What should I do if the glans penis is overly sensitive?

Excessive glans penis nerve sensitivity can typically be managed through pharmacological treatment, surgical intervention, or other approaches. Pharmacologically, topical anesthetic ointments may be applied to the glans to reduce penile nerve sensitivity. So, what should one do if the glans nerves are overly sensitive?

What to Do If Glans Nerves Are Overly Sensitive

Glans hypersensitivity clinically manifests as premature ejaculation—defined as ejaculation occurring within less than one minute during sexual intercourse with a female partner. Because premature ejaculation is often attributable to excessive glans sensitivity, it is termed “neurogenic premature ejaculation.” Solutions for excessive glans sensitivity include:

1. Using condoms to reduce sensitivity.

2. Applying topical medications to decrease sensitivity.

3. Maintaining regular sexual activity. With consistent intercourse, repeated friction gradually desensitizes the glans over time. Therefore, if partners are separated or have abstained from sex for an extended period, a sudden acceleration in ejaculation timing upon resuming intercourse is common and need not cause undue anxiety—the glans is simply more sensitive at that time.

Patients exhibiting the above symptoms should promptly consult a urologist or andrologist. Common treatments include topical agents: for instance, applying 1% oxethazaine hydrochloride ointment locally often significantly alleviates glans nerve hypersensitivity. Additionally, topical application of 1% lidocaine hydrochloride gel can reduce glans nerve hypersensitivity. Oral medications—such as fluoxetine (Prozac)—may lower glans sensitivity and reduce central nervous system control over ejaculation, thereby markedly prolonging intercourse duration.

Excessive glans nerve sensitivity can be addressed through pharmacotherapy, physical exercise, and repeated behavioral training. Regarding medication, sildenafil taken approximately one hour prior to intercourse is recommended. Sildenafil enhances penile erection rigidity, extends intercourse duration, and reduces glans sensitivity. We hope this information proves helpful.