm if testicles grow when you treat micropenis in children?

I do not think I have an alpha 5 reductese problem. I have some body hair and do shave normally; i have normal facial hair. I do however have less body hair then my dad did at the same age. I also look very young for my age. If I shave people say I look in the mid 20's. But body hair doesn't mean that I did not have a testosterone deficit because I think you grow body hair with even low levels of androgen. I believe genital and testical growth (especially) require higher levels of androgens.

By the way to be clear my penis is 14 or so erect and 7cm or so flaccid.
But I Think it is a bit shorter than most by a few cms.

Would it be helpful to take HCG 2000 units 3 X a week?
What about arimadex?

I can get most lab tests done easily where I live.


I look forward to hearing from you.

In patients with kidney disease caused hypodgonadism; what is the treatment ?
Like patients who were on dialysis and then had a transplant.

What is the testosterone type that you give to kids who are 10 with a small penis? Does this also increase their testicle size?

If I take HCG is there a risk of leydig cell desenzitation? For example could I harm myself if I took 2000 Units 3 x week for 2 months? I Would take arimadex with to keep down estrogen.Is it possible that the testosterone will cause immature sertoli producing cells or tubes to mature?

Also with FSH injection or HCG are changes ; e.g. increased volume; are they permanent? Can they be permanent?

Please comment

which is the testosterone you give to kids who fail to enter puberty?

Which is the name of the testosterone you give to kids who have micropenis?
What is the size of child penis that you would recommend testosterone? Up to which size childhood penis would you treat with testosterone?

So testosterone does not cause the testicles to get larger even in children?
If there are more sertoli cells does this cause the leydig cells to produce more sperm. If you have more sertoli or more active sertoli cells will the brain serete more LH so there is more testosterone.

Do the leydig cells become resistant to repeated HCG injections?
I believe the kidney problem caused a reduction in growth hormone. I read that when this happens your feet and hands are small for your real age and correspond to our height age. My feet are size 26.5 but my brothers are closer to 28. My dads are like 27.5. So I think I should have grown about 5% more which is easily 8 cm.
Due to the lack of growth hormone my penis did not grow as much before puberty ; so as an adult it is smaller than it would have been. I do not know if the tesiicles grow during childhood as they would have? But I think that if they did not what can be done now?

Basically I am the size i would have been around 14 to 15. Pretty much everything.
i think there was also a lack of GNRH during puberty due to the remains of the kidney disease and lowered kidney function. This would have meant my testicles never matured enough to produce testosterone and sperm. My sperm count of only 50 Million M/L corresponds with a maturity age of XXXXXXX 4 (15 years of age).

What can you do to help increase the size of my testicles; I think they need FHS and HCG but I do not want to desensitise them.

Also i was missing testosterone during puberty so I need something; to stimulate any virilization that did not happen.

I know you have probably never ever seen a case like mine and I thank you for your understanding and patience.

Is testosterone a common treatment for children with a small penis? Do you see many cases of this? For how long has this treatment for children existed?
Are there any disadvantages to treating a child with a small penis (vs a micropenis)?

Might there be some penis growth response to testosterone in my case as my penis did not ever receive a high level of testosterone like is normal during puberty?

The nephrologist thinks I had a case of hypogonadism caused by kidney disease (reflux reuropathy). I am doing a few tests but so far the symptoms he described perfectly match the symptoms I experienced (notably that you void and then a few minutes later you can void quite a bit again).

So please plan a treatment for me.

So sad to now that the sustanon treatment existed for many decades now.

I have noticed that my hands are relatively wide. I remember that when I was 15 I had one of the widest handspans in the class. So you know my handspan is 23cm.
But my hand length is just 18.5cm from tip of middle finger to first palm crease. And I have reasonable size thumb and pinky. But shorter middle finger and ring finger.
My palm is also quite wide. It is like I had a good amount of growth hormone but it got messed up and longitudinal bone growth was harmed due to kidney disease.

Please comment.

when you say it will act no further; please specify? IT will not increase testicle size anymore? Does it de sensitise leydig cells to LH?

I read it can help create more leydig cells; and increase the size of the leydig cells?

Please comment?

Dear Doctor:

I had undiagnosed kidney disease as a child. That is why my Glomular Filtration rates is only 95 ml/minute. It is well below where it should be. Average is 110. It like 2 SD below average. I was not born with a small penis or testicles. This happened because due to kidney disease they did not grow during childhood. When puberty started they were smaller (and so was I). The main thing also is that the GNRH signals are weaker in patients with kidney problems. So around age 14 they never got as strong of a GNRH signal as they should have. In this case might HCG and FSH work?

50 million/ML is hardly average. Average is at least 100 million. My testicles are hardly 4cm tall; so I do not think they are 15ml; I measure them with a ruler. One doctor told me they were hardly 10Ml and another one was surprised I had the 50 million count with such small testicles. Another told me ; that my testicles 'are not large'. They look like large olives or large grapes. They do not resemble small eggs like in most men.

I have around 30 vials of 2000IU HCG in the fridge; 25 pills of 1mg arimedex.

Also when you did childhood treatments of small penis; was this common? I mean do you think you treated 1 kid out of 100; or 5 out of 100; or 10 out of 100?
Why would my doctor not have noticed I had a small penis as child? He checked me during a physical several times for summer camp.

