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Question:
I'm 39, sexually inexperienced, used to masturbating daily. Recently spent 9 days with my girlfriend. We were unable to have full sex. Half wat through she had a period and my foreskin retracted inside my penis - a reaction Ive had a couple of times in the past after excessive erections. I managed to pull the foreskin back into place, but she said my erection was not big enough to enter her, which was an unsettling discovery. In the two weeks since, I've been unable to have proper erections (except when urinating). My penis isnt painful, but it's flaccid and there is a slight but very persistent tingle in my genital area as it might feel after Ive just had a couple of orgasms. Its never been like this before. I can still masturbate (easiest when I wake up), I've done it 3 or 4 times, but I come immediately the penis starts getting hard - very unsatisfactory and completely useless for sex purposes.
My questions : what is the problem with my penis ? Why does my foreskin retract like this from time to time and how should I deal with it ? What do I have to do to get rid of this uncomfortable feeling in my genitals and to get regular healthy erections again ? Will these problems recur ?
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Answer:
by Hussein Ghanem: ()
I advise you to visit a physician to determine the origin of your complaints whether physical or psychological. Your physician will probably take a full medical history and perform a focused physical examination.
In some instances we do not need to perform some tests if the diagnosis, whether physical or psychological, is not evident in the course of the medical evaluation.
Treatment is directed to the cause (e.g. correcting predisposing factors for a neuropathy or medical therapy or psychotherapy for psychosomatic disorders).
For general information purposes, I am enclosing this general classification of therapy for erectile dysfunction. Therapy is generally classified into first line, second line, and third line treatments options. Naturally, second line and third surgical options are mainly prescribed for patients with significant physical factors.
Treatment decision-making
. 1st line therapy (Oral erectogenic agents): e.g. Viagra and new medications in clinical trials e.g. Vardenafil & Cialis; Vacuum devices; Couples/sexual therapy. The general advice is not to concentrate on the outcome of the sexual experience but rather to relax and enjoy giving and receiving stimulation. Reduction of performance anxiety and providing a high level of stimulation might be achieved through the sensate focus exercises (relaxed sensual massage). These exercises are prescribed by a sex therapist and include both partners taking turns at giving and receiving stimulation while forbidding genital touching, vaginal penetration and orgasm.
. 2nd line therapy (Local treatments): Intraurethral alprostadil; Intracavernosal self injections
. 3rd line therapy (Surgery):
Please check my recent article on this subject - Modern Trends In The Management of Erectile Dysfunction - on sexualhealth.com (recent articles)
Best wishes, Hussein Ghanem, MD
Reviewed by: Patricia Fawver Ph.D. in Sexology
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