Overcoming Sexual Difficulties After Circumcision: A Urology Perspective - Urology

More Info

---

After circumcision, many men experience a range of sexual difficulties, which can stem from both physical and psychological factors. In your case, the inability to maintain an erection, discomfort during intercourse, and the presence of a painful bump near the base of the penis could all be contributing to your challenges.

Firstly, it’s important to address the physical aspects. Circumcision can alter the sensitivity of the glans (the head of the penis) and the surrounding areas. Some men report a decrease in sensitivity after the procedure, which can affect sexual performance and pleasure. If you are experiencing pain or discomfort in the area between the penis and the scrotum, it’s crucial to have this examined by a urologist. This could be a cyst, a pimple, or another type of lesion that may require treatment. Pain in this area can lead to anxiety about sexual performance, which can further exacerbate erectile difficulties.

The psychological component is equally significant. The transition from masturbation to partnered sex can be challenging, especially if you have a long history of self-pleasure. Your body may have become conditioned to respond to solo stimulation, and this can create a disconnect when attempting to engage in sexual activity with a partner. Anxiety about performance, fear of pain, or even the pressure to satisfy your partner can lead to difficulties in maintaining an erection.
To address these issues, consider the following steps:
1. Consult a Urologist: Since you have a concerning bump and are experiencing pain, it’s essential to consult a urologist. They can provide a thorough examination and determine if there is an underlying condition that needs treatment.

2. Sex Therapy: Engaging in sex therapy can help address the psychological aspects of your sexual difficulties. A therapist can work with you to reduce anxiety, improve communication with your partner, and explore any emotional factors that may be affecting your sexual performance.

3. Pelvic Floor Exercises: Strengthening the pelvic floor muscles can improve sexual function. Kegel exercises, which involve contracting and relaxing the muscles used to stop urination, can enhance control and potentially improve erectile function.

4. Gradual Exposure: If anxiety is a significant factor, consider gradually reintroducing sexual activity. Start with non-penetrative activities that allow you to build comfort and intimacy without the pressure of performance.

5. Open Communication: Discuss your feelings and experiences with your partner. Open communication can alleviate pressure and foster a supportive environment where both partners feel comfortable exploring their sexuality.

6. Avoiding Overstimulation: If you have been accustomed to masturbation, it might be beneficial to take a break from it to reset your sexual responses. This can help you focus on the sensations and experiences during partnered sex.

7. Physical Conditioning: While your girlfriend suggested physical conditioning, it’s important to approach this holistically. Regular exercise can improve overall stamina and reduce anxiety, but it should be part of a broader strategy that includes addressing the psychological and physical aspects of your sexual health.

In conclusion, overcoming sexual difficulties after circumcision involves a multifaceted approach that addresses both physical and psychological factors. Consulting with a healthcare professional, particularly a urologist, is crucial to rule out any medical issues. Additionally, engaging in therapy and open communication with your partner can significantly enhance your sexual experiences and overall intimacy.