Herbal products to help with ED sex problems associated with Peyronie’s disease?

I believe I got PD using ED drugs been married 30 yrs & need some erection help. Have stopped using the drugs, can you suggest something herbal I can use to replace them. Thanks Dave

Greetings Dave,

What you report is rather common.  I have communicated with hundreds of men who tell me their Peyronie's disease and sex started after using PDE5 inhibitor drugs (Viagra, Cialis, Levitra); this can happen after just one use or repeated uses.  For more information see Peyronie's disease and Viagra, Levitra and Cialis and Peyronie's treatment and Cialis.

If you go to the PDI shopping cart and scroll about 3/4 the way down until you see BetterMAN and about 5-6 other sex stimulant products. The most important of the group is a product called Stimulin. You would definitely want to include Stimulin with whatever else you use.  

All of these herbal products are much more gentle than your drugs and will not worsen your PD problem.   Many men use them while undergoing their natural Peyronie's treatment plan.  TRH

What is a good vitamin E for Peyronie’s treatment?

I was diagnosed with Peyronie's several years ago and my doc told me to take Vitamin E. In a few weeks, the symptoms cleared up. My problem is that I've developed PD again, have seen another urologist who also suggested Vitamin E. The PD seems much worse this time around. My question..if I choose to simply take Vitamin E, can you recommend the exact(and very best) brand, dosage, etc. I'm still sexually active, but it is affecting my sex life and is very stressful. Any help you might offer would be greatly appreciated. Also, I have read/researched at great lengths on your site and may return if you cannot offer a possible solution based upon the info I've provided. Thank you very much, Bobby

Greetings Bobby,

Sorry to hear of your Peyronie's problem.

Vitamin E is one of the cornerstone Alternative Medicine therapies recommended by PDI.  You can read about using vitamin E for Peyronie's treatment on the PDI website.  However, it is not all that is usually needed to recover from this problem.  So often it is required that a man assemble a group of therapies to take all at the same time to finally increase the immune response of the body against this problem.

PDI has a shopping cart from which you can order a great vitamin E product that we have used for over ten years.   Feel free to contact me if you have additional questions about helping yourself with natural therapy.   TRH 

Connection between bladder inflammation and Peyronie’s disease?

I have interstitial cystitis that I developed about 2 1/2 years ago where I feel constant low grade pain in my penis – with tender areas of the shaft. I noticed the curvature of my penis has gotten significantly worse with time and erections now are painful and seem to pull beyond the capacity of the ligament causing an upward and left bend. Have you heard of a connection between Peyronies and IC? I am also on treatment for gut pathogens and am concerned about any of the PDI treatments which might reduce my body's immune response since I need it high to fight my gut pathogens. Given this, where is the best place to start? Can I have a phone consult?


Greetings,

Interstitial cystitis is a problem of unknown origin causing chronic and long term low grade inflammation of the wall of the urinary bladder.   In these cases pain is felt during intercourse and in general in other parts of the pelvis, along with pain during urination.   The bladder wall inflammation causes both urinary urgency and frequency up to several times an hour.

Of course I am at a great disadvantage in not really understanding your full history.  What I can tell you is that there is typically no direct causal relation or connection between interstitial cystitis and Peyronie's disease.  However, based on what you have mentioned in your email you make it sound like you have two independent problems going on, and it would seem that if this is true you would probably have to deal with them separately.

The natural Alternative Medicine treatment for Peyronie's disease recommended by PDI would not do anything to reduce your immune response, but would probably enhance and strengthen it.

Probably the best place to start is with a telephone discussion of your problem and to help you develop a viable treatment strategy.  Please contact me at 847-670-8800.   TRH

How do I treat Peyronie’s disease?

Within the last two months I noticed that my penis is started bending to the left. I was taking an anti inflammatory for back pain and I'm wondering if the med caused the problem, my penis seems somewhat shorter as well, what can I do to rectify the problem. Richard

Greetings Richard,

The first thing you should do is get yourself checked out by a urologist to determine if you have Peyronie’s disease.

If it happens that you do have Peyronie’s disease you will want to begin a conservative course of care to help your body heal and repair the infiltration of excess collagen in the deep tissue of the shaft. It is this mass of internal scar tissue that is causing your bend to the left. It might appear to be a small point of differentiation, but in Peyronie’s disease the actual problem is the internal collection of collagen under the skin of the shaft that causes distortion of an erection, as well as loss of length and girth, and not the penile curvature; the penile curvature would not exist if it were not for the presence of abnormal deposit of collagen.

I would have to know the name of the medication to know if it is a possible cause of your current situation.

For treatment options, please go to the home page of the PDI website and click on the several links that give helpful information about what you can do to help your body heal and repair PD. TRH

If he discontinues drug use would his penis eventually return to “normal”?

