Peyronies disease exercises – which ones can help me?

Exercises for Peyronie’s disease

Peyronies disease exercises presented in this article are not intended to increase the size of the penis, or to make the organ in any way stronger in the usual sense.  These exercises are chosen because they attempt to get to the cause of the Peyronies problem, the nodule of scar tissue located below the surface of the skin.

Peyronie’s disease is all about the presence of fibrous scar tissue within the deep layer of penis tissue called the tunica albuginea.  When this scar tissue develops within the penis, under the skin surface, it drastically affects how the penis appears when erect and often how it feels in regard to pain.

Some people mistakenly focus only the obvious physical appearance changes that are common with PD.  They equate Peyronie’s disease with the penis curvature or hourglass deformity that develops because of the internal scar, but they fail to realize the distortions occur because of the scar they cannot see.  As a result they approach treatment as though getting rid of Peyronie’s disease was as simple as getting rid of the bent penis they see, like straightening out a bent paper clip.  But, Peyronie’s disease is not a curved penis; the curved penis is merely the end result of the real problem which is the scar tissue found under the skin. The real problem of Peyronies is a tendency to produce an excessive healing response to trauma. Therefore, this discussion of various Peyronies disease treatment exercises will focus on several strategies that are intended to increase the natural ability of the body to eliminate or heal that offending scar material.

We know self-correction or natural healing of the Peyronie’s scar is indeed possible, and happens frequently by medical standards; it happens in about half of the diagnosed cases of PD.  Spontaneous healing or natural elimination of Peyronie’s disease is the primary reason that standard medical treatment of early cases includes a waiting period of at least 12-18 months before considering doing surgery.  During the standard 12-18 month waiting period it is hoped that the body will be able to simply eliminate the Peyronies scar as it happens in about half of the cases.

These Peyronies disease exercises are presented because each represents a slightly different way to assist the tissue to correct the basic problem of the scar material.

Peyronie’s disease stretching exercises

Gentle manual Peyronie’s disease stretching exercises should not to be confused with the Middle Eastern practice called jelqing.  Jelqing is essentially an ancient method of penis enlargement performed by forcefully stretching penis tissue repeatedly, squeezing more blood into the cavernous penis tissue spaces than it can normally hold while also being stretched.  Jelqing is sometimes mistakenly recommended as by some who do not understand the real problem of Peyronie’s disease.  They think that forcefully stretching and unbending the penis will take care of the problem as though the bend was a simple issue that could be fixed like a bent paper clip.  Not only is this ineffective for treating Peyronies disease, jelqing can cause more injury in a penis that has already demonstrated that it is capable of producing too much scar tissue.

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As proof of the brutality of jelqing, many cases of Peyronie’s disease start after a man injures himself while using this technique.  How anyone could think jelqing is a reasonable way of treating peyronies is a mystery.

The Peyronie’s disease stretching exercises that were developed in a research project of the Peyronie’s Disease Institute in 2006 are greatly different than jelqing because they are extremely gentle.  They approach soft tissue stretching from the standpoint of increasing tissue length much in the same way a ballerina attempts to become more flexible by using very light stretches over a prolonged period of time.

Massage and exercise video for Peyronie’s disease treatment

A group of simple treatment exercises for Peyronie’s disease were first applied by Peyronie’s Disease Institute in 2004, and presented in a video.  These exercises were selected on the basis of their ability to increase blood flow and increase lymphatic drainage to the pelvis in general and penis in particular.  None of these massage and exercise techniques are ever applied directly to the penis, since this could possibly result in additional injury and more internal scar development. Instead these massage and exercise techniques are applied to the area immediately around the genitals to loosen tight and contracted soft tissue while avoiding further injury.

This Peyronie’s disease exercises video presents a series of Kegel exercise instructions increase the blood flow and health of the lower pelvis, deep tissue massage to the deep pelvic soft tissues to increase drainage of the lymphatic tissue which in turn will increase blood flow of the involved area, and lastly a series of instructions to increase energy movement in the area of the penis.

Peyronie’s disease treatment exercises

These various Peyronies disease exercises make sense because they attempt to address the potential underlying problems that could prevent the natural healing of the dense internal scar tissue that is at the heart of this problem. Schemes that merely try to enlarge the penis ignore the need to reduce or eliminate the Peyronie’s scar.

When these Peyronies disease exercises are added to an aggressively applied Alternative Medicine treatment program of diverse vitamins, minerals, herbs and enzymes it is sometimes possible to assist the tissue to remove the Peyronie’s scar. The earlier in the disease state this is started, and the more aggressively it is done, the better the therapy results tend to be.

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Does Bill Clinton have Peyronie’s disease or a curved penis?

Not every curved penis is Peyronie's disease

To offer a definitive and accurate answer to the question “Does Bill Clinton have a curved penis or Peyronie’s disease?” would require the presence of several pieces of clinical information determined by direct medical examination:

1. History of pain while erect, or less commonly pain while flaccid, or both
2. A mass or nodule of foreign scar tissue located below the surface of the penis shaft, detected by manual palpation or ultrasound examination
3. Structural deviation of the shaft of the penis during erection, (bending or curvature, hourglass, bottleneck, rotation or torque, or indentation deformity)
4. Erectile dysfunction, either total or partial, caused by the internal Peyronie’s scar material interfering with the pneumatic mechanism that creates a normal erection

Since none of the above information has been presented in any factual way, the curious public has only to rely on hearsay and innuendo.  Taking the sketchy information and various unconfirmed newspaper reports as credible, the only safe conclusion at this time is that former President Clinton does not have Peyronie’s disease.

A diagnosis of Peyronie’s disease can be complicated.  Peyronie’s disease is not determined solely on the presence of a curved penis, any more than the absence of penile curvature indicates a man does not have Peyronie’s disease.  Simply because a penis is curved does not support the conclusion that the cause is Peyronie’s disease, especially when the presence of the curvature is solely based on the observation of a layperson.

However, whether Mr. Clinton has Peyronie’s disease, or even a curved penis, cannot be confirmed in any meaningful way at this time due to the legal maneuvering and sealing of many court documents in which this question has been apparently asked and answered under oath.  As such, the presence or absence of a curve in Mr. Clinton’s penis is apparently known, but is not currently available for the public record.

Whether or not Bill Clinton, the 42nd U.S. president, does or does not have a bent penis, and is consequently assumed to have Peyronie’s disease, became an important political question during two different sex scandals in which President Clinton was famously involved.

The first, in 1994, centered on the sexual harassment suit that Paula Jones filed against President Clinton for conduct that was said to have occurred in 1991 at the Excelsior Hotel in Little Rock Arkansas. Her lawsuit was eventually dismissed on the grounds that she failed to prove damages as a result of her encounter with Clinton.  When Jones appealed the dismissal Clinton agreed to a $850,000 out-of-court settlement.

The second, in 1998, became known as the Lewinsky scandal.  This high profile sex scandal centered on the extra-marital affair between President Clinton and a 22-year-old White House intern, Monica Lewinsky. Eventually the scandal resulted in the impeachment of President Clinton by the U.S. House of Representatives and a subsequent acquittal on all impeachment charges of perjury and obstruction of justice by the U.S. Senate after a stormy 21-day trial.

Both of these women hoped to prove that Mr. Clinton was sexually active in their presence by offering that they saw a “distinguishing characteristic” of his private anatomy, suggested by others to be some degree of penile curvature.

However, the public record regarding Mr. Clinton’s alleged bent penis has been purged from their testimony.  Because the Jones and Lewinsky cases involved a sitting U. S. president, all testimony and affidavits that would quickly answer this question about Peyronie’s disease were sealed by court order and remain so. Detailed review of Monica Lewinsky’s August 6th and August 20th grand jury testimony, released on September 21, 1998 reveals no questions asked or answered about his penis.  Detailed review of Paula Jones’ testimony during her deposition to the U. S. Senate on February 17, 1998 also reveals no questions asked or answered Mr. Clinton’s penis.

As a result of the court enforced silence on this subject the public does not know what these two women said about what they saw. The Washington Times has reported that several sources with close ties to the Paula Jones case indicated that in her sworn affidavit she alleges Mr. Clinton’s displayed a distinctly angled bend of his erect penis.

Even if it was widely known that both women said Mr. Clinton has a bent penis, this isolated information does not definitely prove that the former president has Peyronie’s disease; it would only mean that his penis is curved.

However, the New York Times newspaper has reported that on October 3, 1998 a detailed genital examination was conducted on Mr. Clinton by the chief of urology from the National Naval Medical Center, Capt. Kevin O'Connell whose interest was to specifically rule out Peyronie's disease.   The New York Times has reported that Dr. O’Connell, as a result of this examination would testify if given the opportunity, that Mr. Clinton does not suffer from Peyronie’s disease.  But this information is also under a court seal, so the best that can be done currently is to speculate.

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Some normal penises are curved while other normal penises are straight; just part of the normal variation that exists between men that makes us all unique.  When those court documents are finally opened and made public, few of us will be around to care about the private parts of President Clinton.

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Cortisone injections and Peyronie's disease

My doctor wants to put cortisone injections into my Peyronies scar, what do you think of that?

Will steroid injections reduce the inflammation and pain of my Peyronies?

My opinion is that it is risky to use cortisone injections as a Peyronie's treatment.  While a temporary and variable reduction of pain does occur in some cases, but not all, it is not worth the limited benefit that makes future Peyronies surgery more complicated and dangerous should it become necessary.  There is good reason to think twice about using steroid injections for this purpose.  This website has presented an earlier article about a closely related topic, Peyronie's disease treatment via direct drug injection.
It would be good to talk to your doctor about other treatment options or to consider using Alternative Medicine as a way to increase your natural ability to eliminate the Peyronies scar.  The PDI website explains how this can be done without the use of drugs and surgery.
In the 1960’s steroid (cortisone) injections were used as a Peyronie’s treatment under the theory that they would reduce plaque or scar formation because of the inhibitory effect cortisone has on fibroblast cell formation. Since fibroblasts are cells that make fibrin, and fibrin makes collagen in the body, with fewer fibrin cells the ideas was that this would result in less collagen produced during scar formation.
This treatment for Peyronie’s was used rather extensively until the mid-1980s when it became obvious that it did not consistently or greatly reduce collagen at the Peyronie’s plaque. And of equal concern was the observation that these steroid injections were causing penis tissue weakness (atrophy) of blood vessels, nerves, and all connective tissue of the corpora cavernosa and tunica albuginea of the at the site of the injections near the Peyronie’s plaque. These steroid injections resulted in weak and fragile tissue that would easily tear when a surgeon would try to sew it together during surgery, or worse yet would tear after surgery or heal slowly or not at all.

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It took a long time to notice and correlate this problem because virtually all of the studies of using cortisone injections in Peyronie’s disease did not use a placebo control, and they performed with only a small number of patients who reported their improvement subjectively without objective measurement of progress in terms of pain, plaque formation and deformity reduction.
Seldom did the steroid injections actually have a beneficial effect on the eventual Peyronie’s disease outcome, but had an undesirable side effect that made Peyronie’s surgery complicated and less effective. The problem was that the broad tissue destruction caused by the cortisone made the tissue so weak and compromised that a surgeon could not later go into that same area to suture the tissue closed at the site of a surgical incision, or expect the sutures to hold on the weakened tissue. If penis surgery was done it often resulted in frequent bleeding and repeated opening of surgical wounds. Once it was seen that cortisone injections made it difficult to do good surgery later, the practice began to fall out of general use.
In addition, the practice of using cortisone injections for treatment of Peyronie’s disease did not take into account the harmful effect of placing a series of multiple needle punctures into the scar material and the tunica albuginea tissue of the penis. Later clinical observations have shown that these frequent and repeated needle punctures act as additional trauma to tissue that has already shown itself capable of producing excess scar formation to repeated small injury. This has also proven to be the case when a series of multiple injections of other drugs like verapamil and interferon are used as Peyronie’s treatment. The clinical results of these other drug injections have not provided positive or encouraging clinical results that were any better than those of cortisone injections.
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Genesen Acutouch Pointers

Genesen Acutouch non-needle acupuncture: easy and effective at-home treatment

Genesen Acutouch pointers come with a 168-page manual written just for the layperson to use this professional grade equipment for doing acupuncture without needles

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

Genesen pointers provide easy and effective non-needle at-home treatment by the layperson 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 several 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.

Genesen pointers are fun and easy to 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 the 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 the gold plated point of each 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 without traditional needles, 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 an effective acupuncture treatment, without the costs, problems and limitations of traditional needles to those you love.

My husband has a curved penis, is this normal?

 Bent penis usually means Peyronie’s disease later in life

A curved penis can be normal for some men, or it can indicate the presence of a problem for other men.  Just because the penis is curved does not necessarily mean there is a problem.

For the most part, the fact that penile curvature exists at all in a man does not indicate a true abnormality or reason for concern; an abnormality is more so suggested if there is a change in the appearance and structure of the penis if it was previously straighter than it is now and only later became curved.

If a diagnosis of Peyronie’s disease has already been made to explain the bent penis you are asking about, you should consider using Alternative Medicine treatment to assist and support the body’s natural ability to heal and repair the Peyronie’s plaque that causes the curved penis and the various signs and symptoms that are a result.  Click here to find a good place to start learning about non-surgical and non-drug Peyronie’s treatment.

When did the bent penis begin?

Usually the answer to the question, “When did the curved or bent penis begin?” will usually indicate if there is an actual problem to justify concern.

If your husband’s penis has been curved since childhood, or for as long as he can remember, then there is a very good chance that he has a normal variation of the shape of his penis.  This is called a normal penis curvature and is often simply due to a variation of the size of the internal chambers that make up the body of the penis.   In a congenital curve of the penis there is usually no pain associated with erection or intercourse.

Also, in regard to when the penis curvature occurred, it is not uncommon for Peyronie’s disease to develop after certain medical procedures or treatments:

  1. Use of Viagra, Cialis or Levitra (PDE5 inhibitor drugs) that have been known to cause damage to the internal tissue of the penis when an exaggerated or excessive erection occurs.  For some men this can happen after just one use of these drugs, or for other men after multiple uses that previously did not cause any unusual reaction.
  2. Use of beta-blocker heart medications that are used for chest pain and arrhythmia to name a few.  There are many beta-blockers used, but a few of the more popular are Lopressor LA, Sectral and Tenormin
  3. Use of some cholesterol lowering drugs (statin drug group) that have a long list of known side effects, but recently have been expanded to include Peyronie’s disease.  There are statin drugs in this category, but a few of the more popular are Crestor, Lipitor, Lisinopril and Lovastatin
  4. Having been catheterized as part of surgical procedure, especially when done while under anesthesia while in a hospital setting.  Many times greater force is used to pass the catheter tube through the urethra due to time constraints and urgency, resulting trauma to the penile tissue.

If your husband’s penis curvature started recently or sometime after his teen years when it had been previously straight, then this suggests a problem for which he should make an appointment with a urologist for an examination and diagnosis.  The most common cause of a curved penis that appears after it was previously straight, by far, is Peyronie’s disease.  Other less common causes can be:

  1. Trauma to the penis that causes simple swelling
  2. Trauma that causes penile fracture
  3. Penile cancer, although very rare

Diagnosis of Peyronie’s disease and the curved penis 

Typically, in cases of an adult onset curved penis, there are three primary findings that usually have to be met in order to establish a diagnosis of Peyronie’s disease:

1.    Presence of one or more nodules or areas of hardness located under the skin of the shaft.  These localized nodules are not seen on the surface, but a felt by digital examination below the skin; some can be so large that the surface of the skin is elevated from below by the nodule.

2.    Pain, from mild to severe, from occasional to constant, in some area of the penis while erect.  A small percentage of men experience penile pain while flaccid (non-erect), and an even smaller percentage experience pain during both states.

3.    Recent development of curved or bent penis, or some other similar distortion of the penis (bottleneck, hourglass, or indentation). 

A diagnosis of Peyronie’s disease can still be made without one of the above findings, if the other two are dominant and reliable.  Other findings of slightly less frequency and less importance seen during Peyronie’s disease, that are of some value in making a diagnosis  are:

  1. Loss of penis size in terms length and circumference (girth or diameter).
  2. Reduced erectile ability in either the entire shaft or a localized area of it.

The important thing is to not ignore the penile curvature and to do whatever you can to avoid Peyronie’s surgery whenever possible since the side effects can be devastating.

My husband will not see a doctor about his curved penis (we think it is Peyronie’s disease), what should I do?

Avoiding medical care for Peyronie’s disease is common  

Refusal to see a doctor about a bent penis is an unwise but common reaction among men who find themselves dealing with the long-term negative prospects of Peyronie’s disease. The male tendency to be slow about seeking medical attention in general is compounded by the shock and utter disbelief of learning that there is actually a urological medical condition called Peyronie’s disease that undermines the ability to function as a sexual human being.

In Peyronie’s disease the development of fibrous plaque tissue below the surface of the shaft results in a curved penis or some other deformity that reduces or eliminates the ability to engage in sexual intercourse.  Making matters worse it frequently reduces the length and girth of the shaft, as well as weakens the quality of erection.

Take advantage of the fact the body cures Peyronies disease half the time

When a woman looks for helpful information about Peyronie’s disease she can turn to the Peyronie’s Disease Institute woman-to-woman program for a telephone discussion during which our nurse will answer any questions about PD treatment, sexual dysfunction problems or anything that is of interest to a woman when her husband will not help himself.

The proposal that a man can move his status from someone who was not able to eliminate his own Peyronie’s disease to become a member of the 50% group who rid themselves of this affliction is a simple and easy one to understand.  It is based on the observation that about half of the men naturally and spontaneously heal or correct their Peyronie’s disease within the first 12-18 months after onset.

When a man finds that he has not self-corrected or eliminated his Peyronies plaque he still has the option to promote his own recovery.  This can be attempted by an aggressive plan to actively support or increase his natural healing ability using several different natural therapies identified by medical research to assist the removal of the offending fibrous plaque material. To find out more about this process go to “Start Peyronie’s treatment.”

Alternative Medicine offers natural treatment options to Peyronie’s surgery and drugs

Since 2002 the Peyronie’s Disease Institute has developed the concepts, as well as nutritional and external techniques, that proposes any man can follow a program of self-administered Alternative Medicine care in an effort to increase his ability to heal and repair the Peyronie’s plaque.  By focusing multiple therapies to enhance healing potential many men find they can increase their immune response against the soft tissue changes that cause all the outward signs and symptoms that are so deeply disturbing and disruptive to normal male function.

This is good news for any man who realizes that there is indeed a cure for Peyronies disease; half of the time the body will naturally rid – or cure – itself of the internal scar or plaque material that causes all the problems of altered sexual structure and reduced sexual ability without any outside help or intervention. In other words many men just get rid of their own PD without any help.  Using well placed and logical assistance that is guided by research done in this area for the last 40 years, the Peyronie’s Disease Institute finds that it is often worthwhile for a man to simply support his immune system to reduce the foreign fibrous material of Peyronie’s disease in order to support his tendency to eliminate his PD fibrous plaque as happens half of the time.

A woman can help her man in many ways   

Probably as the two of you were going through information on the Internet your husband got stuck on the idea that there is nothing that can be done for PD except Peyronie’s surgery, which the Internet information also reports will be followed by recurrence of the same problem in a few years and the possibility of side effects that are sometimes worse than before the surgery (loss of all sensation, constant pain, impotence).  With the negative atmosphere and bleak prospects for medical care associated with Peyronie’s disease many men feel a natural hesitancy to get started moving in that direction.

A great paradox commonly develops for a couple when they struggle to understand what is happening to them when they are first learn about Peyronie’s disease.  The contradiction is that after getting the diagnosis and learning about the disease that neither of them knew existed, the man is typically motivated by embarrassment and fear of the future to be quiet and introspective while the woman instinctively wants to discuss the problem and explore her feelings with others.   As time goes on and Peyronies exerts its negative influence on their lives, each will be driven deeper into their opposite direction, and each will not understand why their partner is behaving that way.  This makes for increasing tension between the couple while they should be coming closer together to deal with their mutual problem.

The special relationship between a woman and a man is always tested greatly when Peyronies enters the scene.  While not absolutely true, it has been my observation that most couples will find that the many trials and tribulations of Peyronie’s disease and women will cause whatever is good and strong in their relationship to increase and become better, and whatever is troubled and weak in their relationship to deteriorate further.  Peyronie’s disease does not actually create new conflict within a relationship, but only increases and intensifies whatever strength or weakness was present before it arrived on the scene; it acts as a great reference point that amplifies whatever was going on between the couple before its arrival.  It does not have to be that way, but it happens because people are not prepared for what lies ahead.  They are caught so unprepared for the drama that becomes their lives together that the truth of their relationship is not only exposed but it is exaggerated by the emotions that emerge.

During countless talks with PD couples since 2002 it has been observed many times that either a couple is a naturally good problem-solving team, or it is not.   When it is not, and the man and woman do not work together well, it is very difficult for them to develop and practice whatever new personal skills of good communication, tolerance, compassion, forgiveness or whatever assistance might be needed to help their situation.  It takes extra effort and great patience to acquire the skills and ability needed to come together as a team, while at the same time dealing with the harsh realities of Peyronie’s disease.  Just as it might be difficult to learn to swim while being swept away in a flood, it is just as difficult to develop those skills that lead to becoming a solid team if at the same time they are being tossed about while dealing with PD.  Having presented that observation, it should bring comfort to know it is still possible to minimize and perhaps even overcome the negative and destructive forces that develop as a result of Peyronies disease if exceptional effort and honesty are applied.

You can begin to help your husband with his Peyronie’s disease by encouraging him with information that it might be possible to help himself correct his own PD problem as those 50% of men whose internal plaque are naturally eliminated.  Offer this information to him, showing him that there are more options available to him than Peyronie’s surgery.

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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My husband has Peyronie’s disease, how can I help him?

How women can help men deal with Peyronies disease

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There is a wide range of unique problems that can develop based on the dynamics of special situations within a relationship, especially concerning sex. Even so, there unfortunately also tends to be a list of common problems and pitfalls that most couples must deal with in order to keep their relationship strong and working together well for his eventual recovery.  From this reason the Peyronie’s Disease Institute has a special program in which our staff nurse will 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, physiology and pathology of PD, to personal relations questions, as well as help in dealing with sexual difficulties.

There are many ways, obvious and not so obvious, a woman can help a man deal with his Peyronie’s disease on a personal basis, in addition to helping with those issues that threaten their life together as a social and sexual couple.  Here are a few ideas that will get you started in the right direction.

It is not just the man with the obvious physical problem that is affected, but Peyronie’s disease and women who deal these men on a daily basis are also distressed and are an integral part of any solution he might need. To really help him requires that his partner does her best to try to understand the strange and stressful thing he is going through with Peyronie’s disease, and forgive him if his behavior and personality have deteriorated under the weight of his burden. More than anything else, much of what is required to help him right now is in the form of emotional support and great acts of kindness by letting go of the hurt feelings that will probably arise.

If a woman really wants to help her man deal with his problem, and wants to protect the bonds of their family unit, she can:

  1. Make a special effort to understand and forgive his moodiness and embarrassment since he has been diagnosed with Peyronie’s disease.  Women commonly notice that a man who previously was confident and eager for sexual contact will suddenly refuse sexual activity, and even hide his body rather than exposing himself to his mate. These temperament changes are usually based on a powerful sense of low self-esteem and deep lack of self-confidence that arises from his lost sense of masculinity.  Many women comment that their husband’s personality has changed so much that he is like a different man.For many men this change is a reflection of how he thinks of himself since the most masculine part of his body has been so flawed that he thinks of it as being taken away from him. He might easily act out in fits of child-like anger.  It is valuable that his mate attempts to be as tolerant of these outbursts, just as she would a child; at these times he is functioning at very primitive and instinctive level of emotional development as a child would.Above all else, he will require more patience and understanding than ever before. This is not to say a man with PD should be given license to be abusive and use ugly behavior, but only that any tolerance that can be afforded to him should be used since it will help to prove to him that he is not being rejected by his mate.  As discussed below, fear of rejection and fear of loss are two of the primary driving forces that most deeply trouble the man with Peyronies.His thinking about the subject of PD is often overridden by his strong emotions, so do not count on him to be logical or mature about this subject.  Think of him as a scared child having a temper tantrum and you will not be too far off; treat him with that same compassion and forgiveness as you would a child when necessary.  You can help him deal with his Peyronie’s disease, but it will most especially help you to understand and deal with him effectively.
  2. Be prepared for him to be down on himself, and to not accept or believe you when you say that his Peyronie’s disease, curved penis and reduced sexual ability are something that you can learn to live with. Be prepared to be rejected when you say that you still love him in spite of his distorted penis.Many men cannot make themselves believe it is true no matter how many times they are told that their physical distortion does not matter, regardless of the sincerity and emotion that is used.  They see themselves as so pathetic and unworthy that they cannot believe any woman could accept them in their reduced state.  Men will push women away in anger when she only reaffirms her love and acceptance.  The more she insists she is not affected by his loss, the more aggravated and lost in denial he can become.  It makes for some very emotionally charged moments.Do not take his anger personally; it is delivered to you because you are standing in front of him, but is really a reflection of his despair and anger with himself.
  3. Over and over, in small and large ways, offer direct and indirect assurance he is still acceptable and attractive to you. His confidence and self-worth can easily be taken to at an all-time low because of the humiliating effects of Peyronie’s disease.  His reduced penis size, erectile dysfunction and penile curvature can cause a man to think less of himself, and he will assume you do the same.  While the physical change of his genitals can be shocking, do your best to respond to him in a way that is as positive and normal as before his Peyronie’s disease started.  The majority of men disbelieve that their spouse is willing to stand by  during his difficult time.  Calm repetition of your acceptance and love is your best ally.

In my work helping men who have Peyronie’s disease I frequently encounter those whose lives have been ruined not just by the emotional effects of a curved penis, but by the women who abandoned them.  Often these problems are avoidable if someone would explain to these women why their men behave in such a bad way, and how little it takes to not only help these men but also help the women to protect what is an otherwise good relationship and keep their families together.

In the case of the women who deal with Peyronie’s disease, trying to understand he is just a scared little boy who is behaving badly because he is scared of losing you.  Treating him with a little compassion can go a long way toward protecting your little boy and your relationship with him.

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Is there anything I can do to help my husband recover from Peyronie’s disease?

Any woman can help and support his effort to reduce Peyronies disease in several ways

There obvious and not so obvious, direct and indirect, ways a woman can help the man in her life to deal with his problems of Peyronie’s disease not only on a personal treatment basis, but also by supporting and assisting with those personal matters that threaten their relationship as a social and sexual couple.

It goes without saying that the obvious physical problems of a curved penis, reduced length and girth, and erectile dysfunction that are part of Peyronie’s disease directly affect the man who has this condition.  But the woman in a relationship with such a man is in a critical position because of their personal relationship to help him deal with the many negative aspects of Peyronie’s disease, and so can provide an integral part of any solution he might need.  Her role begins by understanding and accepting that he is going through a strange and stressful event for which no man is ever prepared.  Throughout a woman’s life, even before her teen years, she is talked to and prepared for changes in her reproductive system; she discusses these events that affect her genital area with her mother and perhaps her sisters and girlfriends who also experience these changes; she even goes to a special kind of doctor, a gynecologist, who specializes just in the female reproductive system; each month she is reminded that her pelvic region does unusual things; if she becomes pregnant she soon overcomes her modesty and privacy about this area of her body.  A man does not ever experience anything remotely like that.  His genitals are his prized masculine region, but they are private.  For the most part his reproductive area is uneventful and is not discussed much – except if he develops Peyronie’s disease.

For these reasons he has been completely unprepared by his past experiences to deal with  suddenly learning that there is a problem he has never heard of before, called Peyronie’s disease, that jeopardizes his ability to engage in sexual intercourse and denies him the act that defines manhood to him.   For a man Peyronie’s disease is perhaps not so much experienced as a health problem in which fibrous plaque material develops internally within the penis, but more so it is felt to be a loss of what makes him a man.  The woman who must deal with her man’s Peyronies problem must see this condition as a great emotional issue for him and be prepared to forgive him if his temperament and mood suffers while he comes to grips with his curved penis that no longer works as it once did.

He will benefit greatly from his mate’s emotional support and patience, and her ability to forgive him while he wrestles with the fears that are connected to Peyronie’s disease. Probably his biggest fear is the losing you because of his reduced sexual ability; no longer being able to provide you the pleasure of sexual intercourse, that you will leave him for someone else. He fears that he will never experience regain the pleasure of traditional sexual satisfaction. He fears that if you do leave him he will never be able to develop a relationship with another woman, and he will be alone in life. He fears being pitied and ridiculed as the man with the deformed and shrunken penis. He fears feeling like less of a man.  It is not really the physical aspects of Peyronie’s disease that drives a man into despair, it is being unprepared for the emotional isolation he feels.  More than ever he needs you but he feels ashamed and embarrassed to be with you, adding to the torment he feels.

From the combination of physical, emotional and sexual problems related to Peyronie’s disease comes a list of common problems and pitfalls that happen to most couples. Since the man with Peyronie’s disease will often shut down emotionally and a state of denial, totally ignoring his problem, the burden to actively learn about and reach out for help will fall to the woman in that relationship. From this reason the Peyronie’s Disease Institute has developed  a special program in which our staff nurse can consult with and advise a woman who needs help dealing with any aspect of Peyronie’s disease.  During a friendly phone call our nurse will answer questions of any sort about Peyronie’s disease (male and female anatomy, sexual difficulties, personal relationship problems, treatment options, or anything else that is on her mind).

Here are a few ideas to consider to help him deal with his penile problems and to protect the bonds of your family:

  1. Continue your usual sex life if at all possible, limiting traditional intercourse only to the extent that his curved penis prevents it.  In case you believe that you cannot any longer engage in intercourse, please know that there are many techniques and ideas that can help you allow entry and increase your ability for traditional sexual intercourse. Few couples are as limited in their ability to engage in intercourse as they assume; usually all they need are some basic ideas and simple instruction. This is such an important topic; please refer to my second book that covers many aspects of this topic at great detail and length, “Peyronie’s Disease and Sex.”
  2. An important aspect of Alternative Medicine treatment of PD is the PDI diet to assist recovery from Peyronies.   This subject is covered in detail in chapter 5 of “Peyronie’s Disease Handbook.”  You can assist his recovery greatly if you can coach him through these dietary ideas, and make it easier to follow if you incorporate these principles into your lifestyle for the time being.
  3. Moral support at this time is crucial.  You will help him, and help yourself as well, if you can offer him encouragement and praise during these rough times.  You will prove your loyalty and earn his admiration and respect when you demonstrate you are not a fair weather friend.  Men commonly refer to their time dealing with Peyronie’s disease as the lowest point of their lives, feeling alone and depressed, offering them all the excuse needed to behave badly.  Just because a man is acting like a jerk does not mean he does not know he is acting like a jerk; he knows his behavior is bad; he just does not care to control his primitive emotions of the moment. This is the time a man needs a friend to offer support and a trusting heart.  Even though he might push you away out of embarrassment and self-consciousness for his reduced physical state, he will soon recognize your acts of steadfast friendship and tolerance as proof you are not going to reject him.  Once he is confident you are not going to run away because of his sexual problems, your man will come around to his old self (and probably better) because you will have proven your love for him to an even greater level than he knew before.  This is how your relationship will grow under the adversity of Peyronie’s disease, by showing your strength and loyalty to him no matter what happens.
  4. Be tolerant and understanding about his reduced sexual interest and flawed sexual ability.  Both of you are afraid of what will happen in the future regarding your sex life together.  The way to make our fears become a reality is to place a lot of pressure on his sexual performance.  Easy does it.  As discussed at length in “Peyronie’s Disease and Sex,” we find that most couples can actually engage in sexual intercourse for a far longer time than they imagine, but stop only because the do not know how to solve get around some of the difficulties of gaining entry with a bent penis; this book explains how to be successful with sex using a curved penis than you could imagine.  In the early stages of Peyronies it is most valuable to continue traditional intercourse for as long as possible.  It is not necessary to stop sexual activity as long as no pain occurs for either partner.  Engaging in sexual activity is good for the physical and emotional health of both partners, as well as beneficial for your personal relationship.  Sex can be the all-important emotional glue that keeps you together, so use sex liberally since PD is really all about sex when you think about it.  If you reduce sexual activity at this time it will only confirm his worse fear that you are no longer interested in him as a sexual person. If traditional sexual intercourse turns out to not be possible due to his curved penis it is necessary to explore, expand and use a greater variety non-intercourse sexual activities and techniques, with the hands, lips and whatever else is mutually agreeable to you as a couple.  Your previous thinking and attitude about sexual activity might have to change to satisfy your unfulfilled physical needs for intimacy.  With an open and honest dialogue you can work these things out.  Again, your helpful and willing approach to sexual problem solving and cooperation only proves your place in his heart as the best possible partner he can have.

Many of the conflicts and stresses a couple goes through when Peyronie’s disease enters their lives are avoidable.  A little understanding, a few suggestions about altered sex techniques, the man having the woman’s side explained to him, the woman having the man’s side explained to her, reading the positive and informative books that are available from the Peyronie’s Disease Institute, and starting an aggressive Alternative Medicine treatment plan to increase his ability to heal and repair the Peyronies plaque can do wonders to reduce stress and misunderstanding between people dealing with Peyronie’s disease.

If the woman would keep in mind that her man with Peyronie’s disease is very much like a scared little boy who is behaving badly because he is scared of losing you, and treat him accordingly, things would improve greatly. With understanding, love and a little compassion you can help that little boy know you are not going to leave him and you will protect your relationship with him.

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.

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.

 

Which Aneros prostate massage model should I use for BPH and an enlarged prostate?

Aneros purchase guide for Prostate Massage

Deciding which Aneros model to choose for natural enlarged prostate treatment is easier when you remember that they are all designed to do the same two things – prostatic massage and orgasm pleasure enhancement – but one model may be more effective than another because of overall body size, prostate size and shape, strength of PD muscles and ability to control contractions, pelvic contours, ability to relax during Aneros use, etc.

All five Aneros prostate massager devices rely upon a patented, hands-free design that uses the contraction of the anal muscles to control the prostate massage in a controlled, safe and pleasant action.  While each model has the same general design idea, close inspection shows each has its own unique shape and size that determines how it performs.  Some are slightly larger, and some have more subtle curves here and there.

Click here to purchase an Aneros prostatic massager – scroll down to the bottom of the page for the Aneros devices

It is important to understand that each Aneros unit – Helix, MGX, SGX, Maximus and Eupho – works the way it does because of its overall design, not just because of one characteristic.  Size is not the most important characteristic of any one unit (bigger is not necessarily better), nor is shape.   Each model will be described and general comments will be offered about the performance quality of each.  With this information you can develop an idea which mode will work well for you.

It can be safely said that most men can use most Aneros prostrate massagers; one or two might feel more comfortable than one or two others, but most models could be used with no problem.  There are no strict rules that dictate which model would suit a man better than another.  The idea that there is a “best” model of Aneros is not generally true.  The idea that there is a model you prefer more than others – your “favorite” – because its subtle difference fits your body better than others is closer to the truth of it.

To massage the prostate well, improve pelvic muscle tone

The Aneros will work better as a prostate massager if the lower pelvic PC muscles are strong and can be controlled well to push the device against the prostate. If you feel nothing happening when you have your prostate massager in place, it will be because your pelvic muscles are not strong enough; with continued use you will begin to feel a pleasant and sexual feeling during use that will tell you that you are getting stronger. The more you use the Aneros, regardless of which model you select, the better the prostate massage and sexual stimulation will be.  Continued use and practice pays off over time, as you learn how your body reacts to the Aneros depending on body posture while using it, comfort level and your mindset.

