Foreskin issues
Hello, doctor! Before I get an erection, I can pull it out completely to see the head.
After that, I pull it out first and then let it harden, but the coronal sulcus feels really tight.
Will it gradually loosen over time? Or is it dangerous to masturbate this way? Besides seeing a doctor, are there any other methods to help it gradually turn into a coronal shape?
Y, 20~29 year old female. Ask Date: 2020/02/17
Dr. Li Xinyi reply Urology
You may need to undergo a dorsal slit procedure for the foreskin.
It is advisable to visit a urologist for an examination and discuss it further with the physician.
Reply Date: 2020/02/17
More Info
Foreskin issues, particularly those related to tightness or phimosis, can be a common concern for many men. It’s important to understand that the foreskin is designed to be retractable, but in some cases, it may not retract easily, especially when the penis is erect. This can lead to discomfort or pain during sexual activity or masturbation.
Understanding the Condition
From your description, it sounds like you may be experiencing a form of phimosis, which is when the foreskin cannot be easily retracted over the glans (the head of the penis). This condition can be physiological, meaning it’s a normal part of development, especially in younger males, or it can be pathological, resulting from scarring or infection.
Safe Practices
1. Gentle Stretching: If you are comfortable, you can try gentle stretching exercises. This involves gently pulling back the foreskin when you are relaxed, ideally during a warm bath or shower when the skin is more pliable. Do this gradually and never force it, as this can lead to pain or tearing.
2. Lubrication: Using a water-based lubricant can help ease the process of stretching. This can reduce friction and make the experience more comfortable.
3. Hygiene: Maintaining good hygiene is crucial. Ensure that you clean under the foreskin regularly to prevent infections, which can exacerbate tightness.
4. Avoiding Painful Practices: If you find that masturbation or sexual activity is painful due to tightness, it’s best to avoid these practices until you can address the issue. Pain is a signal from your body that something may not be right.
When to Seek Medical Advice
If the tightness persists or worsens, or if you experience pain, bleeding, or signs of infection (such as redness or swelling), it’s important to consult a healthcare professional. They can provide a proper diagnosis and discuss treatment options, which may include:
- Topical Steroids: In some cases, a doctor may prescribe a topical steroid cream to help loosen the foreskin.
- Surgical Options: If conservative treatments do not work, surgical options such as circumcision or preputioplasty (a less invasive procedure) may be considered.
Long-Term Considerations
In many cases, especially in younger individuals, the foreskin may naturally become more retractable over time as the body matures. However, if you are an adult and experiencing significant tightness, it is less likely to resolve on its own without intervention.
Conclusion
In summary, while some tightness of the foreskin can be normal, it’s important to listen to your body and take steps to ensure your comfort and health. Gentle stretching, proper hygiene, and lubrication can help, but do not hesitate to seek medical advice if you have concerns. Remember, your health and comfort should always come first, and a healthcare provider can offer the best guidance tailored to your specific situation.
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