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Question:
I'm living in Ireland. I have a problem the occurs from time to time. I'm not circumcised and therefore the top of my penis underneath the foreskin is very sensitive to the point that it hurts to touch it. This I can live with. But during sex when I get an erection the skin tends to peel back. When this happens all I fell is pain this causes me to lose my erection leaving me and my partner frustrated. Is this normal or is there something I can do to overcome this difficulty. Thanks you by the way for an excellent website.

Answer:
by Annette Owens:
(05/15/2004)
First let me make a few general comments about circumcision in order to educate some readers: Circumcision has deep cultural roots and it is traditionally performed in Jewish, Muslim and other cultures. While female circumcision is questioned by many, male circumcision is much more well accepted and common. Sometimes male circumcision has medical indications, for example if the foreskin is too tight to be pulled back over the penis-head or "glans." Tight foreskin not only happens in children, but sometimes occurs in adults. Besides cultural traditions one of the arguments for circumcising newborn male babies is often the thought that hygiene of the penis will be easier. Boys with uncircumcised penises have to be taught how to pull back the foreskin and rinse the glans when bathing. In Europe most men are uncircumcised, while in the USA most are circumcised. However, there is a beginning trend in the USA for young parents to choose not to have their sons automatically circumcised. Many men ask themselves whether their state of circumcision has any influence on the amount of sensations felt during sex. It is very difficult to measure and compare sensations, and I know only of a few studies which have attempted this. One study compared the histological (anatomy on a microscopic level) structure of the glans of circumcised versus uncircumcised penises. Very few differences were found. Millions of men with uncircumcised penises have good sensations contributing to satisfying sex and the same is true for millions of men with circumcised penises. Now to answer your question: You are not giving me any information about your age and whether you have previously been able to pull back your foreskin and to have an erect penis (with fully retracted foreskin) without pain. If you have always had a problem retracting your foreskin I would recommend seeing an urologist who can probably help you relieve this problem. If this problem is new, it may be that your foreskin somehow got injured during masturbation or intercourse, and that scarring or even inflammation is now causing painful retraction. Do you see any changes or irregularities of your foreskin? Again, I would recommend seeing your doctor or an urologist. Since you are having so much pain, and your sex life is negatively affected it is important to try to alleviate your problem as soon as possible. It is not normal to feel such excruciating pain during intercourse that you loose your erections. Do you have any apprehensions about going to your doctor with this concern? Are you not "supposed " to have sex yet for religious or other reasons? I encourage you to go anyway, since your problem is related to a normal organic process in your body. It is normal for men to have erections, especially during sleep and in the morning. Do you feel pain at those times? Let me know if you have further questions. Good luck, Annette Owens, MD PhD

Reviewed by Sexual Health Editorial Team

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