Read about each model before making a decision.

Aneros MGX – for beginner and all men       Aneros MGX

The Aneros MGX is a medically researched and designed to slide and rock over the surface of the prostate gland as the anal sphincter muscles slowly contract and relax.  The MGX is well balanced with a ribbed stem for prostate stimulation and stability

It is designed to stimulate both the prostate and the perineum in a rhythmic motion that moves lymphatic fluid out of the prostate as well as increase blood flow in this region, thus assisting the natural healing ability of the body, as well as creates male orgasms.  It has a standard ample perineum tab to provide an external prostate massage through the perineum.

A good choice for the novice and a favorite of the advanced user, with continued use and improved muscle action it provides a progressively great prostate massage for benign prostate hyperplasia (BPH).

•  For beginning and experienced users
•  Ribbed stem
•  Standard perineum tab
•  Polished to hold lubricant for better movement
•  Sue Johanson’s Top 10 Toys of 2003
•  One of Playgirl Magazine sex columnist’s two favorite toys for men.

All Aneros models are made in the USA from FDA approved materials.

Aneros SGX for beginner and all men, especially those men shorter than 5’6”    Aneros SGX

The SGX is the smallest Aneros model, originally developed for the Asian market and geared toward men 5’6” and shorter.  The insertion length of the SGX measures approximately 1/2 inch shorter ( a total of 3½ inches) than the MGX.  So do not be fooled to think that there is a huge sixe difference in these units.  Even so, its smaller size makes for easier insertion and use, and progressively rewarding symptom relief and improved sexual experiences.

However, this smaller unit might be a good starter model for those men who want to be conservative due to apprehensive about prostate stimulation.

Do not be confused about size of the different Aneros units.  Many times it happens that a short and smallish man prefers a larger Aneros device and a tall and large man prefers a smaller Aneros unit like the SGX; all size men can use all size Aneros massagers.  Ability to relax the anal muscles probably has more to do with the size of the device that a man will prefer to use.

The Aneros SGX is for men of all experience levels.   Men who receive good results from the SGX sometimes try a slightly larger model to see if their positive results might not increase.

The Aneros SGX, like its cousin the MGX, has a balanced head and ribbed stem with a thick, standard perineum tab.
• Great for prostate health, especially BPH (benign prostate hypertrophy or hyperplasia)
• For beginning users
• Smaller cousin of the MGX
• Ribbed stem for stability
• Standard perineum tab


Aneros Helix – for beginner and all men; tends to be the most effective model for prostate massage for most men        
Aneros Helix

The best-selling Aneros Helix is part of the Next-Generation line (includes the Maximus and Eupho models.)  The Helix is aggressively shaped and angled, providing immediate pressure and tension on the prostate and surrounding area. It has a large, bulbous head and thin-angled stem for greater pivoting action. The tip of the head is also flatter, offering the most direct contact on the prostate, resulting in a more “aggressive” or vigorous prostate massage.

The Helix was designed based on research studies and user feedback surveys, and earned several additional design patents.  In terms of dimensions, the Helix is larger at the tip (1 1/16″ versus 7/8 ” on the MGX) and is more angled to provide a more vigorous massage. However, the mid-ridge is slightly smaller (1/16″ smaller) on the Helix.  The redesigned P-Tab provides a more focused external prostate stimulation when massaging the perineum.

• For adventurous beginners and advanced users
• Next generation model
• Larger bulbous head with flat, wide head for more contact with prostate
• Strong angled stem for greater pivoting ability
• Dime perineum tab

Click here to purchase an Aneros prostatic massager – scroll down to the bottom of the page for the Aneros devices

Aneros Maximus – for Intermediate to advanced users       Aneros Maximus

The Aneros Maximus is definitely true to its name.  It has a larger contact head, larger stem, and thick, standard perineum tab.  It is recommended for the advanced Aneros user and for men experienced with anal play, and is popular in the gay community.   The Maximus is similar in shape to the MGX and SGX, but expanded throughout.

The Maximus is part of Next-Generation line which includes the Helix and Eupho.  Its size makes it more difficult to insert and moves less than the other models.  Experienced Aneros users will have higher developed PC muscles, which makes it easier for the Maximus to move.  It provides greater pressure throughout the rectum and this makes it slightly more difficult to insert due to its size.  The Maximus has been reported to be a great performer during traditional intercourse.  Therefore we recommend the Maximus for men who are experienced with anal and prostate stimulation.

• Next-Generation Model
• Largest Next-Generation model
• Extra girth provides more anal canal stimulation
• Requires stronger PC sphincter muscles
• Great for prostate health

Aneros Eupho – for Advanced users        Aneros Eupho

The delicately shaped Aneros Eupho is the most advanced model, at least based on the most number of patents it holds. It is recommended only for advanced Aneros users. It is proportionally the longest and slimmest model. It has a dime-style perineum tab and extremely thin head. These design features allow for the greatest movement of all Anderos models.  Therefore, the Eupho user must have highly developed PC muscles to control its movement. The thin head will “skip and dance” around the prostate during use, creating subtler sensations than other models.

This model of Aneros stimulator was not designed as much for prostate massage benefits, but for intense sexual stimulation.

Due to its advanced design, the Aneros Eupho is best reserved for experienced users who have developed their technique through experience and exercise with other models.

• Next-Generation Model
• Most delicate, agile and advanced model
• Thin stem requires strong PC sphincter muscles
• Dime perineum tab
• Polished to hold lubricant for better movement

Aneros Progasm – for Intermediate to Advanced users

The Aneros Progasm is the newest and largest member of the Aneros family.  It was created due to  popular demand for an even larger model than the Maximus. The result is a large model that can move easily because it is still agile due to design features.  It has a newly designed round perineum tab and also boasts a Kundalini “K-Tab.” The “K-Tab” adds sensations up and down your back that are complementary to the sensations from the prostate.

Mobility of each Aneros model is achieved through PC muscle contraction and relaxation is the key to success for prostate massage and sexual stimulus.  Despite that it is the largest of the Aneros units, the Progasm moves inside the man’s body to provide a robust prostate massage for incredible pleasure.

• For advanced and experienced users
• Largest Aneros model, but is very mobile
• Round perineum tab design
• Kundalini “K-Tab” provides additional sensations

Aneros purchase guide for Prostate Massage

Prostate milking for BPH, enlarged prostate and prostatitis

Deciding which Aneros model to choose is easier when you remember that they are all designed to do the same two things – prostatic massage and orgasm pleasure enhancement – but one model may be more effective than another because of overall body size, prostate size and shape, strength of PD muscles and ability to control contractions, pelvic contours, ability to relax during Aneros use, etc.   In this way the Aneros provides a wonderfully therapeutic prostate milking massage that greatly helps recovery from BPH and chronic prostatitis, as well as reduction of prostate symptoms  in men over 40.

All five Aneros prostate massager devices rely upon a patented, hands-free design that uses the contraction of the anal muscles to control the prostate massage in a controlled, safe and pleasant action.  While each model has the same general design idea, close inspection shows each has its own unique shape and size that determines how it performs.  Some are slightly larger, and some have more subtle curves here and there.

Click here to purchase an Aneros prostatic massager – scroll down to the bottom of the page for the Aneros devices.

It is important to understand that each Aneros unit – Helix, MGX, SGX, Maximus and Eupho – works the way it does because of its overall design, not just because of one characteristic.  Size is not the most important characteristic of any one unit (bigger is not necessarily better), nor is shape.   Each model will be described and general comments will be offered about the performance quality of each.  With this information you can develop an idea which mode will work well for you.

It can be safely said that most men can use most Aneros prostate massagers; one or two might feel more comfortable than one or two others, but most models could be used with no problem.  There are no strict rules that dictate which model would suit a man better than another.  The idea that there is a “best” model of Aneros is not generally true.  The idea that there is a model you prefer more than others – your “favorite” – because its subtle difference fits your body better than others is closer to the truth of it.

To massage the prostate well, improve pelvic muscle tone

The Aneros will work better as a prostate massager if the lower pelvic PC muscles are strong and can be controlled well to push the device against the prostate. If you feel nothing happening when you have your prostate massager in place, it will be because your pelvic muscles are not strong enough; with continued use you will begin to feel a pleasant and sexual feeling during use that will tell you that you are getting stronger. The more you use the Aneros, regardless of which model you select, the better the prostate massage and sexual stimulation will be.  Continued use and practice pays off over time, as you learn how your body reacts to the Aneros depending on body posture while using it, comfort level and your mindset.

Read about each model before making a decision.

Aneros MGX – for beginner and all men       Aneros MGX

The Aneros MGX is a medically researched and designed to slide and rock over the surface of the prostate gland as the anal sphincter muscles slowly contract and relax.  The MGX is well balanced with a ribbed stem for prostate stimulation and stability

It is designed to stimulate both the prostate and the perineum in a rhythmic motion that moves lymphatic fluid out of the prostate as well as increase blood flow in this region, thus assisting the natural healing ability of the body, as well as creates male orgasms.  It has a standard ample perineum tab to provide an external prostate massage through the perineum.

A good choice for the novice and a favorite of the advanced user, with continued use and improved muscle action it provides a progressively great prostate massage.
•  For beginning and experienced users
•  Ribbed stem
•  Standard perineum tab
•  Polished to hold lubricant for better movement
•  Sue Johanson's Top 10 Toys of 2003
•  One of Playgirl Magazine sex columnist's two favorite toys for men.

All Aneros models are made in the USA from FDA approved materials.

Aneros SGX for beginner and all men, especially those men shorter than 5’6”    Aneros SGX

The SGX is the smallest Aneros model, originally developed for the Asian market and geared toward men 5’6” and shorter.  The insertion length of the SGX measures approximately 1/2 inch shorter ( a total of 3½ inches) than the MGX.  So do not be fooled to think that there is a huge sixe difference in these units.  Even so, its smaller size makes for easier insertion and use, and progressively rewarding symptom relief and improved sexual experiences.

However, this smaller unit might be a good starter model for those men who want to be conservative due to apprehensive about prostate stimulation.

Do not be confused about size of the different Aneros units.  Many times it happens that a short and smallish man prefers a larger Aneros device and a tall and large man prefers a smaller Aneros unit like the SGX; all size men can use all size Aneros massagers.  Ability to relax the anal muscles probably has more to do with the size of the device that a man will prefer to use.

The Aneros SGX is for men of all experience levels.   Men who receive good results from the SGX sometimes try a slightly larger model to see if their positive results might not increase.

The Aneros SGX, like its cousin the MGX, has a balanced head and ribbed stem with a thick, standard perineum tab.

• Great for prostate health, especially BPH
• For beginning users
• Smaller cousin of the MGX
• Ribbed stem for stability
• Standard perineum tab

Aneros Helix – for beginner and all men; tends to be the most effective model for prostate massage for most men        Aneros Helix

The best-selling Aneros Helix is part of the Next-Generation line (includes the Maximus and Eupho models.)  The Helix is aggressively shaped and angled, providing immediate pressure and tension on the prostate and surrounding area. It has a large, bulbous head and thin-angled stem for greater pivoting action. The tip of the head is also flatter, offering the most direct contact on the prostate, resulting in a more "aggressive" or vigorous prostate massage.

The Helix was designed based on research studies and user feedback surveys, and earned several additional design patents.  In terms of dimensions, the Helix is larger at the tip (1 1/16" versus 7/8 " on the MGX) and is more angled to provide a more vigorous massage. However, the mid-ridge is slightly smaller (1/16" smaller) on the Helix.  The redesigned P-Tab provides a more focused external prostate stimulation when massaging the perineum.

• For adventurous beginners and advanced users
• Next generation model
• Larger bulbous head with flat, wide head for more contact with prostate
• Strong angled stem for greater pivoting ability
• Dime perineum tab

Click here to purchase an Aneros prostatic massager – scroll down to the bottom of the page for the Aneros devices


Aneros Maximus – for Intermediate to advanced users       
Aneros Maximus

The Aneros Maximus is definitely true to its name.  It has a larger contact head, larger stem, and thick, standard perineum tab.  It is recommended for the advanced Aneros user and for men experienced with anal play, and is popular in the gay community.   The Maximus is similar in shape to the MGX and SGX, but expanded throughout.

The Maximus is part of Next-Generation line which includes the Helix and Eupho.  Its size makes it more difficult to insert and moves less than the other models.  Experienced Aneros users will have higher developed PC muscles, which makes it easier for the Maximus to move.  It provides greater pressure throughout the rectum and this makes it slightly more difficult to insert due to its size.  The Maximus has been reported to be a great performer during traditional intercourse.  Therefore we recommend the Maximus for men who are experienced with anal and prostate stimulation.

• Next-Generation Model
• Largest Next-Generation model
• Extra girth provides more anal canal stimulation
• Requires stronger PC sphincter muscles
• Great for prostate health

Aneros Eupho – for Advanced users       
Aneros Eupho

The delicately shaped Aneros Eupho is the most advanced model, at least based on the most number of patents it holds. It is recommended only for advanced Aneros users. It is proportionally the longest and slimmest model. It has a dime-style perineum tab and extremely thin head. These design features allow for the greatest movement of all Anderos models.  Therefore, the Eupho user must have highly developed PC muscles to control its movement. The thin head will “skip and dance” around the prostate during use, creating subtler sensations than other models.

This model of Aneros stimulator was not designed as much for prostate massage benefits, but for intense sexual stimulation.

Due to its advanced design, the Aneros Eupho is best reserved for experienced users who have developed their technique through experience and exercise with other models.

• Next-Generation Model
• Most delicate, agile and advanced model
• Thin stem requires strong PC sphincter muscles
• Dime perineum tab
• Polished to hold lubricant for better movement

Aneros Progasm – for Intermediate to Advanced users

The Aneros Progasm is the newest and largest member of the Aneros family.  It was created due to  popular demand for an even larger model than the Maximus. The result is a large model that can move easily because it is still agile due to design features.  It has a newly designed round perineum tab and also boasts a Kundalini "K-Tab." The "K-Tab" adds sensations up and down your back that are complementary to the sensations from the prostate.

Mobility of each Aneros model is achieved through PC muscle contraction and relaxation is the key to success for prostate massage and sexual stimulus.  Despite that it is the largest of the Aneros units, the Progasm moves inside the man's body to provide a robust prostate massage for incredible pleasure.

• For advanced and experienced users
• Largest Aneros model, but is very mobile
• Round perineum tab design
• Kundalini "K-Tab" provides additional sensations

Peyronie’s disease and pain in the penis

Penis injury during sex common cause of Peyronie’s disease 

Nothing will get a man’s attention more than when his penis hurts.

There are typically two ways in which a painful penis can develop:  after direct penis injury, or as a result of some type of medical health problem or sickness affecting the urinary system.  When the penis hurts because of suspected disease of the prostate gland, bladder or urethra there are few clear cut answers to penis pain with the exact location, duration, and quality of penis pain different from case to case, without good explanation.   You will notice that some men with prostatitis have pain at the base of the penis, while other men with the same diagnosis have pain at the tip of the penis, and other men no penis pain at all.  Men who have a painful penis are often surprised that their condition is never given a definite diagnosis to explain its cause.

This discussion will focus primarily on a particular type of painful traumatic event peculiar to Peyronie’s disease that can either cause or worsen an existing penile problem, as with an injury during intercourse.

Peyronie’s treatment

Regardless of how Peyronie’s disease starts, surgery and drugs are not always needed to reduce the pain and penile distortion it causes. Since 2002 the Peyronie’s Disease Institute has worked with people from around the world to use natural Alternative Medicine methods to help their body reverse the Peyronie’s scar naturally. While surgery is always an option, most people prefer to first use non-surgical treatment to possibly avoid the inherent risks of surgery.

Learn more about Peyronie’s disease treatment with Alternative Medicine. Another good source of information is the Peyronie’s Disease Handbook.

Medical conditions that can cause penis pain

It is important to know that several common disease conditions not related to penile injury can also cause dull and sharp pain in the penis and should not be ignored, especially if you have other unexplained symptoms related to the pelvis or urinary system:

  • Peyronie's disease
  • Bladder stone
  • Cancer of the penis
  • Inflammation of the prostate gland (prostatitis)
  • Reiter syndrome
  • Sickle cell anemia
  • Erection that does not go away (priapism) after 4 hours – medical emergency
  • Genital herpes
  • Syphilis
  • Urethra inflammation caused by chlamydia or gonorrhea
  • Infected or defective penile prosthesis
  • Infection under the foreskin of uncircumcised men (balanitis)
  • Pimples or insect bites on the head or shaft of the penis

Because any of these conditions can cause a deeply hurt penis, it is always best to rule out disease of the urinary system by going to your family doctor for a complete examination with any type of pains in the penis.  If you do not have a medical health problem, then a painful penis is usually explained by past trauma to the genitals or pelvis.  Even minor trauma can at times cause significant penile injury with varying degrees of pain and other symptoms.  One of the reasons that traumatic penis damage is often not suspected as the cause of genital pain is that there is sometimes a delayed response between the time of injury and when the penis pain begins.  It is rather common for a man to discover that a penis injury during sex that started his Peyronies disease might not cause discomfort until several weeks or months afterward.  Probably the single-most common way for PD to start is from a forcefully bent penis during sex.

Penile fracture or broken penis syndrome – Common way to hurt penis during sex

Even though there are no bones in the penis, penile fracture and broken penis syndrome are legitimate medical terms.  Both refer to a sudden and forceful bending injury of the erect penis, resulting in torn or ruptured internal tissue.  Many times a penile fracture will occur as a result of injury during sex activity when an erection is suddenly and forcefully impacted at the tip of the penis, almost like being punched in the nose.  When the force is sudden and unexpected the vulnerable shaft can painfully sustain a sharp bend, “breaking” the inner layer of penile tissue called the tunica albuginea membrane, as well as other tissues.  The forceful impact that causes a penile fracture most commonly happens during heightened sexual activity with the female partner in the superior position; other sexual positions allow for this to happen but this is the classic situation that results in a penile fracture.  Within just a second of time she will pull back too far, lose contact with the male, and then continue back down on top of the erection impacting the penis head with her pubic, inguinal or inner thigh area.  The initial immediate pain can be very mild or severe, depending on many variables, yet sufficient to tear the tunica when it is stretched tight during an erection.

The tunica albuginea surrounds the two corpora cavernosa chambers, specialized elongated masses of spongy tissue of the penis that fill with blood to create an erection.  In a penile fracture, because the torn tunica albuginea can no longer trap blood inside the penile chambers, blood that is normally confined within the penile chambers can freely leak out to surrounding tissue often resulting significant bruising and swelling, in addition to varying degrees of pain in the penis.

About half of men who undergo penis injury similar to the above, or even compression injury during a work-, sports- or auto-related accidents, will self-heal and repair the problem with the tunica albuginea without developing Peyronie’s disease.   The other half of cases will not heal, and it will slowly and gradually worsen as Peyronie’s disease develops over time.

Pain in tip of penis

Men with Peyronie’s disease sometimes have pain in the tip of the penis, although this is somewhat unusual because the pain of PD is usually located along the shaft or even base of the penis.  Although pain in the penile tip could be related to Peyronies, it is more likely due to reflex from the prostate gland; prostatitis often will refer pain to the tip of the penis.  As a point of differentiation, prostatitis will often increase urinary frequency, reduce the force and volume of urine, burning in the penile tip unrelated to voiding, reduced erectile ability, blood in the urine and semen, and aching pain is possible in the penis, testicles, rectum, perineum, groin and lower abdomen and low back.  Prostatitis can be precipitated by too frequent or too infrequent ejaculation, sexual arousal without ejaculation, withdrawal at the time of ejaculation, aggressive bike or horseback riding, excessive spicy foods, alcohol, and caffeine, as well as prolonged sitting especially in an automobile.

A similar complaint is burning at the tip of the penis.  When this occurs it suggests the possibility of an STD (sexually transmitted disease) or an infection of the urinary tract.   Generally, an STD is associated with a change of sexual partners, and can be variable from few a few subtle symptoms to marked genital pain during intercourse, discharge, itching and pain burning pain in the penis tip during urination.  STDs are serious problems that demand prompt and aggressive medical diagnosis and care.   A common urinary infection is suspected if you feel the need for frequent urination or notice that you need to urinate again within a few minutes.

Pain at base of penis

Pain at the base of the penis is perhaps most often explained as originating from a chronic bacterial infection of the prostate (chronic bacterial prostatitis).  This problem often comes and goes over time without apparent reason.   During a flare-up the penis pain can be dull or sharp, and extend to the testicles and anus as well as the pubic bone in front or the low back.  Bowel movements may be painful at this time.  It is also common to note frequent urgency of urination, pain when urinating or during ejaculation. While these symptoms are similar to an acute bacterial prostatitis, men who have a flare-up of chronic bacterial prostatitis tend to be less run down, feverish and ill-feeling than with acute prostatitis.

Spontaneous Remission and Natural Cure for Peyronie’s Disease

Helping nature to remove the Peyronie’s plaque 

Peyronie’s disease is filled with unknowns and controversy. There is even controversy about how often this problem simply goes away on its own. Some say it never goes away; that once you have Peyronies you have it for life. And there are those who say it goes away half of the time, and those who say it rarely goes away on its own.       
 
The term “goes away on its own” is another way of saying “self-healed” or “spontaneous cure” or “the body healed itself without outside assistance” or a spontaneous remission of Peyronie's disease. This is not an example of playing with words. In my world of working to help men reverse their Peyronie’s disease by improving their ability to heal or correct this problem, there is no difference in what these terms mean. It is important – even critical – to realize that when the body is able to rid itself of a disease process or abnormality it is an instance of true healing or a self-cure. Hence, it cannot be said that there is no cure for Peyronie’s disease. The body is able to cure Peyronie’s disease; it happens either rarely, or up to 20-50% of the cases, depending upon whom you choose to believe – but it does happen.
 
This is an extremely important point to consider in regard to using Alternative Medicine to treat Peyronie’s disease. When you use the different internal and external therapies to rid yourself of the Peyronie’s scar all you are attempting to do is to increase your body’s ability heal or cure itself of PD.         
 
Most of us would be in agreement that the body can and does rid itself – by a process in which the immune system heals, or “cures itself” – of Peyronie’s disease. How often this happens might be of some disagreement, but I think it is fair to say that most people know the body is able to cure or heal the Peyronies problem in some cases. This is an important point to keep in mind when you read or hear that there is no cure for Peyronie’s disease.
 
When the medical doctor says there is no cure for Peyronie’s disease what he really means is that there is no drug that he can prescribe that is a Peyronie’s cure. We have established that the body can and does heal the Peyronie’s plaque in an undetermined number of cases. With the Peyronie’s Disease Institute therapy program we are attempting to increase that natural healing ability.   
 

Is cancer more difficult to treat than Peyronie’s disease?

A spontaneous healing, also called spontaneous remission or spontaneous regression, is the unexpected cure or improvement of a disease which previously appeared to be stable or worsening. These terms are typically used to explain unexpected improvement of a cancer. The spontaneous regression and remission from cancer was defined by Everson and Cole in their 1966 book, Spontaneous Regression of Cancer, this way: "The partial or complete disappearance of a malignant tumour in the absence of all treatment, or in the presence of therapy which is considered inadequate to exert significant influence on neoplastic disease."

 

Because most of our medical information is presented through medical sources, it has long been suggested spontaneous regressions, let alone cures, from cancer are rare. Frequency of spontaneous healing was estimated to occur approximately at the rate of 1 in 100,000 cancers. Everson and Cole report that at least for small tumors, the frequency of spontaneous regression had been was drastically underrated and underreported. In their carefully designed mammography study they found that 22% of all breast cancer cases underwent spontaneous regression. They explain spontaneous regression from cancer: "In many of the collected cases … it must be acknowledged that the factors or mechanisms responsible for spontaneous regression are obscure or unknown in the light of present knowledge. However, in some of the cases, available knowledge permits one to infer that hormonal influences probably were important. … In other cases, the protocols strongly suggest that an immune mechanism was responsible".

When you read that in 20-50% of the cases the Peyronie’s disease goes away on its own, these are the instances in which the body was able to heal itself of the excess Peyronie’s scar. This issue of spontaneous resolution and tendency for improvement of Peyronie’s disease has been commonly cited. 1-4 If the body can cure cancer on occasion, why not Peyronie’s disease if you are doing many things at once to encourage this to happen?
 
All of this should give you some encouragement that the Peyronie’s Disease Institute therapy program is following a logical and reasonable course of action to help the body remove this problem, as the body was designed to do.
 

Change Peyronies Treatment Dosage

How to change Peyronie’s treatment

Starting Peyronies treatment dosage can be easy if you start by taking therapy products at the manufacturer’s suggested rate – perhaps for the first 14-21 days.  If this dosage causes a change in the size, shape, density and surface qualities of your scar(s), then that simple and small dosage is adequate to provide you with the help you need to eliminate your Peyronie’s disease scar formation.  

This is a list of all therapy products available through Peyronie’s Disease Institute and Natural Health Education LLC with the manufacturers’ suggested dosage:

1.   Vitamin E Factor 400/400 (60) – 1 or 2/day – with food
2.  
Maxi-Gamma E (60) – 1/day – with food
3.  
Unique E (180) – 1 or 2/day – with food
4.   
Natural C 1 gram (100) or (250) – 1 or 2/day – with food
5.  
Ascorbplex (90) or (180) – 1 or 2/day – with food
6.   
Fundamental Sulfur (100) – 3/day, taken between meals, or if upset occurs, – with meals
7.   
Acetyl-L-carnitine (60) – 1/day – with food
8.   
PABA (100) – 1 or 2 daily – 1/day – with food
9.   
Quercetin Bromelain ((100) – 1-8/day – between meals
10.
Fibrozym (100) or (200) – 2 tablets, three times a day – between meals
11.
Nattokinase 1500 (120) – 2 tablets, two times a day – between meals
12.
Neprinol (90) or (300) – 1-4 capsules with 8 0z of water – between meals
13.
Scar-X  (1 oz) – 10 drops three time a day – between meals
14.
PMD DMSO Gel (4 oz) – 1-3 times a day, depending on skin tolerance
15.
Super CD Serum (1 oz) – applied to skin before PMD DMSO
16.
Unique-E Vitamin E oil (1 oz) – applied to skin before PMD DMSO
17.
HJG and KBG Honso herbs – 1-3/day
18.
Genesen Pointers – used 15 minutes or longer, daily if desired
19.
Massage and Exercise instructions – performed 2-4 times a week
20.Gentle Manual Penis Stretching Method © instructions – used 15 minutes or longer, daily if desired
21. Prosta-Support (120) – 4/day – with meals
22. color: black;”>Omega T – 1 or 2 daily – with meals

Peyronie’s treatment dosage example
Let us say that you decide you will take PABA at a dose of 2/day. After doing this for a reasonable time – maybe 10-14 days – you do not notice any change in your plaque or scar at the 2/day dose. In this case you probably should consider increasing dosage until your scar responds to your therapy.  The usual method is to simply increase the dosage by one capsule or pill to the total every few weeks until you notice change in the size, shape, density or surface features of the scar.  

The process is made more complicated by the fact that you should be taking multiple therapies, but that is necessary to achieve results.

Peyronies dosage determined by scar response

To know exactly how to modify your dosage it is necessary to compare the size, shape, density and surface features of your scar from the onset of treatment. This critical information enables you to recognize positive changes when they occur. If you do not know how to determine and record the size, shape, density and surface features of your scar you will have to refer to chapter 4 of the “Peyronie’s Disease Handbook” to learn about scar measurement.   

All dosage increase is done slowly and carefully over a period of time to allow the body the opportunity to respond to a favorable change in therapy. If the dosage is changed too rapidly or too often it will not be possible to determine what factor caused a favorable response.  If you develop any unusual symptoms or change in body behavior or appearance while increasing dosage, simply stop taking the product for 48 hours after that problem/symptom disappears. Restart after 48 hours or when the new symptoms clear up, using the next lower dose.  From this point forward, once again begin the process of increasing dosage to promote favorable scar change. After reaching a higher dose at which changes are noted in the scar, remain at that dosage level for a few weeks.  Your correct dose is discovered by accompanying improvement in scar size, shape, density or surface quality.

Discuss your PD therapy plan with your family doctor or urologist so he/she is fully aware of what natural Peyronie’s treatment you are following.  You should consider this discussion about dosage strategy after getting final approval from your doctor. 
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Why Is My Penis Curved?

How to straighten a penis

What a terrible shock to realize, “My penis is curved.” 

But then you must ask, “How did that happen, and what is going on down there?  And the most important question to Google, “How to straighten my penis?”

Of several causes of a curved penis, the most common and difficult to deal with is Peyronie’s disease.  

Peyronie’s disease is a condition that occurs in about 6-10% of men over the age of 40 (although it can affect teenagers and men in their early 20s) in which a dense and thick mass of fibrous tissue, called a Peyronie’s plaque or scar, is found within the tunica albuginea layer of the penis.  The presence of this fibrous nodule or band  under the skin of the penis prevents the normal expansion of the chambers of the penis during an erection.  This causes the erection to be curved, bent, hinged, or to take on an hourglass or bottleneck distortion.

Please visit Peyronie’s symptoms to view the Peyronie’s pictures of curved penis to determine if you might have this condition.  It is always advisable to have a complete examination by a physician to make an accurate diagnosis of Peyronie’s disease.  Do not think you can self-diagnose this problem.

The problem of Peyronie’s disease is not that you have a curved penis; the penile curvature is just the outward appearance of the actual problem that is found below the skin surface.  The real problem is the Peyronie’s plaque found deeper in the tunica albuginea causing incomplete filling of the penile chambers.  For this reason any treatment that is only directed to making the penis straight, without removing the PD plaque, will not be successful.

If a man knows he has Peyronie’s disease he should also know the problem is that his body produced excessive scar tissue or plaque in response to a small injury or inflammation of the deep penile tissue layer.  While the Peyronie’s Disease Institute does not take a position against Peyronie’s surgery, we feel too many men resort to penis surgery far too soon before trying conservative treatment.   Our objection to Peyronie’s surgery is that when a surgeon cuts that same tissue that has the plaque material in it puts stitches into it, what prevents additional scar formation from occurring?  The very real chance that more scar tissue will result is the reason many urologists and surgeons take a position against all Peyronie’s surgery.

Peyronie’s Disease Institute has educated men since 2002 about the use of Alternative Medicine to assist the body to heal the Peyronie’s plaque.  Fifty percent of men naturally recover from Peyronie’s disease without any help or outside intervention.  Our approach is to assist each man to increase his chance to heal naturally like those in that lucky 50% group. So if you are one who has said in shock, “Why is my penis curved,” and “How to straighten your penis,”  now you know. 

Learn more about Peyronie’s disease treatment with Alternative Medicine. A good source of information is the Peyronie’s Disease Handbook.  

Pentoxifylline, Niacin and Peyronie’s Disease

Pentoxifylline is not an approved Peyronie’s disease drug

There are several things I find interesting in a question and answer about Peyronie’s disease and Pentoxifylline (Pentox) I discovered online recently.  It appears on the Peyronie’s forum of a medical doctor who is well known as a Peyronie’s disease expert.  I will not use the doctor’s name since it does not serve a useful purpose to mention his name.

Here is the question, followed by the doctor’s answer:

Question:  Can Pentoxifylline help with increasing blood flow when a man has PD?  Also is Niacin also an alternative that might achieve any results?

Answer:   Pentoxifylline has been shown in animal studies to potentially reduce the development of the Peyronie’s scar when the animals consumed the Pentox in their drinking water from the time that the Peyronie’s process is triggered.  Pentoxifylline is indicated to enhance blood flow to the lower extremities in patients with peripheral vascular disease likely because it has a mild non-specific vasodilating effect.  Therefore, it is possible that it can increase blood flow in the man with PD.  As to whether this will improve erections or has anything to do with preventing progression of already established PD is unknown.  Niacin, to my knowledge, has not been studied as a treatment for Peyronie’s disease.

Pentox preferred simply because it is a drug

Point # 1.  The doctor responds that the use of Pentoxifylline is used to treat Peyronie’s disease because it has the ability to enhance blood flow to the lower extremities in patients with peripheral vascular disease likely because of its mild non-specific vasodilating effect.

My response:  Here the doctor is saying that Pentoxifylline is used in Peyronie’s disease because it improves blood flow in people who have peripheral vascular disease.  Anyone who has studied this subject knows that Peyronie’s disease is not a vascular or blood vessel disease, so it is difficult to understand from this answer the connection between the two conditions. This reason he gives for using Pentox for treatment of PD is not supported by what we know about this condition.

Point #2.  The doctor states that Pentoxifylline is used in Peyronie’s disease (of the penis) because it improves blood flow in the periphery of the body, meaning arms and legs.

My response:  These are two different areas of the body. This part of the answer suggests that Pentox has not been tested or shown to actually improve the blood flow to the penis, only the upper and lower extremities.  This reason he gives for using Pentoxifylline for treatment of PD is not supported by what we know about this condition.

Point #3.  The doctor attempts to tie his two points together and then carefully speculates that “it is possible that it can increase blood flow in the man with PD.”

My response:  What the doctor is saying is that using Pentox for Peyronies treatment might possibly work since it works for other conditions that are only remotely related. This kind of speculative use of a drug is common, and would not be objectionable except for the fact that Pentoxifylline is known to have side effects that can affect the cardiovascular, immune, digestive, respiratory, visual and nervous systems. That is a risk taken by a patient for use of a drug that might only possibly help an unrelated condition.  I doubt many patients know that they are exposing themselves by taking drugs that are not known to help the condition they have.

Point #4.  The doctor reports that it is unknown if Pentoxifylline will improve erections or has anything to do with preventing progression of an existing case of Peyronie’s disease.

My response:   Saying that it is unknown if Pentox will improve erections suggests that it does not influence blood flow to the penis. Yet, improving penile blood flow is one of the reasons given by this doctor to justify using it for Peyronie’s disease.   Since I have never heard of anyone taking any medication for prevention of Peyronie’s disease, the doctor also says that Pentoxifylline will not alter the progression of a case of PD once it has started.  This sounds to me that it would not help Peyronie’s disease.

Point #5.  The doctor reports that to his knowledge niacin (a member of the B vitamin family) has never been studied as a possible treatment for Peyronie’s disease.

My response:  Niacin is well known to those who take vitamins for the “niacin flush” that it causes.  Niacin causes an increased blood flow throughout the body, experienced as heat, redness and itching that occurs after taking a few hundred milligram dose.

So we have the doctor reporting that Pentox (with side effects) is used to treat Peyronie’s disease because it has a “mild non-specific vasodilating effect,” yet niacin (with no side effects) which also has a mild to moderate non-specific vasodilating effect has never been studied as a Peyronie’s treatment.

I think this is a classic example of the drug industry ignoring potential non-drug therapies simply because they lack profitability.  This is a point to remember when you are told that no nutritional therapy has been shown to help PD.   This is only true because these companies refuse to do the testing to prove they might have merit.

Point #6.   The doctor uses  only one brief  sentence to discuss niacin, and 90% of his reply to discuss a drug that does the same thing as niacin can do and do it without side effects.  In his short sentence about niacin he only says that it has not been studied as a Peyronie’s treatment.  Period.  As a scientist, as a physician interested in advancing the body of thought about Peyronie’s treatment, wouldn’t you think the doctor would be more interested in something like niacin?  Instead, he merely brushes the idea of niacin use for PD aside.  This is so typical of the attitude of organized medicine about treatment of Peyronie’s disease.

