Relationship stress due to PIED

Hi everyone. Thanks for being a part of this great community that I've stumbled upon in the last couple months.

I've been having a lot of issues in my relationship when it comes to PIED and hypersensitivity. My girlfriend and I have been together since August of last year and she is incredibly caring and I am very lucky to have her. When we first began to explore sex together (both 18), for the first four months or so we could not achieve any intercourse at all due to what I thought was ED as a result of my phimosis. I've had a very tight foreskin since I was younger and the doctors thought nothing of it and assumed it would loosen as I got older. However, while it's definitely looser now thanks to active "use" and can be pulled back over most of the glans, it's still quite tight, making the head very sensitive in a painful way.

My doctor, after ensuring PA would cease after a while, quickly offered a certain pill as a short-term solution, and for the time being, this has worked. It's added something back to the intimate part of our relationship, meaning we can have sex essentially whenever we want, but the tricky thing is that we still feel like we have to plan it out. It's ruined the spontaneity of sex and has put a lot of strain on us and our nights together.

While I've learnt in all my PMO experience (around 7 years once or twice every day/every other day) how to make myself achieve orgasm very quickly in what can sometimes be 2-3 minutes by stimulating the head over the foreskin and stroking as normal, I can find it incredibly difficult to achieve orgasm during intercourse as the foreskin gets pulled back, meaning the head is out. This is okay as I enjoy the act of sex, but it's just not the best feeling most of the time. I can cum from it every once in a while, but sometimes my girlfriend is visibly disappointed when I say I can't.

So, here I am. There's definitely a range of issues at play here, and while I can't say I was born with the perfect dick, I can definitely acknowledge that there is something I can do about it. I am going to see a urologist at some point in the near future just to make sure there definitely isn't any medical issue, as I think this would be silly to disregard the possibility of. But, in the meantime, I've made an account and turned on my tracker - no more porn for me! Sorry for the long post but I've wanted to get all of this off my chest for a long time. Hope you can all appreciate where I'm coming from.

TL;DR - A mixture of PIED and hypersensitivity from phimosis has put a heavy amount of strain on my relationship - looking for support from you and myself!