Phimosis: Do You Need Circumcision or Just Better Hygiene?

Phimosis and desensitization?

1.
My foreskin is too long, but I can pull it down past the coronal ridge both when flaccid and erect.
Do I need a circumcision, or is it sufficient to just clean it more thoroughly?
2.
My foreskin is too long.
Will I experience pain during intercourse with my girlfriend in the future, or will it be fine as long as there is enough lubrication?

panda, 10~19 year old female. Ask Date: 2016/05/10

Dr. Li Xinyi reply Urology

In the future, if I have intercourse with my girlfriend, I might experience headaches, but they seem to improve over time.
It doesn't seem necessary to undergo circumcision, but any issues with the foreskin should be evaluated in person if there are concerns.
It's still advisable to see a urologist for an examination.

Reply Date: 2016/05/10

More Info

Phimosis is a condition where the foreskin of the penis cannot be easily retracted over the glans (the head of the penis). This can lead to discomfort, hygiene issues, and in some cases, complications such as infections. Your questions touch on important aspects of managing phimosis, particularly regarding the need for circumcision versus improved hygiene practices.

1. Do You Need Circumcision?
In your case, since you mentioned that your foreskin can be retracted below the corona (the ridge of the glans) both when flaccid and erect, it suggests that you may not have a severe case of phimosis. If you are able to retract the foreskin without pain or difficulty, circumcision might not be necessary. Many individuals with a longer foreskin can manage their condition with proper hygiene practices. Regular cleaning of the area can help prevent infections and maintain good health. It is essential to gently retract the foreskin during bathing to clean underneath it, as this area can accumulate smegma, a substance that can lead to irritation or infection if not cleaned properly.

However, if you experience pain, recurrent infections, or if the foreskin becomes stuck and cannot be retracted (a condition known as paraphimosis), then circumcision or other medical interventions may be warranted. It is advisable to consult with a urologist who can evaluate your specific situation and provide personalized recommendations.

2. Will Intercourse Be Painful?
Regarding your concern about pain during intercourse, it is possible that a longer foreskin could lead to discomfort if it does not retract easily during sexual activity. However, adequate lubrication can significantly reduce friction and discomfort. If the foreskin is sufficiently moist, it should glide over the glans without causing pain. Many individuals with longer foreskins engage in sexual activity without issues, provided they maintain good hygiene and use lubrication as needed.

If you find that you are experiencing pain during intercourse, it could be due to several factors, including insufficient lubrication, anxiety, or a tight foreskin. If lubrication alone does not alleviate the discomfort, it may be worth discussing this with a healthcare provider. They can assess whether there are any underlying issues that need to be addressed, such as a tight foreskin that may require treatment.

In summary, circumcision is not always necessary for individuals with a longer foreskin, especially if they can retract it without difficulty. Improved hygiene practices can often suffice. However, if you experience pain during sexual activity or have concerns about your foreskin, it is best to consult a healthcare professional for a thorough evaluation and tailored advice. They can help determine the best course of action based on your specific circumstances and health needs.

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