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Macrophallia - Case Report

Aug 18, 2021

The European Journal of Androgynous Medicine


A Case of Extreme Macrophallia With a Fully Functional Penis And Recurrent Syncope During Sexual Arousal


Abstract:


We present the case of a romanian 22 year-old female, white, 170cm high, BMI=29, with no history of previous sexual intercourse, penile or vaginal, who suffered from intense genital growth during the last two years. She is what is called a late bloomer - females who have one or two normal to minor growth spurts before the age of 15, and develop a third spurt in young adult life, sometimes believed to be linked to frequent ejaculation from active manual stimulation.


During that time, she had a length gain from an already 19,0cm flaccid, 31,4cm erect to impressive 64,0cm flaccid, 87,6cm erect. Her width went from 3,5cm flaccid, 6,5cm erect to 9,47cm flaccid, 14,5cm erect. Despite that accelerated growth, the patient's genitalia presents no stretch-marks, probably due to a pre-existing prepuce redundance. We have no image register of her previous sizes, once she did not seek medical attention at that time, and those numbers are patient-informed.


Females with such dimensions use to experience poor erect states, from semi-erect to none, due to the volume of blood necessary for a full erect state. Those women tend to prefer passive roles during sexual activity, and penile stimulation is usually limited to caresses from the partner, active or passive masturbation, but, occasionally, after longer preliminary sexual stimulation, they may be able to perform some active penetration.


Our patient, however, experiences full erect states during sexual arousal, due to a reinforced vascular smooth muscle layer, which allows for relatively fast filling of her corpora cavernosa, to a state of complete, strong, pulsating stiffness, leading to temporary impairment of cerebral blood flow, and causing recurrent syncopes.


The course of the disease uses to resolve itself after 3 to 4 years. The nervous system adapts and symptoms become mild to none. Because of the time it gets to heal, quality of life can be improved with counter-measures, as squatting, hand-grip, or - in proper environments - firm manual compression of the glans with slow shaft massage.


If the unconscious time exceeds 45 seconds with full erection, it is mandatory to vigorously massage the penis of the passed woman, and family members are instructed on how to do so. Counseling should take into account the prejudice about manipulating her genitals, but one must be oriented to not seeing the act as sexual, once the affected person is not feeling it, and risk of permanent cerebral damage is imminent.


Our patient showed evident release of her symptoms during follow-up, with good response to counter-measures. She refers improvement of social relationships and she is now popular and is dating.


(Images obtained with patient consent, with manual penile stimulation of the patient by a trained nurse, under sedation.)

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