Can You Have Normal Intercourse with Phimosis Without Circumcision?

Q: Can You Have Normal Intercourse with Phimosis Without Circumcision?

Hello： Generally, the foreskin does not affect sexual intercourse or ejaculation. <br>The indications for circumcision are as follows： 1. <br>Recurrent balanitis (inflammation of the glans and foreskin) 2. <br>Inability to clean the glans due to foreskin issues 3. <br>Foreskin th

Can phimosis engage in normal sexual intercourse without circumcision?

Hello, doctor.
I am 24 years old and have served in the military.
Although I have had phimosis for many years and sometimes went 1-2 days without showering during training, I have not experienced any diseases related to my external genitalia.
When I was in high school, I accidentally pushed back my foreskin while using the restroom, which caused my glans to briefly be exposed.
However, due to sensitivity, I quickly returned it to the protection of the foreskin after urinating.
Since then, I have developed a habit of cleaning my glans by retracting the foreskin during showers.
Currently, when erect, the measurement from the pubic bone to the urethral opening of the glans is about 8.8 cm (which seems a bit short).
The distance from the coronal ridge to the urethral opening is about 3.4 cm (the glans is still relatively large).
The circumference of the coronal ridge is 11 cm, and the circumference of the corpora cavernosa is 10.5 cm.
Although the foreskin covers the glans, there is an opening of about 1.1 cm in diameter through which the tip of the glans can be seen.
When not erect, urination is smooth without any ballooning effect.

When not erect, I can easily retract the foreskin to the coronal ridge, exposing the entire glans.
However, when erect, I can also push the foreskin back to the coronal ridge, but it feels a bit tight, which is likely what is referred to as a "tight band." I prefer the situation where the glans is covered, and I believe that as long as I can ejaculate into the female vagina, that should suffice.
Having said all this, I am quite afraid of undergoing circumcision surgery because the nerves in that area are extremely sensitive, and I worry that any surgical mishap could diminish my pleasure in the future.
I have heard that topical corticosteroids can be used to treat the symptom of a narrow foreskin, which may help relax it.
So, is it possible that I can have normal and satisfying sexual intercourse without needing surgery? Thank you, doctor, for patiently reading my lengthy message.

Zai Shi De Xiao Zhi, 20~29 year old female. Ask Date: 2006/06/01

Dr. Lai Ronghao reply Urology

Hello: Generally, the foreskin does not affect sexual intercourse or ejaculation.
The indications for circumcision are as follows: 1.
Recurrent balanitis (inflammation of the glans and foreskin) 2.
Inability to clean the glans due to foreskin issues 3.
Foreskin that gets stuck, causing pain.
If it is simply a case of excessive foreskin, and pulling it back can expose the glans without issues in cleaning or pain during intercourse, whether to proceed with circumcision is a personal decision.
Thank you!

Reply Date: 2006/06/01

More Info

Phimosis, a condition where the foreskin cannot be easily retracted over the glans (tip) of the penis, can indeed pose challenges for sexual intercourse. However, many individuals with phimosis can still engage in sexual activity without undergoing circumcision, depending on the severity of the condition and individual comfort levels.

From your description, it seems that you have some degree of phimosis, but you are able to retract the foreskin when not erect, and you can also manage to push it back during an erection, albeit with some discomfort. This suggests that while you may have a tight foreskin, it is not completely non-retractable, which is a positive sign.
In many cases, individuals with phimosis can still have normal sexual intercourse. The key factors that influence this include:
1. Comfort Level: If you find that retracting the foreskin during an erection is uncomfortable, it may affect your sexual experience. Some men prefer to keep the foreskin in place during intercourse, which is perfectly fine as long as it does not cause pain or discomfort.

2. Lubrication: Adequate lubrication can help reduce friction and discomfort during intercourse. If you experience tightness, using a water-based lubricant can enhance comfort.

3. Communication with Partner: Open communication with your partner about your condition and any discomfort you may experience is essential. This can help both of you find ways to make the experience more enjoyable.

4. Potential for Pain or Injury: If you experience pain during intercourse or if the foreskin becomes overly tight, it may lead to tearing or other injuries. If this occurs, it is advisable to consult a healthcare professional.

5. Non-Surgical Options: As you mentioned, topical corticosteroids can sometimes be used to help loosen the foreskin and make retraction easier. This treatment can be effective for some individuals and may help avoid the need for surgery. However, it is essential to use these medications under the guidance of a healthcare provider.

6. Surgical Options: While circumcision is a common solution for phimosis, it is not the only option. If you are apprehensive about surgery, discussing your concerns with a urologist can help you explore other treatments, such as preputioplasty, which is a less invasive procedure that can widen the opening of the foreskin without complete removal.

In conclusion, it is possible to have normal sexual intercourse with phimosis without circumcision, especially if you are able to manage the condition effectively and maintain comfort during sexual activity. However, it is crucial to monitor your symptoms and seek medical advice if you experience significant discomfort, pain, or any changes in your condition. Regular check-ups with a healthcare provider can help you manage phimosis and ensure that you maintain sexual health and overall well-being.

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