Will sexual activity aggravate my Peyronie’s disease?

hi doctor,

you said that pd scar heal it self in (12 -18) months, but i think that is possible if one prevents any sexual activities . I am saying that because i already have pd and i almost ordered the treatment from your site knowing that i don't have sexual activities and never had ,but a few days ago i notice that my pd scar has  increased after my penis became erect while i am sleeping .Now i am scared that this scar will increase more and more and the treating process will be harder, so help me.

forgive me for my tedious question.

abduallah, 20 years

 

Greetings Abdullah,

I am not sure I exactly understand what it is that you are trying to say.  

As a general statement I can tell you that simply having, or not having, sexual relations will not help or hurt your recovery from Peyronie's disease or worsen your condition.  The primary issue about sexual activity in regard to Peyronie's disease is any potential for abuse and injury that might occur during sexual activity. Further, what I mentioned about sexual activity when done gently, safely and while using reasonable judgement and restraint, will not necessarily aggravate Peyronie's disease, the same can be said about developing an erection.  Erections do not cause and cannot aggravate the problem, except if there are extenuating circumstances associated with the erection. An example of this situation would be if there is not enough room for the erection to extend outward and so it becomes painfully restricted, and forced to remain bent even though it is erect.

For further information please see "Peyronie's disease and sex safety concerns."

If this explanation does not help you, please let me know.  TRH 




How is the Genesen Acutouch pointer used for the treatment of Peyronie’s disease?

Is the Genesen Acutouch pointer applied directly to the the Peyronies scar?  How is it used for the treatment of Peyronies disease?

 

Greetings,

The Genesen Acutouch pointer pens are applied directly to the skin the over, around and near the Peyronies scar.  They cannot be applied directly to the PD scar because the scar is an internal structure that cannot be reached from the outside surface.  

Each Genesen Acutouch pen set comes with a 260 page manual that explains how it can be used to deliver a very sophisticated level of acupuncture treatment to over 100 common health problems. In addition, as a Diplomate acupuncturist who taught acupuncture principles and technique for many years on the post-graduate level, I have written a seven page set of notes that explains how to use this wonderful instrument to improve treatment results for Peyronie's disease.

I will not discuss how to use the device as a Peyronie's treatment least you get the idea that it should be used by itself to assist recovery from PD.  There is no therapy that I am aware of that is powerful enough or so complete that it can be used by itself to correct this problem. All therapies on the PDI are intended to be used in various combinations to treat Peyronie's disease.  As great as the Genesen instruments are, they should only be used in combination with other therapies you see on this website to support your recovery from PD.  TRH

Is a penis extender the wrong thing to use for Peyronies?

Hi Dr.

I got Peyronie's disease about 5 years ago through intercourse with my wife. I saw an urologist who prescribed a 3 month dose of pills which failed to do anything so we tried it again. I was then told I could have surgery which made me go into denial. The curve has got worse over the last 2 years and I’m worried about having sex so it's become non existent between the two of us. I am now desperate and have been looking at the penis extender for Peyronies – is this a possible method along with your treatments, or is this the wrong move. I'd like to get started in the right direction.

Thanks R


Greetings R,

You need to do a little bit of reading.  There are many articles and posts I have written about using a mechanical penis stretcher, commonly called a penis extender.  Here are a few links for you to read: Penis stretcher:  Big problem as Peyronies treatment and Penis extender claims and Peyronie's disease and Peyronies treatment and the penis stretcher.

Peyronie's surgery is always something that is proposed when other medical treatment eventually fails.  I would caution you to consider that if your penis has already demonstrated the ability to develop too much scar after a small injury, there is a stronger possibility of an even greater amount of scar occurring as a result of the surgical incisions associated with common penis surgery techniques.  This is the reason that men find their PD worse after having surgery to correct their curved penis.     

From my experience many couples who live with Peyronie's disease in their lives will limit or stop sexual intimacy when it is not necessary to do so.  The problem often is that their medical doctor does not know about or does not take time time to explain, some basic information that would enable a couple to safely engage in intercourse.  I can assure you that within a brief time you would feel a lot more comfortable about resuming sexual relations once a few things have been explained to you. My wife, who is an RN, and I have counseled with many hundreds of couples and helped them to regain that part of their lives by simply sharing some simple information. Contact me if you are interested in learning more.  Additionally, you can get a book that wrote, "Peyronie's Disease and Sex" from the PDI website.       

Getting Peyronie's treatment started in the right direction is easy if you are prepared to spend some time educating yourself on the PDI about Alternative Medicine methods to increase your ability to remove the PD scar naturally.  I did it, and I get emails every week from men who are doing it.  I have come to realize that when the average man even after five years of dealing with Peyronies if he uses a large and diverse program of care and works aggressively will see positive change in 2-4 months in about 80% of cases.

Let me know if I can help you in any way to get your life together.  TRH

Sex hurts because my husband’s penis is crooked, can we get help?

Painful sexual intercourse of Peyronie’s disease can often be eliminated or reduced

Painful sexual intercourse when due to medical or psychological causes is medically known as dyspareunia (dis-pair-oo-nee-uh).  While this kind of pain is most often reported exclusively by women, it is also reported amongst men who have a curved penis due to Peyronie’s disease.

