Penile Sensitivity: Causes and Solutions for Discomfort - Urology

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Penile sensitivity


I used to masturbate frequently, but a few months ago, after one session, I noticed that the sensitivity of the glans was still very pronounced! Especially when sitting or squatting, now when I lightly press the base of the glans or rub against it, I feel a strong urge to masturbate, with a sensation of semen being on the verge of ejaculation, accompanied by an itchy feeling.
I have reduced the frequency of masturbation to 2-3 times a week, but there has been no improvement.
The sensitivity is particularly noticeable when sitting or squatting, or on the second and third days after masturbation, when I feel especially uncomfortable.
I have already had examinations for the urethra and prostate, and there is no inflammation! Could this possibly be due to autonomic nervous system dysregulation leading to sexual nerve excitation? This has been troubling me for a long time!

Yo, 10~19 year old female. Ask Date: 2016/10/24

Dr. Li Xinyi reply Urology


Based on your description, there seems to be no issue.
Relax and try not to focus too much on that aspect.
Don't use it as an outlet for seeking stimulation, as misuse can lead to various problems.
Engaging in sexual activity too frequently may indicate a loss of balance in life.
Overall, it's definitely not advisable.
I recommend taking a good rest and then observing your physical and mental health; your issues will likely resolve themselves.
If you still have concerns, it is advisable to consult a urologist for further examination.

Reply Date: 2016/10/24

More Info


Understanding penile sensitivity and discomfort can be a complex issue, often influenced by various physiological and psychological factors. In your case, it seems that you are experiencing heightened sensitivity in the glans (the head of the penis), which can lead to discomfort and a strong urge to ejaculate, particularly after masturbation or during certain positions like sitting or squatting.

Firstly, it's important to recognize that sensitivity in the genital area can be influenced by a variety of factors, including hormonal changes, nerve sensitivity, and psychological states. The fact that you have reduced the frequency of masturbation to 2-3 times a week without improvement suggests that the issue may not solely be related to the frequency of sexual activity.

One potential cause of your symptoms could be related to the autonomic nervous system, which regulates involuntary bodily functions, including sexual arousal. Dysregulation of the autonomic nervous system can lead to heightened sensitivity and an exaggerated response to stimuli. This can manifest as discomfort or an overwhelming urge to ejaculate, even in situations where it may not be appropriate or desired. Stress and anxiety can exacerbate these symptoms, potentially creating a cycle where heightened sensitivity leads to increased anxiety, which in turn can further amplify sensitivity.

Another possibility is that you may be experiencing a condition known as hyperesthesia, which refers to an increased sensitivity to sensory stimuli. This can occur in various parts of the body, including the genital area, and can be triggered by factors such as hormonal fluctuations, nerve irritation, or even psychological stress.

Since you have already consulted with a healthcare provider regarding potential infections or inflammation of the urethra and prostate, and these tests have returned normal results, it may be beneficial to explore other avenues. Here are some suggestions that may help alleviate your discomfort:
1. Consult a Urologist or Sexual Health Specialist: If you haven't already, consider seeking a second opinion from a specialist who focuses on sexual health. They may provide additional insights or recommend treatments that could help.

2. Pelvic Floor Therapy: Sometimes, pelvic floor dysfunction can contribute to sensitivity and discomfort. A physical therapist specializing in pelvic health can help you learn exercises to relax and strengthen the pelvic floor muscles, which may alleviate some of your symptoms.

3. Mindfulness and Relaxation Techniques: Stress and anxiety can exacerbate sensitivity issues. Techniques such as mindfulness meditation, deep breathing exercises, or yoga can help reduce overall anxiety levels and may improve your sexual health.

4. Behavioral Modifications: Consider experimenting with different sexual practices or techniques that may reduce sensitivity. For example, using lubrication during masturbation or sexual activity can help minimize friction and discomfort.

5. Medication: In some cases, medications that affect nerve sensitivity or anxiety may be prescribed. Discuss this option with your healthcare provider to see if it might be appropriate for your situation.

6. Avoiding Triggers: Pay attention to activities or situations that seem to exacerbate your symptoms. Keeping a journal of your experiences may help identify patterns and triggers.

7. Education and Communication: Educating yourself about sexual health and discussing your concerns with a partner can help alleviate anxiety and improve your sexual experiences.

In conclusion, while heightened sensitivity and discomfort in the genital area can be distressing, there are various approaches to managing these symptoms. It’s essential to continue working with healthcare professionals to explore the underlying causes and find effective solutions tailored to your specific situation. Remember, sexual health is an important aspect of overall well-being, and addressing these concerns can lead to improved quality of life.

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