Extra Super Avana is a combination medication that contains two active ingredients: avanafil (200 mg) and dapoxetine (60 mg). Avanafil is a phosphodiesterase type 5 (PDE5) inhibitor, similar to sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra), used to treat erectile dysfunction (ED) in men. Dapoxetine is a selective serotonin reuptake inhibitor (SSRI) used to treat premature ejaculation (PE).
The impact of Extra Super Avana on penile sensitivity is not well-documented specifically in scientific literature. However, based on the mechanisms of action of its components, we can infer potential effects:

1. Avanafil (PDE5 Inhibitor): Avanafil primarily works by increasing blood flow to the penis, helping to achieve and maintain an erection. It does not directly affect penile sensitivity but rather facilitates the physiological response to sexual stimulation by improving erectile function.
   
2. Dapoxetine (SSRI): Dapoxetine is used to delay ejaculation and improve control over ejaculation in men with premature ejaculation. It works by increasing serotonin levels in the brain, which can help to delay ejaculation by modulating the ejaculatory reflex. However, dapoxetine's effects on penile sensitivity are not well-studied, and any impact it may have is likely indirect.
   

Given the lack of specific research on the impact of Extra Super Avana on penile sensitivity, it's challenging to provide precise information. Additionally, individual responses to medication can vary widely, so some men may perceive changes in penile sensitivity while others may not.
If you have concerns about penile sensitivity or any other aspect of sexual function while taking Extra Super Avana or any other medication, it's essential to discuss them with a healthcare professional. They can provide personalized advice and recommendations based on your specific needs and circumstances.