My husband’s penis has become increasingly curved/bent (now about 45 degrees when erect) over the last 8 months. He has been on an antidepressant for about 5 years. He is a traumatic head injury survivor and is on the antidepressant to control outbursts of anger. However, the antidepressant has decreased his sexual function dramatically and the bending of the penis decreases his function further. If he discontinued use, would his penis eventually return to “normal?” He is also on medication for seizures.

Greetings,

You have not stated that your husband has been diagnosed with Peyronie’s disease or not. I ask not only because of the curvature you mention, but also because there is an anti-seizure medication, phenytoin, that has been said to cause Peyronie’s disease.

If in fact your husband does have Peyronie’s disease it will not help him to discontinue any drug that might have caused it. He would still have to undergo Alternative Medicine treatment of the PD in an attempt to have his body correct this curvature problem caused by the internal Peyronie’s scar material.

As an aside, I have communicated with several men with Peyronie’s disease who say that their Peyronie’s disease started with an injury to the penis that occurred during an epileptic seizure that happened while they were erect. You might keep this in mind when you consider another possibility how his PD started.

All patients should check with their doctor before discontinuing any prescribed drug. TRH

Can Peyronie’s disease cause a “back-flow” that maintains an erection?

Dear Dr Herazy,

I recently had a cystocopy and developed approximately 2 weeks later hardness in the perineal area of corpus carvernosum. The shaft is still unaffected. However because of the hardness that probably reminds of of a reverse bottleneck I have had trouble getting the penis down after an erection. This is particularly problematic during the night where I wake up from the erections and then have to get out of bed to get it down.

My urologist said that I could have developed developed peyronies disease in the perineal area but I have searched the Internet and have not seen any similar cases. The area covered is around 2 inches. Have you heard about something similar including the decreased "back-flow" following the erections?

I am also worried I could develop a priapism from this condition that would make things a lot worse. Can you make an advice as how to move on?

Thank you very much in advance.

Kind regards

C

 

Greetings C,

First of all, I think a few people who read your email about an erection if you have Peyronie's disease would have some questions of their own about some of the medical and anatomical terms you used.  So, here is a bit of information about these terms to help understand your email a little better:

1. Cystoscopy – a medical procedure in which a long tube or probe is inserted up into the urinary passage (urethra) of the penis for the purpose of looking into the urinary bladder or the urinary passage, itself.   It sometimes happens that when this is done that the urethra and tissue of the shaft of the penis can become injured, resulting in Peyronie's disease.

2. Perineal area – the region of the very lower part of the pelvis in men that is found between the back part of the scrotum and the anus, and in women between the back end of the vulva or outer lips and the anus.

3. Corpus cavernosum – or corpora cavernosae – one of the two long cylinder shaped masses of tissue that make up the bulk of the penile shaft.  Each corpora cavernosa is covered by a thin tough layer of fibrous tissue called the tunica albuginea that when injured becomes scarred and leads to Peyronie's disease.

4. Back-flow – release of blood that was trapped in the two corpora cavernosa during an erection that creates the hydraulic pressure within the penis to make it expand and hard.

5. Priapism – this is a persistent, and often painful, erection that is considered a medical emergency when it lasts longer than four hours and develops without sexual stimulation.  Priapism occurs when blood in the penis becomes trapped and not able to drain as it normally does. 

OK, now that we have that out of the way, allow me to address a few points you made:

1.  The penis is attached to the front part of the pubic bone in the area directly behind the pubic hair.  If you are an average size male, there is probably 4-5 inches between the point where the penis ends and where the perineal area begins.  These two structures are not connected or related. There is no perineal area of the corpora cavernosa.  Any hardness, mass formation, swelling or abnormality of the perineal area is not related to the penis and is not related to Peyronie's disease. If you truly have a hard mass or lump between the base of your scrotum and the anus I suggest you get it checked out immediately.

2. I know what a bottleneck deformity is in relation to Peyronie's disease, but I have no idea what you mean by a reverse bottleneck.  Please explain.

3. The reason you could not find any reference to Peyronie's disease in the perineal area is that it does not happen that way and it is not possible. 

4.  Your decreased back flow causing persistence of an erection could be related to the mass in your perineal area; for that reason you should see a doctor immediately.

5.  Pripism can occur as a result from many different situations, but not Peyronie's disease:

  • Sickle cell anemia
  • Medications, like Thorzine and Desyrel
  • Illicit drugs (marijuana and cocaine)
  • Trauma delivered to the lower pelvis or spine, or something in that same area causing reduced blood flow 
  • Black widow spider bites
  • Carbon monoxide poisoning

6.   I assume that your doctor did not give you much of the information you have shared here because it is mistaken.  To move forward I suggest you stop trying to figure these things out for yourself and immediately get yourself examined by a competent urologist.  TRH

Stretching a congenital penis curvature

Hi Doc,

I posted a previous question about my congenital curvature downward and you recommended that I purchase the Manual Stretching video, I did, and have been doing the stretches every day and sometimes i have a day or two break which is rare, but ive been pretty persistent.

