A tight foreskin is commonly caused by a condition called phimosis, where the foreskin does not retract easily over the head of the penis. Mild cases can often improve with gentle daily stretching exercises and proper hygiene. Never forcefully pull the foreskin back because this can cause small tears, pain, and scarring that may worsen the problem. Doctors sometimes prescribe a mild steroid cream to help loosen the skin gradually. If there is repeated pain, infection, difficulty passing urine, or severe tightness, a urologist may suggest minor procedures or circumcision, depending on the severity. Early treatment usually gives good results and helps prevent complications.