The Intertwined Saga of Phimosis and Male Fertility

Dr. Richika Sahay | 19 Aug 2023 | 1730 Views |

Introduction

Well, it’s often said, “Life throws a curveball when you least expect it.” While for many, the journey to parenthood is a smooth ride, others might hit a few bumps along the way. One such “curveball” that men might encounter is phimosis. And the burning question is – does phimosis affect fertility? Buckle up as we unpack this with insights from the renowned India IVF Fertility clinic located in Delhi, Noida, and Gurgaon.

What Is Phimosis?

Phimosis, in a nutshell, is a condition where the foreskin of the penis cannot be fully retracted over the head (glans). This can be due to several reasons such as infections, injuries, or even congenital conditions. While many newborn boys have a non-retractable foreskin, it often becomes retractable by the age of seven. When this doesn’t happen, or when an adult suddenly finds his foreskin non-retractable, it’s termed as phimosis.

Understanding Phimosis

Let’s dive a bit deeper, shall we?

• Physiological Phimosis vs. Pathological Phimosis: While the former is natural and generally resolves on its own, the latter results from infections, inflammations, or scarring.
• Symptoms: Common signs include redness, swelling, itching, and sometimes pain especially during erections or when trying to pull back the foreskin.
• Causes: Apart from congenital factors, repeated infections, balanitis (inflammation of the glans), and even forced retractions can lead to phimosis.

The Impact of Phimosis on Male Fertility

It’s time to address the elephant in the room. So, does phimosis really affect male fertility?

Direct Impact:

• Ejaculatory Difficulties: The tight foreskin can obstruct the free flow of semen, potentially causing difficulties during ejaculation.
• Sexual Activity: Pain or discomfort due to phimosis can lead to a reduction in the frequency of sexual intercourse, thereby indirectly affecting the chances of conception.
• Infections: Chronic infections associated with phimosis can potentially lead to conditions like epididymitis or orchitis, affecting the health of sperm.

Indirect Impact:

• Psychological Effects: Discomfort or embarrassment might cause anxiety or stress, leading to reduced sexual desire and performance anxiety.
• Risk of Injuries: The inability to retract the foreskin fully can lead to small tears during intercourse. This increases the risk of infections which can, in the long run, impact fertility.
• Hygiene Issues: Accumulation of smegma can increase the risk of bacterial infections, possibly affecting the testicular function and sperm health.
• Transmission of Infections: An increased risk of sexually transmitted infections (STIs) due to tears can indirectly harm sperm and the reproductive tract.

In summary, while phimosis itself doesn’t directly impair the quality or count of sperm, the complications and challenges arising from it can indirectly influence male fertility. Proper medical consultation and intervention can help in ensuring optimal fertility health.

Treatment Options for Phimosis

Here’s some good news straight from the experts at India IVF Fertility:

• Topical Steroid Creams: Helps soften the skin and make it more elastic. It’s often the first line of treatment.
• Preputioplasty: A minor surgical procedure where a small incision is made to widen the foreskin.
• Circumcision: A surgical procedure to remove the foreskin. It’s a definitive solution to phimosis.

Remember, it’s crucial to consult with a specialist to determine the best course of action.

Conclusion

Phimosis, while intimidating, is treatable. Its direct connection to fertility might be slim, but the secondary implications can indeed impact one’s journey to parenthood. Thankfully, with clinics like India IVF Fertility at Delhi, Noida, and Gurgaon, you’re in safe hands.

FAQs

Does phimosis always require surgery?

No, not always. Mild phimosis can often be treated with creams or stretching exercises.

Can phimosis return after treatment?

While rare, recurrent phimosis can happen, especially if post-treatment instructions aren’t followed.

Does circumcision affect fertility?

There's no direct evidence suggesting that circumcision impacts fertility.

Is it normal for babies to have phimosis?

Yes, physiological phimosis is common in babies and usually resolves as they grow.

How common is phimosis in adults?

While exact figures vary, phimosis in adults is less common than in children.

Can phimosis lead to other complications?

Yes, if untreated, it can lead to infections like balanitis.

How is phimosis diagnosed?

Typically through a physical examination. Sometimes, additional tests might be required.

Can phimosis be prevented?

Avoiding forceful foreskin retractions and maintaining good hygiene can help.

Is sexual activity safe with phimosis?

If there's no pain or discomfort, it might be safe, but it's always best to consult a doctor.

Are there any home remedies for phimosis?

While some suggest certain exercises, it's imperative to consult a doctor before trying any home remedies.

About The Author

Dr. Richika Sahay

MBBS (Gold Medalist), DNB (Obst & Gyne), MNAMS, MRCOG (London-UK), Fellow IVF, Fellow MAS, Infertility (IVF) Specialist & Gynae Laparoscopic surgeon,[Ex AIIMS & Sir Gangaram Hospital, New Delhi]. Read more