Doubts he has Peyronie’s disease because he does not have a curved penis

Dear Dr. Herazy,

I have done a lot of reading on your website and am really confused, as to whether I am or I am not a patient of PD.

About a fortnight back, I have felt hardening of a vein, about 1-2 inch of it, below the penis skin, near its root.  However, as on date, I have not felt any curvature of Penis, neither in normal penis, nor while erect.  However, I do feel that I have lost Libido and do feel a little pain, at the point of hardened portion.   Moreover, I do feel that I am not able to maintain Erection, once the intercourse starts and unable to continue strokes.

My Urologist have diagnosed me with Peyronie's plaque and have recommended a daily dose of Vitamine-E cap. 400 mg plus Inj. Kenacort 40 mg +Inj.  Hyalase 1 amp (IV) – weekly for 6 wks.

After going through your website, I assume there could be some side effects of IV injections and would request you to suggest some alternate medicines, to address this issue of "Peyronie's Plaque".

I am a Govt. servant of 50 yrs, 5.5 Ft. height and about 72 Kg weight.

Anil Jain

Greetings Anil,

I must ask why you are confident what you find is actually a hardened vein, and not a Peyronie's plaque since your urologist has already diagnosed you have Peyronies disease.  Many plaques are long and narrow, like a vein. You can certainly have PD and not have a penile curvature at this time; it might develop in the near or distant future; some men never develop a curved penis because the plaques they have are balanced and do not pull the penis excessively to one side or the other. Reduced libido and reduced sexual performance are common to PD. 

Penile injections sometimes cause Peyronie's disease due to injury to the delicate tunica tissue of the shaft.  Having drug injections to treat Peyronies carries a certain level of risk; many MDs who come to me when they develop their own cases of Peyronies refuse to have drug injections into the penis for this reason.  You should talk to your doctor about this. 

Taking solo treatment of synthetic vitamin E is probably not going to help you.  You must use a combination of various therapies as outlined in the PDI website if you hope to impact your ability to treat your problem successfully.  TRH 

Could blood pressure medication cause Peyronie’s disease?

My wife and I wanted to know if blood pressure pills would effect PD as well.

Thank you

 

Greetings to your wife and you,

Yes, there is a category of blood pressure and heart medication known as beta-blockers that have long been known to cause Peyronie's disease as a side effect.   Other drugs that can cause Peyronie's disease are interferon, used to treat multiple sclerosis, and Dilantin, used as  an anti-seizure drug.  

Here is a partial list of beta blockers:

  • Acebutolol (Sectral®)
  • Atenolol (Tenormin®)
  • Betaxolol (Kerlone®, Betoptic®)
  • Bisoprolol (Zebeta®)
  • Carteolol (Ocupress®)
  • Esmolol (Brevibloc®)
  • Nebivolol (Bystolic®)
  • Metoprolol (Lopressor®, Toprol-XL®)
  • Penbutolol (Levatol®)
  • Pindolol (Visken®)

If you suspect your blood pressure medication is a beta blocker you should talk to your doctor about finding a possible substitute for it.   TRH

Genesen Acutouch Therapy

Genesen Acutouch pointers – professional office equipment for at-home use

Acupuncture is one small part of a 5,000 year-old oriental healing tradition.  It is performed by inserting fine needles into the skin to stimulate or sedate specific treatment points on the surface of the body.  Two main reasons people today who would like to try acupuncture do not do it: the cost and the needles. The availability of the remarkable non-needle Genesen Acutouch professional grade acupuncture equipment has changed all that.

Genesen Acutouch pointers – Acupuncture without needles

The Genesen Acutouch instruments are sometimes called Acutouch pointers or Genesen pointers because of the way that they are used during treatment; they are simply pointed toward an area on the surface of the body. To receive the benefit of acupuncture treatment it is no longer necessary to be concerned about pain, bleeding or fear of needles.   Just point the tips of the Genesen touch pointer and let them do all the work.

The Acutouch pointers are ideal for both the professional acupuncturist and the layperson for three reasons:

  1. Acutouch Pointers are totally safe because they do not penetrate the skin and bleeding cannot occur.  The instrument uses only natural atmospheric infrared, magnetic and ionic energy.  It provides a simple, non-invasive, self-administered treatment that is totally unique in both traditional and Alternative Medicine because it uses no artificial or external power source, with no wires and no batteries to replace – it is totally mobile.
  2. This instrument produces a wide treatment area.  The tissue area that is affected by the galvanic energy field of the Acutouch pointers is huge compared to an acupuncture needle.   The treatment area of an acupuncture needle is about the width of a human hair; the treatment area of the Genesen Acutouch Pointer tip is one inch or 25 mm.  For this reason a person only needs to be roughly close to an acupuncture point for the Genesen device to be effective.  Experts and novices get similar results using it for this reason. This instrument has such a wide area of impact or effectiveness, and it tells you when you are on the correct treatment area, that you cannot make a mistake with it.
  3. Your Genesen pointers will last a lifetime because it has no moving parts, it will never wear out, and it has no external power source.  This is certainly space age technology you can hold in your hands today.  It operates on an infinite supply of natural atmospheric energy, providing the home user with a compact, portable and convenient response to more than 220 ailments, injuries and conditions.
  4. Effectiveness of point stimulation.  The Genesen Acutouch instrument is manufactured to ISO9002 standards; the product carries CE certification as a Class 1 medical device. It causes penetration of chi to pass down through the gold tips (coated in 20 microns of 24K gold for optimum hygiene, performance and response) into the body to a depth of 25mm (1 inch).

Most people do not realize there are many methods to effectively stimulate acupuncture points; pressure, heat and electricity are just a few different ways that are commonly used instead of needle stimulation.   With the recent development of the Genesen Acutouch pointers everyone can safely and easily stimulate various acupuncture points on the body, and do it with just as much accuracy as a highly skilled acupuncturist.

By following the simple instructions that come with this equipment it is now possible for a layperson with no formal training to perform a rather sophisticated acupuncture treatment without encountering any of the problems and limitations of traditional needles.  The Genesen pens (they are often called this because each one looks very much like a ballpoint pen) will indicate to the user when an active acupuncture point has been located and if it is in need of treatment. It is this aspect of the Acutouch pointers that make them so easy to use and effective even in the hands of a total novice.

