Pain and sensitivity during erection and sex. Why?

Question

Hi doctor,

I have been having increased sensitivity and pain (6/10) at the head of my penis during an erection and sexual intercourse. No pain or discharge during urination. I am 48 years old. Medicines include Metformin HCl 500 mg, Atorvastatin 10 mg, and Benazepril 10 mg.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Pain at the tip during erection can be due to a tight frenulum: this is a skin fold at the tip on the lower side of the foreskin. This needs a frenuloplasty. Partial phimosis: This prevents retraction of the foreskin during intercourse and may cause pain, especially seen in diabetics. It may require circumcision. Peyronie's disease: hardening of penile tissue with pain on erection.

This starts with pain and ends in hard plaque felt in the penis near the tip, shaft, or base. Rarely, Raynaud's phenomenon. In this, there is also pain in the hands and toes, especially when exposed to cold. I think in your case, since you have not mentioned any foreskin issues, it may be early Peyronie's disease. Taking small doses of Sildenafil or Tadalafil helps. You can take 5 mg of Tadalafil daily, provided you are not taking Nitrates. Some people can have mild body aches after initial doses.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.