What causes foreskin pain when inserting during intercourse?

Patient's question:

I have some pain in my foreskin when I have sex. Could you please tell me what's going on? I look forward to your prompt reply.

Doctor's answer:

After sex, if the foreskin hurts, consider the following factors: phimosis, short frenulum, paraphimosis, overly frequent or intense sexual activity leading to frenulum rupture, etc. In most cases, foreskin pain is primarily caused by phimosis. The dangers of phimosis are significant. If hygiene is poor, dirt between the foreskin and the glans, known as smegma, can accumulate, stimulating the local foreskin and mucosa to cause inflammation, leading to balanitis, urethritis, and potentially ascending infections to the prostate and the entire reproductive system.

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