Do you also suggest I be more frequent? is frequency necessary? Also, I really want to know EVERYTHING possible i can do to lessen my downward curve, stretching or anything else you have in mind. I'd love to start having a more aggressive approach to see some results. Ive been taking neprinol for the past 2 months but ran out of supply, and came to the conclusion i don't' have peyronies so i don't need to take neprinol correct?

Please let me know of everything i can do to help me. '

Thanks so much.

 

Greetings,

As I mentioned in the reply to your earlier questions, all research done with the PDI Manual Penis Stretching technique was done with men who had PD and were using a variety of different PD therapy programs (vitamins E and C,  Neprinol, MSM, DMSO, etc.).  We have never researched the use of this method against a congenital penis curvature.   I mentioned that I have had men contact me who had a congenital curve and used this technique and got very good results.  That is about what I can tell you directly what I know about this subject. 

I tend to agree with you that Neprinol would likely no be of great use in your situation.  I suppose it is possible that it could help your effort, but I do not see a logical way this might happen, but at this time I just do not see it.

Since you ask about anything else I have in mind that might help you, I believe that the use of topical PMD DMSO with vitamin E and copper peptides does make more sense than Neprinol in your case.  This is conjecture on my part, but it does seem logical to me this should be helpful.  If you agree, then you might consider adding that to what you are currently doing.

Lastly, frequency and consistency of use of the penis stretching work is essential. The more often you apply this gentle stretching work the greater your odds for success.  This is probably the most important element of what you can do to help yourself, so please put in more time applying this gentle stretching.

Please let me know how you progress.  Since this is new territory for me, I would like to know more about what you are doing and how it works out for you.  TRH

Must I accept there is no cure for Peyronie’s disease?

Hello Dr. Herazy,

I've had Peyronies since I was 14 years old. There was a blunt trauma, I was too young and shocked to address the issue and chose to ignore it.

Initially, my erections were not greatly diminished. There was a curvature of about 30 to 35% to the left and slightly downward. Erections lasted a little less long and were slightly harder to produce. Urine did not pass as forcefully as it had before.

Now I am 31, erections are much harder to produce, are never full and have significantly less duration. At times there is a slight pain in the penis after ejaculation and urine passes much slower than it use to. I would place the curvature at 40 to 45% and in a more flaccid state. It is very depressing for me because I have only experienced sex with this condition and as it worsens I avoid it and relationships. Surgery sounds horrible and signing up to a treatment plan has me concerned about developing conditions or side effects from the treatments, as I have a lot of life to live.

Is there any hope? Must I accept that there is no cure and what ever options are available will involve sacrifice or long treatment plans?

Suffering Guy

 

Greetings Suffering Guy,

Apparently you have not spent much time reading the vast amount of information about natural Peyronie's disease treatment available on the PDI website.  

When I developed PD in 2002 I began my treatment with the premise that there is a cure for Peyronie's disease – various authorities will report that from half to 20% of men who develop this problem will undergo a spontaneous remission in which it just goes away on its own.  In other words, the body corrects the problem of the internal plaque or scar tissue in the tunica albuginea, and the scar and the curvature just go away.  that sounds like a cure to me. 

When you read on the medical websites that "there is no cure for Peyronie's disease," what they really mean is that there is no prescription drug available from a pharmaceutical company that has FDA approval to eliminate the plaque in the internal tunica tissue.  While it might be true that "there is no cure for the common cold," does that mean that everyone who has a cold will continue to keep the problem and will eventually die from it?  No.  With rare exception (the very young, the very old, and those who are very weak with severe illness), anyone who develops a cold will cure it usually in a little less than a week.  That is what the body is designed to do to cure itself.  

Certainly, there are some conditions (cancer, multiple sclerosis, Alzheimer's disease, etc.) that are more difficult and more rare to overcome, but for the most part there are a large number of health problems that the body is fully capable of self-repairing.   Where exactly is it written that every case of Peyronie's disease is permanent and beyond the ability of the body to eliminate? I have never read that anywhere, and as I mentioned earlier every authority states that a fair number OF PD cases reverse themselves for complete elimination.   If that is true then the question should be asked, "Why hasn't your body eliminated your PD?"  

For the last 10 years I have spent every day with that question on my mind.  I have developed some ideas and strategies I have seen over and over again that will increase a man's ability to get rid of his own Peyronie's disease.  You can read about a few of these Testimonials of Peyronie's Disease Institute. 

There is not much I can do to reduce whatever level of sacrifice or time is required for your body to reduce your Peyronie's plaque to the best of your ability.  I hope you think enough of yourself, and are willing to do some work, to bring about your best level of recovery.  If you have any questions about using Alternative Medicine to treat Peyronie's disease please let me know.   TRH