Q. My glans penis is hypersensitive. I therefore have the problem of premature ejaculation. I applied xylometazoline ointment on my penis for three months. I also used condoms to avoid adverse affects in my partner. I used to have sex once a week and it was very enjoyable. It was during this period that my partner had an orgasm for the first time. I also washed my penis immediately after sex. However, recently I have developed some irritation on the top of my penis. Reddish spots have developed, which are very irritating. I have applied different antifungal creams. They reduce the irritation but the problem recurs once I stop using them. The problem also recurs when I have sex. As a result I have not had sex for the past one month. Please advise.
A. The glans penis is the sensitive part of the male genitalia. If sex is initiated without stimulating the partner with pre-sex activity, it may lead to premature ejaculation. The female receptive organ may not be lubricated, hence an hurriedly initiated act leads to premature ejaculation. Regarding your problem of irritation alter topical application of xylometazoline and condom use, it could be due to allergy to xylometazoline or, though less likely, even to the condom. Oily lubricants are generally avoided with latex condoms; only liquid-based lubricants can be used. In your case, stop applying xylometazoline first. Apply Flutivate cream once daily for 7 days and then stop. This will hopefully take care of your problem. If it does not, consult a dermatologist. Sometimes, condoms do cause allergy. If the problem recurs later on after stopping topical xylometazoline, then it is probably due to the condom. In that case, condoms which do not have any fragrance, may be more suitable.
