Does Circumcision Affect Penis Sensitivity?

Contrary to popular belief, circumcision does not alter penis sensitivity.

We understand that circumcision is a practice that may be motivated by religious or medical reasons, or used as a symbol of cultural identity. In other countries, it is associated with medical recommendations.

Ideal age for circumcision: In America, the regular practice of this act on newborns has become common, particularly since the 1990s, in an attempt to prevent the transmission of HIV.

There is an ongoing discussion about the usefulness of circumcision, but many are convinced that this procedure reduces penis sensitivity. It was previously assumed that circumcision could reduce sensitivity due to two factors: the removal of the highly innervated foreskin and the keratinization of the exposed glans. However, it is now proven that circumcision does not affect penis sensitivity! Recent and previous analyses have shown that there is no difference in sensitivity between circumcised individuals and those with a foreskin.

What are the causes of loss of penis sensation?

Diabetes and loss of sensation in the penis

Diabetes mellitus is a condition that disrupts the metabolism of sugars in our body, leading to an increase in their level in our blood. If diabetes is not treated and worsens, it can cause various health problems. Among these are disturbances in regular and normal sexual response. One, if not the first, of the sexual symptoms in diabetic men is difficulty maintaining valid rigidity, a disorder that often aims to prevent sexual intercourse with penetration. This sexual problem, commonly called "impotence", always causes anxiety, fears and other complications and psychological problems.

Erectile dysfunction can affect up to 50% of diabetics and can be caused by several organic factors, such as accelerated arteriosclerosis in penile circulation, biochemical alteration of the smooth muscles of the corpora cavernosa and neurological damage. The combination of some of these factors may be at the origin of the sexual disorder, but neurological impairment seems to be the main culprit, which can extend to the peripheral autonomic nervous system, leading to loss of neurons, decreased synthesis of neurotransmitters and modification of their release. These substances are essential to transmit the sensations and "orders" necessary for an erection.

It is well known that diabetes can have a direct impact on the smooth musculature of the corpora cavernosa, which alters their activity and mobility. It is important to note that nearly half of men with diabetes mellitus and sexual disorders have multiple causes, including organic and psychological factors. In addition, older people are also more likely to develop erectile dysfunction due to other pathologies such as high blood pressure, heart disease, high cholesterol and smoking.

Effects of depression on penis sensitivity

Problems with anxiety, depression and chronic stress can lead to a loss of sensitivity and pleasure in the penis and erogenous zones, and impact erectile health at the psychological level. These vulnerability factors, omnipresent throughout life, disrupt the balance between erectile competence and deficit, thus playing a key role and acting as independent variables. These functional vulnerability factors include both so-called psychogenic factors (with their cohort of intrapsychic, biochemical and relational aspects) and biochemical alterations secondary to alcohol, dysmetabolism, drugs, medications, physical stress, etc. The interpretive model that best respects reality is therefore multifactorial, in which the diagnosis of the predisposing, precipitating or maintaining factors responsible for erectile deficit is referred to a vulnerability model from a longitudinal perspective (life-span).

Depression can cause erectile deficit in several ways:

• it reduces erotic desire and drive;
• it modifies sleep rhythms (in the REM phase, i.e. sleep with dreams, and non-REM);
• it modifies individual and interpersonal behavior (1-2);

Major depression can lead to the total loss of nocturnal erections associated with the REM phase. The same repercussions can be induced by very anxiety-provoking dreams. Therefore, the recording of nocturnal erections (NPT) may be falsely negative due to psychogenic factors, which must therefore be carefully examined whenever a negative NPT is observed.

Vascular problems

Anatomical or functional alterations of the vascular system as well as certain pathologies can have harmful consequences on erectile capacity and penis sensitivity. The presence of venous problems complicates the retention of blood in the penis during erection, which may be uncertain. Moreover, damage to the blood vessels of the penis (caused by arteriosclerosis) can reduce blood flow to the corpora cavernosa necessary to maintain a stable erection. This damage can be caused by an unhealthy lifestyle (smoking, lack of physical activity, obesity) as well as cardiovascular diseases (hypertension, diabetes, hypercholesterolemia), which are considered one of the main risk factors for erectile dysfunction. When a person has a cardiovascular disease, they are at increased risk of suffering from erectile dysfunction compared to a healthy person. Indeed, people with hypertension often have rigid arterial vessels, which hinders blood circulation in the penis and can therefore impair its erection.

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The effects of circumcision on sexuality

Male circumcision: Many studies have shown that adult male circumcision performed for medical reasons has no negative impact on sexual function, sensitivity, sensations or satisfaction. Although a few cases of glans hypersensitivity have been reported, this only causes temporary discomfort and does not affect circumcision itself. In general, it has been shown that adult circumcision has no negative effect on penis sensitivity, sexual arousal, erectile function, ejaculation time, difficulty reaching orgasm, sexual satisfaction, pleasure or pain during penetration.

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