Acutouch pointers for at-home use

There are several great reasons anyone who is interested in Alternative Medicine would use Genesen Acutouch at-home therapy in place of traditional needle acupuncture.

  • Safety – no needles involved
  • Results – the three forms of naturally occurring energy focused by the Genesen pointers spread out an inch wide and penetrate an inch deep into the tissue to stimulate every acupuncture point for treatment
  • Cost – with professional acupuncture office visits costing anywhere from $75 to $200 each, the Genesen instruments will pay for themselves after just a few uses.
  • Convenience – treat yourself or family members in the privacy and comfort of your home at any time of the day or night, as often as you like
  • Ease – simply look at the pictures in the 160 page instruction book and place the pointers on those same areas of the body. The Genesen Acutouch pointers will tell you if you are on the correct or not; if not, simply move to another spot until the pointers indicate you have located the correct area for treatment.

The Genesen Acutouch instrument was invented by a South Korean engineer, Chi Kyung Kim, in 1999.  It carries several international patents and earned him awards from the governments of several countries.  The Acutouch pointers use a combination of 1200-G focused magnets; a pinpoint far infrared beam (between 6 and 14 micrometers) that is focused down the length of a hexagonal barrel of the device; and a negative ion emitter in a ceramic powder chamber.  These three energy sources are tuned to precisely merge at a gold plated point of the Acutouch device. The gold pointers of the device direct this composite of natural energy into the body, stimulating the body’s inherent ability to regulate and heal itself.

Acupuncture is not one thing. There are many styles of acupuncture and many ways of stimulating acupuncture points. Some of the best acupuncture treatments are those provided using innovation and the ability to respond to the needs of the individual.  The Genesen pointers allow you to do just that kind of self-care treatment.  You can hold in your hands a truly revolutionary treatment device like the Genesen Acutouch pointers even as a layperson and deliver to those you love an effective acupuncture treatment, without the costs, problems and limitations of traditional needles.

Are all lumps involved with Peyronie’s disease painful?

Hello doctor, I am 18 and was wondering a couple things. First, are all lumps involved with Peyronie’s disease painful?  Does PD always result in permanent length loss? If so how much usually and or how long til it stops. And more importantly, I think I may have PD and was wondering if kegeling could cause further damage as it helped my erections. I stopped a couple months ago tho. Also more importantly, I have been taking fish oil for about 6 months now and vitamin e for a week. Since I started taking vitamin e my erections have gotten much harder and I was wondering if that could make my PD worse like Viagra would. Finally, my lump is more noticeable at certain states of the penis than others, and moves with the skin kinda looks like a new vein? It is not hard. Please answer all of the questions I’m nervous :((

Greetings,

Please first get a definite diagnosis of your problem.  You seem to be over analyzing what is happening to you and in your effort to understand your problem without good knowledge or background I am concerned that you are perhaps creating problems that do not exist.  Please go see a local urologist.  TRH

Best Peyronie’s disease treatment, Neprinol 300 or Neprinol AFD?

Neprinol reduces inflammation and tissue damage

Neprinol is a completely vegetarian blend of several different enzymes that have tested to have over six time’s stronger activity to break down fibrin than the leading animal based enzyme blend product.  The enzymes in Neprinol have been shown to be clinically effective in supporting C-reactive protein (CRP) levels when taken as directed.  In this way Neprinol promotes normal levels of anti-inflammatory markers in the blood stream that are part of the physiologic response of the body while  dealing with acute (sprain, strain, overwork) and chronic (arthritis, most soft tissue disease, stroke, blood vessel disease) injury.  As a result Neprinol enzymes will assist the body in its effort to eliminate from the blood stream damaged red and white blood cells, fibrin, any protein material that is part of the inflammation process, as well as other cellular debris and foreign protein that can accumulate in the blood.

Neprinol AFD important in treatment of Peyronie’s disease because it affects fibrin

Fibrin deposition in Peyronie’s disease plaque

Immediately after injury occurs in the body, a protein called fibrin is deposited at the site of injury to act as a meshwork to trap and collect important blood cells and helpful components that create a clot that stops bleeding and promotes healing and repair of the recent injury.  This is normal.  After a period of time this mass of fibrin with it cellular collection changes so that the fibrin is removed and another protein called collagen fills in the spaces and changes the area of repair so that it resembles a fresh scar.  This is normal.  However, in Peyronie’s disease two abnormal things occur, for reasons that are not understood:  the fibrin does not leave the clot, and an excessive amount of collagen forms in the young scar so that it takes on a different name, a Peyronie’s plaque.  The way this fibrin and collagen collect and remain at the site of injury is consistent with repetitive injury to the small blood vessels of the penis.

The benefit of Neprinol AFD to Peyronies treatment is that it can break down and assist the removal of the fibrin that remains in the Peyronie’s plaque or scar.

Neprinol 300 most popular systemic enzyme sold by PDI

The ability to break down fibrin with enzymes, and to do it as economically as possible because it is a larger size bottle, is the reason some people call it Neprinol 300.  The high potency of two key enzyme ingredients, nattokinase and serrapeptase, address the concern about aggressively placing a systemic enzyme product as the foundation of treatment. Start by taking only four Neprinol 300 capsules daily, then slowly increase dosage while monitoring the size, shape, density and surface features of each Peyronie’s scar.  This is a great way to use this Alternative Medicine therapy for treatment of Peyronie’s disease. Neprinol 300 is recommended for both clinical use and therapeutic applications.

No difference between Neprinol 300 and Neprinol AFD

Whether you choose to call it Neprinol 300 or Neprinol AFD, these two terms are simply different names for the same potent enzyme therapy supplement that most people simply call Neprinol.

Neprinol continues to be by far the commonly used Peyronie’s disease therapy product.  Many times I have seen men who are following a particular plan that does not include Neprinol, and they experience slow or totally stalled results.  After adding Neprinol to that same plan it is common to learn that their recovery greatly improved from that point forward.

