How to Properly Use Condoms with Pseudophimosis Issues - Urology

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Condom issues?


Hello, doctor.
I would like to inquire about how to properly wear a condom with a condition known as pseudophimosis.
I often experience slippage while wearing it, and I would like to know if there are any effective methods for putting on a condom.

Xiao Wu, 10~19 year old female. Ask Date: 2020/04/18

Dr. Du Shixi reply Urology


Hello: There are tutorials available online on how to use it, and different brands of the product also vary in size and elasticity, which you can refer to.
Wishing you good health.

Reply Date: 2020/04/18

More Info


When dealing with pseudophimosis, which is a condition where the foreskin cannot be easily retracted over the glans (head) of the penis, using condoms can indeed present some challenges. Here are some practical tips and considerations for properly using condoms in this situation:
1. Choose the Right Condom Size: It's essential to select a condom that fits well. If you find that standard-sized condoms are slipping off, consider trying larger sizes or brands that offer a snugger fit. Some brands also provide specific options for individuals with unique anatomical needs.

2. Use a Condom with a Reservoir Tip: Condoms with a reservoir tip can provide extra space for semen and may help in achieving a better fit. This design can also reduce the likelihood of slippage during use.

3. Ensure Proper Lubrication: Using a water-based or silicone-based lubricant can help reduce friction, which might otherwise cause the condom to slip off. However, avoid using oil-based lubricants with latex condoms, as they can degrade the material and increase the risk of breakage.

4. Correct Application Technique: When putting on the condom, make sure to pinch the tip to leave space for semen and roll it down the shaft of the penis. If the foreskin is not easily retractable, you can gently pull it back as much as comfortable while applying the condom. If it feels too tight or painful, do not force it.

5. Consider Alternative Contraceptive Methods: If condoms continue to be problematic, you might want to explore other forms of contraception. Discuss options such as hormonal birth control or intrauterine devices (IUDs) with your partner and healthcare provider.

6. Consult a Healthcare Provider: If pseudophimosis is causing significant issues, it may be beneficial to consult a urologist. They can provide guidance on potential treatments, which may include topical steroids to help with foreskin retraction or, in some cases, surgical options.

7. Practice Safe Sex: Regardless of the method used, always prioritize safe sex practices. This includes using condoms to prevent sexually transmitted infections (STIs) and unintended pregnancies.

8. Educate Your Partner: Communication with your partner about your condition can help both of you understand the challenges and work together to find solutions that are comfortable for both parties.

9. Experiment with Different Techniques: Sometimes, adjusting the way you put on the condom can make a difference. Experiment with different positions or techniques to find what works best for you.

10. Stay Calm and Patient: It can be frustrating to deal with pseudophimosis and condom use, but staying calm and patient is essential. Anxiety can exacerbate the situation, so take your time and approach the situation with a positive mindset.

In summary, using condoms with pseudophimosis can be challenging, but with the right approach, it is manageable. If issues persist, seeking professional medical advice is crucial to ensure both comfort and safety during sexual activity.

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Hello: That's correct. Excess foreskin can move back and forth and may cause issues with engorgement during an erection. If it tends to slip off easily, it is advisable to use a smaller size condom. It's better to put it on when partially erect. Give it a try, and best ...

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