Painful Erections and Sensitivity Issues: A Urology Perspective - Urology

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Erectile pain


Hello, Doctor:
1.
Is it normal to experience pain in the penis after ejaculation, which resolves by the next day? I typically masturbate 2 to 3 times a week, and I find that after ejaculation, I need to wait until the next day for the pain to subside, making it difficult to masturbate twice in one day.
2.
Regardless of whether I use rubbing or pushing back and forth, I ejaculate within a few seconds during masturbation (I usually push or rub the foreskin up and down).
Is this normal?
3.
I have phimosis, but I can manually retract the foreskin behind the glans.
However, if the foreskin is retracted and the glans rubs against my clothing, it causes pain, so I usually keep it covered and only retract it when urinating.
How can I reduce the sensitivity of the glans?

Niming, 10~19 year old female. Ask Date: 2023/04/04

Dr. Du Shixi reply Urology


Hello:
1.
Is it normal for the penis to hurt after ejaculation, but then feel better the next day? --> This is not normal.
I usually masturbate 2 to 3 times a week, and after ejaculation, I have to wait until the next day for the pain to subside, so I can't masturbate twice in one day.
2.
Is it normal that I ejaculate within a few seconds regardless of whether I use rubbing or pushing back and forth during masturbation (I usually push or rub the foreskin up and down)? --> This is not normal.
3.
I have phimosis, but I can manually retract the foreskin behind the glans.
If the foreskin retracts and rubs against the glans, it causes pain, so I usually keep it covered and only retract it when urinating.
How can I reduce the sensitivity of the glans? --> I recommend consulting a physician to see if surgery is necessary.
Wishing you good health.

Reply Date: 2023/04/04

More Info


When addressing concerns related to painful erections and sensitivity issues, it's essential to consider various factors that could be contributing to your symptoms. Let's break down your questions and provide a comprehensive understanding of the situation.

1. Pain After Ejaculation: Experiencing pain after ejaculation followed by a period of recovery is not uncommon. This phenomenon can occur due to several reasons, including muscle tension, inflammation, or even nerve sensitivity. After ejaculation, the body undergoes a series of physiological changes, including the release of tension in the pelvic muscles. If you find that the pain subsides after a night’s rest, it may indicate that your body is recovering from the physical exertion associated with ejaculation. However, if the pain persists or worsens, it would be prudent to consult a urologist to rule out any underlying conditions such as prostatitis or other forms of pelvic pain syndrome.

2. Quick Ejaculation During Masturbation: It is not unusual for individuals to experience rapid ejaculation, especially during masturbation. Factors such as anxiety, excitement, or even the technique used can influence the duration before ejaculation. If you find that you are consistently ejaculating within seconds, it may be beneficial to explore different techniques or methods to help prolong the experience. Techniques such as the "stop-start" method or the "squeeze" technique can be effective in helping to delay ejaculation. Additionally, practicing mindfulness or relaxation techniques may help reduce anxiety and improve control.

3. Sensitivity of the Glans (Glands): The sensitivity of the glans (the head of the penis) can be heightened due to several factors, including the presence of a long foreskin (phimosis) or simply due to the natural sensitivity of the area. If you are experiencing discomfort when the glans comes into contact with clothing or other surfaces, it may be beneficial to gradually desensitize the area. This can be done through gentle exposure over time, allowing the glans to become accustomed to different sensations. Additionally, using a lubricant during masturbation may help reduce friction and discomfort.

For individuals with a longer foreskin, it is essential to maintain proper hygiene to prevent infections or irritations. If you find that the sensitivity is significantly impacting your quality of life or sexual experiences, you may want to discuss options with a urologist. In some cases, circumcision or other medical interventions may be recommended to alleviate sensitivity and improve comfort.


Additional Considerations:
- Psychological Factors: Anxiety and stress can significantly impact sexual function and sensitivity. If you find that your concerns about pain or sensitivity are causing anxiety, it may be helpful to speak with a mental health professional who specializes in sexual health.

- Physical Health: Overall health, including hormonal levels and blood circulation, can affect sexual function. Regular exercise, a balanced diet, and adequate hydration can contribute to better sexual health.

- Consultation with a Urologist: If your symptoms persist or worsen, it is crucial to seek professional medical advice. A urologist can provide a thorough examination, discuss your symptoms in detail, and recommend appropriate treatment options tailored to your needs.

In summary, while some discomfort and sensitivity can be normal, it is essential to listen to your body and seek professional guidance if you have ongoing concerns. Understanding your body and its responses is key to managing any discomfort and enhancing your overall sexual health.

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