Is sexual intercourse possible under these circumstances, and is there a need for circumcision? What are the proper methods for using condoms?
When I am not erect, about one-fifth of the glans is exposed.
When I am erect, I can manually retract the foreskin behind the coronal ridge, but it tends to return to the coronal area and does not completely cover the glans or stay behind the coronal ridge.
I no longer feel any constriction around the glans, and I regularly push it back behind the coronal ridge to clean the penis.
1.
Can I engage in sexual intercourse, and is it safe to use a condom during intercourse? It seems that with a long foreskin, it should remain behind the coronal ridge to properly wear a condom, but since mine tends to return to the coronal area, I am uncertain.
2.
Given my situation, is it considered severe enough to require a circumcision, or would topical steroid medications be sufficient?
Niming, 10~19 year old female. Ask Date: 2021/06/04
Dr. Du Shixi reply Urology
Hello:
1.
Is it possible to have sexual intercourse in this situation, and can I use a condom during sex? Since I have phimosis, it seems that the condom needs to be placed behind the corona.
I am currently able to retract it to the corona, so I'm not sure...
→ You can use a condom; you can give it a try, and there should be no issues.
2.
In my case, is it considered severe enough to require a circumcision, or can I just use topical steroid medications? → In this situation, using medication will not change the condition.
Medically, surgery is not necessary; if you are considering surgery for convenience, you can think about it yourself.
Wishing you good health.
Reply Date: 2021/06/04
More Info
When it comes to your current foreskin condition and sexual activity, there are several important factors to consider regarding sexual health, circumcision, and condom use.
1. Sexual Activity and Condom Use: Based on your description, it seems that you have some degree of retractability of the foreskin, which allows you to expose the glans (the head of the penis) during an erection. This is a positive sign, as it indicates that you can maintain hygiene and that the foreskin is not tightly constricted. You can engage in sexual activity, and using a condom is advisable for both protection against sexually transmitted infections (STIs) and as a contraceptive method.
Regarding the concern about the foreskin being able to stay behind the corona (the ridge of the glans), it is not strictly necessary for the foreskin to remain retracted for condom use. As long as the condom fits properly and covers the glans, you should be able to use it effectively. If the foreskin tends to cover the glans during sexual activity, you can manually retract it before putting on the condom to ensure that it stays in place during intercourse.
2. Foreskin Condition and Circumcision: The question of whether you need circumcision or if topical treatments (like steroid creams) would suffice depends on the degree of any associated symptoms you may be experiencing. If you are not experiencing pain, discomfort, or recurrent infections, and you can maintain proper hygiene, circumcision may not be necessary.
However, if you find that the foreskin is causing issues such as pain during erections, difficulty retracting it, or recurrent infections, it may be worth discussing circumcision with a healthcare provider. Circumcision can provide a permanent solution to issues related to phimosis (the inability to retract the foreskin) and can reduce the risk of certain infections.
Topical steroid creams can sometimes help with mild cases of phimosis by reducing inflammation and allowing for easier retraction of the foreskin. This treatment should be supervised by a healthcare professional to ensure it is appropriate for your specific condition.
3. Hygiene Practices: It’s great to hear that you are already practicing good hygiene by retracting the foreskin to clean the glans. This is essential in preventing infections and maintaining overall genital health. Continue to do this regularly, especially if you are sexually active.
4. Consultation with a Healthcare Provider: Ultimately, the best course of action is to consult with a urologist or a healthcare provider who specializes in male reproductive health. They can assess your specific situation, provide a thorough examination, and recommend the most appropriate treatment options based on your symptoms and lifestyle.
In summary, you can engage in sexual activity and use condoms with your current foreskin condition. Whether or not you need circumcision depends on your symptoms and personal comfort. Regular hygiene practices are crucial, and consulting with a healthcare provider will give you tailored advice and peace of mind.
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