Glans Sensitivity Issues: Pain and Blood Flow Concerns - Urology

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It sounds like you're experiencing some concerning symptoms related to sensitivity and pain in the glans (the head of the penis) after masturbation. The pain during urination and the inability for the penis to become erect when lying down could indicate a few potential issues that warrant further investigation.

Firstly, the pain you are experiencing could be due to a variety of factors, including irritation or inflammation of the glans, which can occur after vigorous sexual activity or masturbation. This irritation can lead to conditions such as balanitis, which is an inflammation of the glans, often characterized by redness, swelling, and sometimes discharge. The presence of white patches could suggest a fungal infection, such as candidiasis, or a skin condition like lichen sclerosus, which can cause white patches and discomfort.

The inability for the penis to become erect when lying down may also be concerning. While it is normal for erections to vary based on position and arousal levels, persistent difficulty achieving an erection could indicate an underlying issue, such as psychological factors (anxiety, stress) or physical factors (blood flow issues, nerve damage).
Blood flow concerns are particularly important to consider. The penis relies on adequate blood flow for erections, and any issues with circulation could lead to erectile dysfunction. Factors that can affect blood flow include vascular health, hormonal levels, and nerve function. If you have a history of vascular issues or other health concerns, this could be a contributing factor.

Given the symptoms you've described, it is crucial to seek medical attention. A healthcare provider can perform a thorough examination, which may include a physical examination of the genital area, urine tests to check for infections, and possibly blood tests to assess overall health and hormonal levels. They may also inquire about your sexual history, any recent changes in sexual activity, and any other symptoms you may be experiencing.

In the meantime, it is advisable to avoid any further irritation to the area. This means refraining from masturbation or sexual activity until you have been evaluated by a healthcare professional. Keeping the area clean and dry can also help prevent further irritation or infection.

In summary, while some of the symptoms you are experiencing may be related to common issues like irritation or infection, the combination of pain, changes in sensitivity, and the appearance of white patches should be evaluated by a healthcare provider. They can provide a proper diagnosis and recommend appropriate treatment options to address your concerns. Remember, it’s always better to err on the side of caution when it comes to your health.