Phimosis and Its Impact on Sexual Function in Teenagers - Urology

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Regarding the foreskin?


Hello Doctor, I am currently a senior in high school and have recently discovered some issues regarding my genitalia.
I hope you can help clarify my concerns:
1.
My erect penis length is about 8 centimeters, and when not erect, it sometimes shrinks significantly.
Will this affect my sexual function?
2.
I usually have phimosis when erect, but I can retract the foreskin to expose the glans.
However, the foreskin tends to accumulate a thick ring and feels somewhat tight.
Should I consider a circumcision?
Thank you for your patient answers; I am extremely grateful!

Young, 10~19 year old female. Ask Date: 2016/07/25

Dr. Xu Wencang reply Urology


It may be necessary; please consult a physician for evaluation.

Reply Date: 2016/07/25

More Info


Understanding phimosis and its impact on sexual function in teenagers is an important topic that encompasses both physical and psychological aspects of male sexual health. Let's break down your concerns into two main questions: the potential impact of penis size on sexual function and the implications of phimosis.

1. Impact of Penis Size on Sexual Function:
It's essential to understand that penis size varies significantly among individuals, and what is considered "normal" can encompass a wide range of sizes. An erect penis length of 8 cm (approximately 3.15 inches) is below the average size, which can be a source of concern for many young men. However, research indicates that penis size does not necessarily correlate with sexual function or satisfaction for both partners. Sexual function is influenced by various factors, including emotional connection, communication, and technique rather than just anatomical measurements.
If you are experiencing anxiety or self-esteem issues related to your size, it may be beneficial to speak with a healthcare professional or a counselor. They can provide support and help you understand that sexual satisfaction is multifaceted and not solely dependent on size.

2. Phimosis and Its Management:
Phimosis is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). In your case, you mentioned that while you can retract the foreskin, it tends to be tight and forms a thick ring. This can lead to discomfort during erections and may increase the risk of infections or other complications.

The decision to undergo circumcision (removal of the foreskin) is a personal one and should be made after careful consideration and consultation with a healthcare provider. Here are a few points to consider:
- Symptoms of Phimosis: If you experience pain, difficulty urinating, or recurrent infections, these are indications that treatment may be necessary.
- Non-Surgical Options: In some cases, non-surgical treatments such as topical steroid creams can help loosen the foreskin, making it easier to retract. This option may be worth discussing with your doctor.

- Surgical Options: If phimosis is causing significant issues, circumcision may be recommended. This procedure can alleviate the tightness and prevent future complications. It's generally safe and has a high success rate.

Ultimately, the best course of action is to consult with a urologist or a healthcare provider who specializes in male reproductive health. They can assess your specific situation, discuss the potential benefits and risks of circumcision, and help you make an informed decision.

In summary, while concerns about penis size and phimosis are valid, it's crucial to approach these issues with a comprehensive understanding of sexual health. Open communication with healthcare professionals can provide clarity and support, ensuring that you make informed decisions about your body and sexual health. Remember, sexual health is not solely defined by physical attributes but encompasses emotional and relational aspects as well.

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