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I am a 28-year-old with a sensitive penis tip and no erection during sex. What could be the cause?

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Patient's Query

Hello doctor,

I am a 28-year-old male, and I have two questions that I need your help with; firstly, the head of my penis, especially the tip, is really sensitive, and I get an extreme ticklish sensation when I touch it. It happens just after the lubricating fluids come out before ejaculating during masturbation. It gets worse after ejaculation that I cannot even touch the penis tip and find it hard to finish the blowjob since it tickles so much on the tip. There is no pain or irritation, the physical appearance is normal, and I do not have any discomfort during urination. I masturbate almost once daily and have been facing this problem for three years. I do not have any problem with masturbation as long as I do not touch the tip of the penis after ejaculation. Also, I clean the area with a cloth and often wash with water and soap. Why is this happening? And what will be the best treatment?

Secondly, I am concerned if I have performance anxiety during sex as I find it difficult to achieve an erection when I try having sex. In contrast, it happens without any trouble when I masturbate. Also, I find it hard to have an ejaculation when I have sex. I have tried having sex with different girls, and the same thing happened. I do not have a history of depression or anxiety, if that might be a concern. How do I cope with this? Can this be due to frequent masturbation or performance anxiety? Do I require any medication or tests?

Please help.

Answered by Dr. Vaibhav Vishal

Education:

MBBS

Professional Bio:

Dr. Vaibhav Vishal is a Urologist skilled in diagnosing and treating conditions related to the urinary tract and male reproductive system. His expertise includes managing kidney stones, urinary tract infections, prostate disorders, male infertility, and urologic cancers. He is proficient in performing minimally invasive procedures, endoscopic surgeries, and providing comprehensive care for both adult and pediatric urological conditions.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to iCliniq.com.

I have read your query and can understand your concern.

Regarding your first question, an extremely sensitive penis tip can be due to balanitis (inflammation of the penis head and foreskin). In this condition, the tip will be slightly red and very sensitive and require a urologist's physical examination to confirm the diagnosis. If balanitis is confirmed, using an antibacterial ointment and mild steroid will help. Occasionally, extremely sensitive glans can also be present normally in a few individuals. In such cases, using a condom during intercourse will help prevent extreme sensitivity, and if the problem persists, the use of local anesthetic cream containing Lignocaine will help. Also, having a normal erection during masturbation and not during sex is generally anxiety-related. As you get a normal erection during masturbation, your erection mechanism is fine. Also, yes, frequent masturbation can cause a delay in ejaculation. So, please try not to masturbate for at least 72 hours prior to having sex for a proper ejaculation.

I hope this helps.

Please revert for further queries.

Medically reviewed by iCliniq medical review team
Published At May 15, 2022
Reviewed At August 20, 2023

Education:

MBBS

Professional Bio:

Dr. Vaibhav Vishal is a Urologist skilled in diagnosing and treating conditions related to the urinary tract and male reproductive system. His expertise includes managing kidney stones, urinary tract infections, prostate disorders, male infertility, and urologic cancers. He is proficient in performing minimally invasive procedures, endoscopic surgeries, and providing comprehensive care for both adult and pediatric urological conditions.

This doctor is not available for online consultations on the platform anymore.

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Education:

MBBS

Professional Bio:

Dr. Vaibhav Vishal is a Urologist skilled in diagnosing and treating conditions related to the urinary tract and male reproductive system. His expertise includes managing kidney stones, urinary tract infections, prostate disorders, male infertility, and urologic cancers. He is proficient in performing minimally invasive procedures, endoscopic surgeries, and providing comprehensive care for both adult and pediatric urological conditions.

This doctor is not available for online consultations on the platform anymore.

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