Frenulum tear

The most common causes of a frenulum tear are:

• Frenulum breve: A shortened frenulum increases tension when retracting the foreskin, which can lead to a tear.
• Intense sexual intercourse: Excessive stretching of the frenulum during sex, especially with dry penetration, can cause the frenulum to tear.
• Masturbation: Excessive or too aggressive masturbation can also lead to a frenulum tear.
• Traumatic injuries: In rare cases, an accident or injury to the penis can cause the frenulum to tear.

• Pain: A frenulum tear often causes sudden, sharp pain at the underside of the glans.
• Bleeding: The tear can bleed heavily as the frenulum is well-supplied with blood.
• Difficulty during sexual intercourse: After a tear, there may be problems during sexual intercourse or masturbation due to pain and sensitivity.
• Scarring: In some cases, the tear can lead to scarring, making the frenulum even more sensitive.

A frenulum tear can usually be diagnosed through a physical examination. The doctor will examine the affected area and determine whether it is a simple tear or if further treatment is necessary, for example in the case of chronic tears or a shortened frenulum (frenulum breve).

• Self-healing: In most cases, a frenulum tear heals on its own within a few days to weeks. It is recommended to refrain from sexual intercourse or masturbation during the healing period to avoid reopening the wound.
• Antiseptic treatment: To prevent infections, the affected area should be kept clean and treated with an antiseptic cream.
• Surgical treatment: For recurring tears or a severely shortened frenulum, a minor surgical procedure (frenulotomy) can be performed to lengthen the frenulum and reduce the risk of further tears.
• Pain relief: For pain or discomfort, over-the-counter pain relievers such as ibuprofen can be taken for relief.

To prevent a frenulum tear, sufficient lubrication should be ensured during sexual intercourse to avoid excessive friction. Men with a shortened frenulum should consult a doctor to consider a possible frenulotomy to reduce the risk of tears. Gentle treatment of the sensitive skin on the penis can also help prevent injuries.