Downward Penis Angle During Erection: Concerns and Solutions

Q: Downward Penis Angle During Erection: Concerns and Solutions

Xiao Ye： Hello, as long as the hardness of the penis is sufficient and the angle of deviation is not too great during an erection, there should be no problem with sexual intercourse. <br>However, if you experience pain during sexual activity in the future, corrective surgery may

Penile drooping during erection?

Hello, doctor.
When standing, my penis is erect at about a 45-degree angle downward (relative to horizontal), and the entire penis is straight.
It seems that the area near the scrotum (the base of the penis) lacks support, which prevents it from pointing upwards.
If I lift it with my hand, it can be raised to a horizontal position (parallel to the ground), but raising it further encounters some resistance.

1.
Will this affect sexual intercourse (I am a virgin)? Should I avoid certain positions in the future (for example, the woman-on-top position)?
2.
Is surgical correction necessary? (I am a bit concerned).
Thank you.

Xiao Ye, 30~39 year old female. Ask Date: 2012/02/08

Dr. Xu Weikai reply Urology

Xiao Ye: Hello, as long as the hardness of the penis is sufficient and the angle of deviation is not too great during an erection, there should be no problem with sexual intercourse.
However, if you experience pain during sexual activity in the future, corrective surgery may be necessary.
Regarding sexual positions, when the woman is on top, extra caution is required, as this position can easily put pressure on the penis and cause injury.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers from the internet should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This message is from the Department of Urology, Taitung Hospital, Ministry of Health and Welfare, responding to your concerns.

Reply Date: 2012/02/08

More Info

Understanding the concerns regarding a downward penis angle during erection is important for both physical and psychological well-being. The angle of an erect penis can vary significantly among individuals, and a downward angle of about 45 degrees, as you described, is not uncommon. Here’s a detailed exploration of your concerns and potential solutions.

1. Impact on Sexual Intercourse
The primary concern regarding a downward angle during erection is whether it will affect sexual intercourse. Generally, a downward angle does not inherently prevent successful sexual activity. Many individuals with similar anatomical variations engage in sexual intercourse without significant issues. However, certain sexual positions may be more comfortable than others.
For instance, positions that allow for deeper penetration, such as the missionary position, may be more favorable. Conversely, positions like "woman on top" could potentially be less comfortable if the angle creates difficulty in alignment. It’s essential to communicate openly with your partner about comfort levels and preferences, as this can enhance the experience for both parties.

2. Surgical Correction
Regarding the need for surgical intervention, it is crucial to assess whether the angle is causing any functional issues or psychological distress. If the angle does not hinder sexual function or cause discomfort, surgery may not be necessary. Surgical options, such as penile lengthening or suspensory ligament release, exist but are typically reserved for cases where there is significant functional impairment or psychological distress related to the angle.

Before considering surgery, it is advisable to consult with a urologist or a sexual health specialist. They can provide a thorough evaluation and discuss the potential risks and benefits of surgical options. In many cases, counseling or therapy can also help address any psychological concerns related to body image or sexual performance.

3. Exploring Solutions
If you are concerned about the angle affecting your sexual experiences, there are several strategies you can consider:
- Experiment with Positions: As mentioned, trying different sexual positions can help you find what works best for you and your partner. Positions that allow for more control over the angle may be beneficial.

- Use of Pillows: Placing a pillow under the hips can help adjust the angle during intercourse, potentially making it more comfortable.

- Communication: Discussing your concerns with your partner can alleviate anxiety and foster a supportive environment where both partners feel comfortable exploring what works best.

- Consultation with a Specialist: If you continue to have concerns, seeking advice from a urologist can provide clarity. They can assess whether any underlying conditions contribute to the angle and recommend appropriate interventions if necessary.

Conclusion
In summary, a downward angle of the penis during erection is not uncommon and does not necessarily impede sexual function. It is essential to focus on comfort and communication with your partner. If concerns persist, consulting with a healthcare professional can provide reassurance and guidance tailored to your specific situation. Remember, sexual health is a multifaceted aspect of overall well-being, and addressing any concerns with a qualified professional can lead to better outcomes.

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