Foreskin issues
I'm sorry, doctor, but when I'm not erect, my foreskin can normally retract past the coronal sulcus, but when I am erect, it cannot (I've tried, but it just won't expose the coronal ridge).
I found online that this is physiological phimosis, and if I can clean it properly, there's no need for circumcision (I can also clean the coronal sulcus while showering).
I would like to ask the doctor if circumcision is necessary in this case.
If I don't get circumcised, will the foreskin covering the entire glans make penetration difficult during sexual intercourse? Thank you for taking the time to answer my questions.
vane, 10~19 year old female. Ask Date: 2023/11/01
Dr. Du Shixi reply Urology
Hello: Based on your condition, it is advisable to seek medical attention.
If the erection is persistent and cannot be resolved, surgery may be recommended.
Please consult a physician to determine if surgery is necessary.
Wishing you good health.
Reply Date: 2023/11/01
More Info
Understanding physiological phimosis is essential for making informed decisions regarding circumcision. In your case, it appears that you are experiencing a condition known as physiological phimosis, which is common in males, especially during adolescence. Physiological phimosis refers to the inability to retract the foreskin over the glans (the head of the penis) when the penis is erect, but the foreskin can be retracted when the penis is flaccid. This condition is often normal and does not necessarily require surgical intervention.
From your description, it seems that you can clean the area effectively, which is a positive sign. Proper hygiene is crucial, as it helps prevent infections and other complications. If you can retract the foreskin when the penis is not erect and maintain cleanliness, this indicates that your condition is likely physiological rather than pathological.
Circumcision is a surgical procedure that involves the removal of the foreskin. It is often recommended in cases of pathological phimosis, where the foreskin cannot be retracted at all, leading to pain, discomfort, or recurrent infections. However, in cases of physiological phimosis, circumcision is not typically necessary unless there are complications or significant discomfort during sexual activity.
Regarding your concern about sexual intercourse, many individuals with physiological phimosis can engage in sexual activity without issues. The foreskin may provide some degree of sensitivity, and while it may feel different, it does not usually prevent penetration. If you are concerned about discomfort during intercourse, there are alternative methods to manage the situation. For instance, some men find that gentle stretching exercises can help gradually loosen the foreskin over time. Additionally, using water-based lubricants during sexual activity can alleviate any friction that might occur due to the foreskin covering the glans.
It is also worth noting that many men with physiological phimosis do not experience significant issues during sexual activity. If you find that you are able to achieve penetration comfortably and without pain, this may indicate that circumcision is unnecessary for you.
If you are still uncertain or if you experience pain, recurrent infections, or any other complications, it would be wise to consult a urologist or a healthcare provider specializing in male reproductive health. They can provide a thorough examination and discuss your options, including the potential benefits and risks of circumcision versus conservative management.
In summary, if you can maintain proper hygiene, do not experience pain or discomfort, and can achieve sexual intercourse without significant issues, circumcision may not be necessary. However, if you have ongoing concerns or complications, seeking professional medical advice is the best course of action.
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