I'm sorry to hear you're experiencing discomfort. A slight downward tilt of the penis during erection can be normal for many men, but if it causes pain or is a new change, it might indicate an underlying issue such as Peyronie's disease or fibrosis. Pain from the foreskin during sex could be due to conditions like phimosis (tight foreskin), inflammation, or infection.

Here are some important points and suggestions:

• Penile curvature: Mild curvature is common, but if the tilt is painful or worsening, it’s important to have it evaluated by a urologist, a specialist in male reproductive health.
• Foreskin pain: Pain during sex related to the foreskin may be due to tightness or inflammation. Gentle hygiene and avoiding irritants can help, but medical evaluation is necessary.
• Topical options: A topical anesthetic jelly like Xylocaine (lidocaine) 2% jelly may temporarily reduce pain during intercourse, but it does not treat the underlying cause.
• Supplements: Some men find supplements such as vitamin E, zinc, or natural anti-inflammatory agents helpful, but these should be used under medical advice.
• Professional care: It is important to consult a urologist for a thorough examination, diagnosis, and personalized treatment plan. They may recommend stretching exercises, topical steroids, or other interventions depending on the cause.

If pain is severe or you notice other symptoms like swelling, discharge, or difficulty urinating, seek medical attention promptly.

Please consider scheduling an appointment with a urologist to address these concerns effectively.To narrow down potential causes, we will need some more information.Please tell me your age and gender. I understand you're dealing with some pain and discomfort.