title: Mutually gratifying heterosexual relationship with micropenis of husband.
abstract: Three adult patients with micropenis are described: two genetic females, reared as boys, with congenital adrenocortical hyperplasia (CAH), and one male with anorchia. The patients had a male gender identity/role. All three had established a satisfying heterosexual relationship. For only one of the patients intravaginal intercourse was possible. In one patient (with CAH), penile reconstructive surgery was attempted but failed. Nevertheless, he developed a satisfactory sexual relationship with a woman friend. This report illustrates that for patients with micropenis, penile reconstructive surgery is not obligatory for the establishment of a satisfying sexual relationship.
authors.affiliation: Department of Endocrinology, University Hospital, Leiden, The Netherlands.
authors.forename: A P
authors.initials: AP
authors.lastname: van Seters
authors.forename: A K
authors.initials: AK
authors.lastname: Slob
mesh_terms: D000312:Adrenal Hyperplasia, Congenital / Q000523:psychology; D000328:Adult; D003131:Combined Modality Therapy; D012734:Disorders of Sex Development / Q000523:psychology; D005783:Gender Identity; D006801:Humans; D007021:Hypospadias / Q000523:psychology* / Q000601:surgery; D008297:Male; D008393:Marriage; D008875:Middle Aged; D010413:Penis / Q000601:surgery; D011606:Psychosexual Development; D012725:Sexual Behavior; D013737:Testis / Q000002:abnormalities