by Emeritus Professor Sam Shuster, MD, PhD, FRCP Consultant, Dept of Dermatology, University of East Anglia, U.K.
This piece of work presented itself by accident. As a retired clinical scientist, I waste time worrying about problems I’ve opened and left unclosed. One such is stretch marks,1 and the body bulk that produces them. Would body builders carry some of the answers? These massive men downloaded with sylph-like ease, but then ousted the original problem with a bigger one, albeit of smaller amplitude: it was immediately and inescapably obvious that the bodybuilder’s crutch was mostly apparent by its absence – in short, bodybuilders appeared to have small balls.
Platitudes are what we learn from experience: there are lies, damned lies and clinical impressions, and a clinical hunch is poor evidence of its reality; I needed hard evidence. I needed to see body builders, but the responses, some of which were polite, made it clear that my study would have to be indirect. Fortunately, research is easier when its limits are defined: the trick was going to be how to measure changes in the male genital trio, the “meat and two veg” of this scientific meal, when it is covered and presented as an image.
Materials and Methods