Point #7.  The man who asked a reasonable and intelligent question about niacin was not given an actual answer about niacin.    He was only given a reply that promoted the use of a drug that has side effects and not known to be effective against Peyronie’s disease.   And you wonder why men get frustrated with the lack of help and useful information about Peyronies treatment.

Penis Extender Claims and Peyronie’s Disease

Correcting the curved penis of Peyronie’s disease

Many men with Peyronie’s disease are interested in recent advertising promotions claiming that penis extender devices can correct penile curvature. Any man who faces penis surgery because of Peyronies wants to believe this is true. For this reason the penis extender companies are offering hope to these men at a time when they are most vulnerable.
Penis extender is an advertising term used for a mechanical device that was originally designed and intended to increase the length and girth of the penis by applying prolonged traction to the organ. This is supposed to be accomplished by wearing a plastic and metal device on the penis designed to firmly hold onto the head of the penis while using variable length metal rods to apply a traction force away from the body by pushing against the pubic bone of the pelvis. There is no proof that the extender can cause the penis to become larger and remain that way for more than a few weeks; any change these devices make are rather temporary.

In early 2011 there are about 12 companies that manufacture penis extenders, with five of these companies that seem to dominate the market in terms of very aggressive internet marketing. Of the many penis extender devices I have personally evaluated, all are of the same basic design and engineering concept, with only small differences in regard to materials used and design features to hold the head or shaft of the penis while traction forces are applied. The only great difference amongst this group appears to be in the advertising and promotional claims that they dare to make about the effectiveness of their products. Prices range from $250 to $430 for the most common models.

Problems with penis extenders

None of these penis extender companies inform their potential customers in their advertisements that best results are achieved when the device is worn for eight hours a day for six months or longer. That particular information is revealed only in the literature that comes with the penis extenders after the purchase is made.
Also, none of these penis extender companies reveal that these penis extenders weigh on average just a little over a pound. This is why men who have tried to use the penis extender products as instructed report to me that over a short period of time they experienced a rather rapid break down of the tender penile skin (tissue erosion from compression and rubbing that causes blisters, bruises, (and in some cases Peyronie’s disease). For this reason a few of the more careful companies (perhaps those who are already been sued for damages) include in the pe

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nis extender kit special bandages, extra lamb’s wool padding, antibiotic ointments and instructions to follow when – not if – tissue erosion and bleeding develop after using the penis extender.

All penis extender manufacturers claim that in addition to making the penis larger, their products can be used to treat Peyronie’s disease. However, none of these companies explain how this is accomplished. The closest explanation offered by one company is that “The device produces results by forcing tissues of the penis to expand rather than retract.” This is, of course, nonsense since the problem of Peyronie’s disease is not the tissue has retracted. When something retracts it pulls back, withdraws or pulls in. That is not what happens in Peyronie’s disease. The problem of Peyronie’s disease is that excessive collagen material is deposited at the a site of suspected penile injury and develops into a mass of scar-like tissue, which in turn prevents expansion of the penile tissue during erection as well as prevents full closure of the penile veins during erection causing reduced ability to achieve a fully hard erection.
In order to accept the explanation of the penis extender manufacturers you will have to accept the idea that Peyronie’s disease is simply a problem of the penile tissue contracting for some reason they do not explain. They propose that the answer to this problem is to pull on the retracted or contracted tissue, like pulling for a while on a rubber band. This simplistic description and answer to the problem of Peyronie’s disease does not address the well known science surrounding Peyronie’s disease. Anyone who has taken the time to understand his problem will know this does not make sense. This is like saying that if a person is short they can be made taller by using traction that will cause the tissue to “expand rather than retract.”

Penis extender not Peyronie's treatment

The best things about the penis extender devices for Peyronie’s treatment are that they must be easy to sell because:
1. Any man would like to believe that the answer to his Peyronie’s problem will also cause his penis to be bigger.
2. The simple idea that fixing a curved penis is as easy as straightening a bent paper clip must appeal to anyone who is frustrated by the complexity of Peyronies disease.
It should be pointed out that none of the makers of the penis extenders offers a good explanation how this process is supposed to reverse the penile curvature of PD. It is my belief that they have not done so because there is none.
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Broken Penis and Peyronie’s Disease

Penile fracture can lead to Peyronies

The most frequently found explanation of Peyronie’s disease usually refers to it as an exaggerated healing of penile trauma. This injury can be so small as to be unnoticed or so severe as to be considered a broken penis or a penile fracture.

A fractured penis is also known as a broken penis syndrome.  It is a severe and painful form of bending injury that occurs to the erect penis typically during intercourse when a thin tissue membrane of the penis called the tunica albuginea becomes ruptured or torn crosswise, not along the length of the penis.  When a penile fracture occurs it is often accompanied by a popping or cracking sound that can be heard by the sexual partner, and results in immediate flaccidity. Because of the severe pain in the penis, bruising, and swelling, this is considered a medical emergency that often results in surgical repair. When the fractured penis is severe, the urinary tube within the penis that drains urine from the bladder (urethra) can be damaged, leading to blood in the urine.

All couples who use the woman-on-top intercourse position have experienced times when the woman will thrust back and lift off  the penis only to come back down again, forcefully pushing and bending the penis against her pelvic bone , groin or vulva region.  And all men have had the experience of missing the point of penetration at the opening of the vagina during intercourse.  These two are the most common way to cause a penile fracture.

Approximately 1,000 cases of broken penises are reported each year in the U.S.  Men in their 20s and 30s are a higher risk because they are more inclined to engage in vigorous or acrobatic sexual activity that result in a broken penis.   Men in their 50s and 60s are less inclined not only because of reduced frequency and vigor of sexual activity, but because their erections tend to be less rigid.

It is not necessary to stop sexual activity if you have Peyronie’s disease, only that you become more careful and conservative about a few aspects of your sexual repertoire.  Especially for a man who already has a penile problem, it is most wise to avoid additional injury of another fractured penis so that the Peyronie’s sex problem is not made worse.   Peyronie’s Disease Institute suggests the following safety steps to avoid reinjury and possible worsening of an existing case of Peyronies:

  1. The man should not allow himself to be so filled with sexual excitement and abandon that the throws caution to the wind during intercourse.   He must be the calm and sensible one who monitors and evaluates the strength and control of thrusting and selection of sex positions so as to avoid those that put him at risk for additional injury.
  2. The man should be the one who does primary thrusting in intercourse  to reduce the chance of  additional penile trauma.
  3. Use of additional sexual lubrication during  sexual intercourse.  Even if his sexual partner produces adequate natural lubrication, apply additional sexual lubrication to avoid dryness during intercourse that can lead to additional injury while thrusting.

After the broken penis has healed begin a treatment plan using Alternative Medicine measures found on the PDI website.  

Prostate Screening Tests and Peyronie’s Disease

 

Older men undergoing unnecessary PSA screening

A new study from the University of Chicago reports on the use of PSA-based prostate cancer screening in the United States, concluding that many elderly men could be receiving excessive and unnecessary prostate cancer screening tests.  This same study also determines that while elderly men are over-tested for prostate cancer, while a significant percent of men in the 50-60 age group are not being tested enough for prostate cancer.

The prostate specific antigen (PSA) test is used to help detect prostate cancer or other prostate abnormalities.

These same University of Chicago researchers report that data from two separate surveys conducted in 2000 and 2005 found that slightly less than half of men in their seventies received PSA screening tests within the prior year, a number almost double the PSA screening rate of men in their early fifties.  Consistent with this trend, men who are 85 years and older were given PSA screening tests about as often as men in the 50-60 age group.

Senior author of this study, Scott Eggener, MD, said, “Our findings show a high rate of elderly and sometimes ill men being inappropriately screened for prostate cancer. We’re concerned these screenings may prompt cancer treatment among elderly men who ultimately have a very low likelihood of benefiting the patient and paradoxically can cause more harm than good. We were also surprised to find that nearly three-quarters of men in their fifties were not screened within the past year."  In the active study group were 2,623 men age 70 years and older and almost 12,000 men between the ages of 40 and 69 served as the control group. .

Published online in the Journal of Clinical Oncology (March 28, 2011), Dr. Eggener and his colleagues evaluated test  results in 2000 and 2005 of health surveys from randomly selected households, as part of the National Health Interview Survey initiative.  Reviewing this survey data, Dr. Eggener was able to calculate the estimated 5-year life expectancy of each participant over age 40 who had received a PSA test.

The total PSA screening rate for all men (40 years and older) within the past year was 23.7% in 2000 and 26% in 2005. A breakdown of this total number into meaningful groups shows that the PSA screening rate was lowest in the 40 to 44 age group (7.5%), the PSA screening rate increased to 24% in men ages 50 to 54 years.  The PSA screening rate increased again with a peak rate of 45.5% for men  s 70 to 74 years of age. Screening rates then declined with age, with 24.6% of men age 85 years or older reporting being screened.

The study concludes with the suggestion that treating physicians should be more selective in recommending PSA cancer screening tests for elderly male patients who are less likely to receive benefit from the results of that testing.  Instead, they recommend that more rigorous prostate and PSA screening tests should be done routinely for those men who are in the younger and healthier 40-50 age groups, since it is they who will more likely benefit from early prostate cancer diagnosis.

How does this relate to Peyronie’s disease?  Well, it shows that as your medical doctor is recommending tests and procedures for you, he is also calculating values and factors that might  not be related to your direct benefit.  This is the aspect of modern government-managed and insurance company-dictated health care that is warned about.   Medical decisions are made for you and about you that are based on what is good for others.  Keep this in mind when health care options are being given to you.

Peyronie’s Disease Treatment and Vitamin E

 

 

Vitamin E not researched well for Peyronie's treatment

Because of its early success in treating Peyronie’s disease, vitamin E is the most commonly prescribed form of non-drug Peyronies treatment.  With this history of positive results based on the really rather limited medical research that has been given to vitamin E, not much additional research has been done after that point.

To make this simple point even more clear, even thought the early research studies that looked at the effectiveness of vitamin E and other nutrition products for treatment of Peyronie’s disease were good, almost no additional research has been done in this area of treatment.  This sad fact should be of interest to anyone with Peyronie’s disease.

One is the few complaints about the effects of vitamin E and Peyronie’s treatment that is always used to justify not using this therapy is that there has not been enough research to prove it actually works.

Have you ever noticed that every time you read about vitamin E treatment for Peyronie’s disease the article will say something like, “Early testing of Peyronie’s disease treatment with vitamin E showed initial promise and success.  However, more testing needs to be done.”   We have all read that.  t must ask you, “Why hasn’t that additional testing been done with vitamin E for PD?”

Just as vitamin E started to show promise as a Peyronies treatment, research in this area stopped.  What could have been the reason?  Vitamin E is a known essential human nutrient, it is relatively inexpensive to extract from food sources, and has myriad health benefits.  Why would medical science and the large drug companies not be interested in doing the needed research to prove it as a valid Peyronie’s treatment? It is not necessary to ponder this question too long before the answer, profit, becomes apparent.

Vitamin E is a valid Peyronies therapy

It sometimes appears that the drug industry wants to protect its own health more than it wants to protect the health of the public.

Vitamin E does not present a high profit to the large drug companies because it cannot be held as a monopoly; anyone and everyone can manufacture and sell it.  It is currently manufactured by so many small companies around the world, that the competition keeps the price relatively low for it.  Without adequate profit, these large drug companies lack motivation to sell it even though it might be of value to sick people.

By not researching vitamin E the drug industry has locked it out of serious consideration as a potential Peyronies treatment.  And so, the common refrain continues that your doctor will not – and actually according to standard medical ethics cannot – strongly promote the use of vitamin E for treatment of Peyronie’s disease because it has not been proven through research to work as a treatment.

Do not be afraid of using vitamin E as a general supplement or as a specific product as a therapy for Peyronie’s disease.   The risk and danger have been greatly exaggerated in the literature, and are generally unfounded.  Please read this blog post that explains more about the safety of vitamin E.

Peyronie’s Disease Institute has used vitamin E with great success since 2002 and continues to do so without reservation.   

Who is a Peyronie’s Disease Expert?

The problem of the Peyronies specialist

The problem for a man with Peyronie’s disease is much greater than his physical condition. If it were not bad enough that there is no known cause and no known cure for Peyronies disease and that most medical doctors prefer to rush out of the room rather than explain this problem, there is another layer of distress to deal with when you have PD.

It appears that even within the medical profession there is disagreement about who should provide Peyronie’s disease treatment. While reviewing an internet Peyronies forum recently I discovered an interesting Q/A.  This brief exchange demonstrates just how great the difficulty is for any man who has a curved penis to know where to go for help.  The doctor’s name has been omitted only because it is actually not important to this discussion. Suffice it to say that this doctor is considered a Peyronies specialist and practices in one of the largest US cities. His answer says a lot about the low knowledge and poor experience level of the average general practitioner and urologist with Peyronie’s disease.  It is both amazing and sad to think he believes so few doctors are capable of providing good care for this problem.

I have been diagnosed with PD by a urologist 3 months ago. I am 59. He has prescribed 800 IU of Vitamin E daily & also Infam-away (a hi-potency Enzyme formula) capsules 6 daily on a empty stomach. Nothing has helped after taking these medicines for 3 months. Erections are very painful and curvature has developed to the left. An indentation about 1″ below the glans has also developed. He has basically told me that there is nothing else he can do. My primary care physician admits that this is a disease that not much is known as to the whys and what will work to help the pain and hopefully stop or reverse the curvature which at present is 30-40%. I was given a pain killer to help especially if erections get too painful. Are there any over-the-counter or on the internet medicines that may help?

Dr. XXXXX Answers: There are no known over-the-counter products of benefit in Peyronie’s disease. Most urologists know little about this condition and are generally not completely up-to-date on treatments and we suggest that you seek out a Peyronie’s disease expert for evaluation and a discussion of treatments.

From his response you could almost hear the professional rivalry and his impatience with his medical colleagues who he thinks do not know as much as he thinks he knows.  You will also notice he did not offer any helpful advice to this man who asked the question. If you should not go to a urologist for a problem with your penis, then to whom should you go for care?  If “most” urologists do now know enough about PD to be current with care, how is the average patient to know who is safe to go for care?  No urologist has on his/her business card, “I am a urologist but it do not know how to treat PD.”

Many of the people who write to me at the PDI website info@peyronies-disease-help.com live in small states and areas of low population, with poor access to a urologist and have no idea who a “Peyronie’s specialist” might be.  This is why so many men who contact me after going through the medical route of Peyronies treatment are totally confused, frustrated and angry about their medical care. While I do not agree with the opinion of this Peyronie’s specialist, “[t]here are no known over-the-counter products of benefit in Peyronie’s disease,” I can only assume he is referring to the absence of studies in medical journals about non-drug treatment of PD and not his own private investigation or experience.  This tends to be true in this country because our medical doctors are not comfortable or experienced doing independent thinking. They only repeat what the drug companies and the multi-million dollar drug research have told them is the truth. This truth of course changes when that same multi-million dollar drug research is found to be false, full of bad research, or riddled with corrupt findings.  When a new “wonder drug” is suddenly pulled from the market after patients are made worse or die from the prescribed drugs they are given by doctors, the doctors are told to think and prescribe in a different way.  They are given new truths from the drug companies and new drugs. In Europe it is different.  This is why so many new ideas and innovative discoveries come from Europe.

In my own opinion, it is best to attempt to promote your own spontaneous recovery from Peyronie’s disease by doing all that you can to increase your body’s ability to heal and repair the curved penis plagues you.

Can’t Find Peyronie’s Plaque or Scar

Help to locate the Peyronies plaque

It is not uncommon for the Peyronie’s plaque to be difficult to locate. Sometimes it even happens that the examining urologist is not able to definitely locate a mass of foreign tissue that he/she is certain is the offending Peyronie’s plaque that is causing the bent penis to develop. First of all, it must be mentioned that if you are expecting to see the scar or plaque on the surface of the skin, you will not. And Peyronie’s disease seldom causes a lump that raises the skin of the shaft. The “scar” of PD is internal, not external – it is never seen, only felt. It is a poor term to use, but the lesion of PD is also called a plaque (which is also a poor term). Generally, you do not have to examine the entire shaft looking for something that feels like a foreign mass of tissue. Your examination should be centered in the immediate area of the concavity of your distortion. By concavity I mean the condition of being curved like the inner surface of a sphere or the depressed area of an indentation. You can also think of a concavity as being the lower bent area on the underside of a rainbow. As far as the Peyronie’s disease is concerned, the concavity if that part of the bent penis that is the inner part of the arch that is formed.

Some men do not have a curved penis, but instead their distortion is that the shaft has small depressions, that look like dents or dings or areas where the surface has been pushed inward. All of these are caused by one or more Peyronie’s plaques immediately below the lowest portion of each depressed area on the shaft. In fact there could easily be one, two or three or more internal plaque formations that are responsible for

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causing a single curve of the penis. For this reason, as one of these scars responds to treatment faster than the others, it can cause the distortion to temporarily appear worse as the scar actually improves. Once you know where to find the scar it is a simple matter to carefully and thoroughly examine all the tissue directly at the lowest area of the concavity of the distortion to find the foreign plaque material that is preventing complete expansion of the shaft.

Peyronie’s plaque easier to find if you have an open mind about it

If your internal scar or plaque is not easy to find, forget about finding a “scar.” Just try to find something – anything – within the mass of erectile tissue of the shaft that feels unlike the other tissue. Find something that is unlike the rest of the tissue. When you find it, mark its location with a marker pen or something that will stay on the tissue for a day or two. Go back each day to that area and re-think what you are feeling. You are trying to see if it becomes easier to make sense of it. It could be that you have an unreasonable expectation of what a “scar” should feel like, and you are missing what is really rather obvious only because your expectation is wrong. Really, how could you know what a PD scar feels like if you have never had to do this before? It is a common problem. “Peyronie’s Disease Handbook” is available from PDI and presents great information about finding the PD scar and valuable information about Peyronie’s Disease treatment. If you have any trouble finding your Peyronie’s scar, please write an email to Dr. Herazy at info@peyronies-disease-help.com

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Peyronie’s Disease and Phimosis

Phimosis treatment and Peyronie’s disease

There is a lot of discussion these days about how the sellers of the mechanical penis stretchers say they can be used for treatment of Peyronie’s disease. Any reader of this forum knows that PDI has taken a position against these awkward mechanical devices because of countless conversations and emails from men who report to PDI that these stretchers have actually caused their PD or worsened the PD problem if it was already present.

There is another way to that is better and safer to correct the distortion and bent penis of PD. It is to use the PDI Gentle Manual Penis Stretching Technique © instruction CD to actually make significant improvement in the curved penis that is caused by the Peyronie’s plaque. For confirmation how this might work for Peyronies disease, one has only to look at how the medical profession advises a man to help himself when he has a condition of the penis called phimosis.

Phimosis is a fairly common condition of the penis in which the prepuce or foreskin is too tight or small for it to be completely pulled back or retracted over the head of the penis. Most of the time this condition is detected in early childhood, but sometimes persists into adulthood. In the adult with phimosis, since the foreskin cannot be easily pulled back over the head, oil and dead tissue cells collect between the head and foreskin and results in the collection of a smelly white cheese-like accumulation called smegma. During sexual activity the skin can become irritated and painful because of the forced friction and movement of the otherwise tigh

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t skin. To correct this problem the medical profession has a simple solution that should be kept in mind by anyone with Peyronie’s disease.

Phimosis treatment shows how to manage Peyronie’s disease

There are two basic ways to stretch the foreskin or prepuce when phimosis is present:

  1. Gently pull back on the foreskin when erect, so that its opening feels tight around the head without feeling real pain. Hold this position for a few minutes, and repeat a few times at one session. Do a few sessions per day. This stretching can be made easier if you first soak in a warm bath.
  2. Gently pull the foreskin forward over the head to create extra tissue in front of the head. Then, with the foreskin forward and the two little fingertips inserted into the foreskin opening, hold each side of the foreskin further open and gently pull out and away on each side of the opening you have created so that the opening is larger than usual. Continue stretching the opening with the tips of the little finger until it feels like you have stretched it to a comfortable limit and is never painful. Hold for a few minutes and repeat a few times during a session. This is also done best after soaking in a warm bath for a few minutes.

Continue stretching the prepuce or foreskin for a while longer once you develop to the diameter foreskin opening you want.

Peyronie’s treatment can also be done by stretching that should be easy, gentle and done in a relatively short time. Heavy weights, tight clamps that abuse the tissue, and months of treatment are not necessary. All of this is best accomplished with the PDI Gentle Manual Penis Stretching Technique ©.

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How to Change Peyronie’s Treatment If Not Effective

In 2002 I started working exclusively with men who have Peyronie’s disease. Since that time I have noticed a common pattern with men about 6-8 weeks after the start of their treatment with Alternative Medicine. This pattern occurs no matter the size of the PD treatment plan a man uses, or even with some personalized modification of a standard PDI plan based on personal needs.

It seems that after seeing some initial changes in the size, shape, density or surface quality of their scars at about 6-8 weeks of Peyronie's treatment, improvement and progress will often level off or plateau. It seems that most men assume that all recovery and progress remains on a level and constant course, like putting your foot on the accelerator of a car. When they begin to notice their improvement has slowed down or stopped, they are stumped about what to do next. They will not know what to do with their current plan to improve it or modify it to assure continuation of those early positive changes.

Time and again I have seen this pattern: Start care, make progress, slow down or stoppage of progress. What must be done is some modification of the initial treatment (usually increase of treatment in some way) to again stimulate the healing capability of the tissue. This can be expressed as: Increase care by increasing current therapy or adding new therapy, re-stimulate immune response, make additional progress, monitor for next slow down. What happens after the next slow down or stoppage can be expressed in the same way: Increase care again in a same or different way, re-stimulate immune response, monitor for next slow down, and so on.

This process of exactly how to slowly modify Peyronie’s treatment to increase activity of the immune response against the PD scar is where the day-today challenge is found – and it is not easy.

Peyronie’s treatment plateau of progress

It is common for a man who experiences his first plateau of progress to think only in terms

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of adding more therapies to his treatment lineup to re-energize his recovery. If he has gotten good results from a medium size PD plan, he will assume he must add one or more therapies that are not part of his current plan – like PABA, or the Genesen pointers, or acetyl-L-carnitine, or Unique-E vitamin E oil as an external application or the gentle manual penis stretching technique, etc. However, this is usually not necessary and not the best course of action.

From my experience, to help you get off your plateau and begin progressing again toward additional recovery it is best to work within the same group of therapies that was good enough to create your initial improvement. This is usually accomplished by slowly and carefully increasing the dosage of one of those therapy items a little at a time. If you develop any unusual problem/symptom while increasing your dosage, simply stop taking the product for 48 hours, and restart from the next lower dose. When you reach the highest dose where you had no problem or symptom, stay at that dosage level for a few weeks. After 2-3 weeks without problems, then slowly increase the dosage until you are at the desired level. You will know you are taking the correct effective dose when you begin to see improvement in your scar size, shape, density or surface texture.

Modify slowly and deliberately

If no improvement or change occurs in the features of your scar after being on the increased dosage for about 14 days, then increase the dosage again. Repeat this process until you begin to note improvement in your scar size, shape, density or surface texture.

Only after you have attempted to increase all therapies singly, and have attempted to increase several therapies together as a group, and all have shown to be unsuccessful should you then consider expanding the number of different therapies you use – like adding in PABA, or the Genesen pointers, or acetyl-L-carnitine, or Unique-E oil as an external application or the gentle manual penis stretching technique, etc. to your Peyronie’s treatment plan.

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Peyronies Treatment and Attitude

Peyronies care improved with right attitude

When someone starts Peyronies disease treatment using Alternative Medicine there is always a sense of heightened anticipation about how fast results might occur, and how quickly sexual function and lost size might be restored. Often this attitude of expectation is so intense that an unreasonable anticipation develops that can only lead to disappointment, frustration, and ultimate failure. This is unfortunate since so much of this self-inflicted problem is totally avoidable.

The best attitude to have while starting Peyronie’s treatment is a simple combination of determination, honest curiosity and low expectations. Your determination should stem from the fact that there is no known Peyronies cure, other than the fact that 50% of men get over their PD solely because of natural healing and repair of their immune system. This should serve to make you determined to be one of those 50% of men who corrects his own PD problem. Honest curiosity should arise from learning about your particular case of Peyronie’s disease in terms of the size, shape, consistency or hardness, and surface features of your plaque or scar formation. You should also be curious to learn what you use and what you can do to make your scar go away on its own. Keep

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your expectations low and allow yourself to the surprised and delighted by whatever progress you can achieve on your own. Reasonable expectations reduce your stress, and stress slows and inhibits your progress. Contribute to your recovery with the right mindset that leads to the success you are looking to earn.

Contributing to your ultimate success is to keep in mind that Peyronie’s disease follows almost no pattern of behavior or similar findings or reaction from man to man for comparison. It seems that each case of Peyronies is different in small and large ways. And for this reason it is also difficult to anticipate the course of recovery for anyone. You must be willing to accept the uniqueness of your situation, including how long it will take to begin to see improvement and the eventual elimination of the Peyronie’s plaque that plagues you. Peyronie’s disease us unlike any other health problem you have ever dealt with, so do not make the mistake of using past experiences to anticipate PD progress.

Lastly, you should not expect to gain good results against your Peyronie’s disease with a half-hearted or minimal effort. Over and over again I see that men who do little, gain little, and men who do their best, achieve the best. Stay focused and work hard to eliminate your Peyronie’s plaque and you stand the best change of ridding yourself of this terrible problem.

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Vitamin E as Peyronie’s Treatment

About once a month we receive an order from a new customer who purchases only vitamin E. Often these are one-time orders; these people order their vitamin E only once and we never hear from that person again. When these orders appear I always assume it is from someone who has not taken the time to learn about correct Alternative Medicine treatment, and is simply following his MD’s suggestion to “try some vitamin E.”

Using vitamin E as a single therapy with no other support therapies to develop synergy, from my experience in over 10 years of work with Peyronie’s disease, is never effective. For this reason it is the policy of PDI to always include a note with that order to explain the limitation and problem of using vitamin E by itself.

I have talked to many of these men who order only vitamin E to learn a bit more about their thinking, and how they come to believe this is all they have to do to recover from Peyronie’s disease. Usually these men tend to take their health for granted, they do not use Alternative Medicine fo

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r their health problems and generally are not interested in knowing about this kind of treatment. They place their vitamin E order simply because they were told to do it.

During this conversation I will also learn that they are reluctant about taking vitamin E because they say “I recall that taking vitamin E can be dangerous.” This is usually a minor objection that can be explained easily with the information from the PDI blog post, “Peyronie’s Disease Treatment and Vitamin E.” Once the facts are presented there is no real reason to be fearful about using vitamin E in general or in a well designed treatment plan for PD.

To be really successful using an Alternative Medicine to reverse the tissue changes of Peyronie's disease requires that a man use multiple therapies to develop a synergistic effort to improve the ability of the body to heal and repair the Peyronie's scar. to learn how to do this, see Start Peyronie's Disease Treatment.

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Poor Peyronie’s Disease Treatment Results

Every few months I will receive a telephone call from someone who asks why he has not had any improvement after using his Peyronie’s treatment for a while.

Usually the first and last question I ask is, “What is the size, shape, density and surface texture of your scar?” The typical response I receive is at first silence, and then the caller will admit he does not know the answer to the question. At that point I will explain that if he does not know the current size, shape, density and surface qualities of his scar and he did not have that information when he started his treatment, there is no way to know for a fact that he did not progress.

Basically, these men are comparing minimal information to minimal information, and conclude that nothing has changed.

Further, I also get emails and calls from men who complain that they have not made enough progress to justify continuing with their treatment plan. My line of questioning goes like this:

1. What products and therapies are you using now?

2. What is your dosage for each?

3. Honestly, how faithful are you to your plan; how often do you forget to do what you are supposed to do?

4. What kind of change to your PD therapy plan have you made recently?

5. What was the size, shape, density and surface quality of your PD scar before treatment started and what is it now?

As you can imagine I usually learn they have not been following the PDI plan, but picking and choosing to do a few things that suit their fancy.

Most often the men who do not respond well are those who use no more than 1-3 different therapies. Sometimes the products they use are not from PDI but they use something recommended by someone at a local vitamin store. Compliance on a day to day basis for taking their products is “not great”. I learn they have not read the book I wrote but were trying to base all their therapy on the information only from the website. Along the way I might also learn they have been using Viagra while following their modified PDI plan or that they have received a series of Verapamil injections within the past few years. These men also seem to naturally eat all wrong for PD based on the suggested diet in “Peyronie’s Disease Handbook.” In short, they are their own worst enemy.

If any of this describes how you approach your Peyronies treatment, please consider changing your ways if you wish to get good results.

Please take your problem seriously, and take your treatment even more seriously. The more you do the better your results should be.

Click here for information about Peyronie’s disease treatment.

Stay focused to your plan, and do not become discouraged.

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Erections and Peyronie’s Disease

Erections can be difficult to develop on demand while in a sexual situation.  Paradoxically, erections can be difficult to stop or inhibit at certain times, especially during sleep.  All of this is important to Peyronie’s disease treatment since erections during sleep can have an adverse affect on progress of care.

A nocturnal, or nighttime, erection occurs because it is important for the basic health of the deep tissue, known as the corpora cavernosa, of the penis.  These deep tissues of the shaft fill with blood and trap it within the corpora cavernosa to create the erect state. If this term, corpora cavernosa, sounds familiar it is because the tunica albuginea is a thin and tough layer of tissue that covers the corpora cavernosa and the tunica albuginea is where the Peyronie’s scar is located. A nocturnal erection can be thought of as type of stretching exercise that takes place during the night when there is little other activity going on, to make sure the penile tissue is stretched and used in this unique way to keep the tissue healthy.

The problem during a nocturnal erection when Peyronie’s disease is present is that restriction and binding of the already-bent erection can be sustained against the penis for a long period of time.  Also, it is important to keep in mind that this added pressure poses a risk of additional injury top the man who already has PD.  For this reason it is important to be careful with an erection when the penis has no comfortable or safe direction to extend itself.   Since it is not possible to stop an erection while asleep, it is smart to not wear tight or limiting underwear or pants while sleeping if you have Peyronie’s disease. It might be even smarter to wear nothing at all while you sleep since this avoids a great potential for binding and restriction.

For the most part, a normally occurring erection th

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at can simply “stand on its own” with no pressure against it, is not going to bind or incorrectly stretch out the penile tissue in a way that is detrimental to the penis.  Problems occur during a drug-induced (Viagra, Cialis, Levitra) or artificial erection, during which an abnormally great amount of blood is drawn into the penis by more soft tissue relaxation than normal.   For this reason it is understood that a naturally occurring erection is safer than an artificially created erection.

Drug induced erections can start Peyronie’s disease

Over the years I have communicated with many men whose PD started after a drug induced erection that stressed the penile tissues by greatly increased internal pressure.  This process would not be much different than taking a car tire that is meant to go no higher than 40-50 pounds per square inch during normal use, and over-inflating it to 100-150 pounds per square inch.  Because it is not built to take that kind of pressure, you could expect some problems to develop in using a tire that way.  Not much different with the penis.

Sexual activity is NOT to be avoided if you have Peyronies, but rough, aggressive, hard sex can be dangerous and really injure the already damaged tissue further. Developing and using a natural erection is not to be avoided either in Peyronie’s disease.  However, it is important to keep your wits about you and do not go wild during sex.  The emphasis should be on an easy, smooth and gentle sexual encounter.  Any sexual activity or posture that causes pain should be avoided.

Many important related topics about taking care of yourself, avoiding injury, doing nothing to set your progress back while you are attempting to heal your problem, are covered in my book, “Peyronie’s Disease and Sex.”  You will enjoy learning more about what you can and should do to take care of this nasty problem.

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When Peyronie’s Plaque or Scar Not Easily Located

Peyronie's plaque

If you are going to be in charge of your therapy plan, you must know where your Peyronie’s plaque or scar is located. Even though it is not always easy or obvious, it is essential to Peyronie’s disease treatment because our method is to use “scar behavior” as a guide – a bench mark – a barometer – to judge effectiveness of care. Scar behavior is not a matter of curiosity; you MUST know about the scar in as great detail as possible to know if you are making actual progress or not. If you do not know if there is a change in the size, shape, density or surface features of your scar during treatment, then you are guessing – and shame on you because your results will not be as good as if you actually knew what was going on down there.

Before I go into this subject in some detail, I must remind you that the Peyronies scar is best located while the penis is soft or flaccid – meaning not erect. This will be true 99% of the time, so don’t bother to look unless you are flaccid.

Peyronies scars or plaques can be extremely variable in most all aspects. For example, while some men have an obvious scar, others could not find one if their life depended on it. Often, when a scar is not found, but there is still pain and bending or any kind of recent penile distortion, a diagnosis of Peyronie’s disease is still made. This diagnosis can be accurately made because the scar that is causing the pain or bending is either:

1. So small – it cannot be found

2. So very soft – it blends into the other tissue and cannot be detected

3. So deep – it cannot be reached or felt easily

4. So large and flat – that the edges are not easily determined, almost like trying to find the edge of a roll of plastic wrap. When it is a large scar – as many of them are – it is something that is so close to you that you do not see it because you are looking far away and cannot see what is under your nose

5. The doctor’s lack of ability, experience or concern when he does the examination – that he simply misses what is actually there if he was better at this kind of thing – yes, I know, it is difficult to imagine but it is true.

When a scar is never found it is because of a combination of two or more of these factors – deep and small, or soft, large and flat, or deep, soft and doctor error, and so on. From my experience with those who have an extremely difficult time locating their scar, it seems that #4 (so large and flat) is often an issue. Keep this in mind when you search your personal landscape while trying to locate your scar.

Finding your Peyronie's plaque

Ultimately, if you have Peyronie’s disease you must begin the search with the attitude the scar is there, and only waiting to be found. Do not start with a negative attitude; you want to have a sense of high anticipation that it will be found within the next few seconds – this will help keep your senses alert. You should use as many different tactics as you can to find your scar(s) because having a good knowledge of your scar situation will help your treatment effort.

Hint: Try to think in terms of your scar being much larger than you have previously imagined. Allow yourself to mentally expand the size of the scar you are looking for. Meaning, if you were looking for a “pea” before, start looking for a “peanut” size structure or even larger. This changes your methods and your outlook about what you can detect.

It seems that lately I have many men reporting that their scars are as large as the length of the shaft. Of these, some are narrow while others are wider. With this in mind, image that your scar is very large. If you are looking for a pea-sized scar it will prevent you from easily finding something much larger.

Do not be discouraged if the scar you have is large since it does not seem that the size has much to do with difficulty or time required to eliminate it. Larger scars can take just as long as smaller scars to treat.

Different way to approach Peyronie's scar

Try this: forget about finding a “scar.” Just try to find something – anything – within the mass of erectile tissue that feels unlike the other tissue. Find something that is unlike the rest of the tissue. When you find it, mark its location with a marker pen of something that will stay on the tissue for a day or two. Go back each day to that area and re-think what you are feeling. You are trying to see if it becomes easier to make sense of it. It could be that you have an unreasonable expectation of what a “scar” should feel like, and you are missing what is really rather obvious only because your expectation is wrong. Really, how could you know what a Peyronie’s plaque feels like if you have never had to do this before? It is a common problem.

