Common Concerns About the Male Reproductive System

Q: Common Concerns About the Male Reproductive System

Hello： 1) Rinse thoroughly and dry the area before retracting the foreskin; there is no need to scrub or use soap or body wash. <br>Remember to dry it well and avoid leaving it damp. <br>2) The foreskin and glans may become engorged and elastic due to increased blood flow; some i

Genital issues?

Hello, doctor.
Recently, I learned about masturbation and noticed that my genitalia is getting larger and I have developed more pubic hair.
However, after reading some information online, I have three questions I would like to ask you.

First, when I am not erect, I can only see the tip of the glans.
When erect, it is about halfway exposed.
Is this what is referred to as phimosis, and do I need to consider circumcision? Additionally, I recently discovered that when I pull the foreskin back during a shower, it seems to stop at the glans and cannot retract further, and the foreskin appears to be bunched up.
The first time I saw it, it looked like the head of an abalone mushroom.
At the base of the foreskin, there is a whitish-yellow substance; is this dried semen? I managed to wash some of it away, but there is still some left, and it feels a bit irritating when I wash it.
Can I use my hands to scrub it like I do with the rest of my body, or should I just rinse it gently with water over time?
Second, I also noticed during my shower that the color of the penile frenulum is quite dark.
It’s strange since this area doesn’t get much sun exposure.
Is this a sign of aging?
Third, regarding the foreskin issue, I often pull it back during showers.
At the base of the foreskin, especially on the right side, I initially thought I saw a mole, but upon closer inspection, it seems to be a blood vessel because it lightens when I pull the skin back.
What’s more puzzling is that after my shower, when I asked my brother to check it for me, he couldn’t find it.
I wonder if it was more visible due to the warm water.
It appears as a small, faint black dot.
Are there many tiny blood vessels in that area? If I have stretched it too much and caused microvascular rupture or bruising, should I seek medical attention or just observe it for now? I’m hesitant to apply any bruise ointment because I’m afraid it might be too cooling.
Have you encountered this situation before? I asked my brother, and he mentioned that moles usually don’t appear suddenly on both sides at the same time.
He suggested that I might have injured myself because I am still inexperienced with retracting the foreskin.

I appreciate your time and look forward to your response.
Thank you.

Ming, 10~19 year old female. Ask Date: 2020/05/28

Dr. Du Shixi reply Urology

Hello: 1) Rinse thoroughly and dry the area before retracting the foreskin; there is no need to scrub or use soap or body wash.
Remember to dry it well and avoid leaving it damp.
2) The foreskin and glans may become engorged and elastic due to increased blood flow; some individuals may experience this condition.
3) There are usually more microvessels present, and minor injuries can heal on their own without serious complications.
Generally, it is rare for issues to arise.
If hemorrhoids do not increase in size, they can be monitored without medical intervention.
Do not use medication; however, if there is redness, swelling, or skin breakdown, seek medical attention.
Wishing you good health.

Reply Date: 2020/05/28

More Info

Understanding concerns about the male reproductive system is essential for maintaining both physical and mental health. It’s great that you are taking the initiative to learn more about your body and seek answers to your questions. Let’s address your concerns one by one.

1. Concerns About Foreskin and Phimosis
From your description, it sounds like you might be experiencing some issues related to phimosis, which is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). If you find that your foreskin is tight and does not retract fully, it may be beneficial to consult a healthcare professional. They can assess whether you have phimosis and discuss potential treatment options, which may include stretching exercises or, in some cases, circumcision.

The white or yellowish substance you noticed under the foreskin is likely smegma, a combination of dead skin cells, oils, and other bodily fluids. It is important to maintain proper hygiene by gently cleaning the area with warm water. You can use your fingers to help remove smegma, but be careful not to cause irritation. Avoid using harsh soaps or scrubbing too hard, as this can lead to discomfort.

2. Changes in Skin Color and Texture
The darkening of the skin around the frenulum (the band of tissue on the underside of the penis) is not uncommon. Skin pigmentation can vary due to several factors, including hormonal changes, friction, and natural variations in skin tone. The wrinkling of the skin may also be a normal part of development. However, if you notice any sudden changes in color or texture that concern you, it’s advisable to consult a healthcare provider for a thorough examination.

3. Blood Vessels and Bruising
Regarding the appearance of small dark spots or blood vessels, it is normal for the penis to have a network of blood vessels that can become more prominent during arousal or when the skin is stretched. If you are experiencing any bruising or if the area is painful, it’s important to monitor the situation. Minor bruising can occur from vigorous activity or stretching, but if you notice persistent pain, swelling, or changes in color, you should seek medical advice.

Conclusion
It’s important to remember that many young men experience similar concerns as they go through puberty and develop their bodies. Open communication with a healthcare professional can provide reassurance and guidance tailored to your specific situation. If you feel uncomfortable discussing these issues with a family member, consider speaking with a trusted adult or a healthcare provider who can offer professional advice.

Maintaining good hygiene, being aware of your body, and seeking medical advice when necessary are key steps in ensuring your reproductive health. Remember, it’s perfectly normal to have questions about your body, and seeking answers is a positive step toward understanding and caring for your health.

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