The foreskin?
Hello, Dr.
Lai! Yesterday, while I was having intercourse with my girlfriend, I accidentally caused bleeding from the area beneath the glans.
Upon inspection, I found a small point connecting the foreskin and the area beneath the glans that had torn, which is why it bled.
How should I handle this situation? Currently, there is no pain and no bleeding, but I am a bit anxious.
Sometimes my foreskin covers the glans, and other times, after walking, it retracts behind the glans and can be moved.
Does this indicate phimosis? Is it possible to avoid circumcision? Thank you.
Hao, 10~19 year old female. Ask Date: 2004/12/19
Dr. Lai Ronghao reply Urology
Hello: The diagnosis of phimosis is primarily based on whether the glans can be exposed during an erection.
Since you experienced bleeding due to a tear in the frenulum, as long as you maintain good hygiene, circumcision may not be necessary.
Sincerely, Dr.
Lai Rong-Hao, Attending Physician, Hsinchu Hospital, Department of Health, Executive Yuan.
Reply Date: 2004/12/19
More Info
Hello! It sounds like you experienced a minor penile injury during intercourse, which can be concerning but is often manageable with proper care. Based on your description, it seems that the bleeding was caused by a small tear in the skin connecting the foreskin to the glans (the head of the penis). This type of injury can occur during sexual activity, especially if there is friction or if the foreskin is pulled back forcefully.
Immediate Care for Minor Penile Injuries
1. Clean the Area: Gently wash the area with mild soap and water to prevent infection. Avoid using harsh soaps or scrubbing the area too vigorously.
2. Apply a Topical Antibiotic: If there is any open skin or if you are concerned about infection, you can apply a topical antibiotic ointment (like Neosporin) to the affected area. This can help prevent infection and promote healing.
3. Avoid Irritation: For a few days, try to avoid any activities that may irritate the area, such as vigorous sexual activity or masturbation. This will allow the skin to heal properly.
4. Monitor for Symptoms: Keep an eye on the injury for any signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, it would be wise to consult a healthcare provider.
Concerns About Foreskin Length
Regarding your question about whether your foreskin is too long, it’s important to understand that the foreskin varies greatly among individuals. If your foreskin covers the glans but can be retracted without pain or difficulty, it may not necessarily be considered "too long."
- Normal Variations: Many men have a foreskin that covers the glans when flaccid but retracts easily when erect. This is generally considered normal.
- Phimosis: If you find that your foreskin cannot be retracted at all or causes pain when trying to do so, this condition is known as phimosis. In such cases, it may be necessary to consult a urologist for evaluation.
- Desire to Avoid Circumcision: If you are concerned about your foreskin length but do not wish to undergo circumcision, there are non-surgical options available. These may include topical treatments or stretching exercises, but it’s best to discuss these options with a healthcare professional.
When to Seek Medical Attention
While minor injuries can often be managed at home, you should seek medical attention if:
- The bleeding does not stop after a few minutes.
- You experience significant pain or discomfort.
- You notice signs of infection.
- You have concerns about your foreskin or any other related issues.
Conclusion
In summary, your injury appears to be minor and can likely be managed with proper care. Cleaning the area, applying a topical antibiotic, and avoiding irritation are key steps in your recovery. Regarding your foreskin, if it retracts easily and does not cause pain, it may not be a concern. However, if you have ongoing issues or discomfort, consulting a healthcare provider is advisable. Remember, it’s always better to err on the side of caution when it comes to your health.
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