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Although reassuring with respect to DHT, this study was small and thusconfirmation in a larger trial would be beneficial. There was no difference in circulating DHT between groups.Vierhapper et al. determined production rates of T and DHT in young women(23 to 40 years old) using the stable isotope dilution technique and mass spectrometry(239). These studies were performed before more accurate and precisemeasurements of DHT were possible with LC-MS/MS. Hirsutism, a common symptom of PCOS, is another example where circulating levels of DHT (orits 3α- and 3β-androstanediol metabolites) do not appearto play a significant role compared with intracellular concentrations (232–234). Key Takeaways on Penis Enlargement Studies have demonstrated that men who are satisfied with their penile length overestimate their size, whereas men who are dissatisfied consistently underestimate (11). 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