Your son has a very tight foreskin is this a problem for your 14yr old?

As you know, it is normal in infants and young boys to have tight foreskins. However, usually by puberty the foreskin has grown enough to be able to slide back completely over the head of the penis. Having a tight foreskin isn't a problem unless it causes pain, discomfort, or is difficult to keep clean. If your 14 year old son is complaining that his foreskin can not go back all the way, then it is likely causing problems for him.

The easiest way to treat a tight foreskin (known medically as phimsois), is to gradually stretch the opening of the foreskin over a period of weeks or months with the use of a corticosteroid cream. This can be done by your son at any time. Many boys find it convenient to do so after their daily bath or shower. The opening of the foreskin is gradually stretched with a finger until the opening is large enough. The corticosteroid cream helps speed the growth of the skin as the opening expands in size. Your pediatrician can prescribe betamethasone cream, and this is the best option. However, if you don't have medical insurance, hydrocortisone cream 1.0%, which is available without a prescription, can be used as well.

You can find more detailed instructions on how to stretch the foreskin, written for adolescent boys and adults, by searching on Wikianswers for "How do you stretch your foreskin?"

Clinical research has shown that gradual stretching with a corticosteroid cream is successful at stretching the foreskin in well over 90% of cases. Circumcision, a surgical procedure to cut off the foreskin, is very rarely necessary. Circumcision should not be used as initial treatment because it has medical risks including acute pain, infection, prolonged bleeding, and a painful two week recovery period. Thankfully, most boys are able to avoid this painful surgery with the use of gradual stretching.