First of all, I would like to tell you how much I enjoy reading your articles. I like your sense of humour, and I think this is definitely an effective way to break the taboo in a sensitive subject of sex.

I hope you don’t mind if I remain anonymous, but I would like to find out more about a very sensitive subject -pearling.

I am 26 years old and someone who is adventurous in sexual practices.

I have been married for two years and our sex life has been great.

I think my wife is satisfied in the bedroom, but I find sex in recent months very mundane. I confess I do not enjoy sex like how it used to be. I genuinely think I can do better to satisfy my wife more!

My friend recommended that I see a practitioner, who promised me one way of improving my sex life is to do the pearling procedure.

My friend told me that with the procedure, it transformed his life completely. I am tempted to try but somewhat apprehensive.

Sorry to put Dr G on the spot, but can you elaborate more about pearling?

Will it really improve my sex life? Is there any danger in the procedure?

Is the procedure reversible?

Cannot wait to hear your opinion.



Pearling is also known as genital beading. This is a form of body modification that dates back to Chinese text in the 1400s.

Interestingly, the practice was brought to China from South-East Asia, especially from certain parts of Myanmar and the Philippines.

Apparently, the pre-eminent historian, William Henry Scott, documented “there were as many as 30 different kinds of beading to cater to lady’s choice”.

Perhaps the best-known historical use of pearling is by the yakuza in Japan. According to documents, members of the syndicates will have pearls implanted into the penis, symbolising number of years spent in prison.

It makes you wonder the available rooms for pearling in young man serving long sentences. In a medical viewpoint, the beads or implants are inserted in the sub-dermal space, just under the penile skin.

The procedure is relatively straightforward, hence, some men even contemplating doing this themselves. Immediately following the insertion, inflammation around the foreign body is common during healing. Rejection may occur, however, this is exceedingly rare.

Prior to “modern” materials being used as implants, there has been a long history of using natural pearls for genital beadings. These days, various materials have been utilised, including silicone, teflon, titanium or even stainless steel.

The circumferential materials are generally used to create a “rib” effect that is believed to enhance to sexual pleasure for partners.

Technically, the purpose of pearling is to enhance sexual pleasure for partners. The enhanced extra friction to the vagina clitoris or anus is believed to heighten sexual sensation

At the same time, some men also consider the beaded as “pleasing to the eyes” compared with natural unaltered penises. I often wonder why?

With the recent rise in the incidence of pearling, more complications of penile pearling have been reported. These may include infections, bleeding and scarring of the penis, resulting in pain and even erectile dysfunction.

When Dr G is put on the spot for his opinion about penile pearling, his view is that certain things are better left unaltered as nature intended, especially involving the manhood.

When a man is contemplating risking his genitalia for that extra height of pleasure, is he willing to risk losing it all if things go wrong?

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