Peyronie’s Disease Institute has much success with the methods we present to you. Just because your doctor could not locate your scar does not mean it is not there. And it definitely does not mean that you cannot find it, just because he can’t. As so many men with PD finally come to understand, you must take control of your situation and begin to get well on your own.

I have worked with hundreds and hundreds of men who wanted Peyronie’s treatment. Some of these cases were mild and some were severe, some had it just a few months and a few more than 10 years old. I had a bad Peyronie’s disease problem until I cured my condition using the procedures found on the PDI website. You will not feel like a victim once you start working to improve your health and immune response against the presence of this foreign tissue.

Protection for Peyronie’s Disease during Intercourse

Girth enhancement rings stabilize Peyronies

Since 2002 Peyronie’s Disease Institute has made several different products available to our customers that offer important penile protection while still allowing sexual intercourse to take place. One of these is the girth enhancement ring or sleeve, please see Girth Enhancement Ring.

Using this uncomplicated device provides a level of support that greatly reduces the possibility of re-injury of the penis during intercourse. For many men this simple and inexpensive device is essential in a couple’s ability to engage in sex at all – for many men the added support is needed to make penetration.

The basic girth enhancement sleeve is a thick but flexible tube that is open at both ends, made of very soft and stretchy silicone material. The penis is slipped into the tube and the glans or head of the penis sticks out at the other end for full sexual contact. With this added support the shaft is less likely to be re-injured by sudden bending or collapse.

Even if the cause of Peyronie’s disease in your case was not trauma, it is critical that you do all you can to not injure your penis during sex if you have PD. The following deformities present a real or potential weakness of the shaft of the penis that can easily get re-injured during sexual activity, and therefore will benefit from the use of girth enhancement sleeve:

1. Twist

2. Curve

3. Bend

4. Dent, dink, nick, depression, impression or filling error

5. Bottleneck deformity

6. Hourglass deformity

Any of these Peyronies deformities is weakest at the area of the greatest distortion, or thinnest part of the shaft, that can suddenly bend, fold or collapse during insertion or while thrusting. This is the area over which the girth enhancement sleeve should be worn.

Dealing with a penis that is weak in one small area is like having an ankle that is weak because of an earlier injury, making it susceptible to re-injury. Also, just like a sprained ankle, each penile re-injury occurs more easily and gets progressively worse. The best approach to take is to not allow additional injury to take place so the tissue remains as healthy and strong as possible. For the ankle the treatment is to wear a support and to slow down so that you do not hurt yourself again. The same with Peyronie’s disease.

A valuable second benefit to the girth ring support is the additional thickness or girth it adds to the penis that can make up for the lost dimension that many men experience.

I urge any man whose penis is distorted by Peyronie’s disease – known as a Peyronie’s penis – to investigate the girth enhancement sleeve to provide protection during sexual activity to avoid re-injury and worsening of his problem.

Communication Vital for Peyronie’s Teatment Success

Saying you do not know might be the wisest thing you can do

The Peyronie’s Disease Institute has been working with men since 2002, offering the most effective therapy ideas and products we can find, and helpful information about successful Alternative Medicine treatment of Peyronie’s disease.

Usually within the first month of Peyronie’s treatment a man will enter into a critical point of his Peyronie’s treatment when he can become confused and doubtful. Many men become unsure if they are using the correct treatment products or using them in the right way. Many times men want to change their plan but do not know how to do it. If this describes how you are feeling about your treatment plan, you must let me know your questions and I will do my best to help you with all of this.

Please do not hesitate to send an email asking for help and information. I would be happy to answer your questions, and offer insights and ideas gained after successfully treating my own PD, writing two books on this subject, and working with nearly a thousand men from around the world with their Peyronie’s treatment.

Contact Dr. Herazy at info@peyronies-disease-help.com

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Peyronie’s Disease, Viagra and Sexual Performance

Assist sexual vitality safely when you have Peyronie’s disease

It seems that well over half of the men with Peyronie’s disease suffer moderate to severe problems with sexual performance.   While the sexual problems peculiar to Peyronie’s disease might be especially frustrating and limit the enjoyment of life, that is not the real issue why a weak erection is important to a man with PD.  The most compelling problem with a weak erection is that it increases the risk that the penis will buckle, bend or collapse during intercourse, resulting in greater injury and worsening of his Peyronie’s disease.

If this kind of sexual injury happens to a man who already has PD, his currently weak erection can possibly deteriorate to no erection in the future.  His currently mild curve that still allows for sexual penetration can possibly deteriorate to such a terrible distortion that no sexual entry is possible.

I hear these stories weekly in which a man has a mild case of PD that is not much more than a minor inconvenience and annoyance.   His erections are weak, or he has a small deformity that makes a small area of the penis weak.  During insertion or during active sexual intercourse he experiences a sudden buckling, bending or collapse of his penis that makes a small problem much worse.   This kind of thing is avoidable in two ways:

1.    Use of a non-drug sex booster that firms up the erection

2.    Use of a reusable girth ring enhancer that supports the penis at the area of greatest weakness, and also adds important girth to the penis if this has been lost due to PD.

Review some of the information on the PDI website about these natural sex boosters and the girth ring enhancer. Go to the PDI Products Store Front and scroll down to learn more about these important tools that can protect you from worsening your PD, and add enjoyment to your life.

For those who are unfamiliar with my opinion about the use of erection producing drugs (Viagra, Cialis, Levitra) for a man with  Peyronie’s disease – or any man without Peyronie’s disease, for that matter – please go to my blog post titled, Viagra, Cialis and Levitra Use with Peyronie’s disease.

What follows is a copy of an email exchange I had with someone who had a question about using Cialis for improving his erection.   From it I believe you will learn some valuable information about treating and living with Peyronie’s disease.

—–Original Message—–

From: RXXXXXX

Sent: Saturday, August 02, 20XX 3:51 PM

To: herazy@sbcglobal.net

Subject: follow-up

Hello again,

I was about to place an order when I saw that you have a few erection boosters you recommend.  The Male X Booster product  for instance. I’ve found that I cannot do without some Cialis when using the Stimulin that I get from your at the PDI store front.

The other day three natural Stimulin plus about a quarter of the Cialis pill (5-7 mg) worked pretty well.  Without the Stimulin I’d need at least twice that much Cialis. (By the way, even taking a full 20 mg does not give me the kind of killer erection you warn about.)  Given all this, I’d like your suggestion re whether one of these other products is worth trying.  It seems you favor the Male X Booster.

RXXXXXXX

My response to RXXXXXX follows:

From: Theodore Herazy <herazy@sbcglobal.net>
Subject: follow-up
To: RXXXXXX [[mailto:rxxxxxxxxx@earthlink

.net

] Date: Saturday, August 2, 20XX, 4:14PM

Greetings RXXXXXXX,

This is an area where the opinion and experience of others means very little.  My preference for Male X Booster is based on my observation that most men do best with it most of the time.  It is one of our best sellers.  After all, it is popular for a good reason.   Regardless of how well it works for others, the question is, are you like these other men?  Stimulin helps a lot of men with their sex problems related to PD, but you must learn if you are one of them, and how to use it.  It all comes down to playing the odds I suppose.

However, even if Male X Booster does work as well for you as it does for others, could another product work better?  I have seen this happen.  It does not cost much to find out.  Once you find the best product for you, it will always cost much less than the drug products that can be dangerous and they will often work just as well.

And, if Male X Booster works well for you, is there a variation of the way you have been using it that will make it work even better?  I have also seen this happen.  Those who experiment a bit will often see much better results than they got from their first use.  If you write back to me and tell me exactly how you are using the Stimulin I can suggest some variations of use that could make it even more effective for you.

Just because of the many variables involved, I would like to think the most logical and prudent action is to go through the smorgasbord of sex boosters other men have had good experience with, and take on the pleasant task of determining which one works best for you.   Our list of sexual booster products is simply a collection of products that many PD Warriors have said gives them a lift – sorry for the pun, I could not resist.

I hope you see this answer is not a cop-out, as much as it is honestly the best answer I can offer at this time.  I do not know any way of determining a successful response to these herbal sex boosters ahead of time.  You just have to try a few to learn how you will respond.  Of course, the same is true of any drug your doctor prescribes for you.  While he/she might have a good idea of what kind of response you should experience, the fact is that no doctor knows ahead of time exactly how or if a patient will react to any drug that is prescribed.

By the way, thanks for sharing your personal observation about how Stimulin allows you to use less Cialis.  That is a good way to reduce your exposure to potential injury.  I am still very concerned about anyone using any of these PDE5 drugs (Viagra, Cialis, Levitra) because of the horror stories I hear frequently.

Concerning your observation of not getting a killer erection even with 20 mg of Cialis:  My conversations and communications with men from around the globe tells me that a man can use an erection enhancing drug many times without an adverse or unexpected reaction over a long time.  Then without warning, one day he can get the monster erection of his life that tears up a lot of internal tissue.   Just because it hasn’t happened yet with your Cialis, doesn’t mean it cannot happen the next time.  That drugs are unpredictable and risky, no one will argue.  As I said above, “It all comes down to playing the odds I suppose.”

Then again there is the issue that many men who have never been warned about the dangers involved with these erection drugs.  They keep on experimenting with their dosage until they intentionally get a super-erection.  Sometimes it is the last normal erection they will ever have.  You can only play with fire so often before you get burned.

Have a good one.

Regards,

Theodore R. Herazy, DC, LAc

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Peyronie’s Surgery

Finding a surgeon for your Peyronie’s surgery

There are those times when Peyronie’s disease surgery must be done. If you sincerely feel you have faithfully and honestly used all possible drug and non-drug options to avoid Peyronie’s surgery, and they have all been unsuccessful, and now you cannot continue with the pain and limited sexual ability that started with Peyronie’s disease, then you should carefully consider penis surgery.

From my experience in talking and emailing to many hundreds of men each year since 2002, I have only occasionally found men who are happy with the results of their Peyronie’s surgery. Am I saying that most Peyronie’s operations are failures? Not necessarily. All I can say is that of those men to whom I speak, the great majority are not pleased with their results to restore the penile curvature of Peyronie’s disease.

When I get to speak to someone who has good things to say about his Peyronie’s surgeon and the results of the operation, I always make it a point to ask a lot of questions about the surgeon’s name and location, his credentials, and the interpersonal issues and insights that develop while working with the surgeon.

Here is some advice in helping you select a Peyronie’s surgeon, or any surgeon, because it all comes down to the same traits and characteristics that make someone a good surgeon:

1. Do your research. While many physicians can claim to do surgery, or be someone who specializes in being a Peyronie’s doctor, you should only consider using a doctor who is a board certified surgeon in the area of specialty you need the care. You definitely do not want to have surgery performed by someone who comes to you randomly, without experience in working with Peyronie’s disease. The need to have experience and site-specific and disease-specific training cannot be emphasized too much. After all, it is your penis that is going to be cut on, and you want the best you can find holding the knife above you.

2. There is no need to rush into anything. Plan on spending at least six months doing your research. No need to rush into anything. The more time you spend the fewer mistakes you will likely make when you must decide. If it takes you a full year to collect information, all the better you will feel and all the better your results will occur.

3. Your doctor should be a Board Certified Urologist with a sub-specialty in genitourinary surgery, or a Board Certified Urologist with a sub-specialty in surgery that does exclusively genitourinary surgeries. For example, a surgeon might be a board certified urologist with a subspecialty in genitourinary surgery, but might also further specialize in operating only on male patients. Whether this surgeon might do male urogenital surgery on the elderly (geriatrics) or male children (pediatrics) only makes his experience more valuable.

4. Generally, using a plastic surgeon is not a good idea. While a plastic surgeon might be skillful in facial work, and have a good technique and a good hand for

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doing the fine details around the face, that does not mean these skills will carry over into removal of the PD scar material. If your primary Peyronie’s or genitourinary surgeon wants to use a plastic surgeon for one particular phase of the PD surgery, and that primary surgeon will stay at the operating table the entire time, that is fine. It all comes down to training and experience in the area of the penis, especially removal of the PD scar.

5. Your surgeon should have vast experience with Peyronie’s disease, having performed at least 25 prior surgeries of the specific type you need – usually the Nesbit plication, or others. The larger this number, compared to others, the more likely you should consider this doctor. Someone who has done 10 Nesbit surgeries does not know as much as someone who has done over 100. You want someone who has seen it all, done it all, knows what to do in all circumstances, and will not be surprised while you are under the knife – or later.

6. While this might seem to be a small and superficial consideration, I suggest you employ a surgeon with a meticulous office and very neat appearance, and a clean non-cluttered desk –you want someone who is really meticulous and highly motivated for fine detail work to be doing your Peyronie’s surgery for you. You want a neat-freak, someone who is “anal” doing this kind of work, cutting into your one and only manhood.

7. Good eye contact and warm personality – two reasons: not only will this be what he/she will be like when you are under his/her knife, but how you will be treated in discussions and after surgery care – not ignored or forgotten. You want someone who will be open and friendly and a good communicator before surgery, because these are great doctor skills after the surgery when you need it the most.

8. If you have a friend that is a nurse in area, ask her to ask around for you about the surgeon you are thinking about using. I worked for orthopedic surgeon who was the rave of the hospital and all the nurses who worked in that hospital brought their kids for broken bones and for their husband’s bad backs. Nurses are more likely to know, and talk about, the bad stuff and the good stuff concerning doctors in your area. It is a high recommendation when you know that nurses like work of the doctor you want to use.

9. Go to the internet to Google your surgeon professional work history with your state board of medical review to see if any disciplinary actions have been taken against this doctor. This is important because it will give you a strong indictor about the skill and ability he/she possesses. If your doctor has been sued three times for malpractice, and there are two others who have never been sued, the decision becomes much easier to make.

However, it is always best to avoid any surgery, especially Peyronie’s surgery, if at all possible. That is what the Peyronie’s Disease Institute is all about. Helping you to naturally treat Peyronie’s disease by helping your body to heal and repair so you can eliminate the scar and avoid getting cut on in the first place. Look at a few of the testimonials about our Alternative Medicine treatment for Peyronies.

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Peyronie’s Disease and Intercourse

Peyronies and problems with sexual intercourse

Sexual intercourse can be a problem in Peyronie’s disease due to the penile distortion that occurs because of the presence of fibrous scar tissue, or Peyronie’s plaque, within the shaft of the penis.  The presence of this fibrous plaque can cause the penis is bend in any direction to a minor degree that is hardly noticeable, up to and even beyond a 90 degree curve.  In addition to a significant bend, Peyronies disease can also cause distortions that are described as “bottle neck” and “hour glass” for their resemblance, as well as simple dents or dings along the side of the shaft. Click here for Peyronie’s pictures.

The cause of Peyronie’s disease has not yet been determined even thought the condition has been known for almost 500 years.  Some researchers theorize the distortion forms as a result of trauma to the penis, or when minor contact causes an indirect micro-trauma shearing force that can result in minor bleeding into the wide area of tissue.   While healing is taking place certain growth factors that appear to be genetically determined cause an abnormal amount of scar tissue (or plaque) to form at the site of injury.

The penis is composed of three cylindrical cavities, with two of these at the top and one below.  The top two are wider and thicker, and are called the corpus cavernosa, while bottom cylinder is the corpus spongiosum and contains the urethra or the tube through which urine flows.  During erection the two top corpora cavernosa expand to trap and hold the blood that produces the pneumatic force that results in enlargement and rigidity.   Each of these paired cylinders is surrounded by a very elastic covering called the tunica albuginea, similar to the casing of a sausage.

In a case of Peyronie’s disease the elastic tissue of the tunica is replaced by scar tissue, so it lacks flexibility and the ability to stretch.  Because the plaque is not elastic, but rather hard, it will not stretch with erection.  When this happens the erection that occurs is not even or symmetrical, and often smaller than before.

What starts out as a small nodule or constriction on the penile shaft just below the skin surface, eventually expands to form a flat plaque or deposit that can sometimes extend along the entire length of the shaft.  This plaque invades and replaces the elastic tunica albuginea covering of the internal tissue of the penis, leaving a mass of inflexible material. In some patients the penis beyond the plaque will not become as rigid. When a man with this degree of extensive Peyronie’s has an erection, the scar or plaque material cannot expand, resulting in a curved or bent penis, or one that exhibits a bottle neck or hour glass deformity – or a combination of these distortion patterns.

Often the plaque is located on the top surface of the penis, causing an upward curvature.  However, plaques can occur anywhere on the penis; the scar or plaque will always be worse on the concave portion of the distortion pattern.

Many men with Peyronie’s disease complain not only about their curved or distorted erection, but also about the loss of length and girth. These are all results of the inelastic tissue within the substance of the penile body.

Peyronies curved penis and sexual intercourse

One-third of men with Peyronie’s have pain when erect, and a smaller number become impotent. In some cases, the head of the penis does not fill with blood, resulting in a penis that is erect on the bottom near the pubic area, and soft or flaccid toward the top part of the penis – this is called a bottle neck deformity.  This type of distortion would make intercourse difficult due to penetration problems.  About half of men with Peyronie’s disease continue to function sexually when their curving penis is gradual and minor.  But as the curvature becomes abrupt and large the amount of sexual difficulty also increases.   Half of men with Peyronies experience frequent to constant problems with intercourse due to their distortion pattern.

For in-depth solutions and discussion of the sexual problems related to Peyronie’s disease please review the contents of Peyronie’s Disease & Sex, a one-of-a-kind book written by a man who completely cured his PD using the Alternative Medicine treatment principles found on the Peyronie’s Disease Institute website.

Disorders of the Penis besides Peyronie’s Disease

Penile conditions, other than the curved penis of Peyronie’s disease

There are additional problems of the penis that can develop while a man treats his Peyronie’s disease.  There are not many additional problems, but all can complicate your life more than you need at this time.

Priapism

Priapism is a persistent, often painful erection that is not associated with sexual activity and is not relieved by orgasm, lasting from a few hours to a few days.  In priapism blood enters the penis but does not leave, thus the erection is maintained.   The more common causes of priapism:

  • Penile injections, as verapamil, collagenase, steroids or interferon-alpha-2b
  • Drugs, such as anesthetics, antidepressants and blood pressure medications
  • Alcohol or drug abuse, especially cocaine
  • Spinal cord disease
  • Injury to the genitals
  • Blood diseases, including leukemia and sickle cell anemia

Rapid treatment for priapism is important, even without Peyronie’s disease present, because a prolonged erection can result in tissue destruction by reducing blood flow and lead to scar formation. Treatment involves removing trapped blood with a needle placed in the corpora cavernosae, as well as treating any underlying medical condition or substance abuse problem that might be present.

Balanitis

Balanitis is an inflammation of the foreskin, or skin covering the head of the penis.   Symptoms are redness, swelling, itching, rash, pain and a foul-smelling discharge in the area of the foreskin.   Balanoposthitis is a similar condition in which the glans (penis head) and foreskin are inflamed and present similar symptoms.   Both problems can occur in men or boys who are uncircumcised (foreskin has not been surgically removed).  If an uncircumcised male does not wash under the foreskin regularly, then sweat, debris, urine, dead skin cells and bacteria will collect under the foreskin and cause irritation.    Other common causes include:

  • Infection – local or systemic infection with candida albicans, the yeast responsible for thrush, can result in an intensely itchy and scaly rash.  Several sexually transmitted diseases (STD), gonorrhea, herpes and syphilis can also produce balanitis in addition to their unique infections that affect other parts of the body.
  • Dermatitis/allergy Dermatitis is any inflammation of the skin often caused by contact with an allergen or irritating substance. Sensitivity to even a small amount of certain chemicals in  soaps, detergents, perfumes and spermicidal preparations can cause balanitis.
  • Diabetes – When a diabetic has glucose (sugar) in the urine, this can be trapped under the foreskin and acts a rich breeding medium for many bacteria.

Treatment of balanitis depends on determining the underlying cause, improved hygiene and perhaps  circumcision if the balanitis cannot be controlled in any other way.

Phimosis and paraphimosis

Phimosis is a medical problem in which the foreskin (prepuce)of the penis is so tight, preventing it from being pulled back or retracted from the head of the penis.  Paraphimosis is a medical emergency in which the foreskin is stuck, after being rolled back or retracted, and cannot be slid back to its usual position over the head of the penis.

Phimosis is most often observed in children, and may be present even at birth.  When it occurs in an adult male it is usually caused by an infection of the reproductive tract, or scar tissue that formed as a result of injury or chronic inflammation of the prepuce.   Phimosis can also be caused by balanitis when it causes the foreskin to the scarred or tight around the head of the penis.  Immediate medical care is required if phimosis makes urination difficult or impossible.

Paraphimosis is a medical emergency because serious complications can arise if it is not treated. Paraphimosis may occur after sexual activity, a nocturnal or typical daily erection, or after trauma to the head of the penis, leading to pain and swelling, and impair blood flow. When extreme, this reduced blood flow can result in death of the penile tissue (gangrene), making amputation of the penis necessary.

Treatment of phimosis may only require gentle manual stretching of the foreskin repeated daily over a period of time.  Circumcision is often used to treat phimosis.  When the phimosis has gone on a long time the prepuce sometimes adheres to the glans.  When this happens, a surgical procedure called preputioplasty is used to separate the foreskin from the glans.

Treatment of paraphimosis focuses on rapidly reducing the swelling of the glans and foreskin, using ice and pressure applied to the head of the penis. If these simple measures are unsuccessful, an injection of medication can be used to drain the inflammation and blood from the penis, or small cuts in the foreskin are made by a surgeon to release the prepuce from behind the glans.

Penile cancer

Penile cancer is a rare form of the disease.  While the exact cause of penile cancer remains unknown, certain risk factors for cancer are known, including:

  • Phimosis – Tight foreskin that is constricted and difficult to retract, discussed above.
  • Uncircumcised penis – Men who are not circumcised are at higher risk for cancer of the penis.
  • Smegma – Natural oily secretions from the skin of the prepuce can accumulate if not cleaned daily.   If allowed to collect under the foreskin, this results in thick, cheesy white, bad-smelling substance, known as smegma.   Smegma by itself is irritation to the prepuce and lead to inflammation and a host of other problems.
  • Human papillomavirus (HPV) infection – More than 70 types of  human papillomaviruses can cause warts (papillomas).   Only a few of these HPVs infect the reproductive organs and the anal area, being passed as a STD from one person to another.
  • Smoking –Cigarette smoking brings many cancer-causing chemicals into the blood stream  that affect more than the lungs.
  • Psoriasis treatment – The medication and ultraviolet light used to treat can cause penile cancer.
  • Age – Penile cancer occurs most commonly in men after age 50.

Common symptoms of penile cancer are sores or unusual growths on any area of the penis, abnormal discharge from the penis, and bleeding.  Surgery or radiation is commonly used to remove the cancer from the penis.

Since 2002 PDI has advocated Alternative Medicine Peyronie’s treatment options to avoid any of these complications that compromise penis health.

Pentoxifylline and Peyronie’s Disease Treatment

Pentox for Peyronie’s treatment is an off-label use

Every now and then I get an email asking for my opinion about using Pentox (Pentoxifylline) for Peyronie’s disease treatment.  Over time I have developed a few ideas about this controversial drug that is gaining some popularity as an off-label Peyronie’s treatment.

Those MDs who prescribe Pentox are still trying to figure out the best way to use it, not only for PD but for many other conditions.  While the primary use for Pentoxifylline is based on its ability to increase peripheral blood circulation, hence it is used to treat senile dementia and intermittent claudication, Pentox is gaining acceptance with the medical community for Peyronie’s treatment.

Some MDs who have learned the hard way that PDE5 drugs (Viagra, Cialis, Levitra) are not at all a safe or effective Peyronie’s treatment have instead begun to prescribe Pentox to increase blood flow in Peyronies.   But to have that make any sense at all you have to believe that PD is caused by reduced blood flow in the first place, or that merely increasing the blood flow will somehow help PD.  I can totally agree with that thinking if you have evidence that your penis suffers from reduced blood flow (it is cold and blue).  But if your penis is not cold and blue and bent, then you probably will not benefit from Pentox in the way that most people think.

It is my opinion that when Pentox is said to help men with PD it is because as the blood flow is increased to the periphery, it also brings in an increased flow of nutrients to assist the healing process.  Further, when Pentox helps a case of PD it is because of the totally secondary benefit of increasing the body’s ability to heal and repair the PD plaque when there are more nutrients in an area of the body.   It is a small point, perhaps, but a vitally important point to understand that it all comes down to the body healing the PD scar – not the Pentox having some curative ability by itself.   If Pentoxifylline can increase general circulation more safely than Viagra, Cialis, and Levitra, then great I am all for that.  But you have to consider that if you do not have a circulatory problem in the first place, then why take any of these drugs at all?

If the benefit of Pentox is to bring more nutrients into the tissues, to assist healing and repair of the PD plaque or scar, that is wonderful.  If it is beneficial to bring more nutrients into the tissue, would it not be a more logical and effective Peyronie’s treatment to intentionally and intelligently supply a wide variety of nutrients at a higher than average dosage to the body to assist the healing process?  After all, that is what PDI has been doing since 2002 and it works in a great percentage of cases when it is done correctly.

Since extremely few men actually have any evidence of a circulatory problem in the pelvis, taking Pentox or even Viagra, Cialis, and Levitra, will not make a difference because that is not the problem that is going on with PD.   If the problem is that you did not heal your tunica albuginea injury because of poor nutrient availability then I suggest it would do you a lot of good to increase the nutrients directly, not indirectly by playing with the circulatory system when there is no circulatory problem.

You notice that I do not say, “Do not take Pentox,” I only say it is new so use caution.  I also say that when Pentoxifylline helps it probably does so only because it helps the body work better by increasing available nutrients, not because it specifically increases blood flow.  If you want to help your pelvic blood flow:

1.    Wear boxer shorts

2.    Uncross your legs when you sit

3.    Do some Kegel exercises

4.    Put a moist hot pack on your privates when you watch TV

Most MDs are taking the attitude that while they do not know if Pentox helps PD, or why it helps when it appears to help PD, at least they currently have no evidence that it makes PD worse – so what the hell, take it and let’s see what it does for you.  This is how many medical patients get hurt in the long run with such a cavalier attitude about drugs.

I say better to take an Alternative Medicine approach to your problem to help your body heal and repair the Peyronie’s pathology naturally.

Viagra Peyronie’s Disease Connection

Greater Viagra use and increase of Peyronie’s disease

 

In a 2002 article in the International Journal of Impotence Research about possible causes of Peyronie’s disease, authored by Sikka and Hellstrom of Tulane University, these two medical researchers observed that with the increased use of Viagra, Peyronie’s disease also increased.

In my work with the Peyronie’s Disease Institute, while corresponding with six to 10 men daily who have Peyronie’s disease concerning various aspects of their problem, I have also made this observation – that with greater use of Viagra, Peyronie’s diseases clearly increases.  The difference between Drs. Sikka and Hellstrom’s and my explanation why Peyronie’s disease is becoming more common as the use of Viagra – and other PDE5 drugs like Cialis and Levitra – increases around the world.

Their explanation, quoting Drs. Sikka and Hellstrom’s report:

“Peyronie's disease usually affects 13% of males between the ages of 40 and 70, and the number of patients with such lesions have increased since the advent of oral sildenafil (Viagra, Pfizer) either because more men are becoming manifest and/or not hesitant anymore to come to clinics for such evaluations.”

In other words, these two Tulane researchers say the only reason PD appears to be increasing is that more men are willing to talk about it, now that men are talking more about erectile dysfunction with the greater awareness brought about with the frequent TV and magazine ads about this problem and drug solution of it.

While they offer the simple explanation that because men are becoming less hesitant to talk about their sexual problems, they assume more men are inclined to enter medical clinics asking for help – like asking for a prescription for Viagra, Cialis and Levitra.  That is certainly a possible explanation of perhaps some merit.   But that does not match my experience in talking with men who actually  have Peyronie’s disease.

Peyronie's and Viagra

Men I talk to about starting Peyronie’s treatment still ask about how the mailing package will be labeled and if the return address will mention “Peyronie’s disease,” lest their letter carrier will learn they have PD.   I am asked if the credit card statement will mention that their therapy products are for treatment of PD, lest someone at the credit card company will learn they have PD.   I am asked by men how to explain the problem of Peyronie’s disease to a new girl friend so that she will not be scared away from a relationship with someone who has a disease of the penis.  I talk with men who do not want to talk at work about their PD lest someone overhears the conversation.  I learn from men that the worse thing about PD is not the pain associated with the scar development, but the loss of penile girth and length – something that most men would seem hesitant to tell the world about.

I do not doubt for an instant that men are more relaxed and casual about admitting to a problem with erectile dysfunction, and more willing to ask for a Viagra prescription than they were a few years ago.  This is a more sexually open society – for good or for bad.  Yet, I doubt that men are just as willing to admit that they have Peyronie’s disease in which their penis is shockingly smaller than average or that can be so distorted as to be incapable of entry to engage sexual intercourse.

Erectile dysfunction is one problem related to advancing age that perhaps has some dignity related to it and hope of easy drug solution, but Peyronie’s disease might not be seen in the same way since it is associated with permanent deformity and reduction of the size of the male organ.

My opinion is that Drs. Sikka and Hellstrom are reluctant to discuss the possibility that these PDE5 drugs sporadically, irregularly and without warning cause severe injury to the tunica albuginea by extensive over-inflation of the corpora cavernosa of the penis.  The mechanism of this possible route of injury was discussed on 8-17-09 in the Peyronie’s Disease blog under the title, Peyronie’s Disease Treatment and Viagra, Cialis and Levitra, and again on 8-1-10 under the title Viagra, Cialis and Levitra Use with Peyronie’s Disease.

These doctor’s hesitance to discuss or speculate that the increase of PD parallels the increase use of these drugs due to yet another drug side-effect of yet another group of drugs itself can be speculated upon.   Each man with PD must make up his own mind if this possibility makes sense to him, and if it is further reasonable to avoid the use of these drugs if he wishes to avoid further injury to his penis.     

Fix Penis Curvature

How to straighten curvature of penis

For most, the main focus of Peyronie’s disease treatment is primarily to fix penis curvature or whatever distortion might exist.  However, this is not the best goal to have when you want to get fix your bent or curved penis.

The primary goal of Peyronies treatment should be elimination of the internal scar (Peyronie’s plaque material) that causes a curved penis to develop in the first place – not to fix penis curvature.  Although the most obvious aspect of Peyronie’s disease is the curved penis, it is not the actual problem.  Using penile curvature to determine success of any Peyronie’s disease treatment is unwise and counter-productive since it is not the real problem.

Healthy internal tissue of the penis is able to fill, trap and expand as blood enters it for a normal erection to develop. In Peyronie's disease one or more areas of a layer of tissue known as the tunica albuginea develop a dense and inelastic fibrous scar tissue or Peyronie’s plaque.  During a normal erection the slightly elastic tunica albuginea will stretch and expand evenly in all directions.  But when a man has Peyronies disease expansion is limited because the tunica albuginea contains fibrous tissue, resulting in a curved penis.

Peyronie’s disease usually begins as a small internal nodule or band of fibrous tissue on the top or sides of the penis, within the tunica albuginea.  A few weeks to a year later, this fibrous nodule can develop into a larger irregular plaque of variable size, shape, density and surface quality.  The Peyronie’s plaque can be as long as the penis and sometimes surrounds the penis, creating an hourglass indentation around the shaft. Some are one large mass, while others are small isolated islands of fibrous tissue in many areas. Scars can be so soft and small, with edges so tapered and vague, that no scar can be found.  When no Peyronie’s plaque or scar can be found it is assumed to exist when a curved penis develops during erection.

Peyronie’s disease causes penile curvature because the inflexible fibrous tissue of the Peyronie plaque prevents incomplete filling as an erection develops or by pulling unevenly on those same internal tissues.  The location and degree to which this poor filling and internal tug-of-war takes place is different from man to man, and so the bends and distortions are also different.  At times a small internal scar can cause a great amount of distortion and poor erection quality, just as a large scar can cause very little problem.  In other words, the scar size does not determine the degree of problem that is observed.  Sometimes as a Peyronie’s plaque or scar increases or decreases, the distortion can get either better or worse; many times the degree of penile curvature does not indicate the severity of the Peyronies plaque or the success of Peyronies disease treatment.  For this reason, the true measurement of success of Peyronies treatment should be determined by the reduction of the Peyronies plaque or scar.  Once the fibrous plaque material reduces in size, shape, density or surface quality, only then can improvement of the curved penis or reduced erection strength be expected in time.

Fix penis distortion by treating the Peyronie’s plaque

A curved penis that suddenly appears one day might be difficult to ignore, but it is only a symptom of the real problem of Peyronie’s disease that lies below the surface – the fibrous scar in the tunica albuginea.  Without that Peyronies scar there would be no curved penis; because it is the cause of the distortion it should be the only way that treatment success is determined.

Evaluating progress of a Peyronie's therapy plan can be difficult, if not impossible, if only paying attention to a curved penis.  A small scar – or a scar that is getting smaller – can cause a large penis curvature.  A large scar – or a scar that is getting larger – can cause no bend at all if it is balanced by other scars that are applying a symmetrical force.  Making matters more complicated, a man can have many more scars than he can locate because the often overlap.  Thus, it happens that a curved penis can worsen as the scar is actually being reduced or eliminated.

When only one scar is present the curvature problem is direct and easy to understand, although this is uncommon.  More commonly multiple scars cause internal pulling and twisting that create complicated distortions that can worsen as the scars become smaller.   Several scars can interact on many planes of internal penile tissue.   Any significant reduction in one or more scar will alter the internal tension on the tissues, resulting in an altered curvature.  Because there is no guarantee the curvature will improve initially, I advise to focus all attention to the size, shape, density and surface qualities of the scar while treatment of the Peyronies problem continues.  Realize the curved penis is just a reflection of Peyronie’s plaque structure below the surface.

Do not be discouraged as you try to fix the penis curvature related to Peyronie’s disease.  Instead, look for changes in the size, shape, density and surface qualities as you continue your Peyronie’s disease treatment.

Peyronie’s Disease Treatment and Insanity

Einstein and Peyronie's treatment

We have all heard Albert Einstein’s definition of insanity:  “Doing the same thing over and over again and expecting different results.”   Well, I think this sometimes applies to the way some men conduct their Peyronie’s disease treatment plans.

I am reminded of Einstein’s famous quote each time I communicate with someone who wants to know why his Peyronies treatment is not getting results even though he is faithfully following it daily, for weeks and months at a time.

Please review the following email exchange between one of your PD Warrior brothers and me. You will see the writer had no idea about the size, shape, density or surface quality of his scars yet he was trying to treat himself with Alternative Medicine.   Because he had no idea of where he was, where he had been, or where he wanted to go, he was easily discouraged and was not successful with his Peyronies treatment.

I will use the familiar method to keep the email question sent to me in black and my responses to him in red within his email so the information becomes more of a conversation between us.

Hello Dr. Herazy,

It has been a while since we talked on the phone when I asked for help getting started treating my Peyronies correctly.   My name is BXXXXX, maybe you remember me.   I am the student at the University of XXXXXXXXX who was in the bike accident and was hospitalized with a fractured pelvis.  Three months later I was diagnosed with PD.  I asked my doctor if he thought there was a connection between the accident and the PD and he said no.  From my experience Peyronie’s disease is a fairly common outcome if you sustained direct injury to the penis shaft when your pelvis was fractured.  Many men develop Peyronies disease  after injuries that occur during sexual activity that are less serious than what you went through, so I am not sure why he would have said this.  Also, your Peyronies could have started either from the injury to the shaft that took place during the bicycle accident, or from the catheterizations that took place during surgery or afterward.  Because of my limited funds I settled on using a PDI medium plan plus PABA.

