Managing Sensitivity of the Glans: Effective Solutions for Premature Ejaculation

The glans is very sensitive?

I have never had a circumcision, and my glans seems to have become overly sensitive, as I tend to ejaculate quickly during intercourse.
Are there any effective and convenient methods to treat this?

Xiao Chen, 20~29 year old female. Ask Date: 2011/02/22

Dr. Zhang Chengye reply Urology

It is recommended to visit the urology outpatient clinic for evaluation.
If necessary, a circumcision can be performed, which may help reduce premature ejaculation.
However, this procedure will be out-of-pocket and costs approximately 6,000 NTD, with the actual fee determined according to the hospital's pricing standards.

Reply Date: 2011/02/22

More Info

Managing sensitivity of the glans, especially in the context of premature ejaculation, is a common concern for many men. Premature ejaculation (PE) is defined as the inability to delay ejaculation during sexual activity, which can lead to distress for both partners. There are several strategies and treatments available to help manage this condition effectively.

Understanding Sensitivity and Premature Ejaculation
The glans (or head of the penis) is highly sensitive due to a dense concentration of nerve endings. For some men, this heightened sensitivity can lead to premature ejaculation. Factors contributing to this condition can include psychological issues (such as anxiety or stress), biological factors (like hormonal imbalances), or even relationship dynamics.

Effective Solutions
1. Desensitizing Creams and Sprays: Over-the-counter desensitizing products containing lidocaine or benzocaine can be applied to the glans to reduce sensitivity. These products work by numbing the area, which can help delay ejaculation. It’s important to follow the instructions carefully and to wash off any excess before intercourse to avoid numbing your partner.

2. Condoms: Using thicker condoms can help reduce sensitivity during intercourse. Some condoms are specifically designed to help delay ejaculation and may contain a desensitizing agent.

3. Pelvic Floor Exercises: Strengthening the pelvic floor muscles through exercises, commonly known as Kegel exercises, can help improve control over ejaculation. These exercises involve repeatedly contracting and relaxing the muscles that control urination.

4. Behavioral Techniques: Techniques such as the "stop-start" method or the "squeeze" technique can be effective. The stop-start method involves stopping sexual stimulation before the point of ejaculation and then starting again after a brief pause. The squeeze technique involves squeezing the base of the penis to reduce arousal before ejaculation occurs.

5. Psychological Counseling: If anxiety or psychological factors are contributing to premature ejaculation, speaking with a therapist or counselor can be beneficial. Cognitive-behavioral therapy (CBT) can help address underlying issues and improve sexual confidence.

6. Medications: In some cases, doctors may prescribe selective serotonin reuptake inhibitors (SSRIs), which are typically used as antidepressants but have been found to delay ejaculation as a side effect. Another option is the use of certain medications that can help with premature ejaculation.

7. Consultation with a Urologist: If over-the-counter solutions and behavioral techniques do not provide relief, it may be beneficial to consult a urologist. They can provide a thorough evaluation and discuss prescription options or other treatments tailored to your specific needs.

Lifestyle Modifications
In addition to the above treatments, certain lifestyle changes can also help manage sensitivity and improve sexual performance:
- Stress Management: Engaging in relaxation techniques such as yoga, meditation, or deep-breathing exercises can help reduce anxiety related to sexual performance.

- Healthy Lifestyle: Regular exercise, a balanced diet, and adequate sleep can improve overall health and sexual function.

- Open Communication: Discussing concerns with your partner can help alleviate anxiety and improve intimacy, which may positively impact sexual performance.

Conclusion
Managing sensitivity of the glans and addressing premature ejaculation involves a combination of behavioral techniques, desensitizing products, and possibly medical intervention. It’s essential to approach this issue holistically, considering both physical and psychological factors. If you find that self-help methods are not effective, seeking professional advice from a healthcare provider can lead to tailored solutions that work for you. Remember, you are not alone in this experience, and many men face similar challenges.

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