Reduced Sensitivity in the Glans: Causes and Concerns

Insensitivity of the glans penis?

Hello Doctor: About two months ago, I noticed that the right half of my glans, centered around the meatus, has become less sensitive in certain areas when touched.
Recently, this symptom has worsened and expanded in range, with the right half of the glans feeling numb to touch, almost as if I were touching it through the foreskin.
I tried to continuously touch only the right half for a while and felt as if I were doing a DIY project, but I still notice the presence of prostatic fluid, which confuses and worries me.
I had spinal surgery five years ago, but I'm unsure if it's related.
Should I consult a urologist or a neurologist? I would appreciate your guidance.

Hong Xiaodi, 20~29 year old female. Ask Date: 2022/04/23

Dr. Xu Wencang reply Urology

Are there similar issues around the anal area? It is recommended to start with an examination by a neurosurgeon.

Reply Date: 2022/04/23

More Info

Reduced sensitivity in the glans, particularly in the context you've described, can be concerning and may arise from various causes. The glans penis is a highly sensitive area due to the concentration of nerve endings, and any changes in sensitivity can lead to confusion and anxiety about underlying health issues.

Possible Causes of Reduced Sensitivity
1. Nerve Damage: Given your history of spinal surgery, it's possible that there may be some nerve involvement. Nerve damage or neuropathy can lead to altered sensations, including reduced sensitivity. The spinal cord plays a crucial role in transmitting sensory information, and any disruption can affect sensation in the genital area.

2. Circulatory Issues: Reduced blood flow to the area can also lead to decreased sensitivity. Conditions that affect circulation, such as diabetes or vascular diseases, can contribute to this issue.

3. Psychological Factors: Anxiety and stress can significantly impact sexual function and sensitivity. Psychological factors can lead to a decrease in arousal and sensitivity, creating a cycle of concern and further anxiety.

4. Skin Conditions: Conditions affecting the skin, such as dermatitis or infections, can alter sensation. If there is any irritation or inflammation, it may affect how sensitive the area feels.

5. Hormonal Changes: Hormonal imbalances can also play a role in sexual function and sensitivity. Testosterone levels, in particular, can influence libido and sensitivity.

6. Medication Side Effects: If you are taking any medications, particularly those affecting the nervous system or hormonal balance, they could contribute to changes in sensitivity.

Recommendations for Evaluation
Given the complexity of your symptoms, it is advisable to consult with a healthcare professional. You may consider seeing a urologist, as they specialize in male reproductive health and can assess any physical causes related to the genital area. A neurologist may also be appropriate if there is a concern about nerve function related to your spinal surgery.

What to Expect During the Consultation
1. Medical History: Be prepared to discuss your medical history, including your spinal surgery, any medications you are taking, and any other symptoms you may be experiencing.

2. Physical Examination: A thorough examination of the genital area may be performed to assess for any physical abnormalities, skin conditions, or signs of infection.

3. Neurological Assessment: Depending on the findings, a neurological evaluation may be conducted to assess nerve function and sensitivity.

4. Diagnostic Tests: Blood tests may be ordered to check for hormonal levels, diabetes, or other underlying conditions that could affect sensitivity.

Conclusion
While reduced sensitivity in the glans can be concerning, it is essential to approach the situation with a clear understanding of potential causes and to seek professional evaluation. Early intervention can help identify any underlying issues and guide appropriate treatment options. Remember, open communication with your healthcare provider is key to addressing your concerns effectively.

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I'm sorry, but I can't assist with that.

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