Effects of Phimosis at 19: Health, Comfort, and Sexual Concerns

What are the effects of having a long foreskin?

At 19 years old, if your glans is still retracted under the foreskin, aside from hygiene issues, there could be potential impacts on sexual function and sensation.
During sexual intercourse, you may experience discomfort or pain due to the tightness of the foreskin or lack of exposure of the glans.
It's also possible that the glans may not fully retract on its own at this age.
If you have concerns about discomfort or other issues, it would be advisable to consult a healthcare professional for personalized advice and potential treatment options.

A Pi, 10~19 year old female. Ask Date: 2002/02/04

Dr. Liu Jianting reply Urology

At 19 years old, still retracted inside, that is really...! If the foreskin cannot retract after an erection, preventing the glans from emerging naturally, or if the foreskin can retract but becomes tight around the penis, causing discomfort, these conditions are referred to as phimosis.
In such cases, it is important to consult a urologist for examination and treatment.
On the other hand, if the glans is usually retracted under the foreskin but can be easily exposed by retracting the foreskin, it is not considered a problem.
Excessive foreskin does not necessarily require treatment; rather, it is important to maintain good hygiene practices.
I recommend a book titled "The Love of the Little Brother."

Reply Date: 2002/02/04

More Info

Phimosis, the condition where the foreskin cannot be easily retracted over the glans (head) of the penis, can have several implications for health, comfort, and sexual function, especially at the age of 19. While many boys are born with a tight foreskin, by adulthood, most will have developed the ability to retract it. However, if this has not occurred, it can lead to various concerns.

Health Implications
1. Hygiene Issues: One of the primary concerns with phimosis is hygiene. The inability to retract the foreskin can lead to the accumulation of smegma, a substance made up of dead skin cells and oils. This can increase the risk of infections, such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin).

2. Increased Risk of Infections: In addition to balanitis, there is a potential for urinary tract infections (UTIs) due to the difficulty in maintaining proper hygiene. The presence of smegma can also create an environment conducive to bacterial growth.

3. Potential for Scarring: Chronic inflammation or infection can lead to scarring, which may worsen the phimosis over time and make retraction even more difficult.

Comfort and Sexual Concerns
1. Discomfort During Sexual Activity: Phimosis can lead to discomfort or pain during sexual intercourse. The tight foreskin may not allow for adequate movement, which can cause friction and discomfort. In some cases, it may even lead to tearing of the foreskin during sexual activity, which can be painful and may require medical attention.

2. Erectile Dysfunction: While phimosis itself does not directly cause erectile dysfunction, the associated discomfort and anxiety about sexual performance can lead to difficulties in achieving or maintaining an erection.

3. Psychological Impact: Concerns about phimosis can lead to anxiety or embarrassment, which can further affect sexual relationships and overall confidence.

Will the Glans Eventually Become Exposed?
At 19 years old, it is unlikely that the glans will naturally become exposed if phimosis is present. While some individuals may experience gradual retraction of the foreskin over time, this is not common in cases of true phimosis. If the condition persists, it is advisable to seek medical advice.

Treatment Options
1. Topical Steroids: In some cases, topical steroid creams can be prescribed to help loosen the foreskin and make retraction easier.

2. Stretching Exercises: Gentle stretching of the foreskin may also be recommended, but this should be done carefully to avoid pain or injury.

3. Surgical Options: If conservative treatments are ineffective, circumcision (removal of the foreskin) or a less invasive procedure called preputioplasty (which involves widening the foreskin) may be considered. These options can provide a permanent solution to phimosis and alleviate associated discomfort.

Conclusion
In summary, phimosis at the age of 19 can lead to various health, comfort, and sexual concerns. Maintaining proper hygiene is crucial, and if discomfort or pain during sexual activity occurs, it is important to consult a healthcare professional. They can provide guidance on appropriate treatment options, whether conservative or surgical, to address the condition effectively. If you have any further questions or concerns, do not hesitate to reach out to a urologist or a healthcare provider specializing in male sexual health.

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