Sensitivity and Discomfort in the Glans and Foreskin

Prepuce

Hello doctor, a few days ago while I was taking a shower with my girlfriend, she helped me clean my glans and foreskin, and I felt very sensitive and somewhat uncomfortable.
Afterwards, we had intercourse using a condom.
In the days following, I noticed that my glans is not completely covered by the foreskin, resulting in some exposure (but the exposed part is above the coronal sulcus).
For the past few days, I've experienced some pain and heightened sensitivity when my pants rub against it.
It has improved somewhat over these days, but there is still exposure, and the glans has shed some thin skin.
What should I do, doctor?

Xiao Shen, 20~29 year old female. Ask Date: 2016/03/03

Dr. Li Xinyi reply Urology

It sounds like there isn't a significant issue, just some mild inflammation.
If there are any concerns, it's advisable to consult a urologist for further evaluation.

Reply Date: 2016/03/03

More Info

It sounds like you're experiencing sensitivity and discomfort in the glans (the head of the penis) and the foreskin area, which can be concerning. Sensitivity in these areas can arise from various factors, including irritation, friction, or even minor trauma during sexual activity or cleaning. Here’s a comprehensive overview of what you might be experiencing and some recommendations on how to address it.

Understanding Sensitivity and Discomfort
1. Anatomy and Sensitivity: The glans is highly sensitive due to a dense concentration of nerve endings. This sensitivity can sometimes lead to discomfort, especially if there is friction or if the area is not accustomed to certain types of stimulation. If your partner was cleaning the area vigorously, it could have caused temporary irritation.

2. Foreskin and Exposure: It’s normal for the foreskin to retract during sexual activity or cleaning, but if it remains retracted and the glans is exposed, it can lead to increased sensitivity. The glans is usually protected by the foreskin, and prolonged exposure can lead to discomfort, especially if the skin is not used to being exposed.

3. Skin Changes: The peeling of the skin you mentioned could be a sign of irritation or a mild reaction to friction. The skin on the glans is delicate, and if it has been exposed more than usual, it might react by shedding some of its outer layers. This is generally not a cause for alarm, but it can be uncomfortable.

Recommendations
1. Gentle Cleaning: Continue to maintain good hygiene, but be gentle when cleaning the area. Use mild, unscented soap and warm water. Avoid any harsh soaps or scrubs that could further irritate the sensitive skin.

2. Moisturizing: Consider using a gentle, fragrance-free moisturizer or a barrier cream designed for sensitive skin. This can help soothe the area and reduce discomfort from friction when wearing clothing.

3. Avoid Irritants: Be cautious with any products you apply to the area, including lotions or creams that may contain fragrances or alcohol, as these can exacerbate sensitivity.

4. Clothing Choices: Wear loose-fitting underwear and pants to minimize friction against the sensitive area. Cotton is often a good choice as it allows for breathability.

5. Monitor Symptoms: Keep an eye on your symptoms. If the sensitivity persists, worsens, or if you notice any signs of infection (such as redness, swelling, discharge, or fever), it would be wise to consult a healthcare professional.

6. Consult a Doctor: If the discomfort continues or if you have concerns about the peeling skin or sensitivity, it’s important to see a healthcare provider. They can assess your situation more thoroughly and rule out any underlying conditions, such as infections or skin disorders.

7. Sexual Activity: If you find that the sensitivity is bothersome during sexual activity, it might be helpful to take a break or engage in gentler forms of intimacy until the area has healed and you feel more comfortable.

Conclusion
Sensitivity and discomfort in the glans and foreskin can be a common issue, especially after increased exposure or friction. By taking gentle care of the area and monitoring your symptoms, you can often alleviate discomfort. However, if symptoms persist or worsen, seeking medical advice is the best course of action to ensure your health and well-being.

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