The name Neprinol 300 refers to the fact that Neprinol is bottled in either a 300 or 90 count bottle, for your benefit.  With the larger Neprinol 300 size bottle it is possible to take advantage of the reduced price of a greater supply and to purchase it fewer times; this is especially helpful for those who use Neprinol for chronic health problems that require prolonged treatment.  With the smaller Neprinol 90 count bottle it is possible to keep a smaller amount on hand for relief from occasional and mild overwork injuries or to simply get acquainted with the Neprinol product by taking a small amount of it.  By far, Neprinol 300 is a much more popular product.

The name Neprinol AFD refers to the primary purpose of Neprinol, as an Advanced Fibrin Defense therapy product.  Neprinol AFD is a name that tells the story that reduction and elimination of fibrin from the blood stream and tissue is what this product is all about.

Neprinol is safe

In over 10 years of use through the Peyronie’s Disease Institute there has been no report of any serious complication or adverse side effect associated with taking any systemic enzyme product like Neprinol, when it is taken in the way that we suggest.  Worldwide experience during this time has revealed, as well as clinical studies have demonstrated, that taking extremely large doses of this product does not result in a toxicity reaction.  Anyone taking a prescription for blood-thinning medication should consult with his treating physician prior to taking Neprinol.

Neprinol for Peyronie’s treatment

As good as Neprinol is when used to reduce Peyronie’s plaque material, it is almost always necessary to use several other in addition to the Neprinol to support and sustain the desired tissue changes.  Neprinol is best taken as part of an already good therapy plan, often used as a substitute for low dose nattokinase and serrapeptase supplements, although some men use all three products with very good results.

Neprinol AFD contains primarily serrapeptase, nattokinase, bromelain, and co-enzyme Q, plus a few other lesser ingredients. Other products also contain serrapeptase and nattokinase, individually, but few put these two in combination and none in the concentration of Neprinol AFD.  It is a more potent form of nattokinase and serrapeptase than if you would buy each in individual bottles, and the Neprinol 300 bottle itself is three times larger than most others that contain 100, to say nothing of smaller bottles with 60 or even 30 capsules.

However, in regard the idea of successful PD treatment is to not focus on any one particular therapy, even if it is a great one like Neprinol because the goal is to attempt to create a synergistic effect with several therapies taken at once for maximum therapeutic effect.  For this reason the Peyronie’s Disease Institute has always maintained that even if someone believes Neprinol (or any other) is a key PD treatment it should not be taken alone but combined for greatest therapeutic benefit.

No one knows how any one will respond to any or all of the 13 Alternative Medicine therapies found on the PDI website.  Some men report some positive results with just one therapy, but more men report better results when they take multiple therapies.  That is what the whole therapy concept of synergy is all about:  the more you do, the larger your plan, the greater the likelihood of promoting a favorable metabolic change to support and encourage scar reduction.  The PDI idea is not to “treat the scar” as a medical doctor would do, but to “treat the man who has the scar” so that his body can heal what is wrong with it.  This is a major concept shift for most medically indoctrinated people.  For this reason, as good a single therapy as Neprinol is, it is not recommended that anyone who is interested in earning good results in treatment of his PD scar should use just Neprinol – or just any one product – but several to create synergy.

Peyronies disease is a tough and terrible thing to happen to a man.  It takes dedication and persistence to overcome it.  Call it Neprinol 300 or Neprinol AFD, but definitely use it in a well diversified plan to break down the fibrin network of your Peyronie’s plaque material.  Success over this problem is never an easy victory, but always worthwhile.

 

What are your thoughts on Pentoxyfilline for Peyronie’s disease treatment?

Hello Doctor,

I’ve been dealing with this crazy Peyronie’s condition for about 18 months. In that time, I’ve visited 4 different urologists. The first was when I first experienced mild pain in the left tip of my penis. The doctor diagnosed it as prostatitis and send me on my way with some antibiotics. A second urologist several months later diagnosed me with superficial vein thrombosis. Finally, several months after that, I was diagnosed by a third urologist with peyronie’s which seemed to appear as long bands of inflammation from the base of the penis to the tip on both sides. I was told surgery was the only option, and was sent on my way.

Not satisfied with the suggested treatment plan of surgery, I decided to surf the web and do my own research. I found a site that promoted Neprinol as the only known cure. So I bought into it. I think I tried 2 full months (9 pills a day). The only result was a substantial hit on my wallet. So I went back to the web and found another site (PeyroniesForum.net) where members talk about various treatment options. The consensus on the site was that Neprinol was in fact a huge scam, and I stopped using them. Members also praised the use of Pentoxyfiline as being an outstanding product for softening scar tissue and alleviating curved penis. So I went back to a fourth urologist and asked for a prescription, but was denied. Instead, i was recommended to try the Andropenis traction device.

I’ve been on the device for 5 full weeks now, but I think I’ve decided to stop. Your website recommends against it, as well as another site. My urologist described it as working in a manner opposite of what a Nesbit procedure would be. For instance, rather than shorten the penis on the site opposite the scar tissue, traction would elongate the scar tissue to correct curvature that way instead. Made sense to me at the time. But now it sounds as if traction does not work because it’s not really stretching the scar tissue, rather only healthy tissue.

So if I stop with traction, I’ll be happy to not deal with that contraption any longer. It reminded me of having my penis in a mousetrap for 9 hours a day. Not to mention I always worried about whether people could see it jutting out through my trousers at work, and despised having to take it off every two hours to relax. That’s not always easy in the middle of a busy work day.

In any case, I came across your web site again. I’ve decided I’m going to give your “Medium” package a try, so I placed an order. I admit I’m very reluctant because you seem to be a heavy proponent of Neprinol, and I’ve heard people state emphatically that the product is a scam. I also ordered your Handbook. It’s expensive, but maybe there’s something in it that I can learn.

