Concerns about phimosis and premature ejaculation?
Hello Doctor,
1.
I noticed that when I pull down the foreskin, there is a dark area, and there are also some dark spots on the glans.
Is this a sign of a disease or is it normal?
2.
When I look at X-rays or imagine certain things, I ejaculate very quickly.
Is this an issue of premature ejaculation or am I just overly sensitive? Thank you.
YS, 10~19 year old female. Ask Date: 2023/09/10
Dr. Du Shixi reply Urology
Hello: 1: Should seek medical attention 2: Should be normal, wishing you good health.
Reply Date: 2023/09/10
More Info
When it comes to concerns regarding the foreskin and issues related to premature ejaculation, it's important to approach these topics with sensitivity and an understanding of the physiological and psychological factors involved.
1. Foreskin Concerns: The appearance of dark patches on the foreskin or glans (the head of the penis) can be a common concern for many men. In many cases, these dark areas are simply a result of natural pigmentation or hyperpigmentation, which is not uncommon and typically harmless. However, if the discoloration is accompanied by other symptoms such as pain, itching, or unusual discharge, it could indicate a condition that requires medical attention, such as a fungal infection, dermatitis, or other dermatological issues. It's advisable to consult a healthcare professional for a proper evaluation to rule out any underlying conditions.
2. Premature Ejaculation: Premature ejaculation (PE) is a common issue that many men experience at some point in their lives. It is generally defined as ejaculation that occurs with minimal sexual stimulation, often before or shortly after penetration, and can lead to distress or dissatisfaction in sexual relationships. The sensitivity of the glans can play a significant role in this condition. Many men find that they are more sensitive during sexual arousal, which can lead to quicker ejaculation.
There are several potential causes for premature ejaculation, including psychological factors such as anxiety, stress, or performance pressure, as well as physiological factors like hormonal imbalances or heightened sensitivity. If you find that you are consistently ejaculating sooner than desired, it may be beneficial to explore various techniques or treatments. These can include behavioral techniques (such as the "stop-start" method or the "squeeze" technique), desensitizing creams, or even medications that can help delay ejaculation.
In addition to these methods, it’s important to address any underlying anxiety or stress that may be contributing to the issue. Engaging in open communication with your partner about your concerns can also alleviate some of the pressure you may feel during intimate moments.
If these concerns persist or significantly impact your quality of life, it would be wise to seek the guidance of a healthcare provider or a specialist in sexual health. They can provide tailored advice and treatment options based on your specific situation.
In summary, while dark patches on the foreskin or glans can often be benign, any changes in your body that cause concern should be evaluated by a medical professional. Similarly, premature ejaculation is a common issue that can be addressed through various techniques and treatments. Open communication and professional guidance can help you navigate these concerns effectively.
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