Brief Answer:
You are probably talking about sensitivity of glans penis, it is normal

Detailed Answer:
Hello,

Thanks for writing to us.

a) The inner layer/skin about which you are talking is glans penis (pink round shape top of penis with urethral opening). It is generally sensitive to touch. When it is routinely covered with foreskin/outer layer of skin, it remains highly sensitive to touch. In circumscribed man(in whom foreskin is removed as it is not retractable)glans is routinely exposed to different touches of clothes and during bathing, so gradually sensitivity reduced.
Glans is the most important part for successful sex and reaching orgasm. Many males like you initially feel glans hypersensitive and they feel discomfort during sex. The best way to solve this problem is to use condom. Gradually after 5-6 intercourse you can do sex without using condom. Also clean glans with pouring water from tumbler while bating this will also help in reducing sensitivity.
This sensitivity is only cause for abnormal feelings during sex and losing erection. You can be normal soon.

b) Reason for this problem I already mentioned. If your penis is losing erection early without ejaculation it is due to hypersensitivity of glans only. Wearing condom will help.
If your erection is losing with ejaculation it is likely premature ejaculation(PME) and it can be treated. If it is PME let me know.

Let me know more information:

- Did you have any experience of masturbation? If yes were you doing it with glans covered by foreskin?

- You mentioned that erection was lasting longer. Was it during sex or during masturbation?

- Did you have any experience of sex before marriage? If yes provide more details.

- Whenever you attempt sex, are thoughts about successful sex or pain in glans constantly running in your mind?

- How much time do you take for foreplay?


If by chance your meaning of inner and outer skin is different please clarify.

I will be happy to help further after getting your response.

Regards,

Dr.Chintan Solanki.

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Brief Answer:
This is hypersensitivity of glans only, you will be normal soon

Detailed Answer:
Hi,

Thanks for information.

Your information clearly suggests that your glans is not exposed much to direct touch. Skin of glans is generally hypersensitive in all males. Gradually after exposure it becomes normal to touch without any discomfort.

Follow the measures mentioned in previous answer to adjust to sensitivity.Using condom while sex will be useful.
You also need to relax with this issue. Performance anxiety is also playing role in sex problem.

For good erection constant exciting erotic feelings must be present in mind. If your mind is diverted to something else apart from sex, erection is going to lose. Many times due to fatigue, stress, physical problem or excessive workload man cannot perform well in sex. This is not permanent failure but only occasional problem. In your case thoughts of hypersensitivity about glans are there while doing sex. When person becomes apprehensive about such occasional failure and constantly thinks about his ability to do successful sex while he goes for sex his mind diverted from exciting/erotic feelings and penis loses erection. This anxiety might be responsible for failure of intercourse. This is called performance anxiety.
This is purely psychological problem, no physical/pathological problem at all.

To come out of this you must not think actively about sensitivity of glans or maintaining erection while doing sex.

To get rid of performance anxiety help of partner is also an important aspect.
Whenever you go for sex, spare enough time in foreplay(which you are already doping). You should not think actively about glans sensitivity/erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about erection. You must try to enjoy and only enjoy. Once penis is able to enter in vagina and strokes starts it is easy to complete successful sex.

It is possible that for few seconds you may feel awkward touch sensation on glans but if you continue sexual activity you will feel enjoyable sensation which leads to orgasm.


Follow measures I suggested for 3-4 weeks. You will get success in my opinion. Even after that problem persists consult doctor. You can be helped with mild local anesthetic gel to apply over glans before sex.

Hope this answers your concern.

Do not hesitate if you have any doubt.

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Brief Answer:
Lignocaine 2%

Detailed Answer:
Hi,

Thanks for follow up.
Topical anesthetic gel is prescription drug. In general it should be applied in small amount for checking allergy/sensitivity. Within an hour if no problem one can use.
Better to use any such drug after consulting doctor, if any problem occurs local doctor can help immediately.
In general lignocaine 2% gel is used.

I recommend using this option as last resort.

All the best and take care.

http://bit.ly/drchintansolanki

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Brief Answer:
PME is diagnosed when female partner is not satisfied

Detailed Answer:
Hi,

Sorry for delayed response.

Premature Ejaculation (PME) or early discharge defined when male partner ejaculates early before the female partner reaches to orgasm. There is no absolute time by which we can diagnose PME. It is relative term and female partner is the best judge.

There are medicinal and non-medicinal approaches to treat PME.

Medicines:
Clomipramine and paroxetine are choice of medicines which are used as antidepressants (For depression dose is higher).
I prefer clomipramine for PME. No significant side effects with these medicines. Initially say for 20-30 days daily after dinner and later on just on the day when you do the sex.
Paroxetine is more potent but it may cause side effects like headache, gastric discomfort, giddiness and sedation. In patients with blood pressure it should be used in consultation with physician/cardiologist.

One molecule called depoxetine has been used specifically for PME and should be taken before 2 hours of sex when required.
These medicines are prescription medicines and you need to consult doctor/psychiatrist/sexologist for prescription.


Behavioral approaches are as follows:

1. Stop and Squeeze technique can be applied which you can learn from internet and ask me if any query in that.(In brief, method suggests that you should try to divert your mind for a moment when you feel ejaculation arousal and penis should be tightly squeezed with hand inwards by your partner preferably).

2. Master and XXXXXXX technique can also be learnt from qualified sexologist/Psychiatrist which includes sessions in couple as it is couple sex therapy. It can help in prolongation of time.

3. Sex counselling of your sexual behavior and methods. Like if you are down and female partner on top, gravity is going to help you for lengthening the time.

4. You should do masturbation before sex (at least 2 hours before ). It will make seminal vesicles somewhat empty and at time of sex semen will take more time to come out.

Another approach:
-Use of condoms. Sometime use of condom while sex helps in delaying ejaculation by reducing sensitivity of glans penis.

--Topical application of anesthetic gel/spray. For this you have to consult doctor.

Hope this answers your concern.

If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback and rating so I can improve my service. In future you can contact me directly on this site if you wish with this link:
http://bit.ly/drchintansolanki
by clicking on 'Ask me a question' on same page.
All the best and wish you good health.
Dr.Chintan Solanki.

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