Phimosis and Its Impact on Masturbation Techniques - Urology

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Methods of Masturbation for Phimosis


Hello, doctor.
I would like to ask: I am currently a high school junior about to enter senior year and I have a complete phimosis.
I plan to undergo circumcision when I go to college.
When I was younger, out of curiosity about my genitals, I accidentally discovered a method of masturbation called "pressure-style" in kindergarten, which involves lying on the floor with my legs straight to create friction and achieve a pleasurable sensation before erection.
During puberty, this method allowed me to ejaculate in about 2 to 3 minutes, which was very quick.
Because of my phimosis, I did not experience pain from the friction on the floor, so I have continued using this method until now.
However, I have recently found that I cannot ejaculate using typical masturbation techniques.
I can produce a small amount of clear pre-ejaculatory fluid, but I cannot release semen at all, and the pleasurable sensation is not as intense as with the pressure-style method.
I can achieve an erection with manual stimulation, but after about 10 minutes, I give up.
I am very concerned about whether this will affect my reproductive health.
I would like to know if this is normal, whether I should change my pressure-style habit, or if I should wait until after my circumcision to investigate further.
Thank you, doctor.

Xingye, 10~19 year old female. Ask Date: 2023/07/10

Dr. Du Shixi reply Urology


Hello: Changing habits that have formed over many years takes time and cannot be rushed.
DIY and sexual activity are also different.
It cannot be said that it is abnormal.
Wishing you good health.

Reply Date: 2023/07/10

More Info


Phimosis, or the inability to retract the foreskin over the glans penis, can significantly impact sexual function and masturbation techniques. In your case, it appears that you have developed a unique method of masturbation that works for you, but you are also experiencing difficulties with more conventional techniques.
Firstly, it's important to understand that phimosis is a common condition, especially in younger males, and it often resolves on its own as one matures. However, if it persists and causes discomfort or affects sexual function, as you are experiencing, circumcision is a common and effective treatment option. This procedure can alleviate the tightness of the foreskin, potentially improving sexual experiences and hygiene.

Your description of using a "伏壓式" (pressure method) for masturbation is interesting and highlights how individuals adapt to their circumstances. This method seems to provide you with a level of stimulation that is effective for you, especially given your current condition. However, it's also understandable that you are concerned about the lack of ejaculation and the inability to achieve orgasm through more traditional methods.
The fact that you can achieve an erection with manual stimulation but struggle to ejaculate could be related to several factors, including psychological aspects, physical sensitivity, or the specific technique you are using. It's not uncommon for individuals to have varying responses to different forms of stimulation, especially if they have developed a specific method that they have relied on for a long time.
Regarding your concern about whether this is "normal," it's essential to recognize that sexual experiences can vary widely among individuals. What you are experiencing is not uncommon, particularly for someone who has relied on a specific method of stimulation. However, if you find that this is causing you distress or impacting your sexual health, it may be beneficial to explore other techniques or consult with a healthcare professional who specializes in sexual health.

As for whether you should change your current method or wait until after circumcision, it may be worth considering trying to incorporate different techniques gradually. This could help you discover what works best for you without relying solely on the pressure method. After circumcision, you may find that your sensitivity and ability to achieve orgasm change, potentially allowing for a more satisfying sexual experience.

In summary, while your current method of masturbation is not inherently problematic, it is essential to be aware of how it may affect your sexual health in the long term. If you continue to have concerns about your sexual function or experience discomfort, it would be wise to consult with a healthcare provider. They can provide personalized advice and support, ensuring that you have a healthy and fulfilling sexual experience as you transition into adulthood.

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