I have type 2 diabetes and am overweight. I am experiencing difficulty during intimate activity because my foreskin is very tight and does not retract at all. I also notice a white layer forming on the foreskin if it remains dry for a few hours, and the tip appears thickened. What could be causing this?
This is most likely due to phimosis, where the foreskin becomes tight and cannot be retracted, often worsened by diabetes. The white layer may suggest a fungal or yeast infection, which is more common when blood sugar is not well controlled. Repeated infection and inflammation can cause the foreskin to lose elasticity and become tight and thick. Please consult a doctor for a proper examination, blood sugar management, and appropriate treatment, which may include antifungal medication or minor procedures if needed.