In this case,is circumcision really required?

[Raulknowsthings]

24 male,i had a fight with my doctor,i went there because when it was time to release my pleasure,it came out very hard and a bit painful,a combination of male essence,urine and a tiny spot of blood,i don't masturbate,i don't do rough sex,just normal sex,well anyway his only solution he can come up is the knife,i think it's a bit extreme,i did not went there for that advice i went there to tell me of another way,do you know any?Thank you!