Managing Phimosis: Best Ointments for Sensitive Glans in Young Men

Q: Managing Phimosis: Best Ointments for Sensitive Glans in Young Men

Hello： If you feel a bit tight, it is recommended to consider a circumcision. <br>Do not apply ointments indiscriminately; after the circumcision, it will take about a few weeks for the sensitivity to decrease.

For issues related to phimosis and sensitivity of the glans due to phimosis, it is advisable to consult a healthcare professional for appropriate treatment options. They may recommend topical corticosteroids to reduce sensitivity and inflammation, or other specific ointments based on the individual's condition. Always follow the guidance of a medical professional for the best results?

Hello doctor, I am a 21-year-old college student with no sexual experience.
A significant reason for this is that I have phimosis.
When I am not erect, I can push down the foreskin to expose the glans, and when I am erect, most of the glans is exposed, but the area where the foreskin connects to the glans feels a bit tight.
Do I need a circumcision? Additionally, since the glans is usually covered by the foreskin, it becomes very sensitive and uncomfortable even with light touch when exposed.
What ointment should I use to reduce the sensitivity of the glans? Thank you, doctor!

Yīshēng hǎo, 20~29 year old female. Ask Date: 2017/08/29

Dr. Du Shixi reply Urology

Hello: If you feel a bit tight, it is recommended to consider a circumcision.
Do not apply ointments indiscriminately; after the circumcision, it will take about a few weeks for the sensitivity to decrease.

Reply Date: 2017/08/29

More Info

Managing phimosis, particularly in young men, can be a sensitive and sometimes distressing issue. Phimosis refers to the inability to retract the foreskin fully over the glans (the head of the penis). In your case, it seems that you can partially retract the foreskin when not erect, but experience tightness during an erection. This is a common situation for many young men, and it can lead to discomfort, especially if the glans is overly sensitive due to limited exposure.

Do You Need Circumcision?
The decision to undergo circumcision is not always straightforward. Many men with phimosis can manage their condition without surgery. Here are some considerations:
1. Severity of Phimosis: If the tightness is causing pain, recurrent infections, or significant discomfort, circumcision may be recommended. However, if you can retract the foreskin partially without pain and are not experiencing other complications, you might not need surgery.

2. Conservative Treatments: Before considering circumcision, you might explore conservative treatments. These can include:
- Topical Steroid Ointments: These can help to soften and stretch the foreskin. Commonly prescribed options include betamethasone or hydrocortisone ointments. Applying these ointments can reduce inflammation and help with the stretching process.

- Gentle Stretching Exercises: Gradually stretching the foreskin can also be beneficial. This should be done gently to avoid pain or injury.

Managing Sensitivity of the Glans
Given that you experience discomfort when the glans is exposed, it’s essential to manage this sensitivity. Here are some recommendations:
1. Moisturizing Ointments: Using a gentle, fragrance-free moisturizer can help desensitize the glans over time. Products like vitamin E oil or aloe vera gel can be soothing. Avoid any products with strong fragrances or irritants.

2. Desensitizing Creams: Over-the-counter desensitizing creams that contain lidocaine can help reduce sensitivity. However, these should be used sparingly and not as a long-term solution.

3. Gradual Exposure: Allowing the glans to be exposed for short periods can help your body adjust to the sensation. Start with brief exposure and gradually increase the time as you become more comfortable.

When to See a Doctor
If you find that conservative measures are not effective, or if you experience pain, recurrent infections, or other complications, it’s essential to consult a healthcare provider. A urologist can provide a thorough examination and discuss the best options for your specific situation, including whether circumcision is necessary.

Conclusion
In summary, while circumcision is an option for managing phimosis, it is not the only solution. Topical treatments and gradual exposure can help manage sensitivity and improve your comfort. Always consult with a healthcare professional before starting any treatment to ensure it is appropriate for your condition. Remember, you are not alone in this, and many young men face similar challenges. Seeking advice from a knowledgeable healthcare provider can help you make informed decisions about your health and well-being.

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