Glans Exposure and Concerns in Urology

Glans issues?

Hello, doctor:
1.
During masturbation, I experienced a moment where I was either overly excited or something else happened, and at the moment of ejaculation, my glans completely exposed (I have phimosis).
After my penis softened, the glans remained outside, and I had to pull it back with my hand.
Is this normal? Even after pushing it back, it still occasionally exposes itself.
Sometimes, when wearing underwear, I feel a prickly itch; could this be due to contact with something dirty?
2.
Although I understand that the size of the penis does not equate to sexual ability, I am in my senior year of high school and my penis only reaches a little over 7 cm when erect.
A urologist I saw previously mentioned that it is not a problem with the foreskin, but my secondary sexual characteristics have mostly developed, with the exception of the length of the penile corpora cavernosa, which seems to be developing slower.
How can I improve this? What are the potential implications? P.S.
When the glans is fully exposed and the penis is soft, it is still about 5 cm long.

Li Ming, 10~19 year old female. Ask Date: 2021/11/20

Dr. Cai Zhuorong reply Urology

1.
It is important to monitor for any signs of phimosis.

2.
The length of the penis is determined by genetics and cannot be changed; it does not have significant implications.

Reply Date: 2021/11/20

More Info

Understanding glans exposure and concerns related to urology can be quite complex, especially when it involves personal experiences and anatomical variations. Let's break down your questions and concerns systematically.

1. Glans Exposure During Ejaculation: It is not uncommon for individuals with a longer foreskin to experience exposure of the glans (the head of the penis) during sexual arousal or ejaculation. This can happen if the foreskin retracts fully during these moments. After ejaculation, if the penis becomes flaccid and the glans remains exposed, it may require manual repositioning of the foreskin. This situation can be normal, but it may also indicate that your foreskin is not retracting smoothly, which could be due to phimosis (a condition where the foreskin cannot be easily retracted over the glans). If you are experiencing discomfort, such as itching or irritation when the glans is exposed, it could be due to a lack of hygiene, friction, or sensitivity of the glans to contact with clothing. Maintaining good hygiene is crucial, especially in the genital area, to prevent irritation or infections.

2. Concerns About Size and Development: Regarding your concerns about penile size and development, it is essential to understand that penis size varies widely among individuals and does not directly correlate with sexual ability or performance. The average erect penis size is around 5 to 6 inches, but many factors, including genetics and hormonal levels, can influence development. If you feel that your penis is smaller than average, it is important to remember that size does not determine your worth or ability to engage in sexual activities.
If you are concerned about your development, particularly if you feel that your secondary sexual characteristics (like body hair, voice changes, etc.) are not developing at the same rate, it might be worth consulting with a healthcare provider. They can assess whether there are any underlying hormonal issues or developmental concerns that need to be addressed.
3. Improving Sexual Health: To improve your sexual health and confidence, consider the following:
- Hygiene: Regularly clean the area under the foreskin (if applicable) to prevent irritation and infections.

- Consultation: If you have ongoing concerns about phimosis or other issues, a urologist can provide options, including potential surgical interventions like circumcision if deemed necessary.

- Education: Understanding sexual health and anatomy can alleviate anxiety. Consider reading reputable sources or speaking with a healthcare professional about sexual health.

- Self-Acceptance: Embrace your body as it is. Sexual health is not solely defined by size but by mutual respect, consent, and understanding in sexual relationships.

In summary, while the exposure of the glans during ejaculation can be normal for some individuals, it is essential to maintain hygiene and consult a healthcare provider if you experience discomfort or have concerns about your sexual development. Remember, sexual health encompasses much more than just physical attributes; it involves emotional well-being, communication, and mutual respect in relationships.

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