Glans Engorgement Issues During Erection - Urology

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Condition of the glans penis


After erection, the glans does not engorge (it's not a hardness issue, but rather it does not expand), while the penis is hard and only expands with force.
Is this a problem?

Mr. Wang, 10~19 year old female. Ask Date: 2018/02/09

Dr. Du Shixi reply Urology


Hello: If this happens every time, you should consult a urology clinic at the hospital.
In the meantime, try to eat a light diet (as outside food is usually too oily), and avoid intense exercise for now.
Wishing you good health.

Reply Date: 2018/02/09

More Info


Understanding glans engorgement issues during erection can be quite complex, as it involves various physiological mechanisms related to blood flow and nerve function. The glans penis, or the head of the penis, is highly vascularized and plays a crucial role in sexual arousal and pleasure. When an erection occurs, blood flow increases to the penis, causing it to become firm and engorged. However, if the glans does not engorge properly, even when the shaft is erect, it may indicate an underlying issue.

In your case, where the glans does not swell significantly during an erection, but the shaft does become hard, there are several potential explanations. One possibility is that there may be a vascular issue affecting the blood flow specifically to the glans. Conditions such as atherosclerosis, which is the hardening of arteries, can lead to reduced blood flow to certain areas of the body, including the penis. Another possibility could be related to nerve function; if the nerves that control blood flow to the glans are not functioning optimally, this could also result in inadequate engorgement.

Moreover, psychological factors can also play a role in erectile function. Anxiety, stress, or performance pressure can affect how the body responds during sexual arousal. If you are preoccupied with concerns about your sexual performance or bodily function, it may inadvertently affect your physiological response.

It is also worth considering that certain medications or health conditions can impact erectile function and blood flow. For example, medications for hypertension or depression can sometimes have side effects that affect sexual performance. Additionally, conditions such as diabetes or hormonal imbalances can also lead to erectile dysfunction or changes in how the penis responds during arousal.

If you are experiencing this issue consistently, it is advisable to consult a healthcare professional, preferably a urologist. They can conduct a thorough evaluation, which may include a physical examination, blood tests to check hormone levels, and possibly imaging studies to assess blood flow. Based on the findings, they can recommend appropriate treatment options, which may include lifestyle changes, medication adjustments, or other interventions.

In summary, while the inability of the glans to engorge properly during an erection may not be an immediate cause for alarm, it is essential to understand the underlying factors that could contribute to this issue. Seeking medical advice is crucial to rule out any serious conditions and to ensure that you maintain optimal sexual health. Remember, sexual health is an integral part of overall well-being, and addressing any concerns you have is important for your physical and emotional health.

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