Phimosis and Sperm Concerns: A Urology Perspective

Q: Phimosis and Sperm Concerns: A Urology Perspective

Hello： 1) If it cannot be retracted, you can soak it in warm water and try to gently pull it back again. <br>If it still doesn't work, you should consult a physician. <br>2) If there is adhesion, pulling may cause pain; circumcision is not necessarily required. <br>As long as you

Phimosis and sperm issues?

I'm currently in high school and I have some questions I would like to ask:
1.
Recently, I've started to gradually expose the glans, but I noticed that when it's soft, I can reveal it, yet a small part is completely adhered to the foreskin.
When I pull the foreskin, the glans moves along with it.
If it is adhered like this, what methods are available to separate them?
2.
When I have an erection, the glans cannot be fully exposed; it can only reveal about two-thirds of it.
I started engaging in sexual activity in November, and in early January, I experienced an infection of the balanitis.
During sexual activity, if I use a condom, there is no pain, but without it, there is pain.
Do I need a circumcision? If I undergo circumcision, can it also resolve the issue of the glans being adhered to the foreskin? If the balanitis is not fully healed, is it safe to masturbate or have sexual intercourse (with a condom)?
3.
During sexual activity, I used a condom and ensured it was intact by filling it with water.
After ejaculation, it became soft.
In the past, I have also checked for leaks.
Can sperm pass through the condom? If I used a condom throughout and it did not break, why do some sources online state that there is still a 3% failure rate? What accounts for this 3% failure? Thank you, doctor.

Nìmíng, 10~19 year old female. Ask Date: 2017/02/01

Dr. Du Shixi reply Urology

Hello: 1) If it cannot be retracted, you can soak it in warm water and try to gently pull it back again.
If it still doesn't work, you should consult a physician.
2) If there is adhesion, pulling may cause pain; circumcision is not necessarily required.
As long as you can separate it, regular cleaning will prevent pain in the future.
If balanitis is not resolved, masturbation and sexual intercourse are not recommended.
3) Even with condom use, if it is not used throughout the entire intercourse, there is still a possibility of pregnancy.
Sperm cannot pass through the condom if it is intact.

Reply Date: 2017/02/01

More Info

Understanding phimosis and sperm concerns is essential for addressing various urological issues. Phimosis refers to the condition where the foreskin cannot be fully retracted over the glans (the head of the penis). This can lead to discomfort, hygiene issues, and complications such as infections. Let's address your specific concerns one by one.

1. Adhesion of the Foreskin to the Glans: It is common for the foreskin to be adhered to the glans in younger males, especially if the foreskin has not been retracted fully before. This adhesion can sometimes resolve on its own as the individual matures. However, if you are experiencing discomfort or difficulty in retracting the foreskin, it is advisable to consult a urologist. They may suggest gentle stretching exercises or topical treatments to help separate the foreskin from the glans. In some cases, if the adhesion is severe, a minor surgical procedure may be necessary.

2. Partial Retraction During Erection: If you can only retract the foreskin partially during an erection, this may indicate a more significant degree of phimosis. The discomfort you experience during sexual activity without a condom could be due to friction or inflammation of the glans. If you have been diagnosed with balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin), it is crucial to treat these conditions before engaging in sexual activity.
Regarding circumcision, it is a common procedure that can effectively resolve phimosis and recurrent infections. If you choose to undergo circumcision, it will likely address both the phimosis and any associated infections. However, if you are currently experiencing inflammation, it is best to wait until the condition has resolved before considering surgery. As for masturbation or sexual activity while having an infection, it is generally advisable to avoid these activities until the infection has cleared to prevent further irritation or complications.

3. Condom Efficacy and Sperm Concerns: Using condoms correctly is one of the most effective methods of contraception and protection against sexually transmitted infections (STIs). If you are using condoms properly and they do not break, the risk of pregnancy is significantly reduced. The 3% failure rate often cited refers to typical use, which accounts for human error, such as improper application or removal of the condom. Even with perfect use, no contraceptive method is 100% effective, which is why it is essential to consider additional methods of contraception if you are concerned about pregnancy.

In summary, it is crucial to address the issues of phimosis and any associated infections with a healthcare professional. They can provide personalized advice and treatment options based on your specific situation. Maintaining good hygiene, using condoms correctly, and seeking medical advice for persistent issues will help ensure your urological health. If you have further questions or concerns, do not hesitate to reach out to a urologist for a thorough evaluation and tailored recommendations.

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