Phimosis and Premature Ejaculation: Your Questions Answered

22-year-old with suspected phimosis and premature ejaculation?! Continuing..?

Hello, I am really anxious about this issue and would like to detect and treat it early.
I would like to ask the doctor some specific questions I have in mind:
1.
Regarding the condition of my penis: When not erect, the glans is not exposed.
When erect, the penis expands, but the glans still does not show; the foreskin does not retract on its own.
I tried to pull it back myself, but the opening of the foreskin cannot stretch further without causing pain.
Does this indicate phimosis or excessive foreskin? If it is phimosis or excessive foreskin, is this considered a genetic defect? Additionally, how can I specifically address this issue?
2.
Later, when I stimulated various parts of my penis, I found that the most sensitive area is located at the front part of the penis (shaped like a triangle).
There is a darker line on the underside of the foreskin, and touching that area produces a very strong sensation, which is also where I feel intense pleasure during vaginal intercourse.
Is it possible that there are nerves in that area? How can I reduce the sensitivity of this sensitive area? Also, since that area is still covered by the foreskin, is it normal for the foreskin to be very sensitive? This is my first experience with such issues, and I am quite anxious.
I sincerely seek your guidance.
Thank you once again!

Student J, 20~29 year old female. Ask Date: 2010/06/15

Dr. Xu Weikai reply Urology

1.
Your condition may be phimosis, but it is still necessary to consult a physician for a proper diagnosis.
Additionally, after circumcision, there is usually a period during which erections may occur more easily, and in severe cases, premature ejaculation may also occur.

2.
Everyone's sensitive areas are inherently different.
Your sensitive area is located beneath the penis, which is similar to many others.
If the sensitivity of this area is diminished, it could potentially lead to difficulties in achieving an erection in severe cases.

Reply Date: 2010/06/15

More Info

Phimosis and premature ejaculation are two conditions that can significantly impact a man's sexual health and overall well-being. Understanding these conditions is crucial for early detection and treatment. Let's break down your concerns and provide some clarity.

Phimosis
Phimosis is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis). This can occur in both children and adults. In your case, you mentioned that when not erect, the glans does not become exposed, and even when erect, the foreskin does not retract. This situation can be classified as phimosis, particularly if you experience pain when attempting to retract the foreskin.

Phimosis can be caused by several factors, including:
1. Congenital Factors: Some men are born with a tighter foreskin, which is a genetic predisposition.

2. Inflammation or Infection: Conditions such as balanitis (inflammation of the glans) can lead to scarring and tightening of the foreskin.

3. Poor Hygiene: Inadequate cleaning can lead to infections that might contribute to phimosis.

Treatment Options
If you are diagnosed with phimosis, treatment options may include:
- Topical Steroid Creams: These can help to soften the foreskin and make it easier to retract.

- Gentle Stretching Exercises: Under the guidance of a healthcare provider, you may be instructed on how to gently stretch the foreskin over time.

- Circumcision: In more severe cases, surgical removal of the foreskin may be recommended.

It's important to consult with a urologist or healthcare provider who can assess your specific situation and recommend the best course of action.

Premature Ejaculation
Premature ejaculation (PE) is characterized by ejaculation that occurs sooner than desired, either before or shortly after penetration. This can lead to distress and frustration for both partners. The sensitivity of the glans and the surrounding areas can play a significant role in this condition.

You mentioned that you have identified a particularly sensitive area on your penis, which is common. The glans and the frenulum (the sensitive band of tissue on the underside of the penis) are rich in nerve endings, making them highly sensitive. This sensitivity can contribute to premature ejaculation.

Managing Sensitivity
To manage sensitivity and potentially delay ejaculation, consider the following strategies:
1. Desensitizing Creams or Sprays: These products can reduce sensitivity and help prolong the duration before ejaculation.

2. Behavioral Techniques: Techniques such as the "stop-start" method or the "squeeze" technique can help you gain better control over ejaculation.

3. Pelvic Floor Exercises: Strengthening the pelvic floor muscles can improve control over ejaculation.

4. Counseling or Therapy: Sometimes, psychological factors contribute to PE. Speaking with a therapist can help address any underlying issues.

Conclusion
Both phimosis and premature ejaculation are manageable conditions. Early diagnosis and treatment can lead to significant improvements in your sexual health and overall quality of life. It is essential to seek professional medical advice to explore your options and find a treatment plan that works for you. Don't hesitate to reach out to a urologist who can provide personalized care and support. Remember, you are not alone in this, and many men experience similar issues.

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