Sensitivity Issues After Circumcision: A Urology Perspective

Frequent stimulation of the glans can lead to decreased sensitivity?

Hello Dr.
Liu,
I have read the frequently asked questions but couldn't find a similar situation, so I’m reaching out to you amidst your busy schedule.
I had a circumcision at the age of 28, so I no longer have issues with the foreskin.
I initially thought this would satisfy my girlfriend, but I’ve noticed that if I only stimulate the shaft of my penis with my hand, I can achieve a firm erection and ejaculate normally.
However, when I touch the glans or the edge of the glans, I experience a tingling sensation, and after a few times, I lose my erection.
During foreplay, I can get hard quickly, but when my girlfriend performs oral sex and touches the glans, the tingling sensation returns, and I lose my erection again after a few moments.
Sometimes, when I am particularly excited, I can maintain an erection during intercourse, but I often struggle to stay hard due to the sensitivity of the glans, making it difficult to reach climax and ejaculate.
I’ve asked a few friends about this, but they don’t seem to understand what’s going on.
Can you help me? Thank you.
Additionally, after my circumcision at 28, I no longer had foreskin issues, but the doctor left some skin on the underside of the glans.
Now, during sexual activity, I often notice some pre-ejaculate leaking from the glans to that area, which can accumulate and feel sticky, sometimes causing discomfort.
Should I consider having that skin removed? Lastly, the inner skin exposed after the circumcision is also sensitive during friction, unlike the comfortable feeling of the normal skin covering the penis.
I worry that my girlfriend's stimulation in that area might be uncomfortable.
I hope you can understand my concerns.
Thank you.

dreamsogood, 30~39 year old female. Ask Date: 2003/09/24

Dr. Liu Jianting reply Urology

You can really write a novel, but it's better to speak than to write, and better to see than to speak.
Please visit a urologist at the hospital for a detailed examination of your "foreskin" and to address your "concerns." There is a book titled "The Love of the Little Brother" that you might want to check out!

Reply Date: 2003/09/24

More Info

Understanding sensitivity issues after circumcision can be a complex topic, particularly as it relates to individual experiences and physiological responses. Circumcision, the surgical removal of the foreskin, can lead to various changes in sensitivity and sexual function, and it appears that you are experiencing some of these changes.

Firstly, it is important to recognize that after circumcision, the glans (the head of the penis) becomes exposed and may initially be more sensitive than it was when covered by the foreskin. This increased sensitivity can lead to discomfort or a tingling sensation when stimulated, which may explain the "numbness" or "tingling" you feel when your girlfriend touches the glans or the area around it. Over time, many men report a decrease in sensitivity as the glans becomes less sensitive due to constant exposure and friction from clothing and sexual activity. However, this process varies significantly from person to person.

The fact that you can achieve an erection and ejaculate normally when stimulating the shaft of the penis suggests that your erectile function is intact. However, the sensitivity of the glans may be affecting your ability to maintain an erection during sexual activities that involve direct stimulation of the glans, such as oral sex or penetration. This is not uncommon and can be frustrating for many men.
In terms of the discomfort you experience with the accumulation of fluid around the glans, this could be due to a few factors. After circumcision, the skin on the glans may not have the same protective qualities as the foreskin, leading to irritation or discomfort during sexual activity. If you are experiencing discomfort from the accumulation of fluid or if it is causing you significant concern, it may be worth discussing with a urologist. They can assess whether any surgical intervention is necessary or if there are other treatment options available to alleviate your symptoms.

Regarding the sensitivity of the inner skin after circumcision, it is not uncommon for men to experience a different sensation compared to when the penis was covered by the foreskin. The inner skin may feel more sensitive or less comfortable during friction, which can affect sexual pleasure. Some men find that over time, they adapt to these changes, while others may continue to experience discomfort.

If you find that your sexual experiences are consistently unsatisfactory or if the sensitivity issues are causing distress, it may be beneficial to explore different sexual techniques or positions that minimize direct stimulation of the glans. Additionally, using lubricants can help reduce friction and discomfort during sexual activity.

In conclusion, sensitivity issues after circumcision can vary widely among individuals. If your symptoms persist or worsen, or if you have concerns about your sexual health, I recommend consulting with a urologist who can provide personalized advice and treatment options based on your specific situation. They can help you navigate these challenges and improve your sexual experiences.

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