Hypersensitivity of the glans and consequences

2023-12-29 08:38:00

Hypersensitivity of the glans, what are we talking about?

This hypersensitivity refers to excessive sensitivity or increased reactivity of the head of the penis, called glans. This can be associated with various medical causes, or sometimes be linked to psychological issues.

Why is the glans hypersensitive? The causes

Infectious causes : “Persistent balanitis (editor’s note: acute or chronic inflammation of the glans penis) as well as urinary infections for example, can lead to hypersensitivity of the glans in men” indicates Dr Charlotte Methorst, urologist.A phimosis : this narrowing of the end of the foreskin, or preputial orifice, prevents the glans from being completely and easily removed. “It can also sometimes be the cause of hypersensitivity of the glans,” continues the urologist.Postoperative reasons : as the AFU (French Association of Urology) website reminds us, “one of the complications specific to a postechtomy can be discomfort at the glans level with sometimes hypersensitivity which can cause a functional disorder in the sexual act or during daily life, which is most often transient” (source 1).Skin irritations due to “aggressive” soaps for example, or allergic reactions can make the glans more sensitive.Neurological disorders could also have an impact on sensory perception (neuropathy, dysesthesia, neuroma, etc.)Psychological factors : stress, anxiety or other problems linked to marital, professional, family problems, etc. can play a role in the sensitivity of the glans.

Beyond the hypersensitivity of the glans, there may be hyperreactivity of the glans; known as premature ejaculation.

Premature ejaculation as a consequence of hypersensitivity of the glans in men?

A problem with the sensitivity of the penis, more specifically the glans, can in fact lead to premature ejaculation in certain men.

The glans is so sensitive that the excitement builds very quickly. This then results in ejaculation that is too rapid for sexual activity to be satisfactory. Dr Charlotte Methorst, urological surgeon.

The man does not find himself sexually fulfilled and a feeling of frustration can then set in, hence the interest in consulting a health professional at the first or suspicion of symptoms.

Some numbers

According to figures communicated on the Swiss Medical Review website (Source 2), “premature ejaculation is the number one sexual disorder in men under 30. Its incidence remains relatively stable with age since it is 22% between 40 and 49 years old and 23% between 50 and 59 years old. 60% of men would like to ejaculate later. »

Man: how do you know if you are precocious?

How difficult is it for you to delay ejaculation? Do you ejaculate before you want to? Do you ejaculate after weak stimulation? Does ejaculating before you want to frustrate you? Are you worried that the speed of your ejaculation will not satisfy your partner? These are questions that can help identify this sexual disorder. Note that premature ejaculation is considered normal every “first time”. It will become problematic when it persists over time. Therefore, therapists distinguish two types of premature ejaculation:

Primary, or chronic, premature ejaculation, present at each intercourse; Secondary, or acquired, premature ejaculation, which only appears at a certain point in life.

In the second case, the disorder may be associated with an underlying organic disease, such as perineal weakness or prostatitis (inflammation of the prostate), for example.

The role of the perineum in sexuality

Just like women, men also have a perineum. And the latter, located between the anus and the testicles, has its role to play in male ejaculation. It is therefore better to take care of it and strengthen it, if necessary, to make it a true ally and thus better manage: the occurrence of ejaculation. To do this, a few Kegel exercises should help.

What to do to combat hypersensitivity of the glans? Other solutions

Hypersensitivity of the glans, which is therefore one of the possible physical causes of premature ejaculation, can be treated in several ways.

Drug treatments

The most common are selective serotonin reuptake inhibitors (SSRIs) such as Dapoxetine (Prigily). “In France, it is also the only treatment authorized for use in the context of premature ejaculation. This treatment is taken on demand, a few tens of minutes before sexual intercourse,” explains the urologist.

Delaying creams and gels

Another possible treatment for glans hypersensitivity is the use of delaying gels, anesthetic creams (Emla 5%) or sprays like Fortacin. Please note: although some of these products are available in pharmacies without a medical prescription, it is preferable to seek the advice of a doctor who can evaluate and adapt their dosage.

Delay condoms

Easily available, in supermarkets or on the internet, (count around 8 to 10 euros per box of condoms), this solution can prove satisfactory if you are a premature ejaculator and your glans is very sensitive. What is it exactly? So-called “delay” condoms often contain an anesthetic agent (usually benzocaine or lidocaine) on the inside of the condom can slightly numb the penis, reducing sensitivity and potentially extending the time before ejaculation.

However, they can be unpleasant, especially the first few times. In addition, local anesthesia can also hinder pleasure for some men and reduce arousal. If concerns persist, do not hesitate to consult a healthcare professional.

How to lose sensitivity of the glans thanks to the sexo-corporal approach?

There are sexual therapies, involving the body: we speak of “ sexocorporal approach “. These take into account several components (physiological, emotional, personal, cognitive and relational) involved in sexuality in order to support the individual and find solutions adapted to these sexual dysfunctions. This approach can be done individually or as a couple.

Namely: “The treatment is most often integrative. The medicinal approach by oral (oral) or local treatment will allow a little time for the implementation of practices learned during body therapies such as that the sensible focus or the squeeze” specifies Dr. Charlotte Methorst.

The importance of choosing your sexual positions wisely

In the event of hypersensitivity of the glans, it is important to adapt your sexual practices by opting for positions that allow you to “last” longer. For example, the spoon or the Andromache will help slow down the rise in the level of excitement because the glans is less stimulated.

In fine : due to the various consequences mentioned above, repeated hypersensitivity of the glans should not be taken lightly. And it will be better to consult a health professional “for nothing” than to end up with lasting discomfort.

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