Managing Sensitivity Issues Near the Glans: Solutions for Better Intimacy

Hypersensitivity of the nerves near the glans?

I have no issues with erectile function, but often during intercourse, if my wife stimulates the glans or the inner side of the corona with oral or manual stimulation, I experience unbearable numbness, causing my penis to soften and making it difficult to maintain an erection.
A doctor has diagnosed it as nerve hypersensitivity, but after taking medications like Viagra and Cialis for a while, there hasn't been much improvement in those areas, making it challenging to have smooth intercourse.
I would like to ask the doctor if there is any experience in dealing with such symptoms and how I can improve this situation.
Are there any medications that can help me maintain a sustained erection and firmness temporarily, as I hope to satisfy my wife occasionally during the treatment period? Thank you.
Note: Since I had a circumcision at the age of 33, I have experienced similar issues during intercourse, but I thought it was manageable at that time.

Xiao Meng, 40~49 year old female. Ask Date: 2003/12/22

Dr. Xu Weikai reply Urology

Hello, in your situation, it is generally caused by sensitivity.
Sexual activity is actually a learning process; no one is born knowing how to perform well, and most people (regardless of gender) are initially unsatisfied.
Regarding your situation, my suggestions are as follows:
1.
If pregnancy is not a concern, you can use condoms.
If the effect is not satisfactory, consider using two layers to reduce sensitivity.

2.
You may use a topical anesthetic cream; however, remember to clean off the cream before entering the vagina, or wear a condom to avoid numbing the vagina, which can make it difficult for the female partner to achieve arousal.

3.
Sometimes, the issue may not be with the male partner but with the female partner; if the vagina is not adequately lubricated, it can be dry, making penetration difficult and increasing pressure on the penis, leading to heightened stimulation and premature ejaculation.
The solution is to adequately stimulate the female partner; foreplay should involve good caressing to relax the vagina and provide lubrication, which can also reduce stimulation to the glans.

4.
Regular practice: You can use a DIY method to stimulate the glans, allowing the penis to become erect.
Continue stimulating until close to ejaculation, then stop.
Once the penis softens a bit, repeat the stimulation to achieve another erection, which can help reduce sensitivity of the glans.
These are commonly recommended methods.
If you have further questions, feel free to ask.

Reply Date: 2003/12/22

More Info

Managing sensitivity issues near the glans can be a challenging experience for many men, and it is important to approach this topic with both sensitivity and understanding. The symptoms you describe—experiencing discomfort or a loss of erection during sexual stimulation, particularly around the glans (the head of the penis)—can be attributed to several factors, including heightened sensitivity, psychological factors, or even anatomical changes following circumcision.

Understanding the Condition
1. Nerve Sensitivity: As you mentioned, your doctor has indicated that you may have nerve hypersensitivity. This condition can lead to an exaggerated response to stimulation, causing discomfort or pain, which can result in difficulty maintaining an erection. This is not uncommon, especially in men who have undergone circumcision, as the removal of the foreskin can change the way the glans is stimulated.

2. Psychological Factors: Anxiety or performance pressure can also play a significant role in sexual function. If you are worried about your sensitivity or the possibility of losing your erection, this anxiety can create a cycle that exacerbates the problem. It’s essential to address any psychological components that may be contributing to your experience.

3. Physical Factors: Other physical factors, such as hormonal imbalances, blood flow issues, or even certain medications, can affect erectile function. It’s crucial to rule out any underlying medical conditions that may be contributing to your symptoms.

Strategies for Improvement
1. Desensitization Techniques: Gradual desensitization can be an effective approach. This involves slowly acclimating your body to stimulation in a controlled manner. You might start with less sensitive areas and gradually work your way to the glans. This can help reduce sensitivity over time.

2. Topical Anesthetics: Some men find relief using topical anesthetics designed for sexual activity. These products can reduce sensitivity temporarily, allowing for more comfortable stimulation. However, it’s essential to use these products as directed and consult with your healthcare provider before trying them.

3. Pelvic Floor Exercises: Strengthening the pelvic floor muscles through exercises like Kegels can improve control over erections and ejaculation. This can help you maintain an erection even when experiencing sensitivity.

4. Communication with Your Partner: Open communication with your partner about what feels good and what doesn’t is vital. This can help create a more relaxed environment during intimacy, reducing performance anxiety and allowing for a more enjoyable experience.

5. Consulting a Specialist: If the issue persists, consider consulting a urologist or a sexual health specialist. They can provide tailored advice and may suggest other treatments, such as medications that can help maintain an erection or address sensitivity.

6. Counseling or Therapy: If psychological factors are at play, speaking with a therapist who specializes in sexual health can be beneficial. They can help you work through any anxiety or performance issues that may be affecting your sexual experiences.

Medications
While you mentioned trying medications like Viagra (sildenafil) and Cialis (tadalafil) without significant improvement, it’s important to discuss this with your doctor. They may consider adjusting your dosage or trying different medications. Additionally, there are other options, such as injections or vacuum erection devices, that can help achieve and maintain an erection.

Conclusion
Managing sensitivity issues near the glans requires a multifaceted approach that includes understanding the underlying causes, exploring various treatment options, and maintaining open communication with your partner. It’s essential to work closely with your healthcare provider to find the best strategies for your situation. Remember, you’re not alone in this, and many men experience similar challenges. With the right support and techniques, you can improve your sexual experiences and intimacy with your partner.

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