Impact of Ignoring Painful Erection Issues on Future Fertility - Urology

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Pain during erection when retracting the foreskin?


Hello, doctor.
I would like to follow up on my question: if I ignore this and do not seek medical attention, what impact could it have? For example, in terms of future fertility.
Thank you.

zhèngcháng ma, 20~29 year old female. Ask Date: 2009/09/29

Dr. Xu Weikai reply Urology


Of course, we can discuss it later.
If treatment is not accepted, a tighter foreskin may make cleaning difficult, which could lead to frequent inflammation and subsequently cause foreskin fibrosis (which means it becomes harder).
However, if you can take good care of it and there is no inflammation, the foreskin will be fine as it is.
In terms of fertility, there generally shouldn't be any significant issues.
Typically, the degree of narrowing is not severe, and during ejaculation, semen can still easily enter the vagina.

Reply Date: 2009/09/29

More Info


Ignoring painful erection issues can have significant implications for future fertility and overall sexual health. Painful erections, medically known as priapism or erectile pain, can arise from various underlying conditions, including vascular issues, nerve damage, hormonal imbalances, or psychological factors. If left unaddressed, these issues can lead to complications that may affect your ability to conceive in the future.

1. Potential Impact on Fertility: Painful erections can be indicative of underlying health problems that may affect fertility. For example, conditions such as Peyronie's disease, which involves the development of fibrous scar tissue inside the penis, can lead to painful erections and may also result in curvature of the penis, making penetrative intercourse difficult or painful. This can hinder the ability to conceive naturally. Additionally, if the pain is associated with vascular issues, it may affect blood flow to the penis, which is crucial for achieving and maintaining an erection necessary for sexual intercourse.

2. Psychological Effects: Chronic pain during erections can lead to psychological distress, including anxiety and depression. This can create a cycle where the fear of pain during sexual activity leads to avoidance of sexual encounters, further complicating the ability to conceive. Psychological factors can significantly impact sexual function and desire, which are essential for a healthy reproductive life.

3. Long-term Consequences: Ignoring painful erections may lead to more severe complications over time. For instance, untreated priapism can cause permanent damage to the penile tissue, leading to erectile dysfunction (ED). ED can significantly impair fertility, as it may prevent the ability to engage in sexual intercourse altogether. Moreover, the emotional toll of chronic pain and associated sexual dysfunction can strain relationships, further complicating family planning.

4. Underlying Health Issues: Painful erections can be a symptom of more serious health conditions, such as diabetes, cardiovascular disease, or hormonal imbalances. These conditions can also have direct implications for fertility. For example, diabetes can lead to nerve damage and poor blood circulation, both of which can affect erectile function and fertility. Addressing the root cause of painful erections is crucial for maintaining overall reproductive health.

5. Importance of Medical Evaluation: It is essential to seek medical advice if you experience painful erections. A healthcare provider can conduct a thorough evaluation to determine the underlying cause of the pain and recommend appropriate treatment options. Early intervention can prevent the progression of any underlying conditions and help preserve both sexual and reproductive health.

In conclusion, ignoring painful erection issues can have far-reaching consequences for future fertility and overall sexual health. It is advisable to consult a healthcare professional to address these concerns, as timely intervention can help mitigate potential complications and enhance your chances of conceiving in the future. Taking proactive steps to understand and treat the underlying causes of painful erections is essential for maintaining a healthy reproductive life.

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