Ejaculation Issues After Circumcision: Causes and Solutions - Urology

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Inability to ejaculate?


Two months ago, I had a circumcision, and since then, I've only ejaculated once—after more than an hour of masturbation.
The next day, I felt a lot of pain in my penis.
I also don't feel much pleasure when having sex with my girlfriend.
Lasting for over an hour seems too long.
Is this due to decreased sensitivity? Is it related to the surgery?

Xiao Zhong, 20~29 year old female. Ask Date: 2009/12/18

Dr. Xu Weikai reply Urology


Sensitivity, theoretically, will be higher than before circumcision, and it will gradually decrease after about six months.
Your issue may be due to the scar tissue from the wound not fully healing yet, which can cause some discomfort during intercourse.
Applying a local heat compress for 5 minutes each time, 3 to 5 times a day, can help enhance the healing of the wound.

Reply Date: 2009/12/18

More Info


Ejaculation issues after circumcision can be a complex topic, and it's understandable to have concerns following such a significant procedure. Circumcision, which involves the surgical removal of the foreskin, can lead to various changes in sexual function, sensitivity, and overall sexual experience.

Causes of Ejaculation Issues After Circumcision
1. Sensitivity Changes: After circumcision, many men report changes in sensitivity. The glans (the head of the penis) becomes more exposed and may initially be more sensitive due to the lack of the protective foreskin. However, over time, some men may experience a decrease in sensitivity, which can affect sexual pleasure and ejaculation.

2. Pain and Discomfort: Post-operative pain is not uncommon, especially in the weeks following circumcision. If you are experiencing pain during sexual activity or masturbation, it could be a sign of irritation or inflammation. This discomfort can lead to anxiety about sexual performance, which can further complicate ejaculation issues.

3. Psychological Factors: Anxiety and stress about sexual performance can significantly impact sexual function. If you are worried about your ability to ejaculate or experience pain during sexual activity, this can create a cycle of anxiety that makes it even harder to achieve ejaculation.

4. Healing Process: The healing process after circumcision can vary from person to person. If you are only two months post-surgery, your body may still be adjusting. It’s important to give yourself time to heal fully, as sexual function may improve as the surgical site heals and sensitivity stabilizes.

5. Hormonal Changes: Although less common, hormonal fluctuations can also affect libido and sexual function. If you notice significant changes in your sexual desire or function, it may be worth discussing with a healthcare provider.


Solutions and Recommendations
1. Consult a Healthcare Provider: If you are experiencing persistent pain or issues with ejaculation, it’s crucial to consult a urologist or healthcare provider. They can assess your situation, rule out any complications from the surgery, and provide tailored advice.

2. Gradual Reintroduction to Sexual Activity: If you are experiencing pain, it may be beneficial to take a break from sexual activity until you feel more comfortable. Gradually reintroducing sexual activity can help you gauge your sensitivity and comfort levels.

3. Lubrication: Using a good quality lubricant during sexual activity can help reduce friction and discomfort, making the experience more pleasurable and potentially aiding in ejaculation.

4. Focus on Foreplay: Engaging in extended foreplay can enhance arousal and may help you achieve ejaculation more easily. This can also help alleviate some of the pressure you may feel about performance.

5. Pelvic Floor Exercises: Strengthening the pelvic floor muscles through exercises like Kegels can improve control over ejaculation and enhance sexual function.

6. Patience and Time: Remember that healing takes time. Many men find that their sexual function improves significantly in the months following circumcision as they adjust to the changes.

7. Psychological Support: If anxiety about sexual performance is a significant concern, consider speaking with a therapist or counselor who specializes in sexual health. They can help you work through any psychological barriers you may be facing.

In summary, while ejaculation issues after circumcision can be concerning, they are often temporary and can be addressed with the right approach. Consulting with a healthcare provider is the best first step to ensure that there are no underlying complications and to receive personalized advice on managing your symptoms.

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