I thought because I am young and the injury was recent I would get over the PD fast.  That is usually true for most men, but even some younger men take longer to recover because of overall poor health, stressful lifestyle, poor diet, genetic predisposition, or other reasons like drug abuse. But after two months I got discouraged and quit care for a few months.  I was following the medium plan for two months and my curve stayed the same as far as I could tell, so I stopped doing everything.   You made a few mistakes early in your care:  1. You did not contact me for ideas and advice about your treatment when you ran into a problem.  You were in a totally new area of your life and you were trying to do it all by yourself when you have help available.  Big mistake.  2.  I looked up your records and you did not get “Peyronie’s Disease Handbook” that would tell you how to go about treating your problem.  For this reason you used the phrase “my curve stayed the same as far as I could tell.”  This means that you were not using the condition of your curve to tell you if your treatment was successful or not, and this is a big mistake made by people and MDs who have no idea how to approach PD treatment. The condition of the penile curvature is determined by the internal PD scars that affect the tunica albuginea.  If you want the curve to go away you must get rid of the scars.  All of your evaluation and attention should be directed to understanding and documenting the condition of the size, shape, density and surface qualities of each of your scars.  Once your scars are reduced or eliminated you will change in the distortion pattern or bend that you have.  3.  You were guessing about your care because you were guessing about your condition at the time you were treating yourself.

Before you go on a diet to lose weight you must at least measure your waist and weigh yourself so you know your situation at the start of your diet.  If you do not measure your waist and weigh yourself, how will you know if your diet is working?  If you are guessing about your weight, you will either quit a plan that is working because you do not know that it is working, or you will stay on a diet too long that is not working.   If you know your exact waist measurement and weight you will be able to tell immediately when the diet starts to work – or not.

You will then be able to intelligently either stay on a diet that is helping you or change the diet if it is not helping you – all based on your knowledge of the situation.  You must do the same with your PD treatment. Then I reinjured myself during sex   Always be very careful during sexual activity and maintain control of the situation because it is you who will suffer most.  All woman-on-top positions are dangerous because you do not have good control over her and she can bend the penis if she comes up too far and you slip out.   When she comes back down again you will get your shaft bent. and my curve got even worse.  I thought I had no choice but to start PDI treatment again since the idea of Peyronie’s surgery is out of the question for many reasons.     Good thinking.  Surgery is the last thing you want to do if you have PD.  I have many posts on the PDI blog about Peyronie’s disease surgery that goes bad.

I am sorry to say that after ten weeks of faithfully   No, you did not faithfully follow the PDI concepts of treatment. You think you did, but you did not.  You tried to make up your own rules and they did not work for you.  You cut a few steps out of the process and you wasted time and money guessing about your treatment.   As a necessary step at the beginning you must determine the exact size, shape, density and surface quality of each of the scars you can find. Once you know that, then you can begin care.  By applying or using whatever level of treatment you think would help you, you should frequently monitor your scar to see how they are responding to whatever kind of treatment you have chosen to use.  To learn more about this process, please refer to chapter four of the “Peyronie’s Disease Handbook” and many blog pages that refer to this process. treating my problem I believe I have not made any changes with my bend or the pain I have,  Again, it is not the bend or pain that is important – but it is the condition of the scar that is causing the bend and the pain that is important.  All focus and attention should be on the scar that is causing all of the things you notice. although sometimes it is difficult to say.   That is exactly the point I am making.  It is difficult for you to say because you were guessing for four and a half months and you got confused and frustrated along the way. The two nodules on the top of the shaft are smaller some days, but it is difficult to know for sure.  It is good that you can tell that they are changing, that means that your tissue will respond to your treatment if it is already responding to things that you are doing in your daily life.

For the last ten weeks this is what I take:

Nattokinase – 2/dose between meals
Fibrozym – 2/dose between meals
Vitamin E 400/400 – 3/day
Maxi-Gamma E – 1/day
Vitamin C – 1/day
MSM – 3/day
Scar-X – 2/day
PMD DMSO with Unique-E and Super CP serum – 1/day
PABA – 6/day
Massage and Exercise program – 4 or 5/week

There is nothing wrong with the plan you are following.  The problem is that you are not sure your body is not responding to it because you have no baseline for comparison to judge progress.  So, the job in front of you is to know exactly the size, shape, density and surface qualities of your scars, and to then see what you have to do to your plan to make your scars change from that baseline.  It is that simple – and that difficult.  More about that will be covered below.

If you are looking for my suggestions about what you might want to consider changing with your PD program:

1.    Consider increasing your enzyme dosage; maybe even adding Neprinol into your plan.

2.    You really should reduce the Factor 400/400 vitamin E for now

3.    Consider increasing the vitamin C intake

4.    Adding moist heat applications prior to your PMD DMSO treatment is always a good idea

5.    Consider getting the PDI Manual Stretching video – it is an inexpensive way to add a very different level of treatment to your plan

6.    Consider using the Genesen Acutouch pens – they are effective and often increase treatment results within a short time for many men

You do not want to follow all of these changes or additions at once; doing one at a time while monitoring your PD scar for positive changes is how it is done.

Putting these two different times I followed your system of treatment I worked for a total of about 4½ months and do not have anything to show for it.  How do you know you have nothing to show for it?  You could have a nice reduction of the size, shape, density or surface quality of your scars but you would never know it because you have not taken the time to learn how to document these important measurements.

Your system makes sense and I like the logic of it, but I do not know how to make it work for me.   It is really not that complicated or difficult to make the system work once you get a few things explained to you. What changes should I make to my treatment plan to create more definite changes in my problem?    All you have to do is to make some change – any change – to your PD treatment plan and check back in 7-10 days to see if there is any change in the size, shape, density or surface quality of your scars.  If you see a change, then keep doing what you are doing.  If you see no change, then change something else.  It is as simple – and complicated – as that.

Since neither you nor I am smart enough to know ahead of time what your body needs to recover from PD, it is your job to try different things to learn first-hand how your scar will respond to whatever changes you decide to make.

Following the same ineffective plan for four and a half months is insane.  If you are walking north and you really want to be going south, you must stop what you are doing and turn yourself around.  Successful PD treatment is not a matter of popping a handful of pills into your mouth, hoping that something will happen.  You must learn what it takes to make your PD scar respond favorably and continue to do that.  You must be in control of your plan and understand your Peyronie’s plaque or scar behavior better than your MD – and that should be pretty easy.  I can help you if you let me. TRH

Thanks for your time and help.

BXXXXXXX


I hope reviewing this email exchange was helpful.

It really is not a complicated process to figure these things out.  I believe the problem is that most people are accustomed to going to the doctor and following orders; they are not accustomed to being in charge of their treatment.   After men realize that their MD has no viable PD treatment to offer them, then they finally take on the challenge of taking control of their destiny and they start to see results.

Cause of Peyronie’s Disease

Trauma frequently seen as Peyronie’s cause

While the cause or causes of Peyronie’s disease remains open to speculation, some theories are more popular than others.  However it starts, it is important to remember that Peyronie’s disease is a disorder of the tunica albuginea.

Among the several explanations for a possible Peyronie’s disease cause, trauma or direct injury to the penile shaft is almost always mentioned as either a primary cause or at least a significant secondary cause.  More specifically, the cause of Peyronie's disease is universally explained as a wound that does not heal in the normal way, whether related to injury usually associated with sexual activity or a medical procedure. Even when other causes are mentioned it seems that injury will usually be associated in some way.

Role of wound healing in Peyronies disease cause

The penis contains two sponge-like, tube-shaped chambers (corpus cavernosae) with many tiny blood vessels that fill with blood during an erection.  Below the two corpora cavernosae is the corpora spongiosum through which runs the urethra or passage way to release urine from the bladder.  Each of the corpora cavernosa are enclosed in a thin and flexible sheath of elastic tissue called the tunica albuginea, which stretches slightly during an erection. Injury to the penis can cause inflammation and damage to the tunica albuginea.

If an injury heals as it should then usually there are no long-term problems.  But if the healing of the injured tunica does not proceed as it should, it can lead to excess internal scar formation, known as Peyronie’s disease.  The area of the injured tunica albuginea is not as flexible as before injury.  With the area less flexible, when the penis attempts to become erect the region with the scar tissue doesn't stretch, and the penis curves, bends, develops a dent or becomes distorted in some other way (bottle neck or hourglass deformity).

The tunica albuginea has many layers, with very little blood circulation between them.  When an injury to the tunica albuginea occurs, the tissue fluids associated with the inflammatory process can remained trapped between these layers for many months. During this time the cells found in the inflammatory fluid can release chemicals that lead to increased formation of fibrous tissue (fibrosis) that causes reduced elasticity of that area, internal scar tissue and possibly calcification.  The combined effect of these tissue changes is the characteristic penile deformity associated with Peyronie’s disease.

Inherited abnormality as cause of Peyronie’s disease

There is some evidence of a genetic cause or predisposition to PD related to an inherited abnormality of human leukocyte antigen B27 (HLA-B27).  Peyronie's disease is statistically more likely to occur in men whose immediate family members also have PD, or systemic lupus erythematosus (a connective tissue disorder).  PDI research shows that 37 percent of men with Peyronie's disease also experience Dupuytren's contracture, in which hard contracted develops on the palms of one or both hands.

Other conditions as cause of Peyronie’s disease

  • Vitamin E deficiency has been associated with the Peyronie's disease, primarily because early Peyronie’s disease research showed treatment with vitamin E demonstrated success in a significant number of cases.  Since that time less interest has been shown in using vitamin E as a Peyronie’s treatment.
  • Inderal and the PDE5 inhibitor class of drugs (Viagra, Cialis, Levitra) used to chemically stimulate development of an erection have been known to cause Peyronie's disease.
  • Diabetes when severe or prolonged will precipitate damage to the blood vessels in any area of the body, including the penile shaft.  PDI research shows that 21 percent of men with PD also have diabetes.

Regardless of the cause of Peyronie’s disease, it is important to start treatment as soon as possible to increase your ability to heal and repair the underlying injury to the tunica albuginea. Refer to the Peyronie’s Disease Institute website to learn how to start Peyronie’s disease treatment using Alternative Medicine.

Peyronie’s Treatment at the New Year

As this New Year begins it is a good time to stir your commitment to success in your Peyronie’s treatment.

When you consider that your odds for success against Peyronie’s disease are not very good if you do nothing, it is important that you do something to help yourself.  We specialize in doing all that you can to help you to heal this problem of PD.

Good luck to you.  Let me know what I can do to help you along on your path to successful Peyronie’s disease treatment.

“The secret of success is constancy to purpose.”  — Benjamin Disraeli

“Genius is divine perseverance. Genius I cannot claim nor even extra brightness but perseverance all can have.”  —  Woodrow Wilson

Don’t be discouraged.  It’s often the last key in the bunch that opens the lock.    — Ralph Waldo Emerson

“History has demonstrated that the most notable winners usually encountered heartbreaking obstacles before they triumphed. They won because they refused to become discouraged by their defeats.”  —  B.C. Forbes

“The price of success is hard work, dedication to the job at hand, and the determination that whether we win or lose, we have applied the best of ourselves to the task at hand.”   —   Vince Lombardi

Don’t be discouraged.  It’s often the last key in the bunch that opens the lock.   —   Ralph Waldo Emerson

“Desire is the key to motivation, but it’s determination and commitment to an unrelenting pursuit of your goal – a commitment to excellence – that will enable you to attain the success you seek.”  — Mario Andretti

“The difference between the impossible and the possible lies in a man’s determination.”   —  Tommy Lasorda

He conquers who endures.   —   Persius

“Adhere to your purpose and you will soon feel as well as you ever did. On the contrary, if you falter, and give up, you will lose the power of keeping any resolution, and will regret it all your life.”   —   Abraham Lincoln

“The difference between a successful person and others is not a lack of strength, not a lack of knowledge, but rather a lack of determination.”   —  Vince Lombardi

“Always bear in mind that your own resolution to succeed, is more important than any other one thing.”   —   Abraham Lincoln

Peyronie’s Disease and Having a Merry Christmas

Peyronies is no reason to not enjoy the holiday

Well, we are not far from the big day that is so heavily pushed upon us by commercial interests.   Yet, as we struggle with the burdens life has given to us, it would be good to take comfort in what we learned in our innocent youth about this season of the birth of the  Christ Child.    It might be helpful to the spirit and body to allow your nostalgia to take you back to that time of wonder when anything was possible.  When on a special day at the end of December everything somehow was supposed to be better.   We believed it then, yet over time lost a lot of that expectation to the reality of life.

Do yourself the favor of taking a few minutes to imagine what you would think and how you would feel right now if you had that same youthful enthusiasm for life and for your future.  The child hidden inside you will make you feel good.

You are now attempting to change what has happened to your body, and you are working hard to assist your recovery.  You do not have to feel discouraged or  unhappy.  How you feel inside is your choice.   Realize you have chosen to feel however your attitude  is directed.  If you want to feel like a kid again , it is up to you.  No one can take that from you, and no one can give it to you, but you.

Please stay focused to your PD treatment and let me know if you have any questions or need help in any way.

Merry Christmas to you and to those you love.  Be grateful for all that you have.

TRH

Penis Stretcher: Big problem as Peyronie’s Treatment

Question safety and effectiveness of mechanical penis stretcher

I closely monitor all aspects of Peyronie’s disease treatment.  On July 27, 2010, I received the following news release from the Food and Drug Administration.  This information is of vital importance to any man who has Peyronie’s disease and has considered using a mechanical penis stretcher for this curved penis problem.

Please carefully read the last sentence of the last paragraph of the FDA release since I will discuss that sentence in particular:

News & Events

FDA NEWS RELEASE

For Immediate Release: July 27, 2010
Media Inquiries: Erica Jefferson, 301-796-4988
Consumer Inquiries: 888-INFO-FDA

Federal Agents Seize FastSize Extenders and FastSize EQM Erectile Quality Monitors
Unapproved devices are adulterated and misbranded; safety and efficacy not established

At the request of the U.S. Food and Drug Administration, U.S. Marshals today seized $346,954.43 worth of FastSize Extender devices and FastSize EQM Erectile Quality Monitor devices, as well as component parts used in the manufacture of the FastSize Extender. The FastSize Extender and the FastSize EQM Erectile Quality Monitor are manufactured and distributed by FastSize, LLC of Aliso Viejo, Calif.

The FastSize Extender and the FastSize EQM Erectile Quality Monitor are misbranded and adulterated because they, among other things, are unapproved and were manufactured under conditions that did not meet current Good Manufacturing Practices (cGMP) requirements. The seizure warrant was issued by the U.S. District Court for the Central District of California.

The FastSize EQM Erectile Quality Monitor device was promoted to measure penile axial rigidity (intercavernosal pressure) and to aid in the diagnosis of health related issues such as diabetes, high blood pressure, and heart disease. The FastSize Extender device was promoted to gain length, girth, and overall penile health improvement and to correct penile deformity caused by Peyronie’s disease. Because the devices are intended to diagnosis, cure, mitigate, treat or prevent diseases, they are subject to the regulatory authority of the FDA. The devices do not have approved applications for premarket approval for these uses.

During a recent inspection of the FastSize LLC manufacturing facility, inspectors noted significant deviations from cGMP regulations. Additionally, the devices are not properly listed with the FDA as required by law, and the firm failed or refused to furnish materials or information regarding the devices to federal inspectors as required under the Medical Device Reporting regulation.

Three important issues come to mind about this penis stretcher:

1.    Seizure of more than a third of a million dollars worth of property is a serious action for the FDA to take.  It indicates they acted in accordance with strong evidence against the FastSize Extender manufacturer to immediately stop any further sales of this product.  This is not just a slap on the wrist over a difference of opinion or a minor offense; this suggests the FDA encountered a major problem with the FastSize Extender.  Perhaps they had reason to think they would not be cooperative or forthright if they were otherwise simply asked to stop selling this device to the public.

2.    Although the news release does not go into detail about the deviations from current Good Manufacturing Practices problems encountered by the FDA inspectors, it could possibly do with sanitation or material and assembly quality issues.  None of this should make anyone feel good who has used this product in the past.

3.    The first sentence of the second paragraph, in which the FDA says. “…The FastSize Extender…are misbranded and adulterated because they, among other things, are unapproved and were manufactured under conditions that did not meet current Good Manufacturing Practices (cGMP) requirements…” caught my interest.  I wanted to know more about what these “other things” might be.  For this reason I called the FDA spokesperson who wrote this FDA news release, Erica Jefferson,  to learn what she did not report concerning these “other things” that were a problem with the FastSize Extender.  I specifically asked her in a telephone conversation about details concerning the safety of this product and what is called efficacy (the ability to produce the desired result) meaning, the ability of the FastSize Extender to reduce the penile curvature of Peyronie’s disease.  In an email on 7-28-10 Ms Jefferson replied to me:

Dear Dr. Herazy,

Thanks for your call. So, I checked in with our compliance folks and as the release points out, the FastSize Extender has no approved application for premarket approval in effect (pursuant to 21 U.S.C. 360e(a) of the Federal Food, Drug, and Cosmetic Act), thus, there is no assurance that the device is safe and effective for its intended uses.

Regards,

Erica

Erica V. Jefferson
Press Officer
Office of Public Affairs
U.S. Food and Drug Administration
office: 301-796-4988
cell:  240-753-3047
fax:  301-847-3536
email: Erica.Jefferson@fda.hhs.gov

So, apparently these “other things” are the fact that in spite of the extensive advertising about how great the FastSize Extender is to treat PD, the manufacturer has no proof that it is safe or effective.  No additional details were available about the safety issues.

If the manufacturer actually had any data or information to prove the FastSize Extender was safe or that it had efficacy (effectiveness) to treat Peyronie’s disease, you can rest assured they would have completed the necessary applications for premarket approval from the FDA.  It is reasonable to assume that they did not complete the required forms because they could not prove the safety or the ability to help treat Peyronie’s disease.

Mechanical penis stretcher not a Peyronie’s treatment

For years now this blog has addressed the problems of these mechanical penis stretching devices.  To read a past blog about this subject, go to Peyronie’s disease and the penis stretcher.   Many men have told me their PD started after they injured themselves with a mechanical penis stretching device; therefore, it does not make sense to me that this same device could actually help PD.

Please keep this FDA news release in mind the next time you see one of those slick ads promoting a mechanical penis stretcher.  It looks like the government is starting to crack down on these folks.

Let me know what you think about this FDA announcement, and let me know your experiences with a mechanical penis stretcher.

Protection for Peyronie’s Disease during Intercourse

Girth enhancement rings stabilize Peyronies

Since 2002 Peyronie’s Disease Institute has made several different products available to our customers that offer important penile protection while still allowing sexual intercourse to take place.   One of these is the girth enhancement ring or sleeve, please see Girth Enhancement Ring.

Using this uncomplicated device provides a level of support that greatly reduces the possibility of re-injury of the penis during intercourse.  For many men this simple and inexpensive device is essential in a couple’s ability to engage in sex at all – for many men the added support is needed to make penetration.

The basic girth enhancement sleeve is a thick but flexible tube that is open at both ends, made of very soft and stretchy silicone material.  The penis is slipped into the tube and the glans or head of the penis sticks out at the other end for full sexual contact.   With this added support the shaft is less likely to be re-injured by sudden bending or collapse.

Even if the cause of Peyronie’s disease in your case was not trauma, it is critical that you do all you can to not injure your penis during sex if you have PD.  The following deformities present a real or potential weakness of the shaft of the penis that can easily get re-injured during sexual activity, and therefore will benefit from the use of girth enhancement sleeve:

1.    Twist

2.    Curve

3.    Bend

4.    Dent, dink, nick, depression, impression or filling error

5.    Bottleneck deformity

6.    Hourglass deformity

Any of these Peyronies deformities is weakest at the area of the greatest distortion, or thinnest part of the shaft, that can suddenly bend, fold or collapse during insertion or while thrusting.  This is the area over which the girth enhancement sleeve should be worn.

Dealing with a penis that is weak in one small area is like having an ankle that is weak because of an earlier injury, making it susceptible to re-injury.   Also, just like a sprained ankle, each penile re-injury occurs more easily and gets progressively worse.  The best approach to take is to not allow additional injury to take place so the tissue remains as healthy and strong as possible.  For the ankle the treatment is to wear a support and to slow down so that you do not hurt yourself again.  The same with Peyronie’s disease.

A valuable second benefit to the girth ring support is the additional thickness or girth it adds to the penis that can make up for the lost dimension that many men experience.

I urge any man whose penis is distorted by Peyronie’s disease – known as a Peyronie’s penis – to investigate the girth enhancement sleeve to provide protection during sexual activity to avoid re-injury and worsening of his problem.

Peyronie’s Treatment and a Crying Baby

Peyronie’s disease treatment requires a variable approach

Peyronie’s treatment is a lot like caring for a crying infant.

If you have never had to care for an infant it is necessary to understand that, regardless of what the adult might think about solving the problem of a crying baby, it is the baby who will ultimately determine how a situation is handled and a problem is solved.

The adult might have a certain idea in mind to stop a baby from crying, but to be successful the solution must be in agreement with what is wrong with the baby. It is the baby who will eventually dictate how the problem should be addressed because the baby has needs that must be met, regardless of any adult preconceptions

  • If it is a wet diaper that makes a baby cry, what good is it for the adult to feed the baby?
  • If the baby is frightened, what good is it for the adult to change the baby’s diaper?
  • If the baby wants to eat a lot, what good is it for the adult to feed the baby only a little?

The wise adult will listen to the baby and watch for clues, and act accordingly.

Peyronie’s disease treatment

What was said of the baby is also true of your treatment of the Peyronie’s disease plaque.

  • If you think a high price mechanical penis stretcher will somehow solve your curved penis like straightening out a bent paperclip, I can assure you that your penis is not a paperclip and will not respond like one.
  • If you are convinced that taking vitamin E for a few weeks should help your Peyronie’s problem, but you are actually deficient in MSM, acetyl-L-carnitine, PABA and systemic enzymes, then you will be disappointed.

To be effective, your Peyronie’s treatment must be directed toward what your body needs to heal and repair the Peyronie’s plaque.  In other words, to be successful your Peyronie’s disease treatment philosophy must be correct and directed toward what is actually wrong in your body.

Monitor Peyronie’s plaque to guide treatment

If you know the exact size, shape, density and surface characteristics of each of your PD scars, you will know when your treatment is being effective because one or more of these findings will change as you alter your treatment plan.  Without this exact information about your scar you are only guessing if your treatment plan will work.

For more information about this vital process for successful Peyronie’s disease treatment, go to “Peyronie’s Disease Handbook.”

Causes of Peyronie’s Disease

Many possible Peyronie’s causes, few proven ideas

While the cause of Peyronie's disease is not well understood, it is generally thought to be the result of an excessive response to wound healing, or exaggerated internal scar formation at the site of injury.  The traumatic cause of Peyronie’s disease is said to be repeated minor trauma to the penis that occurs during sexual activity; from my experience it is often from significant or major injury during sexual activity in which the penis is suddenly bent during sexual intercourse or during aggressive foreplay of various types.   This type of injury can also occur during a work related or sports accident.

Factors that influence causes of Peyronie's Disease

  • Inherited weakness – a genetic predisposition is thought to exist because Peyronie's disease is seen to be more common in men with family members who also have  PD, or Dupuytren’s contracture, or Ledderhose disease, or systemic lupus erythematosus, (SLE, a connective tissue disorder).   This is supported by a commonly found inherited abnormality of the human leukocyte antigen B27 (HLA-B27).
  • Injury – Peyronie's disease can sometimes start after trauma to the penis in which localized bleeding occurs.   Sufficient injury may happen during  an accident related to sexual intercourse, a medical procedure such as catheterization in which a tube or catheter is passed through the urethra of the penis, or unusual events like falling forward on the ice or even prolonged bicycle riding.
  • Vitamin E deficiency – some evidence this makes Peyronie's disease easier to occur after injury.
  • Drug side-effects – Peyronie’s disease is a rare side effect of blood pressure medications that belong to a group called beta blockers (Inderal).
  • Diabetes – Prolonged diabetes can predispose to damage to the internal lining of blood vessels, including the penis, making either trauma, vitamin E deficiency or genetic factors easier to trigger an occurrence of Peyronie's disease.
  • Infection – When inflammation occurs secondary to an infection it sometimes can spread to the blood vessel walls (vasculitis) causing a reduced blood flow because the response is very similar to a direct trauma to the penis.

Peyronie’s disease and wound healing
Two things you need to know about Peyronie’s penis anatomy is that the penis is made of three long tube-shaped cylinders of tissue – two larger ones called the corpus cavernosae, and one smaller one called the corpus spongiosum; both are filled with a blood-filled type of tissue that resembles a sponge. And the other is that these three tissue structures are wrapped by a layer of tough but delicate tissue called the tunica albuginea.   During sexual arousal or when erection occurs nerve impulses from the higher centers are sent down to chambers signal that they should fill with blood, resulting in the penis being able to expand, straighten and stiffen, causing trouble with sexual activity.

The two corpus cavernosae are surrounded by a sheath of thin elastic tissue called the tunica albuginea, which very slightly stretches during an erection.  During penile injury the tunica can become damaged, causing inflammation.

When Peyronie's disease develops – especially easily in men who are genetically predisposed, but in other men as well when the injury is more significant – normal wound-healing process does not occur because the internal scar tissue becomes excessive.  When this happens the area of the tunica albuginea with the internal scar is no longer flexible and expandable, and the ability to develop an erection in Peyronie’s disease is reduced totally or partially.   When erect, the Peyronie’s penis is distorted and often painful.

For more information, cause of Peyronie’s disease.

Improving Peyronie’s Disease Treatment Results

One small skill makes Peyronie’s treatment more effective

Several weeks ago I received a good question in an email from someone who had just started a Medium Plan for Peyronies treatment.  Even though he just started his Peyronie’s disease treatment plan he wanted to know if there was more he could do to maximize his recovery.  I thought to myself, “This is a man after my own heart.”

I replied that although it seems like an indirect way to reduce the Peyronie’s plaque, there is something that is most important in any recovery plan that is often missing.  This is the knowledge of where you are at the beginning of care, as well as the knowledge of how you are progressing during the course of your care.

To improve your Peyronie’s treatment results considerably, it is critically important to simply have the knowledge of where you are at the beginning of care and every point thereafter.

This information is vital to your recovery because without knowing where you are and how you are advancing, how will you know for sure you are doing the right thing or not?  Thus, knowledge is an important element of any therapy plan.  You must know what is going on – or not going on – with your Peyronie’s plaque in order to treat yourself most efficiently and effectively.  If you are only evaluating your curved penis you are making a mistake.

Because it is so essential to be able to recognize progress when it occurs, and to not fool yourself into thinking there is progress when it is not occurring, I made this a major topic of my book, “Peyronie’s Disease Handbook.”   In this book there is a large chapter devoted to measuring and familiarizing yourself with the minute details about your scar(s). If you think only in general and vague terms about your scar, you will never know for sure if you are making progress.  You can be discouraged if you think you are not making progress when your scar is actually making great improvement – only you do now know enough about your scar to recognize that improvement. That is a sad and sorry situation.   What a terrible tragedy to be so discouraged that you quit care, if you are actually making progress and don’t know it.

Unless you are fully aware of all the details about your scar, you are only guessing when you examine yourself after several weeks of therapy.  You will have to rely upon your memory and vague recollection of your scar.   This is not a smart way to approach a problem of such great importance.  Do not do this to yourself.

Better that you take the time to learn how to approach your scar and the treatment of your scar like it was very important to you.  You should set out to become the world’s leading authority on your scar. This makes a lot of sense.  You know from your own experience that your medical doctor is not paying too much attention to your problem, so perhaps you should be the one to take the time to be interested in what is going on with you.

If you are not sure about the exact details of your scar location, size, shape, density and surface features, shame on you!  You are failing yourself, and you are creating an opportunity for failure when none should exist.

Go to the PDI website and order the book, “Peyronie’s Disease Handbook.”

Pentoxifylline and Peyronie’s Disease

Pentox not researched Peyronie’s disease treatment

Pentoxifylline (often called simply, Pentox) is a drug that is sometimes used in medical Peyronie’s disease treatment.  The exact mechanism by which Pentox affects the Peyronie’s plaque is not at all understood.  But then, its use for PD is called off-label – meaning experimentally and without scientific basis since the drug was not intended or designed to be used in this way.  This is similar to the way that Viagra, Cialis and Levitra are prescribed for PD, even though this is also an irregular use of these drugs; Verapamil is used in a similar off-label manner.

Pentoxifylline is not a vasodilator; it affects the body by changing the shape of red blood cells while in the blood vessels by a mechanism that is not completely understood.  This change allows for improved flow into the smaller arteries and even capillaries of the body. For this reason it is commonly used for treatment of circulation problems in the arms and legs.  While being taken, the effects are experienced as though Pentox is a vasodilator but it is not.

Pentoxifylline is one of those drugs that have multiple off-line uses as determined by any adventurous doctor who is willing to experiment with his/her patients. This is good and bad at the same time.  Apparently pentoxifylline does so many things in the body that it can and is applied to many conditions – this is good, I suppose.  But because it does so many things in so many areas and systems of the body that Pentox is more likely to cause widespread and surprising side effects and new problems that new health problems can develop in those who experiment with it – this is bad.    It has been used in humans for a wide variety of inflammatory and fibrotic conditions; hence, it has been also used for Peyronie’s disease at times.   When it does seem to help PD, the mechanism is not understood, but could be related to blocking of the transforming growth factor (TGF)-1-mediated pathway of inflammation, thus prevents deposition of collagen type 1.

It comes as a tablet that is specially coated to prevent stomach lining irritation.  For this reason do not break, crush, or chew the tablets; swallow dosage whole. Do not stop taking pentoxifylline suddenly. It may take 8-12 weeks for any beneficial effects of pentoxifylline to be noted.

This drug is so new that there have been very few – maybe only one – studies of pentoxifylline for any use.  It has yet to be determined how much and how reliably pentoxifylline reduces plaque formation in later term or well developed Peyronie's disease.

Before taking this medication, let your doctor know if you have an ulcer of the stomach or duodenum, liver disease, any type of bleeding disorder or any type of surgery.

Lastly, because pentoxifylline increases the movement of blood into and out of all areas of the body, it increases how the body responds to some drug functions and reactions.  For this reason, if you are taking another medication along with Pentox you might notice that the other drug will begin to affect you stronger or differently than before.  Thus it might be necessary to adjust the dosage of these other drugs while you are taking pentoxifylline.

I have run across many men who were put on this drug and had no improvement of their PD, and experienced multiple side effects strong and bizarre enough that they had to stop usage – and this made their problem even worse.  These Pentox side effects include loss of appetite, nausea, constipation, headache, dizziness, anxiety or blurred vision may occur at first as your body adjusts to the medication.  More significant are the other side effects of chest pain, mental confusion, gastric irritation, difficulty breathing, or severe rashes that should prompt immediate attention of the prescribing doctor.  Also, pentoxifylline can be difficult to reduce once you are on it since rapid reduction can worsen any of the above side effects.

For information about the natural Alternative Medicine treatment of Peyronie’s disease please visit the Peyronies Disease Institute website.

Why is My Penis Curved?

Might not need to straighten your penile curvature

To answer this common question it is first necessary to know if this penile curvature is something you have had all your life, or if it is something that just appeared after being fairly straight all of your life; if it is an old or a new feature of your anatomy.  Usually there is little   reason to straighten your penis if that is the way you were born.  If a small curvature has not caused any problem in the past, it is not likely to be Peyronie’s disease and you should not treat it.

If you have had a curved penis all your life, then it is most likely due to a normal and natural variation of tissue in that part of your body.  The human body is often made with slight imperfections and variations, and this might be one of yours.   Just as someone might be born with one ear that is shaped differently than the other, or one leg slightly longer than the other, you might have a penis that is curved just because it is not made perfectly.

Inside the penis are three chambers of special tissue that have the ability to expand and become rigid when filled with blood.  If any of these three chambers is larger or smaller than the other two, or has some anatomical variation that prevents it from completely filling with blood, the penis will be distorted in some manner when erect.

This is rather common among men and is not in any way related to Peyronie’s disease and does not warrant treatment or concern.  So long as sexual function is not limited in any way the curvature is considered a normal variation that makes you a unique person.

On the other hand, if you have had a fairly straight penis all your life, and at some time later you noticed an unusual bend, curve, twist, or dent-like physical deviation during erection that was not there previously, then that recent change in your anatomy suggests the possibility of Peyronie’s disease.  This is especially true if the unusual bend, curve, twist, or dent-like physical deviation is accompanied by Peyronie’s pain and reduced hardness of your erection.  Confirming the problem of Peyronie’s disease even more would be your recollection of a recent accident or injury, or use of a drug that is known to have Peyronies as a side effect.

Straighten your penis sometimes unnecessary

Even though the distortion of your previously perfect penis can be very disturbing to a man, it is not the real problem of Peyronie’s disease.  While the curved penis gets your attention, it is the internal Peyronie’s plaque located in the tunica albuginea layer of the penis that is the real issue.  The way to straighten your penis is by eliminating the internal Peyronie’s plaque that is the cause of the curvature.  Having surgery to straighten your penis carries a high risk of failure and tragedy, and only creates the opportunity for more internal Peyronie’s scar tissue to develop as a result of the penis tissue being cut during surgery.  This is the reason so many men find that after having Peyronie’s surgery their curvature becomes worse; it is because of additional internal scar tissue that results from the surgical incisions.

This is why Peyronie’s Disease Institute advocates that Alternative Medicine first be used to eliminate the internal Peyronies plaque before penis surgery to treat Peyronie’s plaque is attempted.  For additional information about this process, please review safe and effective Peyronie’s treatment options.

Straighten Your Penis

How to straighten your penis naturally and gently

A common question about Peyronie’s disease treatment concerns restoring a curved penis to its prior degree of natural straightness.   The question usually is along the lines of, “If someone has Peyronie’s disease for over 10 years like me, do you think the problem has gone on too long to straighten your penis?”

The answer to that question is a simple. “No, probably not, and treatment is always worth a try. Even if you have had a curved penis for 10 years due to Peyronie’s disease, it is still worth the effort to try to straighten your penis.”

Notice, I did not reply that reduction of penile curvature was guaranteed or easy, or that it would necessarily be a total correction – I have replied that it is possible because this kind of thing can and does occur using the concepts presented on the PDI website.  No one can accurately predict if and how much progress a man can make with his Peyronie’s problem after any length of time, let alone 10 years.  But, I have worked with men whose PD is older than 10 years, and many were able to see change and improvement.  You will only know if it is possible to straighten your penis if you attempt to do so.

In my experience most men simply stop looking for Peyronie’s disease help after a year or two.  This seems to be about the time when they accept the defeat that the medical doctors feed to them.  After a while they read and hear so much negativity about recovering from their Peyronie’s penis that they eventually stop looking for fresh ideas and help.  They accept that there is no help and they do nothing.  For this reason I tend to communicate with men whose Peyronie’s disease is relatively recent, and they are still searching for answers; for this reason most of my experience is working with men whose PD is in the 3-24 month range.

