Frenulum Issues: Pain and Bleeding After Sexual Activity

Frenulum problems of the glans?

Hello doctor, a few days ago after sexual intercourse, I noticed bleeding from the frenulum and experienced a sharp pain.
The next day, when I tried to retract the foreskin to clean it during my shower, it was extremely painful and I couldn't expose the wound.
Should I wait a day or two before trying again?

Jie, 20~29 year old female. Ask Date: 2020/12/13

Dr. Cai Zhuorong reply Urology

It is recommended to wait for the wound to heal.
If there is redness or swelling, it is advisable to seek medical attention.

Reply Date: 2020/12/13

More Info

Experiencing pain and bleeding from the frenulum after sexual activity can be concerning and may indicate a few potential issues. The frenulum is a sensitive band of tissue located on the underside of the penis, connecting the glans (tip) to the shaft. If you have experienced bleeding and pain in this area, it is important to approach the situation with care.

First and foremost, it is crucial to allow your body some time to heal. If you are experiencing significant pain and discomfort, it is advisable to refrain from any sexual activity until the symptoms subside. Engaging in sexual activity too soon could exacerbate the injury and lead to further complications. Generally, waiting a few days to a week is a good rule of thumb, but this can vary depending on the severity of the injury.

In the meantime, here are some steps you can take to manage your symptoms:
1. Maintain Hygiene: Keep the area clean to prevent infection. Gently wash the area with mild soap and water, being careful not to irritate the frenulum further. Avoid using harsh soaps or products that may cause additional irritation.

2. Avoid Irritants: Steer clear of any products that may irritate the area, such as scented lotions, powders, or lubricants that contain irritating chemicals.

3. Pain Management: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help alleviate discomfort. However, always follow the recommended dosage and consult with a healthcare professional if you have any concerns.

4. Monitor Symptoms: Keep an eye on your symptoms. If the bleeding persists, increases, or if you develop signs of infection (such as increased redness, swelling, warmth, or discharge), it is essential to seek medical attention promptly.

5. Consult a Healthcare Professional: If the pain and bleeding do not improve within a few days or if you have any concerns about your symptoms, it is crucial to consult with a healthcare provider. They can perform a physical examination and provide a proper diagnosis and treatment plan. Conditions such as frenulum breve (a short frenulum), infections, or other underlying issues may need to be addressed.

6. Consider Sexual Health Education: Understanding your body and sexual health can help prevent future issues. If you have concerns about your sexual practices or anatomy, consider speaking with a healthcare provider or a sexual health educator.

In conclusion, while it is common to experience minor injuries during sexual activity, persistent pain and bleeding should not be ignored. Allow yourself time to heal, maintain proper hygiene, and consult a healthcare professional if symptoms do not improve. Taking these steps can help ensure your sexual health and well-being.

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