Is It Normal to Feel Pain After Retracting the Foreskin?

Retracting the foreskin?

Doctor, I recently retracted my foreskin, but it keeps getting stuck behind the glans.
I feel a constant pressure and pain, and it hurts a lot during an erection.
Is this normal?

Niming, 10~19 year old female. Ask Date: 2016/03/27

Dr. Fu Shizhang reply Urology

There is a possibility of paraphimosis.
If it cannot be reduced on its own, it is recommended to visit a clinic.
Online consultations cannot replace an in-person examination and physical assessment by a physician.
In the case of any medical condition, it is still advisable to seek care at a medical facility.

Reply Date: 2016/03/27

More Info

Experiencing pain after retracting the foreskin is not uncommon, but it is essential to understand the underlying causes and when to seek medical attention. The foreskin, or prepuce, is a fold of skin that covers the glans (the head) of the penis. When it is retracted, especially if it has not been done regularly or if there has been a recent change, discomfort can occur for several reasons.

Firstly, if the foreskin has been retracted and remains behind the glans, it can lead to a condition known as paraphimosis. This occurs when the foreskin cannot be returned to its original position after being retracted, leading to swelling and pain. Paraphimosis can restrict blood flow to the glans, which is a medical emergency requiring prompt treatment. If you notice significant swelling, discoloration, or severe pain, it is crucial to seek immediate medical attention.

Secondly, if the foreskin has been retracted for the first time or after a long period, the glans may be sensitive and not used to exposure. This sensitivity can lead to discomfort or pain, especially during erections. In such cases, the pain may diminish over time as the glans becomes accustomed to being exposed. However, if the pain persists or worsens, it is advisable to consult a healthcare professional.

Another potential cause of pain could be irritation or inflammation of the glans or the inner foreskin. This can occur due to friction, lack of lubrication, or even infections such as balanitis, which is an inflammation of the glans. Symptoms of balanitis include redness, swelling, and discharge. If you suspect an infection, it is essential to see a doctor for appropriate treatment.

In addition, if there is any history of trauma or injury to the area, this could also contribute to ongoing pain. Trauma can lead to bruising or other injuries that may take time to heal. If you have experienced any trauma, monitoring the area for signs of healing or worsening symptoms is essential.

To alleviate discomfort, consider the following steps:
1. Gentle Hygiene: Keep the area clean and dry. Use mild soap and water to wash the glans and foreskin gently. Avoid harsh soaps or irritants.

2. Lubrication: If friction is causing discomfort, using a water-based lubricant during sexual activity can help reduce irritation.

3. Avoid Retraction: If the foreskin is causing pain when retracted, it may be best to leave it in its natural position until the sensitivity decreases.

4. Pain Management: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help manage discomfort. However, consult a healthcare provider before taking any medication.

5. Consult a Healthcare Provider: If the pain persists, worsens, or is accompanied by other symptoms such as swelling, redness, or discharge, it is essential to seek medical advice. A healthcare provider can assess the situation and recommend appropriate treatment.

In summary, while some discomfort after retracting the foreskin can be normal, persistent or severe pain should not be ignored. Understanding the potential causes and taking appropriate steps can help manage the situation effectively. If in doubt, always consult a healthcare professional for personalized advice and treatment.

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