Tight Foreskin or Minor Tears Can Cause Pain and Bleeding During Sex

by Alex Shteynshlyuger MD


If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call   1-(646) 663-5545


Pain in Penis During Sex

Pain during sex can occur for a number of reasons.  Some men have recurrent pain during sex each time they try to have an intercourse.  This is often a result of microtrauma to the penis.  Trauma can be caused by ‘tight and short frenulum of the penis’ or ‘frenulum breve” that tears easily.  Trauma can also be caused by an abnormality of penile skin and excessive friction.  Other causes of pain in the penis include Peyronie’s disease.

Tight frenulum causing bent penis

Curved penis caused by frenulum breve

Frenular Tears: Frenulum Breve of the Penis

Trauma to the penis during sex can occur as a result of frenular tear from vigorous activity especially in men with short penile frenulum which stretches and tears during sex.  Some men experience pain and a resultant loss of erection. Bleeding from the penile laceration can also occur.  Typically the penis may also have a bend at the tip when erect.

Tight Foreskin “Phimosis” 

Trauma and resultant pain in the penis during sex can also occur in men with incomplete circumcision or who are uncircumcised.  When the penis gets erect, the foreskin covering the penis may be too tight to retract over the enlarged erect penis. This condition is called “phimosis.” When the tight foreskin is rolled back and forth during sex it can cause severe pain in the penis. Some men have phimosis, others have foreskin scarring or tightness causing this problem.  Men frequently complain that they lose erections as a result of severe pain that they experience during sex.

Penile Fracture

Some men experience a sudden onset of pain in the penis during sex which is often described as excruciating pain.  This pain often happens when the penis slips from the vagina or is suddenly bend.  Sometimes a man may hear a cracking or ‘popping’ sound followed by severe pain in the penis.  

Penile fracture can occur during sex with a woman on top or from behind; it can also occur in any other position and even during masturbation.

Pain results from penile fracture or a tear in the tunica albuginea that keeps the erection bodies together.  Sometimes the tear may extend into the urethra and cause bleeding from the urethra (peeing hole) or present with blood in urine.

Penile fracture is an emergency.  A timely intervention may prevent complications such as erectile dysfunction and urethral stricture. If you experience symptoms of penile fracture you should go immediately to the nearest emergency room.

Fortunately effective treatment is available for men who experience pain or bleeding from the penis during sex.  Often a circumcision or circumcision revision is all it takes to eliminate pain discomfort and bleeding during sex from tight foreskin or phimosis.  Frenuloplasty may also be beneficial for some men who have frenular tears and pain during sex from frenulum breve.

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If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call   1-(646) 663-5545

Dr. Alex Shteynshlyuger is a board-certified urologist in NYC who specializes in treating some of the most complex urology problems in men  He has performed hundreds of adult circumcision, circumcision revision, and frenulectomy procedures. He does adult male circumcisions for cosmetic as well as medical reasons.


 

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