My Doctor Tells

Mumbai’s #1 Sex Health Clinic

Samadhan Health Studio

Dr. Ashok Koparday
Dr. Hetal Gosalia

Dr. Ashok Koparday | Dr. Hetal Gosalia

  • Circumcision is the surgical removal of the foreskin. It is not necessary even if foreskin or prepuce, is not fully retractable.
  • Most people whose prepuce is not fully retractable have normal sexual functions. 
  • The intact (uncircumcised) foreskin is the way a baby is born, and hence, it is NORMAL.
  • All baby boys are born with a foreskin that is not completely retractable.
  • At the very most 7 in 10,000 men may need surgery for preputial stenosis.

Circumcision is not a treatment for unconsummated sex.

The intact foreskin is supposed to enhance sexual pleasure.


1. Ridged Band
The foreskin’s inner surface is a 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.

2. 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 outstroke, the glans is partially or completely engulfed by the foreskin. This is known as the ‘gliding mechanism’.


Alternative To Circumcision

  • 85–95% will respond to topical steroids. 
  • Of those who fail this, at least 75% will respond to stretching under local anesthesia, either manually or with a balloon. 
  • A 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. 


1. Why is the skin covering a penis 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.

2. What is foreskin or prepuce?
At the tip of the penis, skin leaves the surface and folds upon itself to form the prepuce or foreskin.

3. What is Frenulum?
The connecting stiff small tissue between the glans and the inner layer of foreskin located on the underside of the penis behind the urinary opening is the frenulum.

4. Why does a penis bleed after sexual intercourse?
Rarely, frenulum 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.

5. How to stop bleeding from a 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 your hand.
  • Do not frequently remove your hand to check from where it bleeds or whether bleeding has stopped.
    It is prudent to AVOID ANY OINTMENTS, LIQUIDS unless prescribed for the condition by a doctor who has examined it. Antiseptics like Dettol or any alcohol-containing antiseptics available as hand wash 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, or steroid creams that are usually kept in the first aid box or available at the chemist over the counter.

If you are too scared about the bleeding consult a family doctor.
Intervention by a specialist is hardly ever required.

6. 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 smegma. These small dots on the glans appear and disappear and are visible to those who (unnecessarily) focus and concentrate. These dots are normal features and not indicative of infection or pathology.

7. What Is Smegma?
The whitish colored discharge that is seen on pulling the foreskin back is smegma.

8. Is whitish discharge seen on pulling back foreskin normal?
It is a 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 smegma. This sebaceous material has a 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 smegma is accumulated it may cause some pain and tenderness in the area.

9. Who notices the need for circumcision?
Men who have erectile dysfunction, premature ejaculation, decreased sexual desire along with the inability to insert penis in the vagina during peno-vaginal sexual intercourse, called as unconsummated sex, suspect that the problem is due to non-retractable prepuces. This is a mistaken belief.
Know more about unconsummated sex and debunk myths.
If in a newlywed couple the husband persistently avoids sexual intercourse thinking he has ED, consider reading the Wrong Diagnosis of Erectile Dysfunction.

10. 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 dysfunction, premature ejaculation, decreased sexual desire accompanying unconsummated sex remains unresolved.