Are these statistics for XXXXXXX children or western children? Would there be a difference? As a child (even 10 ) my STL Was 4 to (maximum) 5 Cm. But honestly I never measure it but I know it was little. Now my SPL is perhaps 13 to 14 cm. I read in a study that the average stretched penis length in XXXXXXX men is 16.5 cm? And erect length 15cm. Is this true that SPL in Western men is 16.5Cm (o 3.5cm ) more than in XXXXXXX men?

The thing is that I know that my penis did not grow much during childhood. It was (not streched) perhaps 3 cm and my brothers was 5cm or so (not streched). He was 4 years older than me.


When I was young (5 to 6) he told me I had a small penis so I stopped using urinals at school which is what caused my kidney and problems. I should have spoken to my dad about this instead at that time.

A doctor in France told me that he would give testosterone to any 10 year old if SPL penis smaller than 6cm (o 8 Cm) at age 12. Obviously, much larger than a micropenis.

Does this mean that these kids with borderline small penises (e.g. 7cm at age 12) end up with a really large penis before puberty? Then they have a 20 cm SPL penis after puberty? What stops the penis from growing at the end of puberty?

I do not know what to do now. Also the XXXXXXX is not very wide.
I am taking andractim but I do not know if this will work at all.
That is DHT gel. I am trying to widen the XXXXXXX
Any opinion?

And do stretch devices like phallosan penis strechers really work?

Which testosterone works best for androgenic needs; susteron; propionate; cypionate, undacate; ou enthanate?

So a question;

that means my penis had a problem growing during childhood due to stunted growth and my renal insufficiency. At 10 I doubt the stretched length was over 5cm.

You told me that each penis has a maximum growth potential which stops it growing at the end of puberty. Are you sure about this? What is that on average; 15 cm SPL; or 20? I know it depends on the individual.
IF this is true; and my penis did not reach it maximum growth potential would testosterone work? Might it be worth trying?

Dear Doctor:

Basically the only doctor I can see here in France is not available until Dec.
I do not want to wait longer. I have access to lab tests, etc. I read on line about a teenager somewhere who took steroids during his teenage years and his penis was like 6 inches flaccid. I think pretty soon you will have a lot of young teens taking steroids and average penis size will increase.

I checked on line ; testosterone susteron contains testosterone iscapionate testosterone decanoate; testosterone pheylproprianate and testosterone propionate. Is this the one you are talking about? The ingredients are not exactly the same as the one you spoke about earlier. Please confirm. The other possibility is testosterone cypionate but I think it aromatises more.

Also does susteron cause irreversible damage to sertoli tubes and cells?
Or can this be avoided by taking concurrent HCG?

Also I can tell you I think most SPL of Europeans are at least 15cm ; 16cm and not 13cm. And I think that XXXXXXX SPL s are increasing as Indians are taller and have a better diet.

And yes it is possible my dad had small testicles (in fact my mom once said so; but she was probably comparing them to my grandpa who was 5 10 and American). But if his testicles were small it was probably due to nutrition and diet vs an XXXXXXX diet. So this should not have effected me. And I can tell you I am pretty sure that most men who are 5 10 (in the WEST) will probably have a larger penis than someone who is 5 6. Also I can tell you that most men who are relatively tall (over 5 9 in the WEST) have testicles that are AT LEAST 25ML or even 30ML.

I will be very blunt; you and your brothers probably have larger penises and testicles than your father. You are taller than your parents most likely due to improved food; and probably you ate meat and fish more often than your father. Please comment.

The half Indian/half European logic is what the doctor in the USA used to decide that since I Was growing to be 5 foot 6 (at least) I was okay. They forgot that my dad was 5 . 5.5 because he did not have excellent nutrition (Indian in 1950's) and did not eat enough protein. I feel through the cracks. Even when I was chubby and 10 the doctors failed to test why I was growing less; they just said I would be over 5 foot Six and that would be okay. The globular filtration rate of 95 is not really great; okay it is not low; but is a sign of previous (perhaps childhood) kidney trouble; that during puberty kidney grew and outgrew deficiency. Please comment.

So 13cm SPL is the minimum normal?
The median is higher?
What is the mean SPL?

Your dad was also an endocrinologist? And did he eat meat?
Why do you not prescribe HCG with testosterone; it is can cause to much oestrogen build up?

From age 7 to 12 I grew much slower; perhaps at half the normal rate. Obviously my testicles grew slower and penis also. It is pretty simple math; the SPL was perhaps 4 cm at age 5; at age 12 it should have been 9 or so. IF you have a 50% reduction in growth ; the penis would have grown to an SPL of 7cm at age 12. It was not more than this. This would explain why the penis is a couple cm shorter than it would have been.

My testicles are larger than 15ML (if measured by height, L X W by .72). They are like 4.5 X 3X 3.5cm. But that is based on measuring them myself. In ultrasound they came out smaller because when they hang the blood flow is reduced and they get smaller. Also when i sit up they get larger. During the ultrasound you are only semi seated. I think I may have a bloodflow problem explaining this. I have a varicocelle which could be the reason that when they hang (no support) they get smaller?



As far as medical tourism to India? Maybe; I know they do the body streching procedure; but I think it is safer in Italy or Florida.