I do have a few questions if you wouldn’t mind responding. Today, I have two “knots’ in my penis. One that feels about the size of a dime on the right size near the base of my penis. Another is about the same size, also on the right size, but towards the tip. But my penis bends to the left when flaccid (sometimes 10-20 degrees, sometimes 45 degrees like after masturbation), and I can’t figure that out. That’s seems counter to everything I’ve heard before, that the bend is on the same side as the plaque.  So if you have any insight as to why my bend is to the left when my plaque is on the right, I’d be very interested. Regardless, that leads to my first question, how will I know where to apply the topical treatments? Would I apply to the right side where the “knots” or “bumps” are located, or should I be looking somewhere on the left side for plaque? Or should I just apply the treatment to the entire penis shaft? Maybe directions come with the kit, but any advice you can share would be greatly appreciated.

Second, can you share your thoughts on Pentoxyfilline and it’s effectiveness for Peyronie’s. Not sure if I’m spelling that correctly.

Finally, who can I find a coupon code? I noticed when I placed the order for one medium package and one book, that there was a place to enter a coupon code. I did some web surfing to find a code, but was unable. If you can share a code, or apply a n appropriate discount to my order, I’d greatly appreciate that.

Hope you’re doing well. Looking forward to your thoughts.

Mike

Greetings Mike,

Thank you for your informative letter and specific questions.  I will reply with comments and answers in the order of your email.

There is no direct known cure for Peyronie’s disease.  Neprinol is not a cure, but is is not a scam.  In my opinion, after working with many hundreds of men from around the world who are undergoing Alternative Medicine treatment of Peyronie’s disease, I know Neprinol is an excellent enzyme product.   It cannot be counted on as a solo therapy for Peyronie’s disease since none of the products found on the PDI website are by themselves able to change the PD scar or plaque material.  None of the therapies found on the PDI website are good solo therapies – they all must be used as part of a larger plan to support the natural healing process that is the only known form of cure for Peyronie’s disease.   When Neprinol is combined properly and taken aggressively the results can be dramatic.  I do not know how any of the experts on the various Peyronies forums actually used Neprinol when they took it, but many times when I communicate with men about their failure with  Neprinol I learn that they “tried it for a few weeks and it did not work,” or “I took two pills a day and it did not work,” or some similar manner of use that is doomed from the start.   In order to get results from Neprinol it must be used correctly.  If you bought your Neprinol from PDI we warned you not to use it that way; if you bought it from someone who does not know anything about PD you did not get that kind of help so you would know better.  Peyronie’s disease is a tough and tenacious problem to treat.  I am not surprised at your lack of results after using Neprinol as a solo therapy.

Here is a simple example that just occurred to me about Neprinol and PD:   Beans are a great food.  I like beans.  But by itself beans make a lousy chili – it is just beans.  For a good chili you have to add meat, garlic, onions, tomatoes, lots of different spices and a few other items.  It is only by combining the beans with all the other ingredients that you create chili.  None of the ingredients by itself is chili.  It is in using the correct technique (there are rules for bringing the ingredients together, you cannot just throw everything into a pot) when you bring all these things together to develop the magic that becomes a great bowl of chili.  Same with combining Neprinol with the other things your body needs to help it overcome and correct your curved penis and Peyronie’s disease.  

Pentoxifylline is popular with some urologists and not so much with others.  I think that those who actually prescribe pentoxifylline do so because they are tired of dealing with the other drugs that do not work and only use this one because they do not know what else to use.   Perhaps I am being overly skeptical and blunt in my assessment.   Some time back I wrote two articles that might be helpful on this subject, Pentoxifylline, Niacin and Peyronie’s Disease and Pentoxifylline and Peyronie’s Disease Treatment

Every month I hear more horror stories about the mechanical penis stretcher devices.    You did not indicate what problems you were having that you wanted not to deal with it any longer, but it usually has to do with pain as well as skin abrasions and blisters, and the fact that it does not work for the large majority of men.

The two plaque or internal scars you have located do not explain your deviation to the left.  My experience is that Peyronie’s plaque are usually multiple.  I suspect that the two you have found on the right are not the only ones that you have.  I suspect you also have one or more plaque on the left that are far more aggressive and instrumental in distorting your penis that those you have found on the right.   Let me know if you need help locating the other scars and I will assist you.   If you can not locate those scars on the left that are causing your distortion pattern I suggest that you apply the therapy at the deepest or lowest point of your concavity on the left. You could apply the DMSO, Super CP Serum and Unique-E vitamin E oil to the entire shaft if you wanted to, but it is unnecessary and wasteful; be as specific as possible.   I trust that the detailed DMSO instructions you received with your order cleared up this point for you. 

When you received your order you were given information about the use of a discount code for subsequent orders.

Let me know if  I can help you in any way.  TRH 

 

Does glucosamine and chondroitin aggravate or cause Dupuytren’s contracture?

I read that glucosamine and chondroitin makes Dupuytren's contracture worse.  Is that true?  I have it in my hands, as does my mother and we both stopped taking glucosamine and chondroitin because of what I read.  Should we go back on it?

Valerie Kurokawa

Greetings Valarie,

The question about the association between glucosamine and chondroitin sulfate and Dupuytren's contracture occasionally arises.  I can tell you that i have not found any clear and compelling research into this area on which to base an opinion, so the best I can do is fall back on what makes sense and what I have read over the years about the experience of others with Dupuytren contracture when taking  glucosamine and chondroitin sulfate.

I have read on various Dupuytren's forums that people who have DC report that when taking glucosamine and chondroitin sulfate for osteoarthritis that their hand lumps and cords become thicker and their hand mobility is worse.  Further, they also report after stopping the glucosamine and chondroitin sulfate supplements that their hands improve.   Of course all of this is greatly anecdotal, but most of the good things we do to help Dupuytren contracture are anecdotal in nature because we lack the kind of research we would like to have and rely on common sense and observations of cause and effect.

 While I do not have a solid answer to give you, I suggest it would be prudent for you and your mom to find a better way to help your arthritis problem  that using  glucosamine and chondroitin sulfate.  TRH

What are your thoughts about Peyronie’s disease after second prostate biopsy?

I never had a problem with my penis til the last year. I am 63 yo, WM who has had two prostate biopsies over the last 6 yrs…each biopsy came back negative. After this second biopsy I notice my cock bends towards my tummy when erect and that it has lost about 3/4 of a inch…this is substantiated by my wife. Also, I have trouble obtaining and maintaining a erection even with the use of ED drugs.  Please help with your thoughts.

