Foreskin Issues: Pain and Sensitivity in Teens

Prepuce issues

Hello Doctor, I am a 17-year-old male.
I have not undergone circumcision and have not engaged in sexual intercourse.
Recently, I noticed that after retracting my foreskin, the glans and foreskin experience tenderness, but there is no redness or swelling.
What could be the possible issue? Thank you for your response.

You Tongxue, 10~19 year old female. Ask Date: 2019/07/23

Dr. Li Xinyi reply Urology

This is normal.
It will gradually become less sensitive.

Reply Date: 2019/07/23

More Info

Hello! It's great that you're reaching out to discuss your concerns regarding foreskin issues. At 17 years old, it's not uncommon to experience some discomfort or sensitivity in the area of the foreskin and glans (the head of the penis). Let's delve into some potential causes and considerations regarding your situation.

Firstly, the sensitivity you're experiencing when retracting the foreskin could be due to a few factors. One common reason is sensitivity of the glans. The glans is typically covered by the foreskin, which protects it from friction and exposure. When the foreskin is retracted, the glans may feel sensitive or painful, especially if it has not been exposed frequently. This sensitivity can be more pronounced if there has been a lack of exposure over time.

Another possibility is balanitis, which is inflammation of the glans. While you mentioned there is no redness or swelling, balanitis can sometimes present with mild discomfort without significant visible symptoms. It can be caused by various factors, including poor hygiene, irritation from soaps or lotions, or infections. Maintaining good hygiene by gently washing the area with mild soap and water can help prevent irritation.

Additionally, phimosis could be a consideration. Phimosis is a condition where the foreskin cannot be easily retracted over the glans. While you mentioned that you can retract your foreskin, if there is any tightness or discomfort during retraction, it might be worth discussing with a healthcare professional.

If you have recently started experiencing this discomfort, consider any changes in your routine that might have contributed. For example, new soaps, laundry detergents, or even changes in sexual arousal or activity can lead to increased sensitivity or irritation.

In terms of management, here are some recommendations:
1. Hygiene: Ensure that you are cleaning the area gently but thoroughly. Avoid using harsh soaps or products that may irritate the skin.

2. Moisturization: If the skin feels dry or irritated, applying a gentle, fragrance-free moisturizer may help alleviate discomfort.

3. Avoid Irritants: Be mindful of any products that may cause irritation, including scented soaps, lotions, or even certain types of clothing.

4. Consult a Healthcare Professional: If the pain persists, worsens, or if you notice any other symptoms (like discharge, significant swelling, or changes in color), it's essential to consult a healthcare provider. They can perform a physical examination and provide a more accurate diagnosis and treatment plan.

5. Education: Understanding your body and its responses is crucial. If you're feeling anxious about these changes, consider discussing them with a trusted adult or healthcare provider who can provide reassurance and guidance.

In conclusion, while sensitivity and discomfort in the area of the foreskin and glans can be concerning, many factors can contribute to these sensations. Maintaining good hygiene, being mindful of irritants, and consulting with a healthcare professional if symptoms persist are essential steps in addressing your concerns. Remember, it's always best to seek personalized advice from a healthcare provider who can assess your situation directly. Take care!

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