Proper Condom Use for Men with Phimosis: Tips and Techniques - Urology

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Use of condoms


Hello, Dr.
Hsu.
I would like to ask about the proper use of condoms.
I have an issue with phimosis, and I want to know whether I should retract the foreskin when putting on a condom during sexual intercourse, or if it is acceptable to leave it as is.
Which method is correct? I currently have a problem where, if I don't retract the foreskin, the condom tends to stick to the glans and the opening of the foreskin, causing discomfort during intercourse.
However, when I do retract it, it feels overly sensitive.
How can I resolve this issue? Thank you.

QQ, 30~39 year old female. Ask Date: 2013/08/30

Dr. Xu Weikai reply Urology


QQ: Hello, whether to retract the foreskin depends on individual habits.
There is no definitive way to wear a condom.
Note: Regardless of whether a condom is used, the glans is naturally more sensitive when exposed.
If there are any unclear points, feel free to ask again for further discussion and research.
Online responses should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This message is brought to you by Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2013/08/30

More Info


When it comes to proper condom use for men with phimosis, it’s essential to consider both comfort and effectiveness. Phimosis, which is the inability to retract the foreskin fully, can complicate condom use, but with the right techniques, you can still have a safe and enjoyable sexual experience.


Understanding Phimosis and Its Impact on Condom Use
Phimosis can lead to discomfort during sexual activity, especially when using condoms. If the foreskin cannot be retracted, it may cause the condom to fit improperly, leading to slippage or discomfort. Additionally, if the condom adheres to the glans (the head of the penis) during intercourse, it can create friction and discomfort, as you’ve experienced.


Tips for Proper Condom Use with Phimosis
1. Choose the Right Condom Size: Ensure you are using a condom that fits well. Some brands offer larger sizes or specific designs that accommodate different anatomical needs. A snug fit is essential to prevent slippage, but it should not be so tight that it causes discomfort.

2. Pre-Rolling the Condom: Before putting on the condom, you might consider pre-rolling it while the foreskin is still covering the glans. This can help ensure that the condom is applied correctly without needing to retract the foreskin fully.

3. Gently Retracting the Foreskin: If comfortable, gently retract the foreskin before putting on the condom. This can help the condom stay in place and reduce the chance of it sticking to the glans. However, if this causes discomfort or pain, it’s best to avoid forcing retraction.

4. Using Lubrication: Lubrication can significantly enhance comfort during intercourse. If you find that the condom is sticking to the glans or foreskin, applying a water-based or silicone-based lubricant on the outside of the condom can help reduce friction. Be cautious with oil-based lubricants, as they can degrade latex condoms.

5. Experiment with Different Techniques: Since you mentioned discomfort when retracting the foreskin, you might want to try different techniques to find what works best for you. Some men find that leaving the foreskin in place while using a condom is more comfortable, while others prefer to retract it partially.

6. Communicate with Your Partner: Open communication with your partner about what feels comfortable and what doesn’t can enhance the experience for both of you. Discussing preferences and comfort levels can lead to a more enjoyable sexual experience.

7. Consult a Healthcare Provider: If you continue to experience discomfort or have concerns about phimosis, consider consulting a healthcare provider. They can offer advice tailored to your specific situation and may suggest treatments if necessary.


Conclusion
Using condoms effectively with phimosis requires a bit of experimentation and adjustment. The key is to find a method that ensures both safety and comfort. Whether you choose to retract the foreskin or leave it in place while using a condom, the most important thing is to ensure that the condom fits well and is used correctly to prevent sexually transmitted infections (STIs) and unintended pregnancies. If discomfort persists, seeking medical advice can provide additional options and solutions tailored to your needs.

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