Thank you,

Peter Martin

Greetings Peter,

Your upward distortion and lost of penile length suggest the possibility of Peyronie's disease.  I suggest you have yourself examined to see if that is true or not.  I also suggest you go to a urologist different than the one who did the biopsies to assure a more non-biased and straightforward discussion.

Many men with Peyronie's disease develop it as a result of repeated catheterization associated with prostate surgery and biopsy.  Please refer to "Possible Peyronie's Cause:  Catheter and Cystoscopic Trauma."   Much abuse to the shaft and urethra can and does take place during these procedures and this could lead to Peyronies disease developing; since this traumatic effects tend to accumulate, all the more so.  

Further, repeated use of ED drugs (PDE5 inhibitors like Viagra, Cialis and Levitra) can also lead to a curved penis.  For more information you should read "Peyronies and Viagra" and "Peyronie's Disease Plaque, Viagra, Cialis, Levitra and Blood Supply."

There are some good things that Alternative Medicine can offer you in the way of Peyronie's treatment.  Please read the PDI website for information on a way out of using more drugs and procedures that can make your problem worse than it is now.   TRH  

Information about using DMSO for Peyronie’s treatment

Does wiping off the DMSO and other topicals after the first five minutes reduce the effectiveness of the treatment?

Greetings,

When you received your order of DMSO you were given detailed instructions about application and cleaning up afterward.  The instructions told you that after the first 5-7 minutes all DMSO would be absorbed into the tissue along with the other topical therapy you are using to treat Peyronie's disease.  After this time you can safely wipe it off since all DMSO is gone.  Any oily film that remains is simply the gel that is used as a carrier for the DMSO solution.  TRH

Can this problem with my penis be cured?

Hello Doctor,
I am 14 years of age and my name is Mo.
I've always thought my penis is normal until further investigation,
that shaft going down my penis has always worried me, and the curve started getting me researching,
so after finding out I probably have it since my penis arches and I have a shaft, I started thinking why,
it shouldn't occur in people my age. Well my sister kicked my penis when I was younger and I went to
the hospital after it went really black, they stitched back up my penis and since that day there's been a shaft,
cant really remember how long that was, but definitely years, then as I was growing up my penis starts curving,
I really need help. I'm EXTREMELY scared of what this can do to me, and I just want to be normal.
Also can this be cured? Can I over-come this and have my penis normal shaped?

Thank You,
Mo.

Greetings Mo,

The way you use the word "shaft" confuses me.  You use it as though it was an abnormal structure.  Most people use the word to indicate the primary long cylindrical mass of the body of the penis minus the head or glans portion.   For this reason of uncertainty I cannot respond to this portion of your concern.

You are asking important questions without providing enough information that would allow me to offer suggestions to you.  Do you have Peyronie's disease as a result of the injury you received? 

If you are that concerned about your current condition I strongly suggest that you speak to your parents or an adult family member you trust to explain that you have a medical problem for which you want help.  When you are asked you can explain that your problem is of a personal nature and you would only feel comfortable discussing it with a doctor.     TRH  

Can I take these other vitamins with my Peyronies treatment plan?

My husband has just started the medium plan and is working on the diet modifications. I am joining him on taking the Vitamins A and C for the health benefits. We want to know if you know of any adverse interactions that are likely to happen with our current additional use of Magnesium Citrate, Krill Oil, CoQ10, and Niacin along with the products in the medium Peyronies treatment plan.

We have been pouring over the Peyronies Disease Handbook and really appreciate all the detail there.

 

Greetings,

As long as you take the PDI directed plan as suggested there should be no adverse reaction wit the various nutrients that you list here. 

Thank you for the kind comments about "Peyronies Disease Handbook."    People always find the book extremely helpful and are surprised at the depth of information, especially after being told by most people that there is little that can be done to help this condition.   TRH

Used PDI treatment to cure his Peyronies disease, now wants to do the same for a topical scar.

Hi,
I was a customer a few years ago and cured mostly my Peyronies scar through your plans. My penis is mostly back to its normal form now and painless, and that is good. My question today is concerning a topical scar, not a scar on my penis. I have a long rubbery keloid scar on my forearm which keeps slowly snaking it's way down my arm year by year. And before trying to have it frozen off I'd like to try your enzymes and CP Serum and such.

I would like to know which enzymes of yours to try first? The Quercetin/Bromelain combo or just the new 5000 Bromelain? And the Copper solution with DMSO? Also, have you heard any research on Lugol's solution and iodine concerning topical scars?

Thank you for your time.

 

Greetings, 

Glad to hear your feedback on your successful results following the PDI concepts of Peyronie's treatment.  You really should write back to this same Q/A section and provide some insight and experience you gained while successfully treating your Peyronie's disease.

I have had many men tell me over the years that they have used a very similar scar treatment plan that follows their PD plan.  I do not have much feedback from these men about scar treatment but that idea makes sense to me.  Let me know what happens for you.  TRH

Can I follow a natural Peyronies treatment plan while being on several different medications?

Dear Dr. Herazy,
I have been diagnosed with Peyronie's disease, but I also have some other health issues that I am being treated for. I want to know if any of the substances used in your PD treatment will interact negatively with my current prescription medications. I am taking 1 Levothriod tab 88mcg on an empty stomach, for my thyroid; 1 Sulfamethoxazole/Trimethopr at bedtime ( I have an Atonic bladder and must self catheterize every time I urinate); I also take 1 Acyclovir tab 400mg twice daily for herpes prevention. I think my herpes outbreaks contributed to the development of my PD. I want to start treating my PD because, as per your website, my Urologist tried me on Verapomil ointment, but it irritated my skin, and he has't been fortcoming with any other treatment ( wait and see). I also have BHP, and he is watching my PSA levels, (I have had three biopsys, all negative. Thank you for any information on my question.

Sincerely,
Lou

Greetings Lou,

Sorry to hear of your current situation.

