From the Guidelines
I strongly advise against attempting to shrink penile tissue using over-the-counter (OTC) medications or any other means, as there are no safe or medically approved methods for this purpose. Attempting to shrink penile tissue using medications not intended for this use could cause serious health complications, including hormonal imbalances, tissue damage, cardiovascular problems, or other harmful side effects. The size of the penis is largely determined by genetics and natural development during puberty, and there are no legitimate medical treatments designed to reverse this. Some medications like certain antidepressants, blood pressure medications, and finasterine may have reduced penis size as an unintended side effect, but purposely using these medications for this effect would be dangerous and medically unethical, as noted in various studies 1.
Key Considerations
- There are no safe or medically approved OTC medications for penile shrinkage.
- Using medications not intended for penile shrinkage can cause serious health complications.
- The size of the penis is largely determined by genetics and natural development during puberty.
- Some medications may have unintended side effects, but using them for penile shrinkage is not recommended.
Recommendations
- If someone has concerns about their genital appearance, I would strongly recommend speaking with a healthcare provider who can address these concerns from a medical and psychological perspective rather than attempting self-medication.
- Healthcare providers can discuss available treatment options and their potential benefits and risks, as well as provide guidance on maintaining realistic expectations regarding treatment effects and adverse events, as suggested by studies 1.
- In some cases, vacuum erection devices (VEDs) may be recommended to prevent penis length loss, particularly in patients who have undergone cancer treatment, as noted in a study by the American Society of Clinical Oncology 1.
Important Notes
- The use of medications without proven efficacy can constitute a moderate risk/burden, including postponing or pre-empting the use of other efficacious treatments, inability to alleviate patient distress, time expended on ineffective treatments, and associated costs, as highlighted in a study on Peyronie's disease 1.
- Clinicians should carefully review the potential benefits and risks of each treatment option and discuss them with patients to ensure informed decision-making, as emphasized in various guidelines 1.
From the Research
Theoretical Penile Shrinkage Routine
There are no research papers to assist in answering this question, as the provided studies focus on penile lengthening and erectile dysfunction treatments, rather than penile shrinkage routines.
Available Treatments for Penile Lengthening
- Penile-extender devices have been shown to increase penile length and circumference in some studies 2, 3
- Vacuum erection devices (VEDs) have been used to treat erectile dysfunction and preserve penile length and girth after radical prostatectomy 4, 5
- Penile traction therapy (PTT) has been used to improve penile length and curvature in men with Peyronie's disease 6
Efficacy of Penile-Extender Devices
- A study published in 2011 found that a penile-extender device increased flaccid penile length by 1.3 cm and stretched penile length by 1.7 cm after 3 months of use 2
- A pilot phase-II prospective study published in 2009 found that a penile-extender device increased flaccid penile length by 2.3 cm and stretched penile length by 1.7 cm after 6 months of use 3