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Glans insufficiency syndrome, also known as soft glans, cold glans, or glans insufficiency, is a medical condition that affects male individuals.This condition is characterized by the persistent inability of the glans penis to achieve and maintain an erect or turgid state during sexual arousal, remaining soft and cold.
An erection (clinically: penile erection or penile tumescence) is a physiological phenomenon in which the penis becomes firm, engorged, and enlarged. Penile erection is the result of a complex interaction of psychological, neural, vascular, and endocrine factors, and is often associated with sexual arousal, sexual attraction or libido, although erections can also be spontaneous.
Erectile dysfunction (ED), also referred to as impotence, is a form of sexual dysfunction in males characterized by the persistent or recurring inability to achieve or maintain a penile erection with sufficient rigidity and duration for satisfactory sexual activity.
It is thought that people with sexual anhedonia have a dysfunction in the release of the chemical dopamine in the nucleus accumbens, the brain's primary reward center.This part of the brain is thought to play a role in pleasurable activities, including laughter, exercise, and music.
This definition is broad and is subject to many interpretations. [2] A diagnosis of sexual dysfunction under the DSM-5 requires a person to feel extreme distress and interpersonal strain for a minimum of six months (except for substance- or medication-induced sexual dysfunction).
The most obvious, unmistakable, and defining symptom of hard flaccid syndrome is a penis that remains in a firm, semi-rigid state in the absence of sexual arousal. The flaccid penis will appear shrunken, contracted, and upon palpation will feel hard and non-compressible. [1] This typically worsens when the patient is in a standing position. [1]
Physical arousal caused by PGAD can be very intense and persist for extended periods, days, weeks or years at a time. [3] [4] Symptoms may include pressure, pain, vibrating, pleasure, irritation, clitoral or penile [5] tingling, throbbing, vaginal congestion, vaginal contractions, penile spasms, arousal, clitoral or penile erections, and prolonged spontaneous orgasms. [3]
A full bladder is known to mildly stimulate nerves in the same region. The possibility of a full bladder causing an erection, especially during sleep, is perhaps further supported by the beneficial physiological effect of an erection inhibiting urination, thereby helping to avoid nocturnal enuresis [ citation needed ] .