Phimosis - Cannot Retract Penis Foreskin

Question: I cannot pull my penis foreskin back! I have not seen the head of my penis at all. I can only see the skin covered around it. How can I resolve this situation?

Answer: You have a condition called Phimosis. Phimosis is a condition where the foreskin does not completely retract from the head of the penis. You can see an erect penis with Phimosis below:

A fully erect penis should normally have its foreskin completely pulled back and the head must be visible. The foreskin can also be manually pulled back to make the penis head fully visible. Below, you can see a normal erect penis:

When a (male) child is born, the foreskin will completely cover the glans (head) to protect the sensitive tissue from external factors that can be detrimental. However, in about 95% of the cases, the foreskin will be pulled back before the boy reaches adolescence. Research suggests that another 4% of boys will experience foreskin retraction before they reach 18.

Causes:

1. Uncommon masturbation habits: Masturbation techniques such as rubbing the penis against a pillow, while lying face down.
2. Congenital Phimosis
3. Forcible pulling back of the foreskin, causing an injury.
4. Inflammation of glans penis (called balanitis)
5. In diabetics, this can happen due to the glucose in urine causing infection.
6. Poor hygiene.

Treatment:

When a young boy before reaching adolescence, he need not be treated for Phimosis, as the foreskin will usually retract before he reaches 18. However, in certain cases, the boy may experience difficulty in passing urine or have irritation or discomfort because of this. If this happens, then it should be treated right away.

Phimosis treatment is of 2 types:

1. Surgical Treatment
2. Non Surgical Treatment.

Surgical treatment is the most reliable, one time solution for this condition. Though there are many types of surgeries (dorsal slit, ventral slit, etc), Circumcision is the highly recommended process.

Circumcision is a very simple process of surgically removing the foreskin that is covering the head of the penis. Circumcision is a safe, effective method of curing Phimosis.

Circumcision Step 1:

Circumcision Step 2:

Circumcision Step 3:

Non Surgical Methods:

1. Topical Cream: Many topical creams are available in the market. These creams are primarily steroids that contain a substance called Betamethasone (sometimes combined with dipropionate). This cream has to be applied on the narrow area of the foreskin for 1-2 months and your foreskin may retract.
2. Masturbation Habits: If you have uncommon masturbation habits such as rubbing your penis against a pillow, you can change it. If you masturbate using your hand by moving it up and down over your penis, you can cure phimosis.
3. Stretching: Stretching the foreskin manually using your hands. You must do this slowly and patiently. You should do it everyday and if pain occurs, you must stop for the day. Manual stretching of the foreskin may also cure phimosis.

The Pillar – Kamasutra - Hindu Sex Position

DESCRIPTION

v The man kneels on the bed, straighten bust.

v The woman sits on him in a kneeling, face to face, her legs wrapping those of his partner.

v The woman embraces her partner's neck and guides his penis into her vagina.

TIPS FOR HIM

v Put your lips to her ear so, that your partner hears your breathing and shares your fun.

TIPS FOR HER

v Neck and ear lobes are two particularly sensitive areas.

v Play through with your tongue and your lips to increase sensations.

PLUSES

v Position cuddly and sensual.

v Body contact is important.

v Ideal for relaxation.

MINUSES

v Caresses and stimulation are limited.

v Position held too long may cause small painful joints at the knees.

The position of the pillar may carry a number of positions such as position of the tortoise, the eagle, scissors, the grand opening, and the courtesan.

The Anvil – Kamasutra - Hindu Sex Position

DESCRIPTION

v The woman lies on her back, pulls up her knees to his shoulders and puts feet on the shoulders of her partner.

v Man lying, positioned between the thighs of the woman entering the building on the feet and buttocks of his partner.

TIPS FOR HIM

v If you ejaculate in this position, it will intensify the pleasure of your partner.

TIPS FOR HER

v It is not advisable to perform this position until the vagina is not lubricated enough and has not reached its maximum elasticity. Therefore, prefer the preliminaries and other positions before moving to the anvil.

PLUSES

v Deep penetration resulting in intense sensations.

v Face-to-face and posture make this position particularly exciting for both partners

MINUSES

v Position requiring flexibility.

v Little freedom of movement for women.

The position of the anvil can respond to many positions such as the missionary position, octopus, oyster, tree, bamboo, lotus, and wheel.

The Reed – Kamasutra - Hindu Sex Position

DESCRIPTION

v The woman lies on her back.

v Man kneeling between the legs of his partner, raises the hips and penetrates. Women buttressed up, leaning on his feet, his shoulders and head.