Using Alternative Medicine to straighten your penis

Although the explanation is long and detailed, the basic idea for using Alternative Medicine to reduce the excess fibrous tissue of Peyronie’s disease that causes a curved penis can be simply stated:

1.    Determine the exact size, shape, density and surface qualities of your PD scar(s)

2.    Improve your diet to take in more nutrients that will assist healing

a.    Make needed dietary changes outlined in “Peyronie’s Disease Handbook”

b.    Aggressively and faithfully follow a broad based and diverse Alternative Medicine therapy plan of both internal and external therapies, as outlined on the PDI website

3.    Use the Manual Penis Stretching Technique© developed through research of the Peyronie’s Disease Institute.  Do not be fooled by the clever ads that promote a mechanical penis stretcher that attempts to force the correction you are looking for; they can be dangerous and can actually make your PD worse.  I have spoken to hundreds of men who learned the hard way that there is no easy way to reduce penile curvature.

If you do these things, in my opinion, you will stand your best chance to straighten your penis from the effects of Peyronie’s disease.  If you do nothing, if you sit around and wait for someone to develop a miracle drug that will magically solve all your problems for you, you will be waiting a long time and your life will slip away from you. If you use a mechanical penis stretcher you run the risk of injury to your already injured penis. This is why the best time to learn if you respond to your effort to straighten your penis is now; the sooner the better.

Peyronie’s Disease and Cancer Surgery

How Peyronie’s disease can start after cancer treatment

This blog entry will be different from the usual discussion of Peyronie’s disease. In this blog posting I will offer my comments about an email I discovered on another website that covers the subject of prostate cancer and Peyronie’s disease; it is predominantly a medically leaning website in which the moderator and visitors discuss their personal experiences with prostate cancer treatment.

Because there is a statistical relationship between men who undergo radical prostate surgery and Peyronie’s disease, I am interested in discussing this topic from a different perspective. There is a bit to say about these cases of secondary PD that occur after cancer surgery, often ignored in comparison to the more pressing problem of prostate cancer.

The man who wrote the following email wanted to tell others his experience while visiting an ED specialist after his radical prostate surgery. After this kind of surgery it is common for erectile dysfunction (ED) to develop due to the large amount of nerve damage that occurs. The writer mentions he developed Peyronie’s disease after his prostate operation, and makes several comments about PD that are typical of those I receive daily. This is why I bring this email and my comments to the Peyronie’s Disease Institute blog. Many people believe what this man expresses because of what they are told and read from other sources. I present my thinking to you to challenge your thoughts and beliefs. If you disagree, I would like to hear from you.

The email I am using was posted on this other website without comment because no one thought there was anything wrong or unusual about this man’s Peyronie’s disease treatment comments. It is important for my audience of PD men to read this email because of the popular ideas and attitudes that the writer reveals.

The email from the man (RR) who had the radical prostate surgery is written in black, and my comments inserted within his email are in red.

From RR:

A recent posting stimulated me to go to my ED specialist, a trip which I have been putting off. My history: RP
This means “radical prostatectomy,” or surgical prostate gland removal along with surrounding tissues – usually related to cancer. 9/20/99 at age 65, one nerve spared, PSA still undetectable, and some detectable Peyronie's, or at least a bending of the penis at about a 20% angle to the left (looking down on it) about one inch from the base.

I started early pursuing ED options and had tried Viagra, a VED and injections by seven weeks post RP. For those who have read the PDI website and blog you will immediately notice that this man within seven weeks after his cancer surgery did three things that are associated with causing Peyronie’s disease: 1. He used Viagra – this can excessively stretch and injure the tunica albuginea; the same is true of Cialis and Levitra. 2. He used a VED – this is the vacuum pump device that can overstretch and injure the internal tissue of the shaft. 3. He received injections into the shaft of the penis, probably to create an artificial and temporary enlargement, apparently because his doctor thought this is beneficial to his recovery. I never really had success with the VED, partly because I got enough initial take from the Viagra for a stuffable erection, This is an interesting point he makes here. After using Viagra he says it is necessary to “stuff” his penis into the vaginal opening for intercourse to take place. Forcing or stuffing a weak enlargement into the vaginal opening is a common way to start Peyronie’s disease or worsen your problem if you already have it. If a man is so soft that insertion is difficult, he runs the risk of abruptly bending his weak erection during insertion or possibly causing the shaft to bend, buckle or collapse during the thrusting of intercourse. This can easily injure the delicate tunica albuginea enough to start or worsen Peyronies. You never want to engage in sexual relations with less than a fully hard erection because a soft erection is an unstable situation that often leads to injury and PD. His doctor should have warned this man about his need to “stuff” his penis, but apparently did not. This fellow is writing as though this is just the way things are supposed to be when you use Viagra; you just have to push and “stuff” yourself in, like it is no big deal. This is a foolish and dangerous thing for a man who already Peyronie’s disease, but no one has warned him about this danger. but primarily because I had early success with injections. Notice he uses the plural form, “injections.” You will see in his next sentence he is referring to injections of the drugs Trimix and Papaverine Chloride into the shaft to create a temporary artificial enlargement. I have repeatedly warned about any kind of injection into the penile shaft that is known to start or worsen Peyronie’s disease because the needle damages the tunica albuginea. I have scores of conversations in which men who tell me their PD started after just one injection. It is certainly possible that this fellow’s PD started because of repeated injury caused by inserting a needle into the tunica albuginea and leaving irritating chemicals there. Trimix gave me too much discomfort for intercourse, so I was soon switched to Papaverine Chloride which is one of the three ingredients in Trimix. A 30 cc dose of this gives me a reliable erection for about an hour, and the pain-free reliability of this made me forsake the other options, even though I still take 100 mg. of Viagra two to three times a week to encourage nocturnal erections.

I now get nocturnal erections both with and without Viagra, and can get rather full erections without Viagra, but it takes a fair amount of stimulation, so that my wife and I have just continued with the Papaverine when we desire intercourse, Papaverine is an injection drug that is used each time this couple desires sexual union. So, rather than take Viagra because it is too much work because it requires “a fair amount of stimulation,” he chooses to inject himself each time with Papaverine. He does not say how often he does this, but this could be many injections monthly. Yet no one has presented the idea to this fellow that his shaft is not a pin cushion that could eventually develop Peyronie’s disease after this kind of repeated injury. This is how people get into trouble being far too casual about the use of drugs and intrusive therapies. rather than risk the undependability or hassle of the other options. Because he wants to avoid the risk of undependability and hassle of other options, he repeatedly stabs a needle into his tunica albuginea and now wonders why he has Peyronie’s disease. This kind of casual and repeated use of drugs in general is a common way for many people to create many problems for themselves – yet no where in this discussion does this fellow's doctor try to stop this kind of behavior.

The Peyronie's hadn't seemed to be getting worse, and didn't interfere with the enjoyment of sex, so until today I had been putting off the trip to my ED specialist because it involved a long trip. My specialist is Dr. Steven Auerbach who is listed as an ED specialist in the appendix to Eid's book and who also contributed the chapter on erectile dysfunction in A

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Auerbach's reply was that there did not seem to be enough scarring to take any action now. If it gets worse he will give me either Verapamil cream or Verapamil shots if the problem is more localized. He has about 15 men on Verapamil, and although there is not yet any real documented success he is pursuing this treatment. Please read that last sentence again. Both the doctor and this patient are not at all bothered that there are no reports of success using Verapamilthey will use it anyway. Neither the doctor nor the patient do not mind there are real dangers (increased or decreased blood pressure, lung and breathing complications, liver and kidney damage) posed by the use of topical Verapamil, because they think it might help his PD. Further, he does not mention that Verapamil is a calcium channel blocker that has been implicated as the cause of Peyronie’s disease in some men. He also continues to recommend taking Viagra frequently, if for no other reason than to stimulate blood flow. This is a favorite topic of mine – the idea that Viagra should be used “to stimulate blood flow.” First, no one can question the need for good blood flow and adequate circulation for health and healing. But, when should a person really consider taking action to increase blood flow? Answer: when there is actual evidence of reduced or inadequate blood flow to an area. This evidence would be slight coolness or a slight blue colored tint to the skin. We all know that if your skin is cold and blue, you need to increase circulation. If your penis is not cold or blue, but it is as warm as the rest of you and is the usual color, this is strong evidence that your circulation is fine. Second, the idea of increased circulation of blood should bring to mind either a faster blood flow into an area or more blood than is normally found in an area of the body. Let’s say that you are running for a while. You would expect more blood to be flowing into the lungs and legs, at least, and probably all the rest of you. This would be an example of increased blood flow. Do you know what an example of decreased blood flow is? (Remember, before you answer, that this means “a faster blood flow into an area or more blood than is normally found in an area of the body.”) Well, a good example of decreased blood flow in the body is what happens during an erection. What? Think about it. During an erection blood is trapped in the spaces of the corpora cavernosae and corpora spongiosum of the shaft. The primary veins of the shaft close, stopping drainage of blood that goes in and out, thus backing up or trapping blood to increase pressure against the walls of the tunica albuginea. This is what creates the characteristic hardness and enlargement of an erection. The shaft does get longer and thicker because more blood enters the shaft, but for the average man this might be only 2-3 tablespoons more blood than is normally present while flaccid. However, this slightly greater amount of blood is still trapped inside the shaft and does not flow freely like when you exercise. There is a very small amount of exchange or circulation of blood during this time; otherwise it would be dangerous to have an erection for more than a few minutes. But, overall, the actual movement and flow of blood is less at this time, compared to the non-erect state. You can prove this to yourself by close examination of your erection. Your entire organ is darker and more purple colored – when the normally red head or glans becomes tinted blue because of reduced circulation, it appears to be purple by mixing of the two colors. Also, the veins of the shaft become obvious (like varicose veins) in the same way they will if you wrap one hand around the other wrist and squeeze to stop the blood flow. So, if all this is true – and it is – then how does taking Viagra increase blood flow? Answer: it does not increase circulation in the penis. An erection can only happen if blood is trapped like air becomes trapped inside a balloon to make it more rigid. Go tell that to your MD the next time he wants to write a prescription for you to “increase circulation” down there. He/She is not thinking, but only repeating some nonsense he/she read somewhere.

His web site is not all that encouraging about the use of Verapamil, but he now seems encouraged. I do not understand this comment at all.

I questioned him on the use of the VED for exercise, The VED (vacuum erection device) is not exercise. It does not increase blood circulation; again, it merely traps more blood in the shaft by creating a negative force. This is why the penis turns very dark and purplish while it is in the VED, and the penis comes out cold – because blood is trapped there, not moving. This is also why in order to stay enlarged after removing himself from the VED, it is necessary to put a tight rubber ring around the base to keep the blood trapped inside. but he did not recommend it, but also did not recommend against it. He recommended taking Vitamin E and counseled against taking Vitamin C, especially in the mega dosages that some take. MDs do not study nutrition in medical school, did you know that? The vast majority of MDs think you do not need to take additional nutrients beyond what you get in your diet. I could go on and on about what MDs as a group do not know about nutrition, but this blog post is too long already. I have never heard of anyone who has taken vitamin E by itself – in the way that MDs recommend – and gotten any help with their Peyronie’s disease.

He also thought that my Peyronie's, or whatever we want to call it, may be entirely independent of the injections I am taking. It is common for a doctor to not admit to the possibility that a patient’s Peyronie’s disease was caused by the Papaverine injections he prescribed. That could result in a law suit. He believes most of the Peyronie, scarring or fibrosis comes from lack of use. In all my years of researching PD, I have never heard of this before; that PD is caused by lack of use. There is no way to support this idea that PD results from lack of sexual use – it just not make sense at all. He is strongly against sitting idly by for any period of time after an RP, believing that exercise and blood flow is very important for recovery. Of course good blood flow is important for recovery. But taking a bucket of Viagra is not going to make that happen. However, applying heat packs (rosy red skin and a larger shaft afterward) would be a good way to increase circulation. Wearing boxer shorts rather than tighty-whitey briefs would be a good way to help circulation. Also, a massage of that area to actually increase blood flow to the lower pelvis would be great. However, this man’s doctor apparently did not mention any of that. Your average MD would rather quickly write a drug prescription than take two minutes to talk about hot packs, underwear and massage. My bending is on the left side of the penis, which means that the scarring would be on that side, so being right handed I probably would be giving myself more injections on the other side. He probably gave himself more injections on the left side of the shaft. Just thought I would throw this information into the hopper of information to which we all have access. I believe what this post actually did was to create more confusion and bad information about what to do after RP surgery and what not to do if you have Peyronie’s disease. This is simply more drug promotion and little new thought about true health care.

RR

Please forward your thoughts and comments about my opinions. I would be happy to hear from you, especially if you are interested in Peyronie’s disease natural treatment.

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Curved Penis Facts and Humor

Since Peyronie’s disease is all about the effect of the Peyronie’s plaque that causes the classical curved penis, here is useful – and sometimes just fun – information about an important part of the male anatomy.

1. Pronged cigarette smoking can shorten the penis up to a centimeter, or slightly less than a half inch. Since erections are affected by normal blood circulation, and smoking leads to calcification of blood vessels, it is easy to see that erectile quality is not helped by smoking cigarettes.   If you are not concerned about how smoking is bad for your lungs and blood vessels, now you know it is also not good for your manhood. .

2. With knowledge and techniques developed through stem cell research, it is now possible to use the foreskins of circumcised infants to grow skin for burn victims.  A single foreskin can be used to create 23,000 square meters of new tissue.  This is an area large enough to cover every Major League infield in the U.S.

3.
An enlarged prostate gland can lead to premature ejaculation, as well as erectile dysfunction (ED).  If you have a problem with either ED or premature ejaculation that has not responded to direct therapy, consider having your prostate gland examined.

4. The average male orgasm lasts six seconds, while the average female orgasm lasts 23 seconds.

5. Scientists have identified the oldest male fossil animal yet discovered. It is an ocean-dwelling creature found in 425-million-year-old rocks in the UK. This creature is called is a hard-shelled sea creature called Colymbosathon ecplecticos; that is Greek for "amazing swimmer with large penis."

6. Even after circumcision the foreskin can be grown back. The movable skin of the penile shaft can be pulled up toward the glans (head) of the penis and kept in place with tape.  Using a series of plastic rings, caps, and weights, and after a few years the male can once again say, “Everything is covered.”

7. From a physiological standpoint, there are two types of penises. The first type is called a “grower” because it can easily expand and lengthen when erect to a size much greater than its flaccid dimensions.   The other is called a “shower” because it is very large when flaccid, but doesn't increase in size when erect.  It is estimated that 80% of men are growers, while 20% are showers.

8. German researchers say the average time for sexual intercourse is 2 minutes, 50 seconds.  Yet, women estimate that the average time for sexual intercourse is 5 minutes, 30 seconds, and men say it is in excess of 10 minutes.

9.
The record holder for numbers of sexual partners is King Fatefehi of Tonga, an island in the South Pacific Ocean.  It is recorded that he had sexual relations with 37,800 women between the years 1770 and 1784—that's about seven women a night.

10. Spanish researches have determined that better-looking men may have faster and stronger sperm.  When women were shown photos of men who sperm was known to be in good, average, and unhealthy condition – and were told to select the men that they thought were most handsome.  The women consistently selected men who were in the good sperm category.

11. The act of ejaculation is not controlled in the brain, but it is a reflex that is started within the spinal cord.  It can therefore be said that it does not take any brains for a man to have sex.

12. The most common cause of penile rupture and injury is overly vigorous masturbation causing Peyronie’s disease.  For this reason it is wise to slow down, use a lot of lubrication, and enjoy a nice gentle ride.

Beta-Blockers and Peyronie’s Disease

What is a beta-blocker?

Anyone who has looked for a cause of Peyronie’s disease will eventually read about a drug called a beta-blocker.   I will not bore you with the technical aspects of the chemistry and physiology of beta-blockers, but only what might be important to you as someone who suffers with PD.

Beta-blockers are prescription drugs used to treat a wide variety of conditions, but most often heart-related disorders like abnormal and irregular heart rhythms, chest pain, and the immediate symptoms of a heart attack, as well as to lower the heart rate and reduce the force of heart contraction.  They are available in tablet, liquid and injection forms.  Beta-blockers can also be used to treat migraine headaches, social phobias, hypertension, muscle tremors related to anxiety and/or an overactive thyroid gland. Timolol is a particular beta-blocker that is prescribed as an eye drop, used in the glaucoma treatment since this beta-blocker reduces the pressure of fluid inside the eye. Beta blockers have been called "the musicians underground drug" because they can be used for performance anxiety.

Some of the more popular beta-blockers and their brand names are: acebutolol (Sectral), atenolol (Tenormin), bisoprolol (Zebeta), metoprolol (Lopressor, Lopressor LA, Toprol XL), nadolol (Corgard), and timolol (Blocadren).

Inderal is perhaps the most commonly prescribed beta-blocker.  This beta-blocker affects the heart and circulation particularly well.  It is frequently used to treat hypertension (high blood pressure), heart rhythm disorders, tremors, angina (chest pain), and other heart or circulatory conditions. It is also used to treat or prevent heart attack, and to reduce the frequency and severity of migraine headaches.

If you have taken a medication for any of these problems you might have taken a beta-blocker and were not warned about it.  This might be worth checking out.

If you know you have taken a beta-blocker in the past and now have Peyronie’s disease, this might be a possible explanation for your PD and you might want to discuss this with the doctor who prescribed it for you.

If you are currently taking a beta-blocker you need to know that this category of medication should not be stopped suddenly, since this can bring about an attack of the original condition – sometimes more severe than the original problem – plus a rapid and dangerous rise of the blood pressure.  If beta-blocker use should be stopped or reduced, this should only be done under close medical supervision.  The best way to continue your Peyronie’s disease treatment is to keep your doctor informed and aware of what you are doing with Alternative Medicine.  You should try to get him or her to be a part of your natural Peyronie’s disease treatment.

Peyronie’s disease connection to beta-blockers

All beta-blocker drugs list Peyronie's disease as a possible side effect.  This association has been borne out in communication with men in my work with the Peyronie’s Disease Institute.

Channel Blockers and Peyronie’s Disease

Peyronie’s disease and Verapamil

Calcium channel blockers, or calcium antagonists, are a class of medications as well as natural substances (D-glucaric acid) that disrupt calcium ion conduction along what are known as the calcium channels of the body.

While some doctors use calcium channel blockers to treat Peyronie’s disease, there are researchers who have evidence that these very same calcium channel blockers can actually cause Peyronie’s disease.  This shows how strange and up-side-down is the world of Peyronie’s disease treatment.

The most widespread prescription use of calcium channel blockers is to reduce elevated blood pressure in patients with essential hypertension, particularly elderly patients.  Calcium channel blockers are notably effective to reduce large blood vessel stiffness, a common cause of elevated systolic blood pressure in geriatric patients.  They are also used to control and reduce rapid heart rate, prevent spasms of brain blood vessels and reduce chest pain due to angina pectoris.

Calcium channel blockers, or calcium antagonists, also treat a variety of conditions, such as Peyronie’s disease, high blood pressure, subarachnoid hemorrhage, migraines and Raynaud's disease.

All tissue of the body requires oxygen, and the heart muscles in particular need oxygen to pump blood.  The faster and harder the heart pumps blood, the more oxygen it needs. Heart pain occurs when the amount of oxygen available to the heart muscle walls is inadequate for the work load of the heart.  Calcium channel blockers dilate the large arteries that supply blood to the heart muscles, and thereby reduce the pressure within those arteries. This action reduces the stress on the heart muscles and reduces the need for oxygen at the same time, thus reducing angina pain. In similar mechanism, calcium channel blockers reduced elevated blood pressure, and slow the rate at which the heart beats in a condition known as tachycardia.

Peyronie’s treatment with verapamil

One type of calcium channel blocker known as a phenylalkylamine calcium channel blockers, is called Verapamil.  It is used in the treatment of Peyronie’s disease because it is thought to be effective in disrupting the calcium ions found within the Peyronie’s plaque, thus slowing or reversing the development of the offending plaque material that is the cause of the notorious Peyronie’s curved penis.

Peyronie's disease is a complex health condition without a known cause that affects nearly 4-6 percent of the worldwide male population.  It is best characterized by the development of internal fibrous plaque material below the surface of the penile shaft that results in curvature of the penis, as well as pain.  Peyronie’s disease typically on average at age 54, yet men of all ages (from 16 to 80) can and do  develop it for reasons that are not consist or clear.

Some medical doctors prescribe a topical gel of the calcium channel blocker, Verapamil to be applied once or twice daily over the area of the Peyronie’s plaque.  Since it is thought that calcium channel blockers change the way that calcium is bound within the plaque, that it might slow or reverse the development of Peyronie’s disease.  While this form of treatment has not proven especially effective, and has fallen out of general favor, other medical doctors attempt a more direct route of administration by injecting Verapamil directly into the plaque material of the penis.  This can be a rather painful treatment, and is often given in series of 12 to 20 injections over time.  Verapamil injections have not proven to be especially effective, either, yet remain on the list of medical therapies because it offers some avenue of treatment for both patient and doctor who do not have much medical treatment available for this troublesome and persistent problem.

Danger of Verapamil injections into the Peyronie’s plaque

In addition to the problem of inconclusive results and lack of support within the medical community for the use of Verapamil drug injections as a Peyronie’s disease treatment, there is also the vexing problem of trauma to the delicate tunica albuginea by repeated piercing of these multiple injections.

While there is still debate if calcium channel blockers actually cause Peyronie’s disease in healthy men, as well as if it can be used to treat Peyronie’s disease in those men who have it, the use of verapamil appears to be reducing if only because of discouraging clinical outcomes.

The Peyronie’s Disease Institute has maintained since 2002 that it makes sense to attempt to restore and support the natural healing ability of the body to correct Peyronie’s disease as occurs in about 50 percent of men who develop this condition. Read how you can use many Peyronie’s disease natural treatment options to help your body heal and repair without risk or danger of unnecessary drugs or surgery.

Possible Peyronie’s Cause: Catheter and Cystoscope Trauma

Unrelated cancer surgery possible cause of Peyronie’s disease

Debate and confusion persist about a Peyronie’s cause, no matter how much time passes.

We who deal with Peyronies on a daily basis know that not much research effort is given to this problem we share.  Medical research into the cause of Peyronie’s disease is often directed toward a genetic quirk or biochemical flaw within the cellular structure – that can be treated with drugs.  In spite of a hundred years of failure looking for a pharmacologically treatable Peyronie’s disease cause, one obvious area has not received much interest: trauma.

No one denies that trauma is at least a common secondary cause of Peyronie’s disease, if not the primary cause.  Yet, there is nothing in the medical literature that addresses the great amount of totally preventable trauma delivered while under medical care.  It is my opinion that doctors can be a Peyronie’s cause during the sometimes brutal and hidden trauma of male catheterization and cystoscopic examination that occurs before, during or after many types of surgery, like bladder or penis surgery.

Since 2002 when I started the Peyronie’s Disease Institute I have communicated with a host of surgical nurses.  They advise me that during surgery, while a man is under general anesthesia and is catheterized or given a urethral scope examination for any reason the process is often rushed and aggressive since the patient is not awake or aware.

To understand the potential problem, consider that the male urinary opening at the tip of the penis is a slit that averages 0.15 to 0.20 inches (4-5 mm) in length, compared to a 9 mm catheter or cystoscope that is put into that slit.  .

The potential for abuse that can lead to Peyronie’s disease exists because the size of the cystoscope used for men ranges from between the thickness of a pencil up to approximately 9mm.  In addition, many cystoscopes have extra tubes to guide other instruments for surgical procedures to treat urinary problems.  That is a lot of material that goes up that little passage way.  Sometimes twists and narrowed areas of the male urethra are encountered that prevent passage, when the catheter or cystoscope will be forced deeper by a surgeon who encounters difficulty.  This, I have been told, is a common problem that is not much talked about.

Nurses get into big trouble, and jeopardize job security, for revealing what they see and hear in the operating room.

It is my speculation that unnecessary injury related to forceful and rushed catheterization or cystoscope insertion is the reason many men develop PD that they cannot otherwise explain.  This opinion is based on the number of men I speak to who tell me they cannot account for their PD based on penile trauma.  Of these men who recall no direct penile trauma, when I ask about any kind of surgery that took place within a year or so before developing PD, at least 95% tell me they were either catheterized or received a cystoscopic examination for one reason or another.

For this reason I speculate these men were traumatized during their catheterization or cystoscopic procedure sufficiently to injure their tunica albuginea enough to cause Peyronie’s disease.

One example within Peyronie’s disease research to support this theory of an association between surgical catheterization and cystoscopic examination and PD, comes from the Urology Service of the Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, in June of 2010 published an article in Urology Times titled, “Peyronie’s Disease Following Radical Prostatectomy:  Incidence and Predictors.”

This search for a cause of Peyronie's disease must consider that for men in their 50s, both prostate cancer and Peyronie's disease are fairly common.  The purpose of this project was to determine if there was an actual link between those men who had a radical prostatectomy (RP) operation for prostate cancer and Peyronie’s disease.

They reviewed their sexual medicine database from 2002 to 2008.  They isolated men who received a RP as the only form of treatment for a well-defined and localized prostate cancer, looking for those who developed Peyronies within three years after their RP surgery and compared this group to those men who did not develop Peyronies.  They studied 1,011 such men, of whom 15.9% PD – a number higher than the general population.   They found that the average time for a man to develop PD after his RP was 14 months, give or take a month.   The average curvature was determined to be 31 degrees, +/- 17 degrees.   They further found that younger men (average of 59 years) who had a RP operation were more likely to develop PD afterward, than older men (average of 60 years), and that white race men (18%) were more likely to develop PD than non-white rave men (7%).    Also, they discovered that erectile function after RP surgery did not predict the later development of PD.

Because men who experienced sexual dysfunction after RP were found to develop Peyronie’s disease more frequently than the general population, the study suggested that this group should be routinely evaluated for PD.

This study, written by R. Tal, M. Heck and others, speculates that the Peyronie’s cause for these men might be somehow related to their prostate cancer.

Because it is common for the medical community to primarily delve deeply and intently into the biochemical and hereditary factors for a cause of Peyronie's disease,  without consideration of more simple and obvious reasons, they do not much evaluate for trauma.   Surgical trauma is a possible Peyronie’s disease cause for those with a history of prior radical prostatectomy (because of the cystoscopic and catheterization procedures they receive), but apparently is not investigated since this would cause a medicolegal problem for the medical community and little reason to use medication.

Peyronies: Disease of the Penis?

Peyronie’s disease is not a disease

The problem that brings men to this website that is usually commonly called Peyronie’s disease is not a disease of penis tissue, actually.  We continue to use this term only because for hundreds of years it has been commonly associated with this problem we share, but it is not accurate.

A disease refers to an altered condition of the body that is associated with extreme pain, significant and limiting organ or system dysfunction, social problems, and even death.  Further, a disease is typically acquired by means of indirect or direct contact or transmission from one person to another.  While there are many definitions of what constitutes a disease, the above definition is universally acceptable.

Let’s consider each element of what constitutes a disease, point by point.

1.    Peyronie’s disease seldom causes extreme pain, and sometimes no pain at all – does not fulfill definition.

2.    The genitourinary system of which the penis is only a part continues to function carrying urine in all cases, and has reduced sexual function in about half of the cases – does not fulfill definition.

3.    Society is not affected by a Peyronie’s curved penis that plays havoc with the man who has it in the way that diseases like the flu or measles, alcoholism, syphilis and tuberculosis  do – does not fulfill definition.

4.    Lastly, it is not communicable.  It is not possible to catch Peyronies from someone else or pass it on to another person  – does not fulfill definition.

5.    Peyronie’s disease is not fatal, except to some couple’s sex life – does not fulfill definition.

You will notice that throughout the PDI website and blog I often refer to this problem as a “condition.”  More clinically accurate names that were taken from the Peyronie’s Disease Institute website:

1.    Indurato penis plastica

2.    Penile fibrosis

3.    Penile fibromatosis

4.    Penile induration

5.    Chronic cavernositis

6.    Fibrous sclerosis of the penis

7.    Fibrous cavernositis

8.    Fibrous plaques of the penis

Peyronie’s syndrome

Some people use the term Peyronie’s syndrome to refer to this problem, but technically that is also not a correct way to refer to Peyronie’s disease.

A syndrome refers to a typical group of several essential and clearly recognizable clinical signs, symptoms and characteristics that often occur in association or together, creating a picture or profile of a recognizable clinical condition.  In an actual syndrome the presence of one feature, sign or symptom will alert a doctor to the possibility a particular syndrome might be present.  Once this is established, the doctor will automatically look for other features, signs and symptoms that normally occur with it within the profile of that suspected syndrome. If additional typical findings are found, a diagnosis of that suspected syndrome can be made.

Peyronie’s syndrome is not a valid term because the characteristics, signs and symptoms of Peyronies are actually too few, and seldom present a customary group of features that suggest this particular health problem.  By usual medical standards the few symptoms and signs associated with PD are actually vague and sometimes are totally missing. Since there are typically only three such standard findings associated with Peyronie’s disease (penis pain, penis curvature, presence of the common Peyronie’s plaque or scar), this group is not  large enough to strongly suggest this condition, hence Peyronie’s syndrome is not a good term to use.

Disease of penis not fair to either party

Many times I am asked how I would suggest telling a woman about Peyronie’s disease.  The first thing I say is, “You want to be fair and accurate when you tell this new woman you have just met about your problem. For this reason do not tell her you have a ‘disease.’  PD is not a disease, so do not create a problem for her or yourself that neither of you deserve.”  I then go on to explain that to be most accurate and honest requires that you describe what is wrong with you, avoiding the term “Peyronie’s disease.”  Simply say, “I injured myself a few years ago, and now I have an excess of internal scar tissue that has caused some penile curvature.  I am not as straight or large as I was before this scar material developed, but I am otherwise very healthy. Do you have any questions about what I have just said?” Then answer her questions honestly and forthrightly.  I have never met a man who has gotten into trouble or lost a woman in a new relationship if he offers this type of description of his problem.

You do not have a disease of penis tissue so do not frighten her or create problems where none should exist.

If you wish to learn more about this condition usually called Peyronie’s disease, or Peyronie’s disease treatment, please review our website and blog for additional information.

Difficulty Swallowing Many Peyronie’s Vitamin Pills

Can’t easily follow Peyronie’s disease vitamin plan

It’s sometimes difficult to swallow a solid substance without first chewing it; you feel like you are working against a protective instinct. This is made worse when there are many such solids to swallow. Nonetheless, it is often necessary to swallow 4-18 pills several times a day as part of the Peyronie’s disease vitamin plan you have created to assist your recovery over PD.

Frustration grows when you can’t easily take many pills in your Peyronie’s disease vitamin plan because you hesitate or gag. There are different useful strategies to get over this hurdle. I have never met anyone who cannot get over this problem if they work at it.

Since pill swallowing will likely remain a required skill until you correct your Peyronie’s disease, approach a pill swallowing problem from several angles using old and new tricks:

1. Practice with common food. Swallow mini candies, or small bites of food, without chewing to simulate pill taking. Deliberately think about and feel the sensation of having chunks of solid food sliding down your throat; get comfortable with that feeling; focus on how easy it is to be relaxed when you swallow pieces of cooked vegetables or meat that are actually larger than the pills that make you uncomfortable.

2. Put 1-4 pills in your mouth. Keep them there while you carefully go through a few small chewing motions – do not actually chew on them to avoid a nasty taste. After you have satisfied the need to “chew before swallowing,” immediately drink some water as you swallow the pills already in your mouth. You will thus fool yourself into the idea that you have chewed what you want to swallow.

3. Take pills one at a time to avoid overloading your gag reflex.

4. Drink a large glass of warm water BEFORE taking your Peyronie’s disease vitamin plan. This will relax your throat muscles and make taking the actual pills easier.

5. Sip a cold, carbonated beverage (sparkling water, lemon-lime soda) straight from the bottle when swallowing a pill.

6. Spray or gargle with an over-the-counter topical anesthetic (normally used for sore throats) before swallowing.

7. Take a deep breath and hold it in, before putting the tablet in your mouth; some say that this can suppress gag reflexes.

8. Place the pill on the back of your tongue, drink some water, tilt your chin down toward your chest, and swallow.

9. Put the pill on the tip of your tongue, drink some water, tilt your head back, and swallow.

Combining some of the above ideas could yield a remedy for you, but if none of them help you should really consider some larger issues.

The fact is your throat operates as part of a complex system. While it may seem you have an extraordinarily strong gag reflex or odd throat mannerisms, consider that it may actually be the power of your mind, not the power of your throat. Try to psych yourself out with this pill swallowing mantra — “I can swallow this…I can see the pill going down.”

Or, perhaps not being able to swallow pills has something to do with a past event. If you are unusually tense about pill swallowing from something that happened in your childhood, it makes sense for it to surface when you try to swallow a pill again. Did you choke on a raisin many years ago? Did a school nurse with dirty hands force you to take a pill? You may be subconsciously dealing with issues such as these every time you swallow an aspirin or vitamin. Fear of choking, fear of medicine, or general anxiety may be preventing you from swallowing pills. If you think these mental factors are to blame, you might consider talking with a counselor.

While it seems unlikely, the possibility of a greater medical issue does exist. The medical term for difficulty swallowing is dysphagia, and the term is often used with regard to a disorder of the esophagus. Keep in mind, though, that if you can swallow your food without trouble, your esophagus is probably fine.

This is an important issue to address because you cannot allow trouble swallowing your Peyronie’s vitamin pills to prevent you from achieving success over your PD.

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Help Peyronie’s Disease Treatment with One Simple Idea

Early Peyronie's treatment experimentation

In the early phase of experimenting with my own Peyronie’s disease treatment in 2002, I saw only slight improvement.  With so little helpful information available at that time, I was forced to constantly experiment on myself based on my reading and research.  My double-curve was only slightly better after a few months of using a wide variety and a great amount of different natural therapies.  I was discouraged because I was not sure i would be able to figure out how to get the Peyronie’s help I needed.

About this time two important things happened that would change everything for me.

The first was that I began to notice that while my curvature did not change at all in the early part of care I noticed that my Peyronie’s plaque or scars were not only changing, but changing often and in different ways.  The penile curvature did not change but the scars were very active. I began to notice that the size, shape, density and surface features of each scar would change – sometimes a lot – sometimes for the better and sometimes for the worse – every few days.   This was a fascinating and frustrating observation that I had never read or heard about while doing a great amount of investigation into Peyronie’s disease. I thought I was the only one whose scars changed so much, because in all my reading I had never read about rapid and significant scar changes.

This was the unique discovery about PD in 2002 that I was the first to make:  Not only do the size, shape, density and surface features of the Peyronie’s scar change, but they change on a frequent – sometimes almost continuous – basis.  Realizing that the scars were changing made me think differently about Peyronie’s disease; as a result I had to re-evaluate my early Peyronie’s disease treatment ideas.

The second thing that happened was my wife made a brilliant observation about my scars in relation to what I was eating.  I would discuss my scar changes with my wife because I was fascinated that so much change could take place often in just a few days.  One day, after making yet another report to her about my scars getting worse again (after showing improvement for several days), she casually told me, “You know, it seems that whenever you eat ice cream your scars get worse.  You said your scars were softer and more difficult to find a few days ago.  You had a big bowl of ice cream last night, and now your scars are hard again and easier to find.  I noticed the last few times you ate ice cream that two or three days later you complained about your scars getting bad again.  Maybe you should stop eating ice cream for a while and see what happens to your scars.”

Well, like any husband, at first I thought she was wrong.  But when I began to experiment with her ice cream theory, I saw to my amazement that she was correct.

