Why Does Intercourse Still Hurt After Frenulum Release Surgery?

Experiencing pain during intercourse after undergoing a frenulum release surgery is not uncommon?

Previously, I experienced discomfort due to tightness in the frenulum during erections, and there were instances of frenulum tearing during intercourse.
The doctor recommended a frenuloplasty, but I still experience pain during sex, especially when the partner performs manual stimulation or during friction.
I am unsure why the area where the foreskin retracts feels particularly tight.
Doctor, would it be better for me to consider a circumcision instead?

M, 20~29 year old female. Ask Date: 2015/04/11

Dr. Li Xinyi reply Urology

Circumcision may lead to more serious issues.
Healing of a frenulum tear requires a longer time.
It is important to change the approach and avoid pulling on it.

Reply Date: 2015/04/11

More Info

After undergoing a frenulum release surgery, it is not uncommon for patients to experience discomfort or pain during intercourse, even if the initial issue of tightness has been addressed. There are several factors that could contribute to this ongoing pain, and understanding them can help you make informed decisions about your sexual health.

Firstly, it's important to recognize that the frenulum, which is the band of tissue connecting the underside of the penis to the foreskin, plays a significant role in sexual sensation. After surgery, the area may still be sensitive or healing, which can lead to discomfort during sexual activities. The healing process can take time, and it is possible that the nerves in the area are still adjusting after the surgery. This sensitivity can manifest as pain during friction, especially if the skin is not fully healed or if there is still some inflammation present.

Another factor to consider is the technique and intensity of sexual activities. If there is excessive friction or pressure during intercourse or manual stimulation, it can exacerbate any existing sensitivity or discomfort. It may be beneficial to communicate with your partner about the level of pressure and the type of movements that are comfortable for you. Experimenting with different positions or using lubrication can also help reduce friction and make the experience more pleasurable.

Additionally, psychological factors can play a role in post-surgical pain. Anxiety or fear of pain can lead to muscle tension, which may increase discomfort during sexual activities. It is essential to create a relaxed environment and take your time to ensure that both you and your partner are comfortable. If anxiety persists, consider discussing it with a healthcare professional or a therapist who specializes in sexual health.

Regarding your question about circumcision, it is a significant decision that should be made after careful consideration and consultation with a healthcare provider. Circumcision can reduce sensitivity in the glans (the head of the penis) and may alleviate some discomfort associated with friction. However, it is essential to weigh the potential benefits against the risks and to discuss your specific situation with a urologist or a surgeon who specializes in male sexual health. They can provide personalized advice based on your medical history and current symptoms.

In summary, ongoing pain after frenulum release surgery can be attributed to several factors, including healing sensitivity, friction during sexual activities, and psychological aspects. Open communication with your partner, experimenting with different techniques, and consulting with a healthcare provider about your options, including circumcision, can help you find a solution that works best for you. Remember that healing takes time, and it is essential to be patient with your body as it adjusts after surgery.

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