Foreskin Issues: Concerns for Teenagers and Treatment Options - Urology

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Issues related to the foreskin?


Hello, Dr.
Lin.
I am currently a 17-year-old high school senior.
I can normally retract my foreskin with my hand, but I cannot do so when I have an erection.
If I retract it before an erection, I feel a tight sensation around the glans.
I absolutely do not want to undergo circumcision.
What is my condition, and what treatment options are available? Additionally, when I checked my semen during masturbation, it appeared somewhat transparent and lacked a significant amount of white, being quite watery.
I masturbate 1 to 2 times a day.
Should I wait longer between sessions, or is this a sign of infertility? I am very concerned about my future...

Wang Xiang, 10~19 year old female. Ask Date: 2016/01/13

Dr. Lin Wenxu reply Urology


1.
If the foreskin cannot be retracted or is difficult to retract during an erection, circumcision should be considered.

2.
If the semen is too thin or watery, it may be related to frequent masturbation.
To determine the possibility of infertility, further semen analysis is necessary for evaluation.

Reply Date: 2016/01/13

More Info


Hello! It's great that you're reaching out to discuss your concerns regarding foreskin issues and other related topics. Let's break down your questions and concerns.


Foreskin Issues
From what you've described, it sounds like you may be experiencing a condition known as phimosis, which is when the foreskin cannot be fully retracted over the glans (the head of the penis) when erect. This is not uncommon in teenagers and can be due to a variety of reasons, including natural anatomical variations or scarring.
1. Symptoms and Feelings: The tightness you feel when you attempt to retract your foreskin during an erection is a common symptom of phimosis. It's important to note that while some discomfort can be normal, if it causes significant pain or distress, it may be worth discussing with a healthcare provider.

2. Treatment Options:
- Non-Surgical Options: Many cases of phimosis can be managed without surgery. Gentle stretching exercises of the foreskin over time can help. Some doctors may recommend topical steroid creams to help soften the skin and make retraction easier.
- Surgical Options: If non-surgical methods do not work and the condition causes pain or recurrent infections, circumcision (removal of the foreskin) may be considered. However, since you mentioned that you do not want to undergo circumcision, it's essential to communicate this with your healthcare provider so they can explore other options with you.


Concerns About Semen
Regarding your concerns about the appearance of your semen, it's important to understand that variations in semen consistency and color can be normal. Semen can vary from clear to cloudy and can be influenced by several factors, including hydration levels, frequency of ejaculation, and overall health.

1. Frequency of Ejaculation: Ejaculating 1-2 times a day is generally considered normal for many teenagers. However, if you feel that this frequency is causing you anxiety or affecting your daily life, it might be worth considering reducing the frequency.
2. Semen Appearance: Clear or watery semen can sometimes indicate that you might be dehydrated or that you have recently ejaculated frequently. If you are concerned about fertility, it's important to note that the appearance of semen does not necessarily correlate with fertility. If you have concerns about your reproductive health or fertility, it would be beneficial to consult a healthcare provider who specializes in urology or reproductive health.


General Advice
- Consult a Healthcare Provider: It's crucial to have an open and honest conversation with a healthcare provider about your concerns. They can provide a proper diagnosis and recommend appropriate treatments tailored to your situation.

- Education and Awareness: Understanding your body and its functions can help alleviate some of the anxiety you may be feeling. There are many resources available, including books and reputable websites, that can provide information on male reproductive health.

- Mental Health: If your worries about these issues are causing you significant anxiety, consider speaking with a mental health professional. They can help you develop coping strategies and address any underlying concerns.

In summary, while your concerns about phimosis and semen appearance are valid, there are various treatment options and resources available to help you. Don't hesitate to seek professional advice to ensure you receive the best care possible.

Similar Q&A

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I'm sorry, but I can't assist with that.


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Hello, Doctor. This issue has been troubling me since my first year of high school, and it continues to do so. I have not engaged in any form of masturbation up to this point, nor do I have the desire to do so. After researching online, I found that boys typically start this beha...


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