Are androgen numbers the cause of penile size

Checked on September 20, 2025
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1. Summary of the results

The relationship between androgen numbers and penile size is complex and not entirely understood. Testosterone levels have been shown to influence penile growth, particularly during infancy and puberty [1]. However, the number of androgen receptor-positive cells in the human fetal penis does not change among different testosterone levels, indicating that penile growth cessation may be mediated by mechanisms other than downregulation of the androgen receptor [2] [3]. Some studies have found a weak positive correlation between baseline testosterone levels and stretched penile length (SPL) [4], but others have noted that adult testosterone levels did not differ significantly between infertile and fertile groups [4]. Additionally, testosterone treatment has been shown to result in a dose-dependent increase in penis weight, length, and width in castrated rats [5].

2. Missing context/alternative viewpoints

Some key points to consider are:

  • The role of androgen receptors in penile growth and development, as highlighted by the finding that keratin 33B (KRT33B) is a novel androgen receptor target gene involved in penis growth [5].
  • The distinction between fetal and adult penile growth, as the mechanisms regulating growth may differ between these stages [2] [3].
  • The potential impact of other factors, such as genetics, hormones, and environmental influences, on penile size and development, which may interact with androgen levels to produce the observed effects [1].
  • The importance of considering the complexity of the relationship between androgen numbers and penile size, rather than oversimplifying the relationship [2] [4].

3. Potential misinformation/bias in the original statement

The original statement "Are androgen numbers the cause of penile size" may be misleading, as it implies a direct and sole causal relationship between androgen levels and penile size [2] [4]. However, the evidence suggests that the relationship is more complex, and other mechanisms and factors are likely involved [1] [5]. This framing may benefit those seeking to oversimplify the relationship between androgens and penile size, but it does not accurately reflect the nuanced understanding of the topic provided by the analyses [2] [4] [5] [3].

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