Dealing with Phimosis: Concerns About Sensitivity and Skin Irritation

Phimosis can cause skin tearing during masturbation?

I have a condition of phimosis, where the foreskin completely covers the penis even when fully erect, but I can easily retract the foreskin to expose the glans for cleaning.
I have been masturbating with the foreskin covering the glans, but recently I started trying to retract the foreskin while showering and expose the glans, using a traditional hand-over-hand technique for masturbation with soap as lubrication.
However, after a few attempts, I noticed slight skin abrasions, although there was no actual bleeding, the glans became red and painful when exposed to water.
I tried the same retraction of the foreskin while using a condom for masturbation, and there were no abrasions.
It seems that the glans is very sensitive and fragile.
Should I be concerned about this and seek treatment? I worry that in the future, I may not be able to engage in normal sexual intercourse, as I currently use condoms for all sexual activity, which seems to provide an extra layer of protection and reduce the risk of abrasions.

Ye, 20~29 year old female. Ask Date: 2016/08/18

Dr. Xu Wencang reply Urology

First, go to the hospital for an examination.

Reply Date: 2016/08/18

More Info

Dealing with phimosis and the associated sensitivity and skin irritation can be a challenging experience. Based on your description, it appears that you are experiencing some discomfort and irritation when attempting to retract the foreskin, particularly during masturbation. This is not uncommon for individuals with phimosis, as the sensitivity of the glans (the head of the penis) can lead to irritation, especially when exposed to friction or soap.

Phimosis is a condition where the foreskin cannot be easily retracted over the glans. In some cases, this can lead to discomfort during sexual activity or hygiene practices. The fact that you are able to retract the foreskin to some extent suggests that you may have a mild form of phimosis, but it is still important to approach this situation with care.

Using soap as a lubricant during masturbation can exacerbate irritation, as many soaps contain fragrances and other chemicals that can be harsh on sensitive skin. Instead, consider using a water-based lubricant that is specifically designed for sensitive areas. This can help reduce friction and irritation during masturbation.

The redness and slight skin breakdown you are experiencing after masturbation indicate that the glans may be sensitive and possibly not accustomed to direct contact. It is crucial to allow the area to heal before attempting to retract the foreskin again. You may want to take a break from any activities that cause irritation until the redness subsides.

Regarding your concerns about future sexual activity, it is understandable to worry about how phimosis may affect your ability to engage in sexual intercourse. Many individuals with phimosis can have fulfilling sexual experiences, especially if they take precautions, such as using condoms, which you mentioned. Condoms can provide a protective barrier that reduces friction and irritation.

If you continue to experience discomfort or if the irritation worsens, it may be beneficial to consult a healthcare professional, such as a urologist. They can assess your condition and provide tailored advice. In some cases, they may recommend treatments such as topical corticosteroids to help reduce inflammation and sensitivity or, in more severe cases, surgical options like circumcision or preputioplasty.

In the meantime, here are some additional tips to help manage your symptoms:
1. Gentle Hygiene: When cleaning the area, use warm water and avoid harsh soaps. If you need to use soap, opt for a mild, fragrance-free option.

2. Moisturization: Consider applying a gentle, hypoallergenic moisturizer to the glans after cleaning to help maintain skin hydration and reduce sensitivity.

3. Avoid Irritants: Steer clear of products that may irritate the skin, including scented lotions, oils, or other personal care products.

4. Gradual Exposure: If you wish to desensitize the glans, consider gradually exposing it to air and gentle touch over time, allowing your skin to adapt.

5. Consultation: If you have ongoing concerns about sensitivity, irritation, or phimosis, seek professional medical advice for a comprehensive evaluation and personalized treatment options.

In summary, while your current experience with phimosis and sensitivity is concerning, there are steps you can take to manage the symptoms effectively. Prioritizing gentle care, using appropriate lubricants, and consulting with a healthcare professional if necessary can help ensure that you maintain both your sexual health and comfort.

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