Post-Circumcision: Changes in Ejaculation - Urology

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Masturbation after circumcision?


Hello doctor, I had a circumcision three weeks ago, and all the stitches have fallen out.
When I masturbate, the semen flows out instead of being ejaculated like it did before the circumcision.
Is this a normal phenomenon?

Tom, 20~29 year old female. Ask Date: 2021/11/02

Dr. Du Shixi reply Urology


Hello: The information provided here is for reference only and cannot replace a physician's examination, assessment, or testing.
Based on my experience, it should not be related to the surgery.
Please discuss this with your attending physician.
Wishing you good health.

Reply Date: 2021/11/02

More Info


After circumcision, it is not uncommon for individuals to notice changes in ejaculation, and your experience of having a different ejaculation pattern is something that can occur during the healing process. Here’s a comprehensive understanding of what you might be experiencing and why.


Understanding Changes in Ejaculation Post-Circumcision
1. Healing Process: After circumcision, the body goes through a healing phase. This can take several weeks, and during this time, the tissues in the genital area are sensitive and may react differently than before the procedure. The changes in ejaculation you are experiencing could be a result of this healing process.

2. Ejaculation Mechanics: Normally, ejaculation involves a combination of muscular contractions and the expulsion of semen through the urethra. After circumcision, the sensitivity and the mechanics of the penis can change. The removal of the foreskin alters the way the glans (the head of the penis) is stimulated, which can affect the force and manner of ejaculation.

3. Fluid Dynamics: The fact that you are experiencing a different ejaculation pattern—where the semen flows out rather than being expelled forcefully—can be attributed to several factors:
- Muscle Control: The pelvic floor muscles and the muscles involved in ejaculation may still be adjusting post-surgery. It’s possible that the muscle contractions are not as strong as they were prior to the procedure.

- Sensitivity Changes: The glans may be more sensitive or less sensitive than before, which can influence the intensity of the orgasm and the force of ejaculation.

- Psychological Factors: Anxiety or concern about the changes can also impact sexual function. It’s important to feel relaxed and comfortable during sexual activities, as stress can lead to changes in performance.

4. Normal Variations: It’s essential to understand that variations in ejaculation can be normal, especially after a surgical procedure like circumcision. Many individuals report changes in their sexual function, including ejaculation, during the recovery period.
5. When to Seek Help: While changes in ejaculation can be normal, if you experience any of the following, it would be wise to consult with your healthcare provider:
- Pain during ejaculation or sexual activity.

- Significant changes in libido or erectile function.

- Any unusual discharge or signs of infection (such as redness, swelling, or fever).

- Emotional distress or anxiety related to sexual function.


Conclusion
In summary, what you are experiencing is not uncommon after circumcision. The changes in how semen is expelled can be attributed to the healing process, changes in sensitivity, and muscle control. As your body continues to heal, you may find that your ejaculation returns to a more familiar pattern. However, if you have any concerns or if the changes persist, it is always best to consult with your healthcare provider for personalized advice and reassurance. They can provide you with the necessary support and address any specific concerns you may have regarding your recovery and sexual health.

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