Decreased Sensitivity in the Glans: Causes and Solutions

Decreased sensitivity of the glans penis?

Hello, Dr.
Chen.
A few days ago, I had intercourse with my girlfriend for the first time.
On the first day, I felt a lot of sensation in the glans, especially during unprotected oral sex, which was very pleasurable.
However, after that, when my penis entered the vagina, the sensation was not as intense; I only felt it in certain positions.
Since it was my first time, I couldn't maintain those positions, and after a while, the sensation diminished, leading to loss of erection.
In the following days, I tried again, but the situation remained the same.
I feel that the sensitivity of the glans is not as strong as before, even during oral sex.
I can achieve an erection, but due to the decreased sensitivity, I need my girlfriend to stimulate me or I have to use my hand to get sufficiently aroused.
Although I usually masturbate, I have never experienced this kind of issue before.
I wonder if the intense stimulation from the unprotected oral sex on the first day caused this.
Thank you, Dr.
Chen.

Niming, 20~29 year old female. Ask Date: 2017/06/19

Dr. Chen Jiansheng reply Urology

Erectile dysfunction in young individuals is mostly due to psychological factors.
It is recommended to take a month off before trying again.

Reply Date: 2017/06/19

More Info

Decreased sensitivity in the glans, particularly after an initial experience of heightened pleasure, can be attributed to several factors, both physiological and psychological. It’s not uncommon for individuals to experience a change in sensitivity after their first sexual encounter, and understanding the underlying causes can help address the issue effectively.

Physiological Factors
1. Desensitization: After an intense experience, such as unprotected oral sex, the glans may become temporarily desensitized. This is due to overstimulation, which can lead to a temporary reduction in sensitivity. The nerve endings in the glans may need time to recover from the heightened stimulation.

2. Anxiety and Performance Pressure: The psychological aspect of sexual performance can significantly impact sensitivity. If you are feeling anxious about maintaining an erection or achieving the same level of pleasure as your first experience, this anxiety can lead to a decrease in arousal and sensitivity. The mind plays a crucial role in sexual function, and stress or performance anxiety can inhibit the body's natural responses.

3. Physical Condition: Factors such as fatigue, hydration levels, and overall physical health can influence sexual performance and sensitivity. If you are tired or not feeling your best, this can affect your sexual experience.

4. Hormonal Fluctuations: Testosterone levels can fluctuate, and lower levels can lead to decreased libido and sensitivity. If you have been under stress or experiencing changes in your routine, this could impact your hormone levels.

Psychological Factors
1. Expectations vs. Reality: The first sexual experience can set high expectations for future encounters. If subsequent experiences do not meet these expectations, it can lead to disappointment and decreased arousal. This cycle can create a mental block that further reduces sensitivity.

2. Focus on Performance: If you find yourself overly focused on how to achieve the same level of pleasure or maintain an erection, this can detract from the experience itself. It’s essential to shift your focus from performance to enjoyment and connection with your partner.

Solutions and Recommendations
1. Take Your Time: Allow yourself to relax and take your time during sexual encounters. Focus on foreplay and explore different forms of stimulation that can enhance arousal without the pressure of penetration.

2. Communicate with Your Partner: Open communication with your partner about what feels good and what doesn’t can help both of you navigate this experience together. This can also alleviate performance pressure.

3. Experiment with Different Positions: If certain positions provide more stimulation, try to incorporate them into your encounters. However, it’s important to remain relaxed and not force any position that feels uncomfortable.

4. Mindfulness and Relaxation Techniques: Practicing mindfulness can help reduce anxiety and improve your overall sexual experience. Techniques such as deep breathing, meditation, or even yoga can help you feel more relaxed and present during intimate moments.

5. Consult a Professional: If the issue persists, consider speaking with a healthcare professional or a sex therapist. They can provide personalized advice and help address any underlying concerns, whether they are physical or psychological.

6. Limit Stimulation: If you find that certain types of stimulation (like oral sex) lead to desensitization, consider moderating how often you engage in those activities until sensitivity returns.

In conclusion, decreased sensitivity in the glans after an initial pleasurable experience can be a normal response to overstimulation, anxiety, or performance pressure. By understanding the factors at play and implementing strategies to enhance relaxation and communication, you can work towards restoring sensitivity and improving your sexual experiences. Remember, sexual health is a journey, and it’s essential to be patient with yourself as you navigate these changes.

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