In our day to day clinical practice, we are getting a cases of injury or bleeding in the penis during vaginal penetration. Most of the cases are newly married couples or those who are trying first time sexual intercourse.
When we take deep sexual history and physical examination, in most of the cases we are seen injury in the Frenulum area.
The frenulum of prepuce of penis, often known simply as the frenulum, is a highly erogenous elastic band of tissue under the glans penis that connects the foreskin to the vernal mucosa, and helps contract the foreskin over the glans.
Frenulum Breve;
Normally, the frenulum is long enough to enable the foreskin to retract normally when the penis becomes erect; but sometimes, the frenulum is short, resulting in a condition called frenulum breve. A short frenulum can result in pain and even bleeding during erection and intercourse, and in some cases, the frenulum may rupture and tear during sex. Many men with frenulum breve develop curvature when the frenulum exerts continual pressure on the glans.
Correcting frenulum breve can be achieved with one of two procedures: frenectomy (sometimes called frenulotomy or frenulectomy) and frenuloplasty, and both procedures can be combined with a circumcision.
First aid Management;
- Wound dressing and Cleaning
- Antibiotics (if needed)
Usually in our India because of Taboo regarding Sexuality, most of the youths have confusion & myths & misconception regarding sexuality. So before going to their marriage both boys and girls should get a Pre-marital counseling.
In Pre-marital counseling the expert will give the complete picture of Human sexuality like Anatomy / Physiology/ Normal & abnormal sexual functions & responses.