Phimosis and Masturbation Techniques: A Urology Perspective - Urology

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Phimosis is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). It can be either physiological (normal in infants and young boys) or pathological (due to scarring or other issues). In your case, the fact that you can retract the foreskin easily when not erect but find it tight during an erection suggests that you may be experiencing a form of phimosis. This tightness can be due to the natural elasticity of the skin being tested during an erection, which can make retraction more difficult.

When it comes to sexual activity, having phimosis can lead to discomfort or pain during intercourse, as the tight foreskin may not allow for smooth movement. In some cases, it can also lead to tearing or injury to the foreskin, which can cause bleeding or infection. If you are experiencing significant discomfort or if the condition is affecting your sexual health, it would be advisable to consult a urologist. They can provide options for treatment, which may include topical steroid creams to help loosen the skin or, in more severe cases, circumcision.

Regarding your second question about masturbation techniques, it’s important to understand that there are various methods, and what works for one person may not work for another. The technique you described—rubbing the glans without an erection—can lead to ejaculation, but it may not be the most effective method for achieving orgasm, especially if you are not fully erect.
If you find that you can achieve an erection with a different technique (like the up-and-down motion you mentioned) but are unable to ejaculate, it could be due to a few factors. Psychological factors such as anxiety or stress can impact sexual performance, as can physical factors like hormonal levels or nerve sensitivity.
Taking a break from masturbation might help reset your body’s response and allow you to explore different techniques without the pressure of achieving ejaculation. It can also be beneficial to practice relaxation techniques to reduce any anxiety you may have about the process.
In summary, if you suspect you have phimosis, it’s best to consult with a healthcare professional for a proper diagnosis and treatment options. For masturbation, experimenting with different techniques while being mindful of your body’s responses can help you find what works best for you. If issues persist, consider seeking advice from a urologist or sexual health expert who can provide tailored guidance based on your individual situation.