The best answer I can give you is in two parts. First, no one in over ten years of this work has reported a drug interaction occurrence as a result of taking any natural Peyronies treatment product.  These are all naturally occurring substances, for the most part nutritional in nature.  There would be little reason to think that any medication would have an adverse reaction with a nutritional product.  Second, I suggest you present the list of therapies that you decide to take as an Alternative Medicine treatment for Peyronie's disease to the medical doctor who prescribed these drugs to you.   He can offer his opinion about the appropriateness of combining these two different forms of treatment.    

Is this Peyronies disease?

I have 0 pain, 0 curve in erection and no hourglass look in erection.

However I am 18, and have had ed for 4 years. For as long as I can remember, on the occasion, My flaccid penis has a bit of the hourglass look. Also when it is night time, and I am extremely relaxed, and my flaccid becomes bigger, and almost a semi erect, it occasionally curves to the right which i just started noticing about 6 months ago. Also, after I urinate, occasionally I see my penis begin to curve right.

Again no pain, no bumps, no hourglass or curve in erection

I only see hourglass/curve in flaccid/semi erect.  Is this Peyronies disease?  If so will it get worse?  Can I send pictures to you?

 

Greetings,

Pictures would be of little help to reach a conclusion.

No one can say with any level of certainty based on the information you have provided whether your condition is Peyronie's disease or not.  These things are not diagnosed so casually or easily.   To know for sure what is happening, you must see a urologist and be examined for a formal diagnosis.

Having said that, it is my absolute guess that you do not have Peyronies disease for the following reasons you cite:
1.  Lifelong penile distortion, not recent onset
2.  Distortion when semi-erect or flaccid, not erect
3.  Occasional distortion, not constant or very frequent
4.  No mention of trauma
5.  No mention of familial PD or DC problem
6.  No penile curvature
7.  No pain

8.  No mass or lump, apparently; these can be missed even with PD, but in many cases the scar or plaque is easily found.

Please go to a good urologist and get to the bottom of your problem.   TRH

What is the difference bewteen the two vitamin E products you use for Peyronie’s disease treatment?

Hello,

I was wondering about these two products:  Vitamin E Factor 400/400 and the other is  Maxi-Gamma E.

I am probably not understanding this correctly which is why I am emailing, but they seem to both be vitamin e.   Is that correct?   If so why take both? I would be taking too much vitamin e if I take both.   If I am not correct could you explain the difference.

Thank you
Carl

 

Greetings Carl,

Yes both are vitamin E products.   But, vitamin E is not one thing; vitamin E is actually a family of eight different but related fat-soluble compounds that exist in diverse forms, all widely found in the plant kingdom. There are two basic groups of vitamin E, the tocopherol family and the tocotrienol family; each of these two forms has four subdivisions called alpha, beta, delta and gamma, for a total of eight variations or forms of vitamin E.    Different forms of vitamin E are found in different parts of a plant; the green parts of a plant contain mostly alpha tocopherol and the seed germ and bran contain mostly tocotrienols.

The product Vitamin E Factor 400/400 is very unique in the world of nutrition because it contains a large amount of all eight members of the entire vitamin E family for broad based support of this important vitamin group. 

The product Maxi-Gamma E is also unique because it primarily contains gamma tocopherol, the one member of the vitamin E family that is most responsible for soft tissue healing hence its importance to Peyronie's disease treatment.   

PDI makes both of these products available – and most men who follow a successful PDI Peyronies treatment plan will use both products  typically taking one of these in the AM and the other in the PM.

Why do you think that taking both would be too much?   Overdosing with vitamin E occurs at a relatively low dose only when synthetic vitamin E is taken.  PDI only supplies natural forms of vitamin E that are organic.  Please see this article   Peyronie's Disease Treatment and Vitamin E for a discussion about the silly vitamin E scare that is going around simply because people do not understand the story behind vitamin E.  You will understand the background of how poor research and bias maligns even a naturally occurring vitamin that is essential for health.

Unfortunately most vitamin E supplements contain only alpha-tocopherol. This information should make it all the more obvious why a Peyronies disease victim needs to carefully choose supplements that contain the complete vitamin E family of tocopherols plus tocotrienols and any that are  especially rich in gamma-tocopherol. Like all families, each member has certain strengths and abilities, requiring a variety of workers to support the necessary tissue changes needed to improve the health and resistance of tissue damaged in PD. Here is a list of the eight forms of vitamin E:

Tocopherol group

Alpha-tocopherol
Beta-tocopherol
Gamma-tocopherol
Delta-tocopherol

Tocotrienol group

Alpha-tocotrienol
Beta-tocotrienol
Gamma-tocotrienol
Delta-tocotrienol

Each of the two forms has its own area of use or activity in the body. The tocopherol forms function as strong antioxidants, with the alpha form being the most active of the four subdivisions. Vitamin E, like all antioxidants, protect at the cellular level against the effects of potentially damaging by-products of metabolism, called free radicals. A free radical is a molecule that has been involved in a chemical process in the body, and in so doing becomes unstable when it loses an electron. Free radicals can cause cell damage by attracting electrons from stable molecules in other areas in the body, thus making additional cells also unstable.

Unless they are connected to an antioxidant, highly unstable free radicals attack the polyunsaturated fatty acids of cell membranes in a chain reaction. This process of losing and gaining electrons might contribute to the development of heart disease, cancer; Alzheimer's disease, arthritis, premature aging and cataracts and even excess scar formation.

Peyronie's and vitamin E connection

The tocotrienol form of vitamin E has shown superior action in maintaining arterial health because of its ability to reduce plaque and fibrous tissue infiltration in damaged arterial walls. This same ability is suspected to result in reduction of scar and fibrous tissue buildup in other parts of the body.

Vitamin E has 75% worldwide approval as a first-line treatment of Peyronie's disease, yet its effectiveness has not been proven to scientific standards. It is the most popular of the alternative treatments used. Vitamin E is perhaps the most researched and tested of the alternative methods for treatment of PD, and yet it has not been researched or tested very much. It has been heavily researched and tested for other health conditions that have the same or similar scar and fibrous tissue formation, and it has proven its effectiveness. Use of vitamin E is based not only on the positive results it gets with Peyronie's disease, but also the positive results scored against other health conditions similar to it.

