Why do I lose my erection after pulling back my foreskin?

Question

Hello Doctor,

I am having difficulty getting an erection after my foreskin is pulled back. However, I get normal erections when the penis is uncircumcised, especially during the night and in the middle of the day.

Kindly help.

Answer 1

Hello,

Welcome to iCliniq.com.

I understand your concern.

From what you have described, the difficulty in getting an erection after pulling back the foreskin could be due to a combination of performance anxiety, possible hypersensitivity, and psychological factors, especially following your recent marriage. The fact that you are still experiencing erections during the night and at other times without stimulation suggests that your physical ability to have an erection is intact. Your laboratory test results, including testosterone levels, thyroid function, blood sugar, and urine tests, are mostly within the normal range, which is reassuring.

The reduced quality of erections, specifically after pulling back the foreskin, might be related to local hypersensitivity or discomfort caused by stretching, particularly if you have had a tight foreskin or have only recently begun retracting it more often. Using delay sprays without first having an erection may also cause local irritation or reduce sensation.

It is recommended that you avoid using delay sprays for now, especially before achieving an erection, as these are better used occasionally and not regularly. Pelvic floor strengthening exercises, such as Kegel exercises, can help improve both erection quality and control over early ejaculation. You should continue taking Tadalafil as prescribed, 5 mg (milligrams), taken before dinner, every day. Occasionally, no more than twice a week, you can take Tadalafil. This may also help with the premature ejaculation component of your concern.

Try not to focus too much on foreskin retraction during the early stages of intimacy. Let things progress naturally without putting pressure on yourself to perform. Counseling or psychosexual therapy can be beneficial if anxiety is playing a role in the problem. If tightness or sensitivity in the foreskin continues, it is advisable to be examined to check for conditions such as phimosis or issues with the frenulum. You are otherwise healthy, and this situation is quite common and treatable.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.