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The risk of complications may outweigh the perceived benefits, and the results tend to be variable at best. But even then, there may be factors other than growth that explain a penis' abnormally short appearance. One such example is childhood obesity in which excessive pelvic fat obscures an otherwise normal-sized penis. Adolescence is a time for growth spurts and other changes spurred by the onset of puberty. If used early enough, TRT delivered in three intramuscular injections over 12 weeks may increase the child's penis size to the reference range for his age. Less commonly, there are congenital conditions that limit how much of the penis is externally seen.

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