Should a boy be unfortunate enough to arrive at puberty with a pinhole phimosis during erection the foreskin is held firmly in place over the glans, therefore masturbation causes no actual pain. It has been described as a straight jacket. Beauge describes in detail various methods of masturbation boys use without retraction. Throughout adolescence as behavioural patterns develop, youths grow accustomed to their condition, either believing themselves to be normal, or if they do recognise their phimosed status some men obviously grow to prefer it. Intercourse is possible though this depends on the degree of lubrication and openness of the vagina and the brutality of penetration.
Reports suggest either little sexual activity or a one sided appetite.
It is probable that late treatment would create greater disturbances than it would cure. Men who are aware of their condition often complain that the only problem they have is other people telling them they have a problem. Somehow I like the idea of the glans being hidden and stimulation being more of a challenge. It does have a smell most of the time, but it is a very nice male smell that hardly anyone has objected to. If the ring is a little looser or the vagina a little tighter, it may be forced behind the glans for the first time causing paraphimosis.