Uncircumcised and Ejaculation Issues: Hygiene and Health - Urology

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Issues with ejaculation without circumcision?


Hello doctor, I would like to inquire about my situation.
I have not undergone circumcision, and after masturbating, I need to retract the foreskin for cleaning.
However, a year ago, I forgot to clean it, which led to inflammation.
After seeing a doctor, I took medication and applied ointment, and it improved.
However, every time I masturbate, if I don't clean within about 5 minutes, I start to feel itching around the glans and foreskin.
Does this mean I have not fully healed? When I am not masturbating, I feel fine and do not experience itching, and I usually pay close attention to cleanliness.
Is it possible that I still have bacteria at the urethral opening, or could it be due to excessive cleaning? Would circumcision be a solution to improve this issue?

Th, 20~29 year old female. Ask Date: 2023/08/22

Dr. Chen Jiansheng reply Urology


Please seek medical attention.

Reply Date: 2023/08/22

More Info


When it comes to the topic of uncircumcised males and issues related to hygiene and ejaculation, it is essential to understand the anatomy and the potential health implications of not maintaining proper hygiene. As you mentioned, you have experienced inflammation due to inadequate cleaning after masturbation, which is a common issue for uncircumcised individuals.
The foreskin, or prepuce, can trap moisture, dead skin cells, and bodily fluids, creating an environment conducive to bacterial growth. If not cleaned properly, this can lead to conditions such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin). The itching you experience shortly after masturbation could indicate that there is still some irritation or inflammation present, possibly due to residual moisture or bacteria that have not been adequately cleaned away.

It is good to hear that you have been attentive to hygiene and that you do not experience itching when not engaging in masturbation. This suggests that your hygiene practices are generally effective, but there may be specific issues that arise during or after masturbation. Here are some considerations:
1. Hygiene Practices: After masturbation, it is crucial to clean the area thoroughly. This includes retracting the foreskin and washing the glans with mild soap and water. Ensure that you dry the area well afterward, as moisture can promote bacterial growth.

2. Sensitivity and Irritation: The glans and the inner foreskin are sensitive areas. If you are cleaning too vigorously or using harsh soaps, this could lead to irritation. Consider using a gentle, unscented soap to avoid further irritation.

3. Infection: If you notice persistent itching or discomfort, it may be a sign of an underlying infection. Conditions such as yeast infections or bacterial infections can occur, especially if there is a history of inflammation. If symptoms persist despite good hygiene, it would be wise to consult a healthcare provider for further evaluation.

4. Circumcision Consideration: While circumcision is a personal choice, some individuals opt for it to alleviate ongoing hygiene issues or recurrent infections. If you find that you are consistently having problems despite maintaining good hygiene, discussing the option of circumcision with a urologist may be beneficial. They can provide you with information on the procedure, its benefits, and potential risks.

5. Regular Check-ups: Regular visits to a healthcare provider can help monitor any changes in your condition. If you experience recurrent issues, a healthcare professional can conduct tests to rule out infections or other underlying conditions.

In summary, while your current hygiene practices seem to be effective most of the time, the itching you experience after masturbation suggests that there may still be some irritation or an underlying issue that needs to be addressed. It is essential to maintain proper hygiene, be gentle when cleaning, and consult a healthcare provider if symptoms persist. They can provide tailored advice and determine if further intervention, such as circumcision, is necessary for your situation.

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