Phimosis: Concerns About Foreskin and Erection Issues

Q: Phimosis: Concerns About Foreskin and Erection Issues

Hello： 1) For males who have not been circumcised, it is often a case of phimosis, where some may have a tight foreskin while others do not. <br>If development is complete, the physician will provide recommendations, and circumcision is usually an option (if there is no tightness

Erection and foreskin?

Hello, Doctor.
I would like to ask the following questions:
1.
If I can retract the foreskin when the penis is not erect, but it does not retract on its own when erect, and manually retracting it causes tightness and pain, does this qualify as phimosis? Or is it a sign that the genitalia is not fully developed, requiring surgery?
2.
If the foreskin does not retract during an erection, can I still engage in sexual intercourse?
3.
When I shower, I always retract the foreskin to clean it, but this is in a non-erect state.
During masturbation, even if the foreskin is not retracted, semen still flows out.
Does this indicate phimosis or excessive foreskin? Can I engage in sexual intercourse? If so, what are the potential effects of doing so?

Yi, 10~19 year old female. Ask Date: 2017/06/03

Dr. Du Shixi reply Urology

Hello: 1) For males who have not been circumcised, it is often a case of phimosis, where some may have a tight foreskin while others do not.
If development is complete, the physician will provide recommendations, and circumcision is usually an option (if there is no tightness, surgery may not be necessary).
2) Yes, it is possible.
3) Yes, it is possible, and there will be no impact.

Reply Date: 2017/06/03

More Info

Phimosis is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). It can be a source of concern for many, especially regarding sexual function and hygiene. Let's address your questions one by one.

1. Phimosis Diagnosis: From your description, it seems that you can retract the foreskin when the penis is not erect, but it becomes tight and painful when attempting to do so during an erection. This situation is indicative of phimosis, particularly if the foreskin does not retract naturally during an erection. Phimosis can be classified into two types: physiological (normal in infants and young boys) and pathological (due to scarring or other conditions). If the tightness and pain are significant, it may be advisable to consult a urologist. They can assess whether surgical intervention, such as circumcision or a less invasive procedure, is necessary.
2. Engaging in Sexual Activity: If the foreskin does not retract during an erection, it may complicate sexual intercourse. While some individuals with phimosis can still engage in sexual activity, it may lead to discomfort or pain for both partners. Additionally, if the foreskin is too tight, it can lead to tearing or other injuries during intercourse, which can increase the risk of infections. Therefore, it is essential to discuss this with a healthcare provider to determine the best course of action.

3. Hygiene and Ejaculation: It’s good that you are practicing hygiene by retracting the foreskin during bathing. However, if you are unable to do so during an erection, it does not necessarily mean you have a severe condition. The fact that you can ejaculate even with the foreskin in place indicates that your reproductive function is intact. Phimosis does not inherently prevent ejaculation or sexual function, but it can lead to complications if not managed properly.
Regarding whether you can engage in sexual activity with phimosis, it is possible, but caution is advised. If the foreskin is too tight, it may lead to discomfort or pain during intercourse, and it could also increase the risk of tearing the foreskin, which can lead to bleeding or infection.
In summary, while you may be able to engage in sexual activity, it is crucial to address the tightness of the foreskin, especially if it causes pain. Consulting a urologist would provide you with a clearer understanding of your condition and the potential need for treatment. They can offer options ranging from topical treatments to surgical solutions, depending on the severity of your symptoms and your personal preferences.
In conclusion, phimosis can be managed effectively with the right medical guidance. It is essential to prioritize your comfort and health, and seeking professional advice is the best step forward.

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