circumcision

1]PICTURE OF CIRCUMCISED PENIScircumcised penis

intact penis[2] PICTURE SHOWING PORTION OF FORE SKIN AROUND INTACT PENIS THAT IS REMOVED IN CIRCUMCISION

Circumcision

Circumcision is not necessary even if foreskin, prepuce, is not fully retractable.
Is whitish discharge seen on pulling back foreskin normal?
Why penis bleeds after sexual intercourse?

WHY SKIN COVERING PENIS IS REMARKABLE?
The skin covering the penis is thin, dark in color, hangs loosely over the deeper parts of the penis, and has no adipose tissue and no hair from the shaft to the tip.

WHAT IS FORESKIN OR PREPUCE?
At the tip this skin leaves the surface and becomes folded upon itself to form the prepuce or foreskin.

WHAT IS FRENULUM?
The connecting stiff small tissue between the glans and the inner layer of foreskin located on the underside of penis behind the urinary opening is FRENULUM. Rarely, this gets torn during vigorous sexual intercourse resulting in pain and bleeding. Pain is bearable. Bleeding sometimes does not stop quickly and the guy panics. This bleeding does not need special treatment.

HOW TO STOP BLEEDING FROM TORN FRENULUM?
Clean the area and the penis with clean water. With clean cotton cloth over it PRESS the bleeding area (tip of the penis) with hand. Do not frequently remove your hand to check from where it bleeds or whether bleeding has stopped.

CAUTION ABOUT USE OF CREAMS AND LIQUIDS ON PENIS SKIN
It is prudent to AVOID ANY OINTMENTS, LIQUIDS, unless prescribed for the condition by a doctor who has examined it. Antiseptics like Dettol© or alcohol containing antiseptics available as hand wash being strong can damage the penis skin. If at all, Dettol© a common antiseptic liquid, diluted two times more than the proportion (1:20) mentioned on the bottle may be used. Avoid antiseptic, anti microbial, anti fungal, steroid creams that are usually kept in the first aid box or available at the chemist over the counter [OTC].
If you are too scared about the bleeding consult family doctor. Intervention by a specialist is hardly ever required.

WHAT ARE THE MINUTE SMALL DOTS ON GLANS?
Glans is devoid of hair. Scattered all over the glans are many small papillae. The scattered glands are called preputial glands. They contribute to the formation of spegma. These small dots on the glans appear and disappear and are visble to those who (unnecessarily) focus and concentrate. These dots are normal feature and not indicative of infection or pathology.

WHAT IS SPEGMA?
WHITISH COLORED DISCHARGE THAT IS SEEN ON PULLING THE FORE SKIN BACK IS SPEGMA. SPEGMA is normal secretion and needs to be cleaned regularly.

Secretions from scattered glands on the corona, neck, glans and inner layer of the prepuce, the preputial glands, make SPEGMA. This sebaceous material has very peculiar odor, (probably due to casein), and it readily undergoes decomposition when mixed with discarded epithelial cells. To prevent infection pull the foreskin behind and clean regularly with water. If you clean it after a lot of spegma is accumulated it may cause some pain and tenderness in the area.

BENEFITS OF NOT DOING CIRCUMCISION
Some of the many benefits of intact skin

RIDGED BAND
The foreskin’s inner surface is mucous membrane similar to the inner surface of the mouth. It is rich in nerves and blood vessels. Between the inner and outer layers of the foreskin is a unique structure “ridged band” that contains “specialized nerve endings.” The researchers conclude that the foreskin has several kinds of nerves and “should be considered a structural and functional unit made up of more or less specialized parts.[A]

GLIDING MECHANISM
During intercourse the loose skin of the intact penis slides up and down the shaft of the penis, stimulating the glans and the sensitive erogenous receptors of the foreskin itself. On the out stroke the glans is partially or completely engulfed by the foreskin. This is known as the `gliding mechanism.’ The intact foreskin is supposed to enhance sexual pleasure.

Intact (uncircumcised) foreskin is the way a man is born hence it is normal.
A whole web site is dedicated to the principle of keeping foreskin intact.
http://www.circumcision.org/foreskin.htm
Here is another website that favors intact foreskin.
http://www.cirp.org/pages/anat/

At the very most 7 boys in 10,000 may need surgery for preputial stenosis.

ALTERNATIVE TO CIRCUMCISION
[1] 85–95% will respond to topical steroids.
[2] Of those who fail this, at least 75% will respond to stretching under local anesthesia, either manually or with a balloon.
[3] SIMPLE practical method that works for most people is to repeatedly practice moving the foreskin as far back as possible manually despite pain. Use soap (while bathing) or oil for lubrication, if necessary.

WHAT IS NORMAL?
MOST people whose prepuce is not fully retractable have normal sexual functions.
All male babies are born with foreskin that is not completely retractable.


To know more about causes of erectile dysfunction ED click here.


WHO NOTICE PROBLEM?
Men who have erectile dysfunctions, premature ejaculation, decreased sexual desire along with inability to insert penis in vagina during peno-vaginal sexual intercourse, called as unconsummated sex, suspect that the problem is due to prepuce that is not retractable. This is mistaken belief.


To know more about unconsummated sex click here.


If in newly wed the husband persistently avoids sexual intercourse click here.


WHY CIRCUMCISION DOES NOT BENEFIT?
The underlying problem in unconsummated sex does not get treated hence, they do not benefit even if they do circumcision. Thus, erectile dysfunctions, premature ejaculation, decreased sexual desire accompanying unconsummated marriage remains unresolved. Circumcision is therefore not a treatment for unconsummated sex.


Click here to know more about WHY CIRCUMCISION DOES NOT BENEFIT?.


To see animated picture click here.


Click here to know WHAT CAN HAPPEN IF CIRCUMCISION IS NOT DONE.


What if you want to INCREASE PENIS SIZE?
[A] Reference
Taylor, J., Lockwood, A., & Taylor, A., “The Prepuce: Specialized Mucosa of the Penis and Its Loss to Circumcision,” British Journal of Urology 77 (1996): 294.
Dr. Ashok Koparday
MBBS, FC SEPI
Medical Director
Samadhan India
Center for Therapy, Education, Research in
Sex, Marriage, Relationships

Ex. Teaching Faculty
Seth G. S. Medical College and K. E. M. Hospital and
Grant Medical College and Sir J. J. Group of Hospitals
University of Mumbai, India

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3 responses to “circumcision

  1. I am 20 years old and since the last month i have started to develop white dots on the penis head that keep reappearing after every wash,it goes after a wash or by rubbbing the portion. It appears as very tiny red swollen dots after a wash when observed under srong light.

  2. Dr. Ashok Koparday

    Hi,

    “_ _ _It appears as very tiny red swollen dots after a wash when observed under srong light._ _ _”

    All these dots are natural, perfectly normal feature of glans penis. This surface has no hair. Scattered all over are many small papillae. The scattered glands are called preputial glands. They contribute to the formation of spegma.

    Please let me know if you have any additional questions or issues.
    Best regards,
    Dr. Ashok Koparday
                        MBBS, FC SEPI

  3. dear sir,
    my girlfriend said that she has never had an orgasm during intercourse. she has had three partners in the past but no orgasm. the other day, she spoke to her close friend, asking her if she has ever had an orgasm. and even her friend said that she has never had an orgasm during intercourse and she is now married with a 6 year old child.
    what can I do so as to prolong the intercourse so that she is able to get an orgasm? is there any solution?

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