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With parental acceptance, the boy would be reassigned and renamed as a girl, and surgery performed to remove the testes and construct an artificial vagina.
This was based on the now-questioned idea that gender identity was shaped entirely from socialization, and that a man with a small penis can find no acceptable place in society.
This usually induces a small amount of growth, confirming the likelihood of further growth at puberty, but rarely achieves normal size.
No additional testosterone is given during childhood, to avoid unwanted virilization and bone maturation.
However, later endogenous hormones mainly have value in the treatment of micropenis caused by hormone deficiencies, such as hypopituitarism or hypogonadism.
Regardless of the cause of micropenis, if it is recognized in infancy, a brief course of testosterone is often prescribed (usually no more than 3 months).
(There is also some evidence that premature administration of testosterone can lead to reduced penis size in the adult.) Testosterone treatment is resumed in adolescence only for boys with hypogonadism.
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