This led to a series of other direct observations that changes in the size, shape and density of the PD scar are often in relation to what I was eating.  It also led to my second important discovery:  By observing for changes in the size, shape, density and surface quality of the PD scar, it can be “used” to act like a guide to determine what is good and bad for that person’s Peyronie’s disease.

Help Peyronie’s treatment: compare to scar

If you want to help Peyronie’s treatment be more effective you must learn to measure your treatment efforts against changes in your PD scar.  All treatment must be evaluated to learn if your scar responds favorably to it.  In order to do this you must know how to determine and record the size, shape, density and surface feature of each scar.  This very important topic is discussed in detail in “Peyronie’s Disease Handbook” – in addition to other important topics.

Don’t guess with your Peyronie’s treatment.  Know what makes your scar get better or worse.  Use that critical information to guide you to your best level of recovery of which you are capable.

Detoxification during Peyronie’s Disease Treatment with Neprinol

Consequence of systemic enzymes like Neprinol for Peyronie’s treatment

When using any of the systemic enzyme products (Neprinol, Nattokinase 1500 or Fibrozym) in a Peyronie’s disease Alternative Medicine program, it is not uncommon to go through a detoxification reaction.   Avoiding a detoxification reaction, and what to do if you have one, is the reason anyone who orders these particular products receives specific suggestions for their use.

Any of these systemic enzymes will destroy foreign fibrin in the body, regardless of the location of the fibrin material.  Over time as Peyronie’s plaque and fibrin is destroyed the greater the problem for the body is to eliminate the fibrin protein break-down products and tissue debris.  Like when you clean the attic – you must  find a way to get rid of all the accumulated junk.

When starting to use the systemic enzymes in a Peyronie’s disease treatment plan, this can amount to a flood of break-down debris that possibly can overwhelm the ability of the liver and large intestine for removal.  The end result is often nausea and diarrhea that are caused by this “housecleaning” that performed by the systemic enzymes.

Besides being no fun, the nausea and diarrhea problems that detoxification causes will also make absorption of nutrients more difficult and inefficient.   It is difficult for the body to absorb nutrients through the bowel wall while diarrhea is taking place.  For this reason I suggest that you stay at an enzyme dose high enough to just border on digestive distress (light occasional diarrhea and nausea, but definitely controllable), but less than having bad out-of-control problems.  This way you are attempting to still push for the benefits of detoxification without losing nutrients because your system is in a state of irritation from toxic overload.

Peyronie's treatment personal and specific for the individual

There is no one who can tell you the exact dosage to go about detoxification without developing a lot of diarrhea; you have to figure out how to do it; no one can do it for you. I suggest you not stay on a constant or level dose of enzymes.

Let’s say you wish to try a 6/day dose of your enzymes (either Neprinol, Serrapeptase or Fibrozym).  I suggest you start at 3/day and over a 7 day period slowly work your way up the level you wish.  If you notice a slight case of diarrhea starting, drop down to one less pill per day for a few days but do not totally stop taking the enzyme because you then interfere with your body’s tendency to adapt to and tolerate that product.  After a few day go back up to the dose that had caused a little diarrhea and you will likely have no problem.

As an option for those who want to take – as an example – 6/day of a systemic enzyme consider this effective variation.   Play with that 6/day dose by taking 5/day and 7/day on alternate days; or even 4/day and 8/day on alternate days.  This way, on the high days you are pushing yourself for detox but this is followed by a day of relative “rest” with the lower dose of enzymes so that you your gut does not stay irritated for a long time. This method also has the advantage you are not stopping your program; you are staying with it but modifying it for maximum benefit to you.

If you are taking these enzyme products you might consider trying this pattern of taking them for a few weeks.  I found I was experiencing toxic overload when I was taking about 12/day of Neprinol in addition to other systemic enzymes.  I did this higher/lower pattern and it really seemed to help.  Eventually I got to the point I could take up to 18/day of Neprinol with no problem at all.  This higher level of systemic enzyme therapy can be a little complicated, but it was definitely worthwhile for me.

Drugs Can Cause Peyronie’s Disease: Beta blockers & PDE5 inhibitors

Prescriptions drugs that start Peyronie’s disease

The cause of Peyronie's disease remains unknown.  However, among the more commonly suspected causes are injuries as during intercourse, penile trauma as during a difficult catheterization procedure or surgery, genetic predisposition, or a problem of the immune system.

Because medical Peyronie’s disease treatment is also poorly defined, with no standard drug receiving formal approval, one must wonder about the drugs that are currently being prescribed by medical doctors for their Peyronies patients.

Several prescription medications list Peyronie's disease among the potential side effects.  While no formal research exists that proves these medications cause Peyronie's disease, presumptive evidence and frequent patient complaints of strong association with these drugs supports these as possible causes.

  1. 1. Beta Blockers – These are the most common medications in popular use that list Peyronie's disease as a potential side effect.  Beta blockers is a class of drugs used for various indications, but particularly for the management of cardiac arrhythmias, protection of the heart after a myocardial infarction (heart attack), angina pectoris, atrial fibrillation, cardiac arrhythmia, congestive heart failure, glaucoma, migraine prevention, mitral valve prolapsed, and hypertension (high blood pressure). They tend to diminish the effects of epinephrine (adrenaline) and other stress hormones in the body, thus reducing cardiac demands.  If you have ever been treated for any of these conditions, and were treated with a beta blocker, this might explain a current case of Peyronie’s disease. Commonly prescribed beta blockers:

Acebutolol                  Alrenolol                     Atenolol
Betaxolol                 Bucindolol                     Carteolol
Carvedilol                   Celiprolol                    Esmolol
Labetalol                    Metoprolol                  Nadolol
Nebivolol                    Penbutolol                  Pindolol
Propranolol                Sotalol                        Timolol

  1. Interferon – This prescription medication is used to treat multiple sclerosis, leukemia, and hepatitis.  Its manufacturers list Peyronie's disease as a possible side effect.
  2. Dilantin – This is a well established anti-seizure medicine, also reported by its manufacturers as a potential cause of Peyronie’s disease.
  3. PDE5 drug group (Viagra, Cialis, Levitra) – this is a group of inhibitor drugs that block an enzyme process of the smooth muscle cells lining the blood vessels supplying the corpus cavernosa of the penis.  As a result of this influence, these drugs act to increase blood flow in the penis in response to sexual stimulation.   The maker of each of these three drugs advises that men with Peyronie’s disease should consult with their doctors due to possible adverse effects on the penis.

The bottom line concerning all these drugs is that every one of them has side-effects and related ways of complicating the problem of someone who is already sick.  Drugs should be used with great reserve and discretion, and avoided if at all possible.

Once PD is present and a man learns that there is no known medical treatment available, he should consider using Alternative Medicine for Peyronie’s treatment options.  This is an option that the Peyronie’s Disease Institute has researched and developed since 2002, with considerable success.

Guide for Peyronie’s Disease Treatment

How to know if your Peyronie’s treatment is working

For those who do not have the book, “Peyronie’s Disease Handbook,” this post will be an introduction to the idea that to seriously provide Peyronie’s disease treatment it is absolutely critical for you to master of the physical condition of your Peyronie’s plaque.  This handbook book presents in detail the necessary steps required to fully understand and accurately report all possible physical qualities and aspects of your Peyronie’s plaque or scar.

To use Alternative Medicine well to treat Peyronie’s disease it is necessary that you can accurately describe the current condition of your problem. It is not good enough that you know you have a scar somewhere down there, or that it is a “nodule” or “lump” or “band”, or that your shaft is “curves upward.”   All of these are general and meaningless terms.  They do not clearly and accurately say anything about the specifics of your current state.   Worse yet, these terms are not objective or real enough to compare the condition of your scar from one time to another.

If you think about your Peyronie’s disease problem in these vague terms you would not know enough about your problem – now or in the future – to determine if your Peyronies is getting better or worse.  Saying that your scar is “hard” or “soft” is like saying the weather today is “hot” or “cold.”  These terms are very general and subjective, and mean very little.   This means if someone said it was “cold on Christmas day,”  in middle of summer it would not help him to know exactly how cold it was – he could not “remember” how cold that day was six months later.

Specific Peyronie’s treatment information

If you were looking for a new job and you were told you would be paid “money,” you would not be satisfied with that information.  You would want to know how much money per hour, your total per week, how often you would be paid, what other direct and indirect benefits were included, and your vacation schedule.  You would want details at the beginning of your employment so you would know later if you were being paid correctly on pay day.  You would need details at the beginning to determine later if things were going correctly or not. The same with Peyronie’s treatment.

The other day I had a long discussion with someone who just finished reading my book, “Peyronie’s Disease Handbook.”  I asked about his scars.  He said the largest one was “3/4 of an inch and rather square-ish with somewhat sharp, not rounded, edges, rather flat, generally firm but with a little ‘give’ like the seat cushion of his car, and rough and bumpy like the backside of a carpet.”  The other he said was a scar that was the size, shape, hardness and smoothness of a “grain of un-popped pop corn.”

I was very impressed!  Not only did I fully understand the physical nature of those two scars, but I knew he knew for his future reference how to evaluate his scar as his therapy progressed.  As he continues to make improvement he will be totally confident to identify all progress and changes he makes – or doesn’t make.  He is on top of his problem and he will do a better job and make more progress than the man whose only recollection is that his scar is, “I don’t know, I guess it is just some kind of bump.”

Two months later he would be able to think back to the feeling of a grain of unpopped popcorn and know exactly what his small scar was like.  If later by comparison the ¾ inch square of bumpy cardboard felt like a ¼ by ½ inch strand of overcooked pasta with a loose and rough surface like a pair of woolen socks, he would know for sure he was making progress.  He would know for sure how to manage his dosage and his selection of therapies based on his confidence in the progress he was making.

You cannot possibly remember what “hard” or “soft” felt like one month earlier.  Without vivid, exact and personal references that do not change over time you will not have to guess about your progress or lack of progress.  Saying your scar is a “bump” or that it is ‘hard” is almost useless.  Each description must be loaded with personal meaning that you can accurately refer to later so you will have no doubt if you are making progress or not.

Peyronie’s Disease Handbook

If you follow these instructions from the handbook you will be more knowledgeable about your problem than a medical doctor about the condition of any one patient’s problem.  I guarantee it.  With that knowledge you will be able to direct and control your therapy better than ever before.

The goal is to be a master of what is going on with your Peyronie’s disease treatment on a day to day basis, and to use that knowledge in such a way as to guide your diet and your Alternative Medicine therapy to your fullest success possible.

Good luck to you, even though after all, it is not really about luck, it is about hard work and knowledge!

Peyronie’s Sex Problems Can Be Helped

Sexual intercourse and Peyronie’s disease

The heat of a sexual relationship is a chemical (hormonal) reaction, and over time it can fade unless a couple takes measures to prevent that from happening.  This is especially true when Peyronie’s sex difficulties must be dealt with.

Compounding the usual situation in which, over time, a couple will often experience their usual sexual heat cooling down to a comfortable glow.  This is perhaps a sign of maturity of the relationship, indicating there is more than sex between them that keeps them committed and attracted to each other.  Perhaps this is why some couples who deal with Peyronie’s disease sex problems actually improve their relationship, while others do not stay together.

Peyronie’s disease sex enhancing strategies

1. Let her lead you

Be the submissive one.  Follow her lead.  A University of Michigan study reports  that female rats experience a dopamine  (a pleasure and euphoria-inducing neurotransmitter chemical) boost only when they control sex. The critical point is that she is actually leading the sexual activity, not just conducting sex the way you like it to be done.  If this means you both get your nails done – go for it.  She will pay you back.

It seems that women really enjoy sex related to role-playing.  It is reported in Men’s Health that 76 percent of women surveyed said would be interested in sexual role-playing in which the woman is in a position of authority and the man is the sexual novice she is instructing.  Most popular fantasies: professor/student and nurse/patient.

2. Learn new moves

A new sex position is more than a new way to do the same old thing.  “Anything novel or exciting is likely to drive up the levels of dopamine in her brain,” says anthropologist Helen Fisher, Ph.D., author of Why We Love. Oxford University MRI scans found that learning any new motor skill – learning to ties a new knot, taking piano lessons, or some new sexual activity – stimulates the brain in the same way and the same region as those stimulated during orgasm.   Therefore, a new sexual maneuver or activity will boost sexual activity and pleasure.

3. Games are fun for many reasons

Competitive games and situations in which there is a mild and healthy tension and sense of anxiety (as when competing in a game of chess or poker, or Trivial Pursuit)0 increases the dopamine levels outside the bedroom.  This could increase sexual pleasure and interest in sexual activity because “Your brain can’t differentiate between the external anxiety caused by a novel situation and the internal anxiety caused by being attracted to someone,” says Victoria Zdrok, Ph.D., a clinical psychologist. “A boost outside of the bedroom can carry over for when it matters most.”  This happens because competition promotes the release of the sex drive-boosting hormone, testosterone.

4. Start all over

Approach your sexual activity as thought it was your first date. “If you’ve learned how to pleasure her, it’s too easy to forget about foreplay and all the other things that keep sex fresh,” says Debbie Herbenick, Ph.D., a Men’s Health sex advisor.

To heighten the foreplay experience, do this: First, take a 3-day sex break to heighten sexual tension and anticipation.  This will cause dopamine to collect in the brain.  Next, spend an evening just necking like two teenagers, and keep your clothes on to increase the sense of anticipation. This will cause an increase of dopamine in the body without a way of release.  Third, wait two days and spend another evening only touching each other sensually any where you want – except the genitals.

Then, wait another two days with no physical or sexual contact.  The fifth step is to spend another evening using only your lips to stimulate and touch each other sensually any where you want – except the genitals.  Without sexual release and continued sexual stimulation over this prolonged time period, your dopamine  levels will be sky high.  In addition both of your testosterone levels will be higher than usual, leading to explosive sex and heighten sexual sensations when you finally do engage in full wonderful sexual contact.

5. Massage message

Stimulate her body to increase her levels of oxytocin. This is the hormone that battles stress, increases sexual arousal, creates a bonding affect between sexual partners.

Physical contact – such as kissing, cuddling and deep muscles massage – unleash oxytocin in her body.  The best time to do this is after sexual activity.  The more time and tenderness involved in giving physical contact AFTER sex, the better your bonds will be. It is certainly possible for your relationship to improve in spite of your Peyronie’s disease.

6.  Nostalgia has benefits in bed

Discussing the early part of your relationship, from the first date to your honeymoon, is not just an exercise in nostalgia. With the simple act of revisiting old memories when romance and sexual passion were fresh and strong will stimulate the hormone norepinephrine.  This is a brain hormone that highlights and intensifies those sexual memories.   “You’ll unlock her passion,” says sex therapist Laura Berman, Ph.D., director of the Berman Center in Chicago, “and intensify the new memories you’re making, too.”

When you use these simple and easy methods to stir hormone activity in the body the net affect will be to reduce your Peyronie’s sex problem.  Add to that an aggressive and faithfully followed Peyronie’s disease treatment plan and you will find yourself feeling better about a lot of things.

Is It Necessary to Straighten a Curved Penis?

Not every curved penis requires Peyronie’s treatment

Before discussing how to straighten a curved penis, it would be wise to consider if reducing penile curvature in your situation is a necessary and advisable thing to do.

If you know for a fact that you have Peyronie’s disease, it is my opinion that it is always wise to attempt to treat your problem – even if it is currently only minor and does not interfere with intercourse.  Many men suggest to me that since their curved penis is not causing any sexual problem they are not going to do anything about getting rid of their Peyronies problem.  They say they will only worry about having PD if they cannot engage in intercourse.  Otherwise they intend to just leave it alone.

But, it is unwise to delay effort to straighten a recently curved penis for three reasons:

  1. Many times a small penile curvature suddenly gets bad enough to interfere with intercourse
  2. The longer Peyronie’s disease persists the more difficult it can be to treat
  3. A curved penis is unstable during intercourse.  The longer your penile curvature continues you take an unnecessary risk every time you engage in sexual intercourse because your penis could suddenly bend and buckle when you least expect it, resulting in additional injury on top of what you currently have.

If you are not sure you have Peyronie’s disease, it might be unnecessary to use any treatment procedure.  It is best to seek a medical opinion about your curved penis to determine the exact cause and diagnosis of your situation.

Lifelong penile curvature

When a man has had a curved penis all his life, it is still possible to use a few techniques that are discussed on this website to straighten a curved penis that is not related to Peyronie’s disease.  The Peyronie’s treatment that might be successful to reverse a normally curved penis are:

  1. Gentle Manual Penis Stretching Technique © – done without dangerous or painful penis stretcher devices.
  2. PMD DMSO, in combination with copper peptides (Super CP Serum) and vitamin E concentrate.
  3. Neprinol

The idea behind this approach is to soften and reduce as much soft tissue as possible within the contracted scar tissue, while using gentle manual penile stretching to straighten your curved penis; approaching the problem from two different directions at the same time.

Straighten a curved penis due to Peyronie’s disease

Regardless of the duration of Peyronie’s disease or how severe the curved penis, it is possible to make changes in the penile curvature and distortion.  There is no way to predict how much correction can be earned; sometimes it is complete reversal of curvature and other times the correction is only minor – but everyone seems to note some degree of improvement.   The real factor that seems to determine if a man succeeds or not is the amount of time and effort he devotes to his problem.

Now that you know how to work to straighten a curved penis it is time to get busy.  You will never know for sure until you do your best to correct your penile curvature, and now is the best time to do it.

My Penis is Curved

How to straighten a penis

What a shock when you realize, “My penis is curved.  How did that happen, and what is going on down there?"  And the most important question to Google, "How to straighten my penis?”

While there are several other causes of a curved penis to suddenly happen, the most common one, and the most difficult one to deal with is Peyronie’s disease.   Peyronie’s disease is a condition that occurs in about 6-10% of men over the age of 40 (although it can affect teenagers and men in their early 20s) in which a dense and thick mass of fibrous tissue, called a Peyronie’s plaque or scar, is found within the tunica albuginea layer on the inside of the penis.  The presence of a nodule or band of fibrous tissue under the skin of the penis will prevent the normal expansion of the chambers of the penis during an erection.  This causes the erection to be distorted resulting in a curve, bend, hinge, hourglass or bottleneck distortion.

To assist you to determine if you have PD, please visit Peyronie’s symptoms and check out some of the Peyronie’s pictures of curved penis.  It is necessary for anyone who thinks he might have Peyronie’s disease to go to his doctor to have a complete examination so an accurate diagnosis can be made. Do not make the mistake to think you can self-diagnose this problem.

It is important to remember that the problem of Peyronie’s disease is not that you have a curved penis.  The problem is actually the Peyronie’s scar that is present within the deep tissue of the tunica albuginea causing incomplete filling of the penile chambers, resulting in the curved penis that got your attention.  For this reason any treatment that is directed solely at trying to make the penis straight without removing or eliminating the PD plaque will not be successful.

While the Peyronie’s Disease Institute does not take a position against Peyronie’s surgery, we feel too many men resort to penis surgery far too soon before trying conservative treatment.   If a man knows he has Peyronie’s disease he should also know the problem is that his body produced excessive scar tissue or plaque in response to a small injury or inflammation of the deep penile tissue layer.  What does he assume will happen to that same tissue when a surgeon cuts that same tissue and also tugs on it, stretches it, and put stitches into it during the course of Peyronie’s surgery?  There is a very good chance that more excessive scar tissue will result.  This is why many urologists and surgeons take a position against all Peyronie’s surgery.

Since 2002 the Peyronie’s Disease Institute has educated men about the use of Alternative Medicine to assist the body to heal the Peyronie’s plaque.  Fifty percent of men naturally recover from Peyronie’s disease without any help or outside intervention; the problem just goes away on its own like any other health problem should.  Our approach is to assist each man to enable his body to heal naturally like those in that lucky 50% group.

So if you are one of us who has said in shock, “My penis is curved,” you now know what to do about it.  Learn more about Peyronie’s disease treatment with Alternative Medicine. Another good source of information is the Peyronie’s Disease Handbook.

Viagra, Cialis and Levitra Use with Peyronie’s Disease

 

Peyronie’s treatment using erection producing drugs

The erectile dysfunction and soft erections associated with Peyronie’s disease are sometimes treated with Viagra, an erection causing drug made by the Pfizer Pharmaceutical Company.  The information about Viagra duplicated in this blog post is written by Pfizer about Viagra, in relation to Peyronie’s disease.   The basic information presented by Pfizer is essentially true for other erection producing drugs, like Cialis and Levitra.

Here is the Viagra drug information from Pfizer, found their website.  I have removed a considerable amount of technical Viagra information that does not apply to Peyronie’s disease to make it easier to find what you need to know. Notice the section below that I have put in bold and underlined.

PRECAUTIONS

General

The evaluation of erectile dysfunction should include a determination of potential underlying causes and the identification of appropriate treatment following a complete medical assessment.

Before prescribing VIAGRA, it is important to note the following:

The safety of VIAGRA is unknown in patients with bleeding disorders and patients with active peptic ulceration.

VIAGRA should be used with caution in patients with anatomical deformation of the penis (such as angulation, cavernosal fibrosis or Peyronie’s disease), or in patients who have conditions which may predispose them to priapism (such as sickle cell anemia, multiple myeloma, or leukemia).

The safety and efficacy of combinations of VIAGRA with other treatments for erectile

dysfunction have not been studied. Therefore, the use of such combinations is not recommended.

In humans, VIAGRA has no effect on bleeding time when taken alone or with aspirin. In vitro studies with human platelets indicate that sildenafil potentiates the antiaggregatory effect of sodium nitroprusside (a nitric oxide donor). The combination of heparin and VIAGRA had an additive effect on bleeding time in the anesthetized rabbit, but this interaction has not been studied in humans.

Use of any drug to assist erections in Peyronie’s disease

It is my opinion that any man who is undergoing Peyronie’s disease treatment is taking a huge risk to use any of these erection producing drugs because it has been my observation and experience in talking to hundreds of men about their Peyronies problem, that these drugs can injure the penis and actually start Peyronie’s disease, make it worse, or possibly delay or interfere with your effort to try to heal your Peyronie’s plaque.   This happens because of the damage done by the surprisingly strong and uncontrollable erections these drugs can create.

With the use of these drugs it is possible that the forced erections they cause can place great internal stress within the penis that can injure the delicate tunica albuginea.  The erections created by these drugs can be indeed super-erections, greater than what a man normally experiences.

I have had a number of men tell me they are convinced their Peyronie’s disease started after using Viagra, Cialis, etc.   I am confident that at a later time we will start to hear reports about more side-effects of these medications.  This should not be so difficult to believe when you can read for yourself that the drug manufacturer is already warning men in particular with Peyronie’s disease to be cautious about its use.

Peyronie’s disease aggravated easily

Super-charging an erection is not the way the body was designed to be used.

What if you could take a drug that would enable you to lift a ton of weight above your head and keep it there for an hour?  Nice trick, very impressive, but your body is not built to take that kind of pressure to the muscles, ligaments, joints, bones and blood vessels.  A trick like that would cause great damage to internal organs, your spine, blood vessels, all major joints, etc.  Simply put, “It just ain’t natural.”  Same with these erection drugs like Levitra and Viagra.  The increased pressure created by these medications can be very damaging to the delicate tunica albuginea, and can result in or worsen a case of PD.

What would happen to your car tires if you happened to over-inflate them with 100 pounds of air pressure, even though they were built to take just 40 pounds of pressure?  You would be running the risk of damage to the internal structure of tire, wouldn’t you?  Of course.  The same thing can happen if the penis is over-inflated and then given a “rough ride.”  This is where the problems start, and this is what I want to bring to your attention.

Viagra, Cialis and Levitra are not a Peyronie’s treatment

It is very likely that the MDs who prescribe these medications to men with Peyronie’s disease will not agree with this thinking.  MDs tend to favor a chemical “fix” to most problems, so you would tend to expect a natural and automatic prejudice from an MD to use drugs to solve most problems.

If you have taken Cialis or any other erection producing drug because it was prescribed for you, and you mention this information to your MD, what do you suppose he or she will say?  Well, the first thing you must consider is that this information indicates that your doctor prescribed something for you that was not safe or appropriate.  The natural reaction would be for your doctor to immediately defend her decision.  That makes sense.  It is not my intention to make trouble for your doctor, she was only doing what she thought was best for you.  It is my intention for you to independently think about these things and see if they make sense to you, the owner of the penis that could become injured.  Do more research on your own, then talk to your doctor.  This way you are armed with both sides of the story.

It is my further intention to prevent you from injuring yourself further with these erection producing drugs.

A penis that is predisposed to Peyronies in the first place cannot tolerate the kind of stress that these erections drugs create.  It is just like someone with asthma cannot tolerate dust, odors or smoke that does not bother other people.  If you already have Peyronies you should do everything you can to avoid any kind of stress to this tissue, including avoidance of erection producing drugs.

I talk to a lot of men who are given a prescription for Viagra, etc. to help their sexual difficulty, and they instinctively know that this treatment does not make sense to them.  Yet, they are tempted to use the drug because of the promise of improved sexual performance; besides, they are also tempted because they feel, “Heck, my doctor would not do anything to hurt me, maybe it is OK to do.”  I would agree, your doctor would not want to hurt you intentionally.  Yet, we all know that tens of thousands of people are hurt each year by drugs that are given with good intentions and bad consequences.

In addition, I have talked to many men who have reported to me that they used these erections drugs many times, maybe for several months, with absolutely no problem.  The erections were “normal” and controllable, and everything was fine, and the sex was great.  Then, one night, one time, they took that same drug in the same way, and they got an erection that was unbelievably hard and huge, and they thought they were going to explode.  It scared the devil out of both partners.  A few days or weeks later – a curved penis and Peyronie’s disease developed.

If you attempt to think independently and logically about what might happen to your Peyronie’s disease when these drugs are used, you should have no trouble understanding how this could work against you.  If your doctor can convince you that they are perfectly safe, then you should do what your doctor says to do. Just remember, who that penis is attached to if a tragedy happens.  Your doctor will shrug his shoulders; you will have a worse case of PD.

My opinion is that the use of Viagra and similar erection drugs could easily be worsening the very problem you are attempting to heal.   The use of these drugs represents a calculated risk that you are taking, and you should be aware of it.

Please write a comment or question about this article if you want to know more about Peyronie’s disease treatment with Viagra, Levitra or Cialis.

How to Increase Peyronie’s Natural Recovery

Peyronie’s natural treatment is not like using drugs

“What is the very best way to treat my Peyronie’s disease?”  That is the million-dollar question, my friend.

When I developed Peyronie’s disease in 2002, my basic strategy for recovery was this:   50% of men get over their Peyronie’s disease without any outside help – in effect they experience a Peyronie’s disease natural cure.  If this is true – and it is – then it seems most logical to do everything possible to increase my ability to heal my problem like the men in that lucky 50% group.

Even from the start I felt like my Peyronie's disease it was a problem I could beat since the odds for recovery are good at 50/50.  All I had to do was consistently support and promote my natural ability to heal in this particular area of the body over a period of time, knowing that this would increase the capability of my body to heal itself.   I believed then – and know now – that Peyronie’s natural treatment is often just a matter of time and persistence.

I studied the problem of Peyronie’s disease diligently, I worked even harder, I was always faithful to my plan, and I used myself as a guinea pig for every idea that seemed to have merit.  In less than six months I was free of all traces of the PD scar, all penile distortion was gone, and all lost dimensions returned.  I succeeded.

How to increase Peyronie’s disease natural healing

Everyone comes to the PDI website expecting to see a clear and direct answer, a logical 1-2-3 set of instructions that explains how I beat my Peyronie’s disease, and how you can do it also.   But, that is not the way it works.  There are no magic 1-2-3 steps to success.  Each case of PD is as different as the man who has the problem.  Therefore, every man must work out his own Peyronie’s treatment plan – using all the information and ideas I can supply to you. The lack of specific treatment rules is what frustrates men with PD – as if they do not have enough to be frustrated about already!  But that is just the way it is.

The entire PDI website (if you printed it out, you would have over 400 pages of information), is devoted to Peyronie’s natural treatment.  Even so, all I can give to you is an outline and the basic ideas of how to increase your ability to heal and repair the Peyronie’s plaque.  The “Peyronie’s Disease Handbook” is essential in your recovery from PD; it explains in great detail how to monitor and define the size, shape, density and surface quality of your scar(s) – the most important skill you can develop to speed your recovery. While I freely offer you whatever guidance and ideas you might need, and answer all your questions based on considerable experience with Peyronie’s disease natural treatment, you are still in charge of the way you treat yourself.   This is the way it must be because you must monitor the size, shape, density and surface qualities of your scar(s) to directly judge how your body is responding to your treatment plan.

I present the basic ideas of Peyronie’s treatment, but you must jump in and do your best to determine which of these ideas works best for you.  This is not an exact science, and these are not drugs used for treatment with exact dosages.

For most men it often comes down to deciding how much time and energy you have available to treat your PD each day, and how much money you can afford to spend each month; this is realistic.  You might want to do much more for yourself, but can only afford a little. Do your best – whatever that is. Men who get the best results are those who do the most to increase their ability to heal.  Do as much as you can to get this problem behind you.  Many do very well with the Medium Plan, or some variation of it.  Maybe that will be a good way to start your recovery from PD.

I get reports of success and progress weekly from men who use this approach for Peyronie’s natural treatment.  You will only know if it can help you if you give yourself a chance. I will help you in any way I can to be successful.

What is Peyronie’s Disease?

Not all definitions of Peyronie’s disease are honest or correct

Great question, “What is Peyronie’s Disease?”  However, an accurate and honest answer is not always easy to find.  If you are one of the hundreds of new people each day who surf the Internet for a Peyronie's cure, you need to pay attention to the kind of answer you might run across.

In my experience it is common to receive an incorrect answer when it is provided by someone who only wants to sell you something, like a magic herb or a manual penis stretcher.  When a salesperson is the source of your information the answer will often minimize Peyronies by oversimplifying the real problem to the point the answer is not truthful.

The reason that someone will intentionally give you this false information is easy to understand.  If Peyronie’s disease can be made to sound like a simple problem, then a simple solution can be more easily presented to you in a believable way – and the more likely you will buy a product if the problem and solution sound uncomplicated and straightforward.

The usual short (and false) answer you will see to this question is, “Peyronie’s disease is a curved penis.”  This is almost like saying that Peyronie’s disease is no more complicated than a bent paperclip.  All you have to do is straighten out the paperclip – and we all know how easy that is to do – and you are as good as new.

What you must understand is that the bent penis of Peyronie’s disease is just a symptom of what is wrong.  The penile curvature is not the problem, it is just a sign of the real problem. What is causing the penis to curve is the actual problem that must be addressed.   Click here to view

If you have pneumonia, you will probably have a nasty cough. But, it is not correct – or helpful – to say, “Pneumonia is a cough.”   If the problem was presented to you like that, and you believed it, then someone could sell you a cough suppressant as a cure for pneumonia.  You would believe that stopping the cough is all you have to do.  The truth is that the cough is just an outward sign of a deeper problem. To address your pneumonia correctly you must do what is necessary to help your body reduce and remove the lung infection, the inflammatory response that occurs because of an invasion of foreign bacteria, and the cough – and the pneumonia – will no longer be an issue.  The cough is just a sign of the pneumonia, it is not pneumonia – just as a curved penis is a sign of Peyronie’s disease, but it is not the problem. The bent penis is just an outward sign of a Peyronie’s plaque or scar tissue within the tunica albuginea interfering with the normal filling of the corpora cavernosa, resulting in a bent or distorted erection. No amount of penis stretching or mystery herb from Afghanistan will eliminate the PD plaque.

So, what is Peyronie’s disease?

Peyronie’s disease is a problem with no known cause and no known medical cure in which the presence of a dense fibrous nodule or band in the tunica albuginea layer of the penis causes a variable degrees of pain, penile distortion during erection, reduced sexual function, and loss of physical size in length and girth.

If the explanation, “Peyronie’s disease is a bend in the penis” makes you think it is just like a wrinkle in your shirt that can be ironed out – then you are ready to accept the notion that pulling on the bent penis can magically remove that kink.  If it were only that simple and worked that well.

You will notice that none of the advertisements for the magical herbs or mechanical penis stretchers explain how they work.  The reason there is no explanation is because they do not affect the Peyronie’s plaque, which is at the heart of Peyronie’s disease.

For additional discussion to the question, “What is Peyronie’s disease?” please go to Peyronie’s disease discussion.

Penis Surgery to Treat Peyronie’s Plaque

Peyronie’s surgery from correction to amputation

It is not uncommon for a man to learn that he has Peyronie’s disease and to have his doctor immediately recommend penis surgery to attempt to remove the Peyronie’s plaque or straightened his curved penis.

When faced with even a mild degree of penis curvature someone might think that penile surgery is the only treatment option.   It seems to me from my perspective in talking to a dozen men each week about their history with Peyronie’s disease that many of them are given strong pressure to have surgery far too early in the process.

It seems they are not being told that many who undergo penis surgery end up with numerous side effects like pain, numbness or loss of all sensation of the penis, additional loss of length and girth greater than their PD gave to them, greater curvature than their PD gave to them, and total impotence or inability to develop an erection.   I frequently communicate with men who have more pain, distortion and loss of sexual ability after penile surgery than before it.

In a desperate effort to satisfy their sexual partner, and under false expectation of how easy and safe the surgery will be, men sometimes make matters worse with Peyronie’s disease surgery.  Worse yet, it often happens that a man will have a second Peyronie’s surgery to correct the errors and problems created by the first Peyronie’s surgery – only to have even greater problems after the second surgical attempt.

For information about the Leriche surgery technique for Peyronie’s disease.

Peyronie’s surgery to the extreme

The worse case of failed Peyronie’s disease surgery I ever spoke to occurred sometime in 2006.  I received a phone call from a man who asked if I guaranteed the treatment we present in the PDI website.  I told him that no medical procedure or therapy is ever guaranteed – even aspirin.  I said there is no such thing as a medical guarantee provided anywhere in the world because of the complexity of human physiology.  I asked him why he was interested in a guarantee.  He said he was desperate for something to help his terribly curved penis that had gotten progressively worse after each of three separate penis surgeries.  He said he was scheduled to have his fourth penis surgery in two weeks, but he would cancel that surgery if I could give him a guarantee that the PDI process would correct his problem.  I told him I was sorry that I could not make such a guarantee, and said I doubted his surgeon was going to guarantee the next operation.  He corrected me.  He told me that the next surgery was going to “fix’ his problem because the next operation was for the surgeon to amputate – completely cut off – his penis!

He went on to explain that his penis was now just a tiny two inch mass of twisted scar tissue; he had no feeling in his penis; for the last two years when he urinated he would get his abdomen wet; his wife was long gone and he felt that suicide was his only other option, so having his penis cut off made sense to him.

I was shocked.   Just as I was starting to explain that I could not guarantee his results at this late stage in his problem I heard a click, and the phone was silent.  The entire conversation took less than five minutes, but it was the most powerful discussion I have ever had with any of my Peyronie’s men.  I will never forget the empty and desperate tone of his voice.

Penis surgery for a man who already has Peyronie’s disease presents a greater risk than for someone who does not have a Peyronies problem:

  1. High degree contracture due to fibrous tissue buildup, resulting in greater curvature than prior to surgery.
  2. Greater chance for numbness or total loss of sensation, or Peyronie’s pain,
  3. Greater chance for impotence.

Start with conservative Peyronie’s treatment, then penis surgery if necessary

I am not saying that a bad outcome will happen to all men who have Peyronie’s surgery, but it can and does happen so the possibility should be clearly kept in mind before rushing into surgery.    Every day I hear from men who tell me their doctor on the first visit suggested penis surgery to “correct” their Peyronie’s disease.