Assuming that your husband has a curved penis because of Peyronie’s disease, there are several different ways and areas of their life that a couple can work together to improve, and possibly eliminate, the pain they experience during sexual intercourse. While most people assume that the pain is the direct result of a curved penis, it has been shown it is necessary to consider the effects of the multiple factors that are unique to Peyronie’s disease and capable of affecting sexual function.  To help a situation in which intercourse is painful because of the effects of Peyronie’s disease it is usually necessary to use more than one treatment approach.

Do not make a hasty assumption that the cause of your pain during intercourse is a crooked penis; you might be right, but then again you might be only partially correct.

The topic of pain during intercourse is so common and so important to couples who deal with Peyronie’s disease that the Peyronie’s Disease Institute offers two valuable methods to learn how often eradicate the problem, or at least minimize it greatly.  The first is a special program in which our staff nurse will personally consult with and advise any woman who needs help in a program called “Woman to Woman.”  Women can speak to our nurse to ask questions of any sort that deal Peyronie’s disease, from the anatomy and physiology of sexual intercourse to suggestions for intercourse positions and lubrication options, as well as help dealing with sexual difficulties.  The second is a book written by Dr. Theodore Herazy titled, “Peyronie’s Disease and Sex,” that covers many of the diverse problems faced by couples who find intercourse painful or restricted by a curved penis or erectile dysfunction.

There are many different deformity patterns (bend, curve, indentation, rotation or twisting, hourglass and bottleneck, as well as combinations of these) plus different degrees of those penile distortions and curvatures that can contribute to different levels of pain experienced during intercourse. Even so, a bent penis is usually not the sole reason for painful intercourse for a couple dealing with Peyronie’s disease.  Just like the difficulty of putting a square peg in a round hole, a curved penis will certainly get someone’s attention and be the natural assumption for the cause of painful intercourse.

However, the amount of pain and even the absence of pain during intercourse that is due to a curved penis often presents a  surprisingly inconsistent and unexpected pattern; it is difficult to predict the failure or success of intercourse, or even if pain will or will not occur, based solely on the external appearance of the man’s penis.  It is not possible to say that a couple will experience pain or failure to complete entry for sexual intercourse only based on how much or where the penis is bent or distorted.

Women get help with painful sexual intercourse related to Peyronie's disease

The Peyronie’s Disease Institute nurse has advised and counseled many men and women who had not been able to engage in sexual intercourse because of pain for several years, even though the penile distortion involved sometimes is not great, less than 10 degrees.  Conversely, she has encountered a large number of happy couples, who in spite of having to deal with penile curvature approaching 90 degrees, were still able to engage in satisfying sexual intercourse without pain.

Based on these observations, there must be something else going on that explains why one couple will have problems with a small Peyronie’s curve and another couple will not have any apparent problems with a large Peyronie’s curve.

From our experience it is common for other seemingly small and less obvious factors to turn out to be the sole reason for pain during sex, or at least the primary contributor, rather than the more obvious curved penis. Nevertheless, to find a solution for painful intercourse that is part of the Peyronie’s experience it is important to consider all possible factors and not the just obvious.  Unless all the issues that contribute to painful sex are identified and addressed, pain will likely continue to be a problem, often getting worse over time since interpersonal problems tend to escalate.

The most common cause of pain during sexual intercourse is a simple lack of vaginal lubrication that normally is secreted during arousal to make penetration easier and reduce friction and irritation during coitus.  Some common reasons a woman would experience a lack of lubrication are:

Menopause – reduced progesterone and estrogen hormone production after age 50
causes many changes in the ability of the reproductive system to operate in a way that favors reproduction.  Thinning of the vaginal walls, less natural lubricant production and pain during sex are common signs of menopause.

Lack of foreplay – hurried sex does not allow for adequate time for natural secretions to be produced.

Disinterest or emotional issues about sex – a variety of past and current issues can be at play to reduce sexual interest in either partner

Vaginismus – an involuntary spasm or tightness of the muscles surrounding the vagina, especially at the opening, making penetration difficult, painful or impossible. This tightening and subsequent pain while attempting entry can have several possible causes: past sexual trauma or abuse, a history of discomfort with sexual intercourse, and at times no cause can be found. Psychological factors related to Peyronie’s disease are commonly found to be at the heart of vaginismus often develops because of anxiety regarding sexual intercourse, such as remembering the traumatic event that happened during intercourse that caused the Peyronie’s disease injury in the first place, the guilt and anxiety about causing his Peyronie’s disease, the anger about being in a relationship that is marred by a curved penis, the fear another accident might happen making his PD even worse.  Vaginismus treatment involves education and counseling for the couple, behavioral exercises, and vaginal dilation exercises using plastic dilators. This type of therapy should be done under the direction of a sex therapist or other health care provider experienced in this area of sexual dysfunction.

A wide range of emotional issues that are rooted in Peyronie’s disease result in pain during sex because they cause of variable degrees of vaginismus and reduced sexual lubrication:

Anger and frustration about being in a relationship without normal sex

Fear of making his Peyronie’s worse during sex with another accident

Fear that the Peyronie’s disease is contagious – and it is not – and could result in problems for the female partner

Fear that the deformed penis will injure the vagina

Guilt since she was one who caused sex accident

Low expectation to gain entry since penis does not look like it would be able to fit

If you are a woman experiencing pain during intercourse while also dealing with Peyronie’s disease, contact the PDI nurse via to get help identifying and eliminating all issues that might be involved.

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