Maybe your family doctor or local urologist doesn’t recommend using vitamin E for PD, but you can now see there is a lot of science backing up this idea, and there are thousands of doctors from around the world who use it successfully. You are now aware of some of the reasons it is used as a first-line of treatment against Peyronie's disease. If you were going to use only one therapy to improve the health of your tissue and increase your chance of repairing some of the damage of PD, vitamin E should be considered as that one thing.

Using vitamin E – and therefore vitamin C – is the perhaps the most commonly recommended conservative method to assist the healing of the PD scar in traditional medical practice, as well as alternative medical practice.

I hope this information helps you understand the role of vitamin E in Peyronie's disease treatment.  TRH

How should I wash after Peyronie’s surgery?

after surgery for peyronies desease how often should you wash the penus and the best way of washing after peyronies surgery and what with?

 

Greetings,

You really should talk to the doctor who will do your Peyronie’s surgery for the specific answers to this questions.  Your surgeon will help you with this information.  

Is there a reason you believe you need to have Peyronie’s surgery?   Have you tried to help yourself so that you might not need to have penis surgery?    TRH

 

Which PDI treatment plan would be beneficial to my Peyronie’s disease?

I had been having problems with pain upon erection and lumps along the shaft of my penis for several months and then I started having a lot more pain.

I went to a urologist who initially told me he couldn't find anything abnormal but during a subsequent follow-up visit he told me that I have Peyronies Disease and that the lumps were plaque formation and there wasn't much I could do about it. He advised oral Vitamin E (which I take religiously) and waiting to see if it got better without injections or Peyronie's surgery.

I had never heard of this disease so I have been researching it. I do not have any obvious outward sign like scars or any curvature but I can feel the plaque deposits and have very painful erections.  Sometimes there is pain even without erections. I don't remember having any specific injury or trauma to my penis during sex but sex definitely makes the pain worse. I am really worried that although there is no curvature now, there will be if I follow the doctor's "wait and see" plan.

I already feel a "pulling upward" sensation with erections. I would like to know which of your treatment plans would likely be most beneficial to me. The biggest problem is the pain and the lumps that seem to produce this "tugging or pulling" feeling. My first thought is to jump in with both feet into the most aggressive treatment you have but maybe that is not the correct thing to do. I would really appreciate any guidance you can give me.

Greetings,

Thank you for your question.

You must stop doing anything that causes your Peyronie's disease to be more painful.  Pain indicates that you are again stressing the deep plaque or scar tissue of your Peyronies, and this is harmful and will delay your recovery.  This does not specifically mean stopping sexual intercourse; it only implies you must determine what you  are doing during intercourse, or how you engage in intercourse, that causes physical stress upon the penile tissue and change that aspect of your technique.   This is a huge, diverse and important subject, and for this reason I suggest you should consult a book I wrote, "Peyronie's Disease and Sex."    

Taking vitamin E by itself, or taking the wrong kind of vitamin E, no matter how religiously you take it will not help your PD.  You must use the right type of vitamin E, take it at the right time and in combination with other important therapies for it to help your problem.  Please refer to the section in the PDI website about vitamin E that covers this important subject. 

Penile distortion can occur immediately in Peyronie's disease, but it can also take months or years to develop.  Further,  I have communicated with many men whose PD distortion suddenly worsened after being static for a few years.  For this reason you must not assume your problem will always look the way it looks at this time; they usually worsen over time.    

No one can tell you ahead of time which PD plan will work best for you.   Please read "Do you simply recommend the same treatment products to all Peyronies cases?"   You will then understand that all treatment must be unique and driven by specific response of your Peyronie's plaque or scar.  Lastly, it would appear that you think that the Peyronie's scar is located on surface of the shaft; it is not.     The Peyronies plaque and scar are terms for the same fibrous material that is found deep within the penis below the skin surface; in the world of PD the scar and plaque mean the same thing.  The scar or plaque are not visible from the exterior since they are internal.

 Let me know if I can help you in any way with eliminating your PD scar with Alternative Medicine.  TRH    

Do you simply recommend the same treatment products for all Peyronies cases?

My husband, age 56, has been diagnosed by a urologist with Peyronie's disease. He has had it now for a total of about 6 months.

We live in the Chicago area.   Is there any reason for him to come see you to determine what products he should take or do you simply recommend the same products to all.

Thanks.

Greetings,

I think you have either not spent enough time reading the PDI website, or you misunderstand what you have read.

I do not recommend specific Peyronie's disease treatment to anyone, and never have.   I do not treat anyone; I do not have a doctor/patient relationship with any of the men I work with from the PDI site.  Men on the PDI website treat and manage their own PD problems, and are encouraged to directly discuss their self-directed PD treatment with their local treating doctor.   I daily suggest to a few dozen men that they should use the most diverse and broad Peyronie's treatment plan they can faithfully and aggressively follow for a few months.  This happens to be different for each man because their decisions are all different, as well as their eventual dedication and determination are also different.  As each man makes unique decisions for himself, so are their Peyronie's treatment plans completely unique.    

I do recommend that to be most effective, treatment for Peyronie's disease must be unique and specific to the man who has the condition.  In this way, I have never worked with one man who has used a Peyronie's treatment plan that was designed or used like any other man – and I have worked with well over a 1,000 men by now; all treatment is different.

 We currently have four sample PD treatment plans on the PDI website, each one nicely balanced and used by many hundreds of men.  In the description that accompanies each plan you will find that we advise each man can freely add to or subtract from these sample plans or to use them as they are.   Each man must decide for himself how he will best go about his self-directed care. 

Men do not come to me to determine what products they should take.  Men make a basic decision for which plan to start their care based usually on economics and what information they have read about the various therapies.  Regardless of how care starts, care continues and moves in the direction as dictated by how each man's scar changes or does not change in response to his treatment plan.  this change that he monitors concerns the size, shape, density and surface features of his Peyronie's plaque or scar.  In this way each individual man works directly with the response of his body to the Peyronies treatment he has started with, and in this way he not I determines independently what treatment works best for him.  I do not make any treatment decisions.   When someone asks me a question about treatment I offer in response several ideas and information based on my experience and knowledge.  But it is entirely up to each man to observe his scar response to treatment, and based on this direct information to decide how he wishes to proceed with care.  In this way each man eventually follows his own totally unique plan of care.