TIPS FOR HIM

v Depending on how you raise your partner, the angle and depth of penetration will vary!

v For more fun, free one of your hands to caress and touch your partner.

v Observe the reactions of your partner and give your movements on its sighs.

TIPS FOR HER

v To strengthen feelings, take turn and release the muscles in your vagina.

v Slight vertical movement of your pelvis will be increased sensations.

v Observe the reactions of your partner and give your movements on its sighs.

PLUSES

v Deep penetration resulting in intense sensations.

v Face-to-face and posture make this position particularly exciting.

MINUSES

v Position requiring flexibility.

v Position would require some athletic force and requiring a good ability of muscle pain premature exhaustion.

The position of the reed can respond to many positions such positions scissors, butterfly, dance, and plow.

The Eagle – Kamasutra - Hindu Sex Position

DESCRIPTION

v The man and woman lie down on one side, face to face.

v The woman embraces the man positioning her legs around his waist and her arms around his shoulders.

v Man embraces the woman with his arms, she clings to and penetrates.

TIPS FOR HIM

v Fold your legs between the legs of your partner to optimize penetration and enhance pleasure.

TIPS FOR HER

v Enjoy the position to massage your partner lovingly (scalp, shoulders, back …) and stimulate his desire.

PLUSES

v Body contact is important.

v Face-to-face partners, caressing and kissing.

v Position well executed, allows deep penetration and intense sensations.

MINUSES

v Movements are binding, tight and slow.

v Position most appropriate for preliminary.

The position of the eagle may carry out many positions such as position of the dance, goddess, the reed frog, rod mill, and the overlap.

The Great Aperture – Kamasutra - Hindu Sex Position

DESCRIPTION

v The man lies on his back, legs slightly apart.

v The woman positioned on her knees, torso upright, above him.

v The woman then leans backward while dragging one leg under her partner.

TIPS FOR HIM

v Always attentive to the movements of your partner. It could fold your penis and may be painful.

TIPS FOR HER

v Tense the muscles in your vagina to avoid imprompt exit from your partner's penis during movement.

PLUSES

v New and pleasant sensations.

v Deep penetration produces intense sensations.

v Comfortable position and relax.

MINUSES

v Movements are limited.

v The penis may come out of the vagina and reduce the fun.

The position of the opening may carry out many positions such as overlapping, the position of the goddess, the pillar of Yin & Yang, the frog.

The Fly Union – Kamasutra - Hindu Sex Position

DESCRIPTION

v Both partners face each other standing.

v Woman embraces the man's neck and used his legs around him.

v Man supports the woman's buttocks and back.

TIPS FOR HIM

v The position will be facilitated if the woman is leaning against a wall.

TIPS FOR HER

v Let you carry by your desires …

PLUSES

v Face-to-face and posture make this position particularly exciting.

v May be practiced in many places.

v May be practiced half dressed or fully naked.

MINUSES

v Position sport requiring a certain force and require a good muscular capacity under penalty of premature exhaustion.

v Not the ideal position for overweight people who are, or during pregnancy.

The position of the suspended union may carry out many positions including the positions of bamboo, Yin & Yang of the Indra, and lovers of the courtesan.

The Missionary – Kamasutra - Hindu Sex Position

DESCRIPTION

v The woman lies on her back.

v The man above his partner lies between her legs and penetrates.

TIPS FOR HIM

v Place a pillow under hips of your partner to change the angle of penetration and increase the fun.

v Wear your weight on your arm to avoid overwriting your partner.

v Pat with your hands erogenous zones (breasts, buttocks, lower abdomen …) and the sex of your partner during the act to amplify the excitement.

TIPS FOR HER

v To genital stimulation more effectively, bend your knees and bring them to your shoulders.

PLUSES

v Great freedom of movement for man.

v Body contact is important.

v Ease of implementation.

v Face to face, the couple can see and embrace.

MINUSES

v Little freedom of movement for women.

v Less incentive for women than for men.

v Not the ideal position for corpulent people, or during pregnancy.

The missionary position may carry out many positions including the positions of the reed, the tiger, bamboo, lotus.

The Lotus – Kamasutra - Hindu Sex Position

DESCRIPTION

v The woman lies on her back.

v She folds her legs in a lotus position.

v The man up above his partner lies between her legs and penetrates.

TIPS FOR HIM

v Place a pillow under your hips to your partner to change the angle of penetration and increase the fun.

v Wear your weight on your arm to avoid pressure on your partner.

