Penile issues
I currently have a long foreskin that can be pushed back to the frenulum during an erection.
Usually, I masturbate by lying on the floor using my hand, but recently I tried to return to normal methods and found that I have no sensation.
I also have no feeling during intercourse with my girlfriend and do not feel the urge to ejaculate.
What should I do? Can abstinence help restore sensitivity? How long should I abstain?
Xuan, 20~29 year old female. Ask Date: 2023/01/12
Dr. Liu Mingyue reply Urology
Hello: This situation may not be resolved through abstinence; it is advisable to seek medical attention.
Wishing you good health.
Reply Date: 2023/01/12
More Info
Understanding penile sensitivity issues can be a complex topic, as it involves various physiological, psychological, and behavioral factors. Based on your description, it seems that you are experiencing a decrease in sensitivity during sexual activities, which can be distressing. Here are some insights and recommendations that may help you navigate this situation.
Possible Causes of Decreased Sensitivity
1. Physical Factors:
- Circumcision or Foreskin Issues: If you have a longer foreskin, it may affect sensitivity during sexual activities. The glans (head of the penis) is usually more sensitive when it is exposed, as it is accustomed to being covered. If you have been using a method that does not provide the same stimulation as intercourse, this could lead to a decrease in sensitivity.
- Nerve Damage: While less common, nerve damage from injury or certain medical conditions can affect sensitivity.
2. Psychological Factors:
- Anxiety and Stress: Performance anxiety or stress can significantly impact sexual arousal and sensitivity. If you are worried about your performance or the outcome of sexual encounters, this can lead to a decrease in sensitivity and pleasure.
- Mental Health: Conditions such as depression can also affect libido and sexual function.
3. Behavioral Factors:
- Masturbation Techniques: If you have been using a specific technique that provides more stimulation than traditional intercourse, your body may become accustomed to that level of stimulation, leading to decreased sensitivity during other forms of sexual activity.
Recommendations for Recovery and Improvement
1. Abstinence and Sensitivity Training:
- Temporary Abstinence: Taking a break from sexual activities, including masturbation, can help reset your sensitivity. This period can vary; some suggest a few weeks to a month, but it ultimately depends on how your body responds. During this time, focus on other forms of intimacy with your partner that do not involve penetration.
- Gradual Reintroduction: After a period of abstinence, gradually reintroduce sexual activities. Start with gentle stimulation and pay attention to what feels good. This can help retrain your body to respond to different types of stimulation.
2. Communication with Your Partner:
- Discuss your concerns and experiences with your partner. Open communication can reduce anxiety and enhance intimacy, which may improve your overall sexual experience.
3. Consult a Healthcare Professional:
- If the issue persists, consider consulting a urologist or a sexual health specialist. They can provide a thorough evaluation and rule out any underlying medical conditions. They may also offer specific treatments or therapies tailored to your situation.
4. Mindfulness and Relaxation Techniques:
- Incorporate relaxation techniques such as deep breathing, meditation, or yoga into your routine. These practices can help reduce anxiety and improve your overall mental well-being, which can positively impact your sexual health.
5. Explore Different Techniques:
- Experiment with different sexual positions or techniques that may enhance sensitivity. Sometimes, changing the way you engage in sexual activities can lead to new sensations and experiences.
Conclusion
Decreased penile sensitivity can be a multifaceted issue that requires a holistic approach to address. By understanding the potential causes and implementing strategies for recovery, you can work towards improving your sensitivity and overall sexual experience. Remember, patience is key, and seeking professional guidance can provide additional support tailored to your needs.
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