Penis Sensation Issues: Causes and Solutions

Penile issues

In recent days, I have felt that my penis seems to be in a constant state of retraction, and there is a lack of sensation when I touch it, almost as if it is numb, although there is no pain.
I have tried masturbating, but I am unable to achieve a normal erection.
What could be the cause of this?

Xiao Fei Xiang, 20~29 year old female. Ask Date: 2019/09/28

Dr. Sun Hongshun reply Urology

Hello, penile size can be influenced by both congenital and acquired factors.
For the average male, if the penis can achieve an erection and engage in sexual intercourse, it is not considered to be a case of penile shortness.
Generally speaking, erection is related to both physiological and psychological states, so there is no need to worry too much.
Relaxing and easing your mind may help improve the situation.

Reply Date: 2019/09/28

More Info

When experiencing issues with penile sensation, such as a feeling of persistent shrinkage or numbness, it can be concerning and may stem from various underlying causes. Understanding these causes is essential for determining the appropriate course of action.

One potential cause of diminished sensation or the feeling of a retracted penis could be related to psychological factors. Stress, anxiety, or depression can significantly impact sexual function and sensation. The mind plays a crucial role in sexual arousal, and if there are psychological barriers, they can manifest as physical symptoms, including erectile dysfunction or altered sensation.

Another possibility is a physical condition affecting blood flow or nerve function. Conditions such as diabetes, multiple sclerosis, or peripheral neuropathy can lead to changes in sensation. Diabetes, in particular, is known to cause nerve damage over time, which can affect sexual function. If there is a history of such conditions, it would be prudent to discuss them with a healthcare provider.

Hormonal imbalances can also play a role. Testosterone levels naturally decline with age, but low testosterone can lead to reduced libido, erectile dysfunction, and changes in sensation. A simple blood test can help determine if hormone levels are within the normal range.

In some cases, medication side effects can contribute to sexual dysfunction. Certain antidepressants, antihypertensives, and other medications may have side effects that impact sexual performance and sensation. If you are taking any medications, it is worth reviewing these with your healthcare provider to see if they could be contributing to your symptoms.

Physical trauma or injury to the pelvic area can also lead to changes in sensation. If there has been any recent trauma, even if it seems minor, it could be a factor. Additionally, conditions like Peyronie's disease, which involves the development of fibrous scar tissue inside the penis, can lead to changes in shape, sensation, and erectile function.

If you are experiencing these symptoms, it is essential to consult a healthcare professional. They may recommend a thorough evaluation, including a physical examination and possibly blood tests to assess hormone levels, blood sugar levels, and other relevant factors. Depending on the findings, treatment options may include lifestyle changes, medication adjustments, therapy for psychological factors, or other interventions tailored to your specific situation.

In summary, penile sensation issues can arise from a variety of causes, including psychological factors, physical conditions, hormonal imbalances, medication side effects, or trauma. Seeking medical advice is crucial for proper diagnosis and treatment. Addressing these concerns early can help restore confidence and improve overall sexual health.

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