Penile Differences: Concerns About Sensitivity and Function - Urology

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When it comes to concerns about penile differences, sensitivity, and function, it’s important to understand that various factors can influence sexual health and performance. Based on your description, it seems you have undergone a urethral surgery in childhood, which may have implications for your current concerns regarding penile sensitivity, size, and sexual function.


Understanding Penile Anatomy and Function
The penis is composed of erectile tissue, blood vessels, nerves, and connective tissue. The glans (or head) of the penis, which you referred to as the "龜頭" (glans penis), is typically more sensitive due to a higher concentration of nerve endings. The average erect penis size is about 12 to 16 cm, but there is a wide range of normal sizes. A penis size of 7 cm when erect is on the smaller side, but it is essential to recognize that size does not solely determine sexual satisfaction or function.


Sensitivity and Premature Ejaculation
You mentioned experiencing heightened sensitivity and premature ejaculation. Increased sensitivity can sometimes lead to premature ejaculation, which is a common concern among men. This condition can be influenced by psychological factors, physical sensitivity, or even surgical history. If the surgery altered the nerve pathways or the structure of the penis, it could potentially lead to changes in sensitivity and ejaculatory control.


Sexual Function and Concerns
Regarding sexual function, it’s crucial to differentiate between physical and psychological factors. Physical issues might include erectile dysfunction (ED), which can stem from vascular, neurological, or hormonal problems. Psychological factors can include anxiety, stress, or past trauma, which can also affect sexual performance.


Recommendations
1. Consult a Specialist: It would be beneficial to consult a urologist or a sexual health specialist. They can perform a thorough evaluation, including a physical examination and possibly some tests, to determine if there are any underlying issues that need to be addressed.

2. Discuss Sensitivity: If sensitivity is a concern, there are various techniques and treatments available. These can include behavioral techniques, desensitizing creams, or even medications that can help manage premature ejaculation.

3. Consider Psychological Factors: If anxiety or psychological factors are contributing to your concerns, speaking with a mental health professional who specializes in sexual health may be beneficial. They can provide strategies to help manage anxiety and improve sexual confidence.

4. Explore Treatment Options: Depending on the findings from your consultation, treatment options may include pelvic floor exercises, medications, or therapy aimed at improving ejaculatory control and overall sexual satisfaction.

5. Open Communication: If you are in a relationship, open communication with your partner about your concerns can help alleviate anxiety and improve intimacy.


Conclusion
In summary, while your concerns about penile size, sensitivity, and function are valid, they can often be addressed through appropriate medical consultation and treatment. Remember that sexual health is a complex interplay of physical and psychological factors, and seeking help is a positive step toward improving your sexual well-being.