When the frenulum is too short or too tight, it may cause pain during erection or during intercourse. Frenulum Breve or Short Frenulum can be so bad that the penis is curved downwards during an erection. This may cause pain during sexual intercourse and may also cause erectile dysfunction. In some instances it may also cause tearing bleeding of the frenulum during intercourse.

Some men with frenulum breve may have difficulty retracting their foreskin. This condition is called phimosis. The short frenulum makes it more difficult for the foreskin to be pulled back behind the head. In cases like this, they may not need a full circumcision. A frenulectomy may be sufficient to allow free movement of the foreskin, allowing it to be pulled back behind the head of the penis

There is another group of men who may have loose frenulum. This may heighten their sensitivity to sexual stimulation and may lead to premature ejaculation. They may also benefit from a frenulectomy.