TIPS FOR HER

v Pat with your hands erogenous zones (breasts, buttocks, lower abdomen …) and the sex of your partner during the act to amplify the excitement.

PLUSES

v Original and exciting position.

v Body contact is important.

v Face to face, the couple can see and embrace.

MINUSES

v Position requiring flexibility.

v Position difficult to maintain long and can be uncomfortable for women.

v Movements and caresses are limited.

Lotus position may carry out many positions as a missionary position, bamboo, tiger, and the star.

The Scissors – Kamasutra - Hindu Sex Position

DESCRIPTION

• The woman lies on her back.

• Man kneeling between the legs of his partner, raises the hips and penetrates.
• Woman buttressed up, leaning on her feet and head.

TIPS FOR HIM

• Depending on how you raise your partner, the angle and depth of penetration will vary!
• For more fun, free one of your hands to caress and touch your partner.
• Observe the reactions of your partner and give your movements on her sighs.

TIPS FOR HER

• To strengthen feelings, take turn and release the muscles in your vagina.
• Slight vertical movement of your pelvis will be increased sensations.
• Observe the reactions of your partner and give your movements on its sighs

PLUSES

• Deep penetration resulting in intense sensations.
• Face-to-face and posture make this position particularly exciting.

MINUSES

• Position requiring flexibility.
• Position would require some athletic force and requiring a good ability of muscle pain premature exhaustion.

The position of the reed can respond to many positions such positions scissors, butterfly, dance, and plow.

The Monkey – Kamasutra - Hindu Sex Position

DESCRIPTION

• The man lies on his back legs and falls.

• The woman sit on him wedging his feet against the back of her partner.

TIPS FOR HIM

• For a more intense stimulation, you use your feet to give a vertical boost to your partner.

• Holding each other by the wrists will make better stability.

TIPS FOR HER

• Try to keep your legs support.

PLUSES

• Deep penetration produces intense sensations.

• Position is original and fun.

• The sensations are amazing.

MINUSES

• Movements remain restricted.

• This position can be quite uncomfortable.

The position of the monkey may carry out many positions including the positions of the swing, the bee, and the greyhound.

Small Penis Syndrome

Recent reports have suggested that almost 50% of the men think that they have smaller than normal penises, while over 80% of women have confirmed that their partner’s penis was of satisfactory size.

While only about 1% have true micropenises (see the online survey result to your right), why do almost 50% worry about their penis size? It is all in their heads, psychologists say & call it Small Penis Syndrome. This is not a physical condition, but an anxiety disorder. Just like a normal teen girl worried about her (normal) breast size, men can be anxious about their penis’ size.

However, it is important to find out if you truly have a smaller penis. The measurement and determining your penis size is given Once you realize that your penis is of the average size, you should gradually try to let go of that anxiety. Even if you fit into the small penis category (not micro penis), you will still be able to satisfy your partner. Only when you have a micro penis condition, you must get medical help.

Who experiences Small Penis Syndrome?

The following type of people experience Small Penis Syndrome.

1) Teens who have not had any sexual experience with a partner (i.e., virgins).

2) Men who have been ridiculed about a small penis, especially their own family members, when they are young.

3) Timid or submissive men who are easily intimidated by women.

4) Men who are too attentive to women’s needs and are unrealistic about a woman’s expectations.

5) Men who are under a lot of stress, pessimistic, gloomy and self destructive.

6) Men who view themselves as ugly, fat, or who feel unattractive about their body.

Treatment:

If you have measured your penis according to the article mentioned and the results have shown that your penis is not of the micro penis type, you must have realized that you do not have anything to worry about. If you have been worrying all along that you have a small penis, you must try to let go of the fear and anxiety. You can tell yourself few times a day, that your penis is normal and try to feel confident about your size.

If anxiety and fear persists, or if it obstructs you from having a normal life, it is time to seek help. Many men have become social recluses, alcoholics or even suicidal because of Small Penis Syndrome. If you cannot overcome this anxiety yourself, you must see a good doctor right away, who will refer you to an anxiety treatment center or a psychiatrist.

Phimosis - Cannot Retract Penis Foreskin

Question: I cannot pull my penis foreskin back! I have not seen the head of my penis at all. I can only see the skin covered around it. How can I resolve this situation?

