and Treating Penile Skin Issues After First Sexual Experience

There is a fold of skin resembling a rubber band around the glans?

Hello, Dr.
Hsu.
A few days ago, I visited you, but since there were two young female nurses in the consultation room, I felt shy and couldn't discuss my situation in detail.
Last Sunday, I had my first sexual experience with my girlfriend.
Her private area was very tight, so I had to work hard to penetrate.
Personally, I have always had a complete foreskin and cannot manually expose the glans.
I tried to pull it down, but the opening was too small, and it was painful, so I had to give up.
Surprisingly, during our first intercourse with a condom, after a few thrusts, the glans was exposed.
Now, the foreskin cannot retract back over the glans, and there is a rubber band (folded skin) constricting the glans, causing me pain, which is why I sought medical help.
You even helped me separate the adhered skin and kindly reminded me to clean the smegma.
After that, you prescribed me anti-inflammatory medication and erythromycin ointment.
The important part is that the rubber band (folded skin) around the glans is less red and swollen now, but I still experience slight pain during erections (a small pinch around the glans).
Additionally, the rubber band (folded skin) cannot be flattened during an erection and remains folded, unlike the smooth appearance of adult film actors' foreskins.
Is my manual pulling of the foreskin effective? Or should I consider purchasing a foreskin correction ring online to wear for a while? I just want to avoid having this rubber band appearance during erections.

Xiao Yang, 20~29 year old female. Ask Date: 2012/09/29

Dr. Xu Wencang reply Urology

Thank you for your message.
If you need to schedule another appointment, please do not hesitate to reach out!

Reply Date: 2012/09/29

More Info

After your first sexual experience, it’s not uncommon to encounter some issues related to the penile skin, especially if there were complications such as tight foreskin or irritation. Based on your description, it seems that you are experiencing a condition known as phimosis, where the foreskin cannot be easily retracted over the glans (the head of the penis). This can lead to discomfort, especially during erections, and may cause pain or a feeling of constriction, which you referred to as an "elastic band" effect.

Understanding Your Condition
1. Phimosis: This is a condition where the foreskin is too tight to be pulled back over the glans. It can be congenital (present from birth) or develop due to scarring or inflammation. In your case, it seems that the tightness was exacerbated during your first sexual experience, which may have caused trauma to the area.

2. Irritation and Inflammation: The use of condoms and the friction during intercourse can lead to irritation of the sensitive skin. If the foreskin is not retractable, it can trap moisture and bacteria, leading to inflammation or infection.

3. Pain During Erection: The pain you experience during erections is likely due to the tightness of the foreskin and the pressure it exerts on the glans. This can be uncomfortable and may require treatment to alleviate the symptoms.

Treatment Options
1. Topical Treatments: You mentioned that you were prescribed anti-inflammatory medication and topical antibiotics. Continue using these as directed by your physician. They can help reduce inflammation and prevent infection.

2. Gentle Stretching: It’s essential to be cautious with any attempts to manually retract the foreskin. Gentle stretching exercises can be beneficial, but they should be done carefully to avoid further injury. If you experience significant pain, stop and consult your doctor.

3. Consult a Specialist: If the condition does not improve with conservative measures, it may be necessary to consult a urologist. They can provide a more thorough examination and discuss options such as:
- Circumcision: This surgical procedure removes the foreskin entirely and can resolve issues related to phimosis.

- Preputioplasty: A less invasive procedure that involves widening the opening of the foreskin without complete removal.

4. Avoiding Irritants: Ensure that you maintain good hygiene, but avoid excessive cleaning or the use of harsh soaps that can irritate the sensitive skin. Use mild, unscented soap and warm water to clean the area.

5. Consider a Foreskin Retraction Device: If you are considering using a device to help with the retraction of the foreskin, consult your doctor first. They can provide guidance on safe options and whether this is appropriate for your situation.

Psychological Considerations
It’s understandable to feel anxious or embarrassed about discussing these issues, especially with healthcare professionals. However, it’s crucial to communicate openly with your doctor about your symptoms and concerns. They are there to help you and can provide the best care when they have all the information.

Conclusion
In summary, your symptoms suggest a case of phimosis, which can be managed with proper care and treatment. Continue following your doctor’s advice, and don’t hesitate to seek further evaluation if your symptoms persist or worsen. Remember, addressing these issues early can prevent complications and improve your overall sexual health and comfort.

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