I am in my late 40s and almost 2 years ago I first developed phimosis. It basically happened suddenly. The only thing I can think of that may have caused it is that it developed soon after a day when my wife got (very unusually) sexually frisky. I did not have any noticeable injury at the time, but skin splitting happened within a few days afterward. I have heard suggestions that phimosis is caused by poor hygiene, but I know for certain this was not the case with me as I have always cleaned there and over the last 20+ years I have done so EVERY day.
Sooo... over the past 2 years I have tried many things to fix it. I stretched in all sorts of ways and frequencies. My specialist prescribed steroid cream (which can cause its own problems) to use with stretching, but none of this was a permanent fix. I did get some small, short-lasting improvements with the cream, but it always ended up constricted, sore and often splitting. When my urologist prescribed the steroid cream, he said 50% of the time his patients end up coming back for a circumcision after that fails. Interestingly, he made a point to tell me NOT to use phimosis rings. He said they do not work and said they only made his job more difficult if he eventually has to circumcise me.
After nothing fixed the issue, I finally gave up and decided to get cut. That was done 3 weeks ago now and I will try to write a separate post on my experience with that procedure. Although I am very disappointed I had to loose my foreskin (actually has elevated my depression some), I believe I had little choice if I wanted a chance to once again take part in sexual activity without discomfort and the distraction of worry at how much I would end up being injured. Although I don't feel I am quite ready for sex again yet, I already feel I will be able to relax and enjoy the moments more without the worry.... I just really hope I will not end up disappointed with reduced pleasure and sensation from the lose of the foreskin. From everything I have read... men's satisfaction with the results of circumcision vary greatly and there is no real consensus on whether sex and masturbation is better or worse afterward. But I can say I am anxious to see what happens for me! Hopefully only one more week... if I can convince my wife.. but sadly I am afraid she is enjoying my time being out of action!