Answer: You have a condition called Phimosis. Phimosis is a condition where the foreskin does not completely retract from the head of the penis. You can see an erect penis with Phimosis below:

A fully erect penis should normally have its foreskin completely pulled back and the head must be visible. The foreskin can also be manually pulled back to make the penis head fully visible. Below, you can see a normal erect penis:

When a (male) child is born, the foreskin will completely cover the glans (head) to protect the sensitive tissue from external factors that can be detrimental. However, in about 95% of the cases, the foreskin will be pulled back before the boy reaches adolescence. Research suggests that another 4% of boys will experience foreskin retraction before they reach 18.

Causes:

1. Uncommon masturbation habits: Masturbation techniques such as rubbing the penis against a pillow, while lying face down.
2. Congenital Phimosis
3. Forcible pulling back of the foreskin, causing an injury.
4. Inflammation of glans penis (called balanitis)
5. In diabetics, this can happen due to the glucose in urine causing infection.
6. Poor hygiene.

Treatment:

When a young boy before reaching adolescence, he need not be treated for Phimosis, as the foreskin will usually retract before he reaches 18. However, in certain cases, the boy may experience difficulty in passing urine or have irritation or discomfort because of this. If this happens, then it should be treated right away.

Phimosis treatment is of 2 types:

1. Surgical Treatment
2. Non Surgical Treatment.

Surgical treatment is the most reliable, one time solution for this condition. Though there are many types of surgeries (dorsal slit, ventral slit, etc), Circumcision is the highly recommended process.

Circumcision is a very simple process of surgically removing the foreskin that is covering the head of the penis. Circumcision is a safe, effective method of curing Phimosis.

Circumcision Step 1:

Circumcision Step 2:
Circumcision Step 3:

Non Surgical Methods:

1. Topical Cream: Many topical creams are available in the market. These creams are primarily steroids that contain a substance called Betamethasone (sometimes combined with dipropionate). This cream has to be applied on the narrow area of the foreskin for 1-2 months and your foreskin may retract.
2. Masturbation Habits: If you have uncommon masturbation habits such as rubbing your penis against a pillow, you can change it. If you masturbate using your hand by moving it up and down over your penis, you can cure phimosis.
3. Stretching: Stretching the foreskin manually using your hands. You must do this slowly and patiently. You should do it everyday and if pain occurs, you must stop for the day. Manual stretching of the foreskin may also cure phimosis.

Sexual Confidence: HOW TO BECOME SEXUALLY CONFIDENT

• What You Need To Know
• The real deal when it comes to being sexually attractive to women is confidence.
• Visualization techniques can combat performance issues.
• Health, diet and levels of stress can all impact ejaculation.

Sexual confidence often begins outside the bedroom.

Sexual Confidence And Sealing The Deal

Dr. Chaves,

After a long and difficult relationship and breakup, I have come to a low point in my life. My problem is I haven't had sex in a very long time and now I am gun shy and have no confidence. I have had several occasions where I could've sealed the deal but haven't pursued them because I am worried about making a fool of myself. I don't know what to do to get my confidence back and was wondering if you had any advice.

Thanks,
Sam

Forget penis size, money and power. The real deal when it comes to being sexually attractive to women is confidence. It’s an intoxicating aphrodisiac many women respond to. I’m glad you’re looking at your confidence level and willing to make changes to get there. I won’t lie to you: gaining confidence is a tough but worthwhile fight.

First off, ask yourself what has given you confidence in the past. There has to be something -- an activity, a talent, a hobby, a personal attribute or strength. Make a list of these things, expose yourself to them and remind yourself or who you really are and the areas you’ve felt confident in. It’s time to harness that confident energy from all those past possibilities. You don’t find confidence in a can (sorry, beer drinkers and fans of liquid courage); you have to get out there are create confidence. I’ve found that receiving positive feedback from these confidence-building activities also lifts our self-esteem. Achievement creates confidence. Success creates confidence.

In addition, challenge yourself in ways that build your self-worth. Start working out and notice that as your physique improves, so does the perception of yourself. Those endorphin and physiological boosts help our mental and physical outlook, too. It’s not just our body; our minds can use improvement. Think self-help books. Challenge yourself with simple yet obtainable goals and highlight your success. Maybe you overcame your karaoke fear or did some public speaking. All I know is, confidence comes in mysterious ways.

Also, ask your friends to help out. Every once in a while, I’ll turn to a colleague or a friend for a little confidence boost and support. An answer to a simple question like "What do you like about me?" or "Why am I your friend?" can go a long way, assuming they do like you and give you a positive answer. I learned early on that certain people are better to ask than others. For example, asking these questions to my booze-guzzling guy friends usually backfires when compared to a female friend, a woman who is interested in dating me or an articulate colleague. So far, we haven’t mentioned a lick about sex because sexual confidence often begins outside the bedroom.

