Erectile Sensitivity Issues: Causes and Solutions

The glans penis is unable to become erect and lacks sensation?

Doctor: It has been over six months, and I still experience masturbation.
It has improved somewhat, but the glans still does not become fully engorged.
During an erection, it remains wrinkled and feels less sensitive.
It seems like there is no issue with the penis itself, but the glans feels strange and does not engorge to a sufficient degree to achieve the sensation of ejaculation.
What should I do?

A Yuan, 20~29 year old female. Ask Date: 2014/08/22

Dr. Lin Hexing reply Urology

The structure of the glans penis differs from that of the penile corpora cavernosa; it does not have a thick tunica albuginea surrounding it.
Therefore, during erection, it does not become as rigid as the shaft of the penis.
This allows it to cushion the impact of the penis during intercourse, making it more tolerable for the female partner.
There is no need to worry about your situation.

Reply Date: 2014/08/22

More Info

Erectile sensitivity issues can be a complex and multifaceted problem, often involving both physical and psychological factors. Based on your description, it seems you are experiencing a decrease in sensitivity and difficulty achieving a full erection, particularly at the glans (the head of the penis). This can be frustrating and concerning, but understanding the potential causes and exploring solutions can help you address the issue.

Possible Causes
1. Nerve Damage or Neuropathy: Conditions such as diabetes, multiple sclerosis, or peripheral neuropathy can affect the nerves responsible for sensation and erection. If you have a history of these conditions, it may be worth discussing with your healthcare provider.

2. Hormonal Imbalances: Testosterone plays a crucial role in sexual function. Low testosterone levels can lead to decreased libido, erectile dysfunction, and reduced sensitivity. A blood test can determine if your hormone levels are within a normal range.

3. Circulatory Issues: Proper blood flow is essential for achieving and maintaining an erection. Conditions like atherosclerosis (hardening of the arteries) or hypertension can impede blood flow to the penis. Lifestyle factors such as smoking, obesity, and lack of exercise can also contribute to circulatory problems.

4. Psychological Factors: Anxiety, depression, and stress can significantly impact sexual performance and sensitivity. If you are experiencing performance anxiety or other psychological barriers, addressing these through therapy or counseling may be beneficial.

5. Medication Side Effects: Some medications, particularly those for high blood pressure, depression, or anxiety, can affect erectile function and sensitivity. If you are taking any medications, consult your doctor to see if they could be contributing to your symptoms.

6. Physical Trauma: Any injury to the pelvic area or penis can lead to changes in sensitivity and erectile function. If you have experienced any trauma, it’s essential to discuss this with a healthcare professional.

Solutions and Recommendations
1. Consult a Healthcare Provider: The first step in addressing erectile sensitivity issues is to consult a urologist or a healthcare provider specializing in sexual health. They can perform a thorough evaluation, including physical exams and necessary tests, to determine the underlying cause of your symptoms.

2. Lifestyle Modifications: Improving your overall health can have a positive impact on erectile function. This includes maintaining a healthy diet, exercising regularly, quitting smoking, and reducing alcohol consumption. These changes can enhance blood flow and improve nerve function.

3. Hormone Therapy: If low testosterone levels are identified, hormone replacement therapy may be an option. This should only be pursued under the guidance of a qualified healthcare provider.

4. Psychological Counseling: If psychological factors are contributing to your erectile sensitivity issues, consider seeking therapy or counseling. Cognitive-behavioral therapy (CBT) can help address anxiety and improve sexual performance.

5. Medications: There are medications available that can help improve erectile function. Phosphodiesterase type 5 inhibitors (such as Viagra or Cialis) can enhance blood flow to the penis and may improve sensitivity during erections.

6. Sensory Stimulation: Engaging in activities that enhance sensitivity, such as using lubricants or exploring different forms of sexual stimulation, can help improve your experience. Communication with your partner about what feels good can also enhance intimacy and pleasure.

7. Follow-Up: Regular follow-up with your healthcare provider is essential to monitor your progress and make any necessary adjustments to your treatment plan.

In conclusion, erectile sensitivity issues can stem from a variety of causes, including physical, hormonal, and psychological factors. A comprehensive approach that includes medical evaluation, lifestyle changes, and possibly therapy can help you regain sensitivity and improve your sexual health. Don’t hesitate to reach out to a healthcare professional for personalized advice and support.

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