I recommend that a man uses the treatment products that are found on the PDI website because I have over 10 years experience working with them and I have confidence in them.   Other products you might use could be of questionable value and ability to help your husband recover.   I cannot offer ideas or information about therapy products that are unknown to me. 

Once a man has a diagnosis of Peyronie's disease there is no need for me to meet him in person.   With this form of Alternative Medicine treatment there is no need to meet face to face to discuss details or answer questions about PD treatment.  All of that can be easier and more efficiently done over the phone.   I would be pleased to speak with your husband and answer his questions about the PDI method of increasing the ability of the body to heal and repair Peyronie's disease.   TRH

Is the Peyronie’s Disease Institute for me?

Dear Dr. Herazy,

I am 65 years old and have had Peyronie's disease for about 6mos. It started out gradually when I noticed some difficulty during sex and a small pea-sized nodule on the top of penis.  It has gradually worsened where sex is impossible and erections during the night are terribly bent and painful.  I have been to a uro doc 3x and have tried various rx with little or no success.

I am an active athlete that participates in 3-4 marathons a year and train almost everyday.   The Peyronies disease problem does not interfere with these activities.

Is PDI for me?

 

Greetings,

I find that many men who appear to be in the peak of health and physical condition, like you,  still develop Peyronie's disease.   I suppose being in top physical condition does not prevent injury from happening.  Just like athletes still strain and sprain ankles and knees, they also injure the delicate tissue of the penis called the tunica albuginea that leads to PD.   Accidents happen to everyone. 

It is your decision to attempt to assist and boost your Peyronies recovery using the Alternative Medicine methods found on the Peyronie's Disease Institute website. You sound like a good candidate for our concepts, but you should only do it if you are prepared to be faithful and follow the concepts well.  Half-hearted efforts usually result in little change.  If you take that same mindset that enables you run a few marathons annually in your 7th decade, then you should do well.    TRH

Will reduction of masturbation help Peyronie’s disease?

Hello Dr. Herazy,

I am 32 and very recently developed Peyronie's disease.  I noticed the pain in early November. The pain then resolved itself by late December, around the same time two plaques appeared and a curvature of 5-10 degrees. At the time I developed it, I was under more stress than I can remember experiencing. I'm seeing a urologist next week. So that is my status but I was wondering if I currently masturbate daily do you think that reducing my masturbation by 50-75% would help. Also, in situations such as mine (young, early development, changed lifestyle (much stress now – except for the Peyronies concern)) and with the proper treatment plan the chances of recovery are high? Very very much appreciated….  J

Greetings J,

I have to smile.  Here you think that masturbation might be aggravating your Peyronie's disease, yet your solution is not to stop masturbating but only to reduce it by 50-75%.   I hope women appreciate this kind of thinking we men have when it comes to sex.

Masturbation, per se, did not cause and cannot aggravate your Peyronie's disease.   But it could have been the injury and repeated tissue strain that you sustained during masturbation that could have caused or aggravated your Peyronie's disease.   Do you get the point?   Gentle and easy masturbation that does not injure the tunica albuginea of the penis will not cause Peyronie's disease.   But the aggressive and sometimes violent masturbation practices and techniques that some men use can injure this deep tissue, causing or aggravating Peyronies disease.  It all depends on how you do it. 

The cause of Peyronie's disease is complex and not fully understood.   In my opinion your best chance for recovery is found in doing all those things that enable the body to heal as it does in 50% of men who develop PD.  This is what you will find explained in great detail on the PDI website. 

The earlier treatment starts and the more correctly, faithfully and aggressively the treatment is employed, will tend to favor tissue response and eventual recovery.  TRH

What kind of Peyronie’s treatment can I try?

dear dr herazy,
what can i do to be free of this horrible thing.I have had peyronies for about one year now its completely
ruined my life. can it be cured,how long does it take to go.what can i try.please help…..jim

Greetings Jim,

Your questions are so broad and basic that you make this reply difficult to help you.

You need to spend some time reading the PDI website to learn more what you can do to help yourself. There is not such thing as a Peyronie’s “cure,” although what we do on this website is help men heal their own Peyronies problem to the best extent possible.  

Many men each week report progress to me over their Peyronie’s disease.   Improvement is always work and it is never as fast as anyone would like it to be, but it can be done.  A good place to start is with this link  Start Peyronie’s treatment.  Please ask me what ever specific questions about Peyronies treatment you would like.  I just cannot answer a question so broad and basic as “What can I try?” because it would take hours to answer you.  You must do some digging and investigation on your own, my friend.

Good luck to you.   TRH  

Could Scar-X work for my Peyronie’s disease?

Wow, I developed Peyronie disease due to a bend during intercourse. When it happened it felt like blood was filling up the bottom side of my penis. It was 2009 when this happened, its now 2012. I was embarrassed to tell anyone. I believe scar tissue has taken over the bottom side of my penis. It actually feels like a tube running all the way down to my testicles. With me doing research, it seems like a severe case.   Could Scar-X work for my condition?

 

Greetings, 

Sudden and forceful bending of the penis during intercourse is a very common mechanism to injury that leads to Peyronie's disease and a curved penis. 

The distribution of scar development you describe is not uncommon; I have many men on the PDI program that describe their scars in a similar pattern and extent.

No where on the PDI website will you find that we suggest anyone treats a problem as stubborn and complicated as Peyronies disease with just one therapy.  Alternative Medicine treatment to be most successful should be broad- based and aggressive.  Using any one therapy, like Scar-X alone, probably would not do much good for you.   Scar-X is a very effective homeopathic formula that is used in Peyronie's disease treatment to develop a synergistic response in the body to increase the ability to heal and eliminate the PD scar.  I suggest you spend a bit of time reading more information on the PDI website to learn how to put these ideas into action.  TRH