Some patients are troubled by concerns that their penis is not large enough to satisfy their partner or themselves. They are usually ashamed to have others view their penis, especially in the flaccid state. Such concerns might cause social anxiety or some other clinical problem, such as erectile dysfunction. The concern over the size of the penis, when such concern becomes excessive, might affect the self-esteem also. A man could have the most confidence in the world; he could be a complete success personally, financially and in all the other areas that are of importance to him. But if he thinks that his penis size is under average, or even average for that matter, suddenly everything else in his life pales in comparison to his penis image/perception. A thorough assessment, normalizing the worry and then exploring the treatment options in detail with the man, is essential to allow the matter to be resolved satisfactorily within the male ego.