Penile Health: Questions About Injury and Normal Function

Thank you very much?

I appreciate the doctor's patient answers to my questions.
I would like to ask a few more questions.
I don't recall any significant injury to my penis; the most that has happened is when my girlfriend, who weighs just over 40 kg, pressed her body against me during intimacy.
Could this have caused an injury? (She was moving back and forth on me.) If this is how I got injured, shouldn't I have felt pain immediately after the injury? However, I don't remember experiencing any pain during erections in the past or now.
Can I say that my penis is just naturally like this?
Additionally, regarding the latter part of the doctor's previous response about the urethra, it mentioned that during an erection, the corpora cavernosa may be smaller, which sometimes prevents a completely smooth appearance, and that if pressed, one might notice indentations or a lack of elasticity.
Does this mean that the indentation I have could be due to a naturally smaller corpora cavernosa that cannot maintain a smooth appearance?
Furthermore, I experienced a lack of morning erections for several months.
Could this be due to an injury to my penis? I later consulted a doctor who said I had excess female hormones and prescribed medication, which has helped me start to have morning erections again.
If my penis has changed due to an injury, which part of the penis might be problematic? Is there still hope for recovery if I see a doctor now? What techniques are available at the hospital to check whether my penis has been injured or if it is a natural condition? Thank you, doctor.

Jie, 20~29 year old female. Ask Date: 2007/03/21

Dr. Xu Weikai reply Urology

Hello, the urethral sponge is generally smaller in all individuals.
As for the indentation you mentioned, if there has been no injury, it may be congenital, and there is no need to be overly concerned.
Morning erections do not occur every day.
Morning erections are caused by a fuller bladder, which triggers a neurological reflex leading to an erection; typically, the erection subsides after urination.
This is a response from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2007/03/21

More Info

When it comes to penile health, understanding the nuances of injury and normal function is crucial. Based on your concerns, it seems you have several questions regarding potential injuries, sensations during erection, and hormonal influences on erectile function. Let's break down your inquiries for clarity.

Firstly, regarding the incident with your girlfriend, it is indeed possible to experience discomfort or injury during sexual activity, even if the partner is relatively light. However, if you did not experience any immediate pain or discomfort during or after the incident, it is less likely that a significant injury occurred. Injuries to the penis, such as penile fractures, typically present with acute pain, swelling, and sometimes bruising. If you have not experienced these symptoms, it is likely that your penis has not sustained any serious injury.

You mentioned that you have not felt pain during erections, which is a positive sign. The absence of pain during erections suggests that your erectile tissues, including the corpora cavernosa and corpus spongiosum, are functioning normally. It is important to note that some individuals may have variations in penile anatomy that do not necessarily indicate injury or dysfunction.
Regarding the statement about the urethra and the appearance of the penis during an erection, it is common for some men to notice slight irregularities or indentations. This can occur due to the natural variability in the size and shape of the erectile tissues. If the corpora cavernosa are not fully symmetrical or if there is a slight difference in size, it may lead to a perception of unevenness during an erection. This is generally considered normal and not a cause for concern unless accompanied by pain or significant changes in function.

You also mentioned experiencing a lack of morning erections for several months, which can be influenced by various factors, including hormonal imbalances. Elevated levels of estrogen, as you indicated, can affect libido and erectile function. The fact that you are now experiencing some recovery after treatment suggests that hormonal levels may be stabilizing, which is encouraging for your overall penile health.

If you are concerned about potential injuries or anatomical issues, it is advisable to consult a urologist. They can perform a physical examination and may recommend imaging studies, such as an ultrasound, to assess the blood flow and structural integrity of the penile tissues. Additionally, they can evaluate your hormonal levels and provide guidance on any necessary treatments.

In summary, while it is possible to sustain minor injuries during sexual activity, the absence of pain and the presence of normal erectile function are reassuring signs. Variations in penile appearance during an erection can be normal, and hormonal factors can significantly influence erectile health. Consulting a healthcare professional will provide you with the best course of action to address your concerns and ensure your penile health is optimal. Remember, open communication with your healthcare provider is key to understanding and managing your health effectively.

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