You mention you had opportunities but didn’t “seal the deal.” Try to forget about sealing deals and focus on the success you had -- namely, that she enjoyed your company, wanted to sleep with you and that you spent a good amount of time connecting with someone on a positive level. On a self-growth level, it’s time to stop avoiding the roots of your confidence issue and get deep into the core of your fears. Is it performance anxiety? Fearful of not getting or maintaining an erection? Are you afraid of getting attached or hurt emotionally? Get these fears out of your mind and process them, either by yourself, with a friend or a professional. They’re simply obstacles and roadblocks to confidence.

It never hurts to brush up on your sex technique either. Knowing ways to please women through unique oral skills, finger magic or intercourse can increase how you feel about yourself in the bedroom. I’ve read so many books on sex that the issue of performance is no longer something on my mind before sex. Be well prepared. One visualization technique I’ve used with clients is having them imagine and process sexual interactions. I have them visualize romantic interludes, specific sexual behaviors or hard-pounding sexcapades in preparation for the real thing. Just remember to visualize successes and positive sexual interactions to maximize the confidence you gain. I’m sure that once you take the plunge and play hide the tip again, you’ll dive right in and pick up where you left off: as a sex-loving guy.

What does Doc Chaves recommend for reader No. 2? That's next..

Health, diet, levels of stress, frequency of ejaculation, and a host of other possibilities can all impact whether a guy needs a thimble or a shot glass to catch their ejaculation and whether the milkshake is chunky or not.

Watery Ejaculation

Dr. Chaves,

My wife and I have a healthy sexual relationship, but, lately, I have found that when I ejaculate, there seems to be less and less content filling the condom! I am only 21 years old but have noticed my ejaculate has decreased more and more during our three years of marriage and has become somewhat more watery. It has gotten me worried at times, especially as my wife and I have considered having a second child! Is this normal?

Thanks!
Eric

I love that you’re using a condom! I had to get that off my chest. I know how important a big load is for men. We get giddy when oursemen comes in mass quantities. For most men, a gradual decrease in volume is normal and expected. It usually comes with age, but other factors can come into play and affect our ejaculate.

Health, diet, levels of stress, frequency of ejaculation, and a host of other possibilities can all impact whether a guy needs a thimble or a shot glass to catch their ejaculation and whether the milkshake is chunky or not. I don’t want to worry you with tales of infections, prostates and medical issues. However, to be on the safe side, a medical doctor should check you out. It’s doubtful there will be an issue. My motto is, when you notice a change with your body that’s outside the norm for you, a medical doctor’s opinion is always a good idea.

The Male Multiple Orgasm

Dear Dr. Chaves,

I found out about MMO a few months ago and have been having trouble reaching it. I've been trying using kegels and breathing exercises, but for some reason, its not working too well after three months. I tried a while ago and started feeling a pins and needles sensation all over my body. I'm not sure if that’s a good or bad sign, but do you have any advice to help me out?

Thank you,
Kevin

When I first read this question, I thought to myself, "What does Mixed Martial Arts (MMA) have to to do with kegels?" But a glass of wine and a light bulb going off in my head pointed me to what you really meant, which was male multiple orgasm.

Ah, the elusive separation of orgasm and ejaculation. Male multiple orgasms have been a part of Eastern sexual philosophies, such as Taoism, for centuries, and it’s sneaking its way into the mainstream western world. Yes, it’s true and can be achieved with training, discipline and knowledge of the body and mind. It sounds to me like you’ve been working on the body training (kegels, breathing), but it’s often the mind portion that is most difficult for people to learn. Anxiety management, meditation and mental preparation are also pieces of the puzzle and can be important learning tools for mastery of ejaculatory control.

A few paragraphs aren’t going to cut it, so I encourage you to read a phenomenal book called The Multi-Orgasmic Man by Mantak Chia. I used this book myself to learn mind and body techniques, and who better to teach you than a Taoist master? The pins and needles feeling you describe is common and sounds normative for your body’s response. Most men who are working toward separating the big O from the big squirt feel some type of full body sensation when getting close to their goal. Often, a feeling of muscular strain, tension and trembling is felt throughout the body. Keep working at it; I think you’re getting close. Just a bit more mind training, and you’ll be there.