Glans and Ejaculation Issues After Circumcision - Urology

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Understanding glans and ejaculation issues after circumcision can be complex, especially considering the physiological and psychological factors involved. Based on your detailed history, it seems that you have undergone circumcision twice due to concerns about the appearance and functionality of your penis, particularly regarding the sensitivity and ability to achieve ejaculation.

Firstly, it is important to recognize that circumcision can lead to changes in sensitivity. The glans (the head of the penis) is typically covered by the foreskin, which protects it from friction and exposure. After circumcision, the glans is exposed to the external environment, which can lead to a process called keratinization. This is where the skin on the glans becomes thicker and less sensitive over time due to constant exposure and friction. This might explain why you are experiencing decreased sensitivity and a change in your ejaculation patterns.

The fact that you are noticing a change in the color of the glans, specifically redness during erection but no pain or itching, could be indicative of several things. It might be a normal response to increased blood flow during arousal, or it could suggest a mild irritation or sensitivity due to the lack of foreskin. If the redness persists or is accompanied by other symptoms such as pain, itching, or discharge, it would be advisable to consult a healthcare professional for a thorough examination.

Regarding your concerns about ejaculation, the transition from being able to last longer (around 30 minutes) to a much shorter duration (6-7 minutes) could be attributed to several factors. Psychological factors, such as anxiety about performance or changes in arousal patterns, can significantly impact ejaculation timing. Additionally, the physical changes post-circumcision, including the reduced sensitivity of the glans, may alter your sexual response cycle, leading to quicker ejaculation.

It is also worth considering that frequent stimulation, especially if it is more aggressive or different from what you experienced before circumcision, can lead to a conditioned response where your body becomes accustomed to quicker ejaculation. This could be a form of what is sometimes referred to as "learned premature ejaculation," where the body learns to ejaculate quickly due to the new stimulation patterns.

To address these issues, here are a few recommendations:
1. Consult a Urologist: It would be beneficial to discuss your concerns with a urologist who specializes in male sexual health. They can provide a comprehensive evaluation and rule out any underlying conditions.

2. Sensitivity Training: If you feel that the sensitivity of your glans has decreased, consider exploring different forms of stimulation that may help retrain your sensitivity. This could include varying the pressure and technique during masturbation or sexual activity.

3. Pelvic Floor Exercises: Engaging in pelvic floor exercises (Kegel exercises) can help strengthen the muscles involved in ejaculation and may improve control over time.

4. Mindfulness and Relaxation Techniques: If anxiety is a factor, practicing mindfulness or relaxation techniques may help reduce performance anxiety and improve your overall sexual experience.

5. Gradual Desensitization: If you feel that the sensitivity has decreased too much, you might try gradually increasing stimulation to help your body adjust and potentially regain some sensitivity.

6. Communication with Partners: If you are sexually active with a partner, open communication about your experiences and any concerns can help alleviate anxiety and improve your sexual encounters.

In conclusion, while your experiences post-circumcision are not uncommon, they can be addressed through a combination of medical advice, behavioral techniques, and open communication. It is essential to seek professional guidance to ensure that any underlying issues are appropriately managed.