It is my opinion that it is safer and wiser to take a more conservative route of care using the Alternative Medicine form of natural Peyronie’s treatment options that have been presented here since 2002, before considering surgery.

Peyronie’s and Verapamil

Verapamil and Peyronie's disease treatment

Verapamil is used in Peyronie’s disease treatment by injection directly into the Peyronie’s plaque or a topical Verapamil cream is applied to the skin over the Peyronie’s plaque.   For more information about this method, see Peyronie's disease treatment via direct drug injection.

Verapamil is a calcium channel blocker of the phenylalkylamine L-type.  It works by relaxing the muscles of the heart and blood vessels. Verapamil is an anti-arrhythmic drug approved by the FDA in 1981 to treat hypertension, angina, cardiac arrhythmia, and recently, cluster headaches.  No oral or transdermal Verapamil is approved for Peyronie’s disease treatment.  Most used for Peyronie’s treatment is in the form of a topical Verapamil cream that is applied twice daily for many months.

There are many different companies that compete against each other with their own unique patented Verapamil formula, creating difficulty to know what to believe about the use of Verapamil for Peyronie’s disease treatment.

With so much competition among companies and unsafe practices of illegal companies, some even resort to making inferior and dangerous topical Verapamil cream products.  As a result, Peyronie’s patients who use counterfeit Verapamil have reported:

  • Changes in blood pressure, causing dizziness, fainting, heart beat irregularities, often requiring changes in other medications to become stabilized
  • Severe skin irritation
  • Skin burns and blistering

Peyronie’s Verapamil connection

As with many popular medications, the exact way Verapamil is supposed to benefit Peyronie's disease is not entirely known.  Keep this in mind when someone says they do not know how vitamin E or acetyl-L-carnitine or PABA helps Peyronie’s disease.

It is proposed that long term use of Verapamil blocks calcium from entering into the Peyronie’s plaque or scar.  Another theory s that Verapamil increases fibroblast activity to make more collagenase that breaks down the Peyronie’s plaque or scar. However, calcium is an essential mineral that must have free access and movement in all tissues and hundreds of different normal and healthy chemical, enzyme and hormone functions of the body.  The body needs calcium to function normally and healthfully, and it does not do well when it is blocked by a drug like Verapamil.

Peyronie's disease and Verapamil side effects

When taken topically or orally for Peyronie’s, Verapamil can cause side effects that may impair thinking or abnormal organ function because of calcium metabolism interference.   Care should be used when driving a car, operating dangerous equipment, or any skill in which mental alertness or memory is needed.

Verapamil and Peyronie's disease warning

Men treating Peyronie’s disease with Verapamil must deal with extreme fatigue, loss of energy, blood pressure problems and skin reactions that often occur.  Also, if Verapamil is stopped suddenly any side effect or problem for which it is being taken (like Peyronies) may become worse.

You should not use Verapamil if you are allergic to it, or if you have:

  • Serious heart conditions, especially "sick sinus syndrome" or "AV block" (unless you have a pacemaker)
  • Low blood pressure
  • Recent heart attack

Personal experience with Verapamil and Peyronie's disease

After attempting to treat my own Peyronie’s disease with topical Verapamil cream for eight months, my overall health suffered from weakness, fatigue, memory failure and low blood pressure caused by the Verapamil in my blood stream.  However, worst of all, while using Verapamil my Peyronie’s disease worsened.   The size of each Peyronie’s plaque increased and my Peyronie’s curve doubled.

Shortly after using Alternative Medicine to eliminate my Peyronie’s problem, I started the Peyronie’s Disease Institute with my MD colleagues I was working with at the time.  With this organization I communicate with dozens of men daily about their problems with PD.  Considering the information outlined above, it seems fewer and fewer medical doctors use Verapamil for Peyronie’s disease management.

How to Straighten a Curved Penis

Penile curvature and Peyronie's disease

Before discussing how to straighten a curved penis, it would be wise to consider if reducing penile curvature in your situation is a necessary and advisable thing to do.

If you know for a fact that you have Peyronie’s disease, it is my opinion that it is always wise to attempt to treat your problem – even if it is only minor and does not interfere with intercourse at the time.  Many men suggest to me that since their curved penis is not causing any sexual problem they are not going to do anything about getting rid of their Peyronies problem.  They say they will only worry about having PD if they cannot engage in intercourse.  Otherwise they intend to just leave it alone.

It is unwise to delay effort to straighten a curved penis for three reasons:

  1. Many times a small penile curvature can suddenly become bad enough to interfere with intercourse
  2. The longer Peyronie’s disease persists the more difficult it can be to treat
  3. A curved penis is unstable during intercourse.  The longer your penile curvature continues you take an unnecessary risk every time you engage in sexual intercourse that your curved penis could suddenly bend and buckle, causing additional or worse injury on top of what you currently have.

If you are not sure you have Peyronie’s disease, please see Peyronie's pictures because it might be unnecessary to use any treatment procedures.  It is best to seek a medical opinion about your curved penis to determine the exact cause and diagnosis of your situation.

Lifelong curved penis

In those cases where a man has had a curved penis all his life, it is still possible to use a few techniques that are discussed on this website to straighten a curved penis that is not related to Peyronie’s disease.  The Peyronie’s treatment that might be successful to reverse a normally curved penis are:

  1. Gentle Manual Penis Stretching Technique © – done without dangerous or painful penis stretcher devices.
  2. PMD DMSO, in combination with copper peptides (Super CP Serum) and vitamin E concentrate.
  3. Neprinol

The idea behind this approach is to soften and reduce as much soft tissue as possible within the contracted scar tissue, while using gentle manual penile stretching to straighten your curved penis; approaching the problem from two different directions at the same time.

Straighten a curved penis due to Peyronie’s disease

Regardless of the duration of Peyronie’s disease or how severe the curved penis, it is possible to make changes to the degree of abnormal penis bending and distortion.  There is no way to predict how much correction can be earned; sometimes it is complete reversal of curvature and other times the correction is only minor – but everyone seems to note some degree of improvement.   The real factor that seems to determine if a man succeeds or not is the amount of time and effort he devotes to his problem.

Now that you know how to work to straighten a curved penis it is time to get busy.  You will never know for sure until you do your best to correct your penile curvature, and now is the best time to do it.

Difficulty Finding the Peyronie’s Plaque

Peyronie’s disease plaque

Let’s clear up the confusion about the Peyronie’s plaque, the fibrous scar-like tissue that is the most common characteristic of Peyronie’s disease.  Many people when reading “scar” automatically think they should see it on the skin surface; for this reason I prefer the term Peyronie’s plaque.

Peyronie’s plaque is usually a flat or slightly elevated mass of fibrous tissue just under the skin, in a thin but tough membrane of the penis known as the tunica albuginea.  Sometimes it is cord-like or nodular, but usually it lies flat making it difficult to locate.

Peyronie’s plaque is not in any way related to plaque material that line artery walls. It is benign, meaning it is not cancerous and it is not a tumor.  Peyronie’s disease and this fibrous material is not in any way contagious, and is not in any way the result of any transmittable disease or microorganism – thus there is no way for a sexual partner to “catch’ the Peyronie’s plaque.

The mystery of Peyronie’s disease

For a male health problem that affects up to nine percent of the adult population, it is amazing that practically no man ever hears about PD until the day he is given the diagnosis.  It is this shock – a “mystery” condition that comes out of the blue, for which there is no known cause and no known cure that can wreck a man’s life.  While caught off guard, totally confused and shocked upon first learning about Peyronie’s disease, a man is often does not ask all the standard questions and does not remember the information as he receives his diagnosis.

With so many details pouring into his ears, and so many questions rolling around in this brain, it is easy to understand why a man can leave his doctors office and not remember much about the mystery condition.  Even the doctor’s explanation about a Peyronie’s plaque can become confused, making it sound like it is related to the blood vessels.

Location of Peyronie’s plaque suggested by penile curvature

You can usually count on finding your internal plaque on the concave part of a curved penis.  If a plaque is located on the topside of the penile shaft (the most common location), the penis will bend upward.  A plaque on the underside causes a downward penile curvature.  A plaque on the left lateral side of the penis causes a curvature to the left, and a Peyronie’s plaque on the right lateral side of the penis causes a curvature to the right.

Many times a distortion develops on both top and side, or top and bottom, resulting in twists, hourglass deformities or indentation, even shortening of the penis.

Peyronies plaque is elusive

Each week I receive emails asking, “Since my doctor examined me and could not find any Peyronie’s plaque material, and I cannot see a scar, do you think I really have Peyronie’s disease?”

There is never an EXTERNAL scar or plaque in Peyronie’s disease that can be seen.  The Peyronie’s plaque is always an internal mass of fibrous tissue that is sometimes called a scar, but is not a scar in the usual sense.  Peyronie’s plaques or ‘scars” are only sometimes obvious, while at other times they cannot be found if a person’s life depended on it.  Ultimately, if you have Peyronie’s disease you must assume it is there and you should try as many different tactics as you can to find your scar(s) because having a clear and accurate information will help your Peyronie’s disease treatment effort.

To find the internal Peyronie’s plaque, sometimes it is helpful to think about it being much larger than you have previously imagined; mentally expand the size of the scar you are looking for.  If you were looking for a “pea” before and couldn’t find it, start looking for a “postage stamp” or a “thumb nail” size structure.  This change of the mental image increases your odds to detect it.

When the plaque cannot be located, but there is still pain and distortion of any kind, a diagnosis of PD can still be made.  This is so because the fibrous plaque can be so:

1. Small – it cannot be found

2. Soft – it blends into the other tissue and cannot be detected

3. Deep – it cannot be reached easily

4. Large and flat – that the edges are not determined, almost like something that is so close to you that you do not see it because you are looking far away

When plaque is never found it is because of a combination of two or more of these factors – deep and small, or soft, large and flat, or deep, soft and doctor error, and so on.

It is common to have difficulty locating the plaque for the first time.  Sometimes it is best to forget about finding a “scar.” Instead just try to find something – anything – within the mass of erectile tissue that feels unlike the other tissue.  Finding something unlike the rest of the penis tissue will help define the problem tissue that can be difficult to locate. It might be you have an unreasonable expectation of what a “scar” or Peyronie’s plaque should feel like, making it easy to miss what is rather obvious to someone else with experience in this regard.

After an unusual tissue is found, mark its location on the penis with a marker pen or something that will stay on the skin for a few days.  Return to that location each day to re-evaluate it.  You want to determine if it becomes easier to make sense of it, so you can monitor it during your Peyronie’s treatment.

Curved Penis and Peyronie’s Disease

Can a curved penis be normal?

One of the common questions I am asked is if a lifelong curved penis could be Peyronie’s disease.  The fast answer is that not all penile curvature or bends are abnormal, or even a problem.  If you have had a bent penis all your life it is probably not PD.

To help readers make sense of the situation, a longer answer is that a curved penis might indicate Peyronie’s disease under these two basic situations:

  1. Curved penis that occurs with other signs and symptoms:
    A.  Pain – the pain of Peyronie’s disease can be variable
    i.     Constant
    ii.    Only when erect
    iii.   Only when non-erect
    iv.   Occasional
    B.   Nodule or chord of fibrous tissue (Peyronie’s plaque) present somewhere under the surface of the shaft, usually located on the concave side of the curved penis C.   Penile curvature, bend or distortion not present earlier
    D.  Loss of sexual function
  2. Sudden appearance of penile distortion or bend that was not present earlier in life

Causes of a normally curved penis

Everyone has some degree of difference or asymmetry between one side of the body and the other.  I can just about be 100% certain that if you looked into a mirror you would notice not one, but many, differences in the appearance of your face:

  1. One eye shaped differently than the other.
  2. Wrinkles around the mouth or eyes that are different on one side of the face than the other.
  3. Nose and nostrils not even on the face.
  4. Mouth crooked.
  5. Center of chin not lined up with the tip of the nose or the space between the eyes.
  6. Ears shaped differently.
  7. Cheek bones not curved the same.

While all of this relates to the face, but can also be said of the hands, feet, legs, abdomen – or penis.  All parts of our body demonstrate slight irregularities and imperfections that make us human.  These are the small and unimportant things that make us unique individuals.

Inside the penis are three long tubular chambers that contain erectile tissue – one corpora spongiosa and two corpora cavernosa.  If there is any difference in the length, width or straightness of these three chambers it will result in an erection that is curved or imbalanced in some way.

When a small boy first notices his erections he accepts them for what they are.  Later he begins to question and wonder if he is as good as other people, and does not like being different from other people who he assumes are all perfect.  Don’t allow a curved penis to become more than what it is.

It would be a good idea to have your curved penis evaluated by a doctor who has experience in this area if you also have recently started to have pain, a nodule or mass of fibrous tissue, and/or reduced sexual ability.

Your curved penis may or may not be Peyronie’s disease, therefor this diagnosis is always best left to the experts.

Visit the Peyronie’s Disease Institute website for information about the Peyronie’s disease natural treatments.

Peyronie’s Disease and Masturbation

Masturbation prominently factors into Peyronie’s disease.   A man will either cause his own Peyronie’s problem when he abusively or violently masturbates , or later as he attempts to cope with the growing sexual frustration and limitation created by  the curved penis of his Peyronie’s disease.

Masturbation is the self-stimulation of the female or male genitals to arouse sexual pleasure, usually to the point of orgasm or sexual climax.  It is commonly performed by touching, stroking, or in some way pleasurably stimulating the penis or clitoris until orgasm occurs.

Peyronie’s disease intersects with masturbation in particular for several reasons:

  1. Older boys and men of all ages can injure themselves during rough masturbation rituals with the potential to lead to Peyronie’s disease, especially if genetically predisposed to develop PD.
  2. Men who are unable or too embarrassed to expose their deformity to their sexual partner often resort to masturbation to release sexual tension, and perhaps in a negative mindset will be abusive to themselves.
  3. Men who are unable to engage in sexual intercourse because of severe penile distortions can receive masturbation from them partner as a way to share sexual pleasure, serving as a substitute for traditional intercourse.
  4. Women who are denied sexual intercourse because of a partner’s severe penile distortion or erectile dysfunction related to Peyronie’s disease can be masturbated as a way to share sexual pleasure, as a substitute for traditional intercourse.
  5. Women who are denied sexual intercourse because of her partner’s emotional and physical withdrawal, thus isolated from the man with Peyronie’s disease, can use masturbation to release sexual tension while he is working out his own problems.

General masturbation comments

At one time or another or all life long, just about everyone masturbates – male and female.  It is an extremely common behavior, even among people with access to sexual intercourse and other erotic outlets with a partner. While in one national study 95% of males and 89% of females reported they have masturbated, those who reported they had never masturbated admitted they would be reluctant to admit it if they did – thus these numbers are probably low.

For young children masturbation is a normal part of youthful exploration, often becoming the first sexual act. Most people continue to masturbate in adulthood, and many do so throughout their lives.  The most common explanation given why people limit or avoid masturbation is the shame and guilt that arises from religious and societal pressure.

Once regarded as a perversion and sign of a mental problem, masturbation is now seen as a normal, healthy sexual activity that is pleasant, fulfilling, acceptable, and safe. Masturbation is only considered a problem under certain circumstances:

  1. Directly or indirectly inhibits sexual activity with a partner.
  2. Causes significant distress if done compulsively and uncontrollably, against the greater desire of the individual to stop.
  3. Interferes with daily activities of life.
  4. Compulsively done in public or at socially inappropriate times.

No longer considered as being harmful, masturbation is thought to improve sexual health and interpersonal relationships, if after learning what is personally pleasurable this knowledge is shared with a partner.  Especially in the situation of Peyronie’s disease many partners use mutual masturbation to develop and refine techniques for a more satisfying sexual relationship, when more traditional sexual outlets are not an option.

Masturbation can contribute to sexual dysfunction in Peyronie’s disease

Men who habitually masturbate in ways that are not common with a sex partner – employing mechanical measures that produce an unusually intense stimulus, stroking with great pressure or unnatural friction, resulting in soft tissue damage of the penis – can become so accustomed and dependent on that particular level or type of stimulus that partner-sex becomes insufficient for sexual arousal and leads to retarded ejaculation.  When a man experiences this sexual dysfunction he finds it difficult or even impossible to climax during more conventional partnered sex.

Michael A. Perelman, PhD, clinical associate professor of psychiatry, reproductive medicine, and urology at Weill Cornell Medical College in New York City and the president of the Society for Sex Therapy and Research states, “Any man experiencing any sexual dysfunction should ask himself if he’s masturbating in ways that produce sensations that differ from those he gets from his partner’s hand, mouth, or vagina.  If so, then he should consider what he could say to her to make the stimulation more similar — and how he could change the way he masturbates to make it feel more similar to what his partner does.”

Safe masturbation in Peyronie’s disease

Generally, the best and safest masturbation you can enjoy by yourself or with a partner is that which is most like vaginal stimulation.  This can be as simple as using the hand in a fist to surround the erection while applying upward and downward stroking, oral stimulus, or sex toys that feel like a vagina.   This kind of masturbation is therapeutic once the Peyronie’s curvature has been corrected and more traditional sexual encounters can be enjoyed once again.

Lastly, because penile injury is thought to be a prime cause of Peyronie’s disease, it is mandatory that all masturbation be gentle and well lubricated to avoid worsening of an already bad situation. For more information, click on “Peyronie’s Disease and Sex.”

Common Peyronie Treatment Problem

Peyronie treatment when husband does not help

A few weeks ago I received an email from a woman who wrote about the trouble she was having with her husband who did not want to cooperate with his Peyronie's treatment:

“My husband of 22 years developed a severely curved penis when his Peyronie problem started after taking blood pressure medicine.  The doctor who prescribed the drug that started this whole mess didn’t seem too upset.  He said we would just have to learn to live with it.

“My husband is a proud man, and he is taking this condition very badly.  He has withdrawn from me and refuses to discuss his condition.   He gets angry and shouts if I bring it up.  We have not had sex in over a year.  He keeps telling me it would be alright with him if I left him.

“What can I do to help him deal with this?”

I wrote back to her:

“Sorry to learn that your husband has withdrawn from his problem and from you.  It is important for you as a wife to remember that your husband’s reaction is very common.  Some men become emotionally devastated by the loss of their sexual ability and sexual identity that they just withdraw from the person they think they are hurting.  There are usually elements of shame and embarrassment that arise from the physical appearance of a severe penile curvature.  It can be very stressful and confusing for a woman in this situation who desperately wants to help.  It can hurt a lot.

“This subject is broad and deep.  In fact, because it is so common and important in Peyronie treatment I devoted a considerable portion of the 2nd book I wrote to this area of the relationship of any couple dealing with Peyronie's disease.  I suggest you go to the PDI website and order the book, “Peyronie’s Disease and Sex” to learn what you can do to help your husband, because there is actually a lot you can do.  To view information about this book, click “Peyronie’s Disease and Sex”    What you will find is that his inability to face his PD problem, his lack of communication with you, and his withdrawal from sexual contact are all related to fear and shame.  I believe this book will help you to understand what is going on inside him, and what you can do now to bridge the gap between you.

“Please let me know if you have any specific questions I can assist you with.”

Well, I never did hear back from that woman.  The story is very common in which a grown man behaves like a scared little boy when his physical appearance and masculinity are threatened.  It is unfortunate that some marriages get stronger under this stress, while others fall apart under this dark cloud.   There is help and a solid plan of action that many men find comforting and effective to treat their Peyronie problem.

The key seems to be for a woman to convince her spouse to get started with Peyronie’s treatment.  Once a man finds direction and takes control of his situation his attitude and behavior often change for the better.  Don’t allow your man to feel like a Peyronie victim.

Peyronie’s Symptoms

Do I have Peyronie’s disease?

When someone asks about Peyronie’s disease symptoms they usually want to know if they have Peyronie’s disease.   This is a diagnosis that is not always easy to make, since the actual signs and symptoms of Peyronie’s disease can be tricky at times.

In order to answer this question it is first important to remember that a symptom is something a person feels or experiences inside, meaning it is subjective. A symptom is what someone experiences as a result or during an illness, injury or disease.  Symptoms can include chills, Peyronie’s pain, shaking, shivering, nausea, or dizziness.  Symptoms are reported by the patient to help a doctor diagnose a problem.

In the case of Peyronie’s symptoms the only subjective finding would be the penile pain that can be variable; pain can be felt constantly, only when erect, only when non-erect or only when flaccid.  In addition this pain can be extremely mild, very severe, or something between. Because the Peyronie’s pain is not always present – and is sometimes totally absent – it is not always a reliable way to make a diagnosis of PD.

You might say a sign is the opposite of a symptom.  A sign is an outward or obvious physical indicator or manifestation of illness, injury or disease.  In this way it is said that a sign is objective, since it is always something that another person can detect, measure in some way or see that helps to make a diagnosis.  Some common signs are rapid pulse, elevated body temperature, low blood pressure, bleeding, a rash or open wound, bruising, to name but a few.

In the case of Peyronie’s disease, there are only a few signs or outward findings that are used to make a diagnosis.  These signs can be just as variable as the Peyronie’s pain, such as the elusive Peyronie’s plaque or scar, a curved penis or some other distortion, and impotence or  reduced sexual ability.  Because each of these Peyronie’s signs are also not always present – and can be sometimes totally absent – it is not always a simple or easy thing to make this diagnosis.

Very often only a few Peyronie’s symptoms and signs are available to make a diagnosis, with perhaps the most common being some type of curved penis or distortion.

Click here for more information about Peyronie’s disease.

Penis Doctors or Peyronie’s Doctors? – Take Your Pick

Doctors who specialize in Peyronie’s disease

When you think about going to a “Peyronie’s specialist,” you should understand a few things that could make all the difference in the world to you.  You should also know that Alternative Medicine is your safest and most logical approach to Peyronie’s treatment – more about that at the end of this article.

Each month I am asked for the name of a few Peyronie’s doctors; someone who specializes in the treatment of Peyronie’s disease, in a particular part of the country or a specific city. My answer that I do not know of any such doctor always seems to be a surprise.   Often a follow up question is posed in which I am then asked for the names of penis doctors, and again I give the same answer.

For anyone interested in finding a Peyronie’s doctor, first consider that Peyronie’s disease is known as “the doctor’s nightmare.”   Notice, the name is not “a man’s nightmare,’ or “a curved penis nightmare,” or “a patient nightmare,” but “doctor’s nightmare.”   This suggests how much doctors in general do not like dealing with Peyronie’s disease.  The average doctor does not like to deal with the diagnosis and treatment of Peyronie’s disease, as well as the many valid complaints and exaggerated demands of both the men and women who must live with this problem.  Frankly, we men with Peyronie’s disease are often a royal pain in the butt for an MD to deal with.

Peyronie’s specialists

Most often it is the urologists who come closest to the idea of being penis doctors or Peyronie’s doctors.  But even they often want to avoid the many frustrations and long explanations that are a part of working with men who have Peyronie’s disease.  I guess that 99.4% of men who are given a diagnosis of Peyronie’s disease have not once ever heard of it before it is dumped on them.  That this condition exists is a total shock to the man who first learns he has the problem. And just like the denial phase of someone who learns of the death of someone, there is a denial phase when first being told that the reason for the penile curvature, pain, or strange lump is an interesting thing called Peyronie’s disease that has no known cause and no known medical cure – other than Peyronie’s surgery.   This news creates a lot of denial issues in the patient that the doctor must take the time to explain away.

It is said that no one is happy while dealing with Peyronie’s disease.  Another reason the doctor is not happy is because he or she has no standardized or accepted form of medical treatment to rely upon.  Generally, there are four three basic approaches for managing this problem medically:

  1. Offer no treatment, but simply monitor the progression of the problem. Suggest the patient come back in six months to determine if the problem has deteriorated enough to warrant the risks of surgery.
  2. Offer the patient to either “try verapamil or cholchicine or POTABA for a while, although I have not had much luck with any of them, or you can always use some vitamin E if you would like.”   This kind of low key and unenthusiastic recommendation is based on the fact that none of these approaches work, and the doctor knows it.  The MD is put in a tough position because he or she cannot help PD, and this is a known fact from the start.  Talk about a negative situation that only gets worse as the penis shrinks or sex becomes difficult as a curved penis develops.
  3. Suggest surgery right away.
  4. Go home, ignore it, and try to learn to live with it.

These four options all seem wrong to the thinking patient. Yet, the doctor feels obligated to offer some kind of treatment when none actually exists, and he knows ahead of time that the patient will be upset when nothing helps.  Long explanations, distrust, and complaints will follow over a few office visits until the patient figures out the doctor really has no Peyronie’s disease treatment. The doctor knows ahead of time he will look incompetent and non-caring no matter what he does.  Hence the term, “doctor’s nightmare.’

For all these reasons only a few medical doctors have focused on Peyronie’s disease treatment.  Some of those who work in this area of urology are:

Thomas Lue, MD – Los Angeles, CA
Culley Carson, MD – Chapel Hill, NC
Lawrence Levine, MD – Chicago, IL
Martin K. Gelbard, MD, Los Angeles, CA
Sudhakar Krishnamurti, MD – Hyderabad, India

These doctors are essentially using the same drugs as any general practitioner or urologist, with perhaps maybe the surgery they perform being different in some cases.   You need to understand that while these doctors can be called Peyronie’s specialists because they hold themselves out to being more interested in or spending more time in the area of Peyronie’s disease treatment and diagnosis, there is not that much different they can offer than the doctor down the street in your town.  The great difference with these doctors is the number of people they see who have PD, so they will have more experience in this area.

For this reason when some calls to ask about a Peyronie’s doctor, I suggest they just contact a local urologist they have confidence in and stick with him.

Since there is no accepted standard medical treatment for Peyronie’s disease, and so many doctors suggest not doing anything for the first 6-18 months, I strongly suggest that a person consider building up his own ability to heal and repair the Peyronie’s plaque or scar.  Information can be found at natural Peyronie’s disease treatment.

Peyronie’s Vitamin Therapy

Peyronie’s disease vitamin treatment to promote healing and repair

All Peyronie’s disease treatment is controversial.  Peyronie’s vitamin therapy is even more so because the medical profession has always been slow to understand the use of nutrition to promote wellness.  This website presents information about the use of natural Peyronie’s disease vitamin and minerals unlike the conventional use of drugs and surgery to treat Peyronie’s disease.

The use of Alternative Medicine in the form of Peyronie’s disease vitamin, mineral and enzyme treatment has been developed in the following manner:
1. Distillation and interpretation of opinions and data found in hundreds of medical research studies and ongoing technical data from the scientific community, as found in the footnotes at the conclusion of each of the Peyronie’s disease treatment subheadings.
2.  Concurrence of opinion of the three primary medical doctors, and Dr. Herazy, who practiced together at Pioneer Medical Clinic, Chicago, IL, using their combined clinical experience of 90 years in practice, along with their medical knowledge and experience with  Complementary Medicine to promote the innate healing response of the immune system.
3.  Observations and personal experience of Dr. Herazy who treated his own Peyronie’s disease problem while using these same Peyronie’s vitamin treatment principles. Dr. Herazy was successful treating his severe case of Peyronie’s disease, and presents on this website what he learned from his valuable experience.
4.  Dr. Herazy’s experience and direct feedback from thousands of men and women who successfully used the Peyronie’s disease vitamin and enzyme treatment principles outlined throughout this large website.  This valuable information is retrieved from many dozens of telephone and email discussions each day since 2002, in which issues of progress and lack of progress, modifications of Peyronie’s disease treatment protocols are worked out on an individual basis.
5.   Analysis of data and information derived from PDI’s ongoing seven-year survey questionnaire research project, voluntarily provided by approximately 2,400 men who have Peyronie’s disease.

Peyronie’s disease vitamin treatment not mainstream

Traditional medicine, with no accepted Peyronie’s drug treatment, offers only surgery as a mainstream cure.  The Peyronie’s Disease Institute is not against Peyronie’s surgery when a case has been unresponsive to prolonged and aggressive use of multiple conservative care.  However, this is not how it is often done; too many men rush into surgery believing that is an easy and sure solution to a big problem.  Each surgical candidate should remember these three things:
1. Surgery will not restore the penis to its original length.
2. After surgery, hardened scar will develop to shorten the penis, often by 1-2 inches.
3. There is no guarantee that additional scarring might occur at the site of surgery, resulting in a return and possible worsening of Peyronie’s disease.

Yet, there are many Peyronie’s vitamin therapies investigated in large body of medical research that documents positive, but inconclusive and sometimes variable, reports of success while treating PD. Improvement and recovery made in the body while using Peyronie’s disease vitamin and enzyme treatments can be subtle and slow since their purpose is only to support or encourage a normal process of nature that is reduced or absent.

Our Peyronie’s disease treatment theory is that the potential benefits of these subtle natural therapies are enhanced and multiplied by simply using several alternative therapies at the same time – known to science as synergy.  It is easy to understand – at least for most laypeople – that a single natural therapy will not work as well as aggressive multiple therapies; like “ganging up” on the problem. One child cannot lift a grown man; five or six children can do it with ease.

It is our opinion that it is safe and reasonable to attempt to improve the eventual outcome of PD by faithfully and aggressively using several conservative Peyronie’s vitamin treatment ideas that are based on sound science and common sense.

One of the important elements of a good treatment strategy is to do a variety of Peyronies disease exercises along with using vitamins, minerals, enzymes and herbs to support your natural recovery.

Potaba and Peyronie’s Disease Treatment

Potaba for Peyronie's treatment based on PABA, a vitamin

PABA, or para-aminobenzoic acid, with a formula of H2NC6H4CO2H, is a white crystalline substance that is slightly water soluble.  POTABA, used to treat Peyronie's disease, is simply PABA with a molecule of potassium added to it.

PABA has been referred to as Vitamin Bx because it is an intermediate step in the bacterial manufacturing of folate or folic acid in the intestinal tract.  Some bacteria in the human intestinal tract, such as E. coli, require PABA for proper metabolism. Humans require folate since we lack the enzymes to convert PABA to folate, hence it is made available via the bacterial flora.  Sulfonamide drugs are similar to PABA in their chemical structure, and their antibacterial activity is due to their ability to interfere with the conversion of PABA to folate by the enzyme dihydropteroate synthetase.  In this way bacterial growth is restricted through folate deficiency without effect on human cells.

Medical use of Potaba (potassium para-aminobenzoate)

Potaba inhibits abnormal fibroblast proliferation, thus it can reduce formation of scar material early after injury.  It is speculated that this POTABA anti-inflammatory activity is dependent on initial biotransformation that starts with granulocytes that are stimulated through the initial injury.  It also inhibits abnormal fibroblast proliferation, acid mucopolysaccharide and glycosaminoglycan secretion that occur during the normal inflammatory process.

POTABA has been used to treat a variety of conditions characterized by chronic inflammation and fibrosis; this list includes scleroderma, dermatomyositis, morphea, pulmonary fibrosis and Peyronie's disease.

A POTABA research study was conducted by Carson who retrospectively reviewed 32 patients who were treated with 4,000 Mg of Potaba three times daily, for at least three months and later were followed for an average of 14.4 months.   Carson reported reduction of penile pain in 44% of those studied,  plaque or scar size reduction in 56%, and improvement of penile angulation in 58%. Complete reversal of penile distortion and angulation occurred in 26% of those studied. The average interval to improvement was 4.2 months, and younger patients with a shorter duration of disease were more likely to respond to therapy.  Even thought Carson’s study did not have controls, it suggests a possible role for POTABA in the medical therapy of Peyronie's disease.

Unfortunately, the results of Carson’s retrospective and uncontrolled research were not reported as an intent-to-treat study.  Further, the number of research subjects who started therapy but stopped because of severe abdominal symptoms prior to three months has never been disclosed.

Because of the expense of POTABA, the need to take POTABA three or more times daily, and frequent occurrence of severe gastrointestinal side-effects (burning pain, abdominal cramping, and bowel irritability0, make it very difficult for the average man with Peyronie’s disease to follow the treatment guidelines for even a short time.  Yet in order to be effective, the length of POTABA therapy is variable, but sometimes lasting 12-24 months of active care.

Medical use of PABA

When a single potassium molecule is added to PABA, it results in what is called a potassium salt; this combination of potassium and PABA is called POTABA.  It is used as a drug against fibrotic skin disorders, and as such it can be used in Peyronie's disease treatment.  PABA is also occasionally used to treat Irritable bowel syndrome to and related gastrointestinal symptoms, and in nutritional epidemiological studies to assess the completeness of 24-hour urine collection for the determination of urinary sodium, potassium, or nitrogen levels.

Despite the absence of any recognized syndromes of PABA deficiency in humans, many benefits are claimed for PABA as a nutritional supplement.  PABA is said to improve fatigue, irritability, depression, weeping eczema (moist eczema), scleroderma (premature hardening of skin), a patchy pigment loss in skin called vitiligo, and premature gray hair.

Peyronie’s disease:  POTABA or PABA?

The first Peyronie’s treatment work involved PABA, the vitamin.  When this was shown to be successful, work was then done to show that POTABA, the drug, could be more successful.  The interest is working with POTABA – the drug – was greater than with PABA – the vitamin – because the drug is more profitable and is easier to control use and distribution through the medical profession.

The reason PDI promotes the use of PABA for Peyronie’s disease treatment is because it has almost no side effects, is much less expensive to use, does not require a prescription and it combines well with other Alternative Medicine therapies.

For more information about the many ways to use Alternative Medicine to promote tissue repair and reversal of penile curvature, go to Peyronie’s Disease Institute.

Penis Stretching for Peyronie’s Disease

Penis stretching with fingertips is safer and works better

None of the popular mechanical devices for penis stretching were ever intended to be used for Peyronie’s disease treatment. These strap-on stretchers were only designed for men to develop a larger penis – and nothing more.  Actually, there is no proof these penis stretchers make a lasting change in the length of the penis; all evidence suggests the changes are temporary and rather brief.  Men with Peyronie’s disease are often desperate for something that might help them, and penis stretching with a mechanical device is often used with poor to bad results, that will be explained below.

Since there is no known or standardized medical Peyronie’s cure, it is only natural that men might resort to penis stretching sooner or later.  The ads are very persuasive with beautiful women dressed in white lab coats to convince the buyer that a mechanical device for penis stretching work as an accepted method of Peyronie’s treatment, when that is just not true.  It is just a marketing idea.

Any man with a curved penis due to Peyronie’s disease has looked to penis stretching with a high priced mechanical harness and traction devices because they are so widely advertised.  What man doesn’t want to believe that the answer to his Peyronie’s disease involves making his penis larger?  That is like telling an alcoholic that the way to get rid of a hangover is to drink another beer.  He would like to believe that kind of solution.

Over the years I believe I have investigated every mechanical penis stretching device I have seen, and I find no great difference between them; they are all basically the same with little important difference making one better than another.   These products are popular with men who have Peyronie’s disease because they propose a simple solution for a complicated problem.  Everyone would like to believe solving PD is as simple as simple as straightening out a bent paper clip.  But you notice they make many claims but offer no proof of effectiveness.  In fact, in my opinion these penis stretcher products are dangerous.

Since I began my work in Peyronie’s disease in 2002 I have spoken to many men who are convinced their PD started with the use of one of those penis stretching devices.  The trauma of forceful and prolonged stretching of the delicate tunica can be enough in some men to start the injury that results in excessive scarring.

Other men I have spoke to about these penis stretching schemes say they cannot use them.  It is simple to understand if you think about it a bit.  The head (glans) of the penis MUST be held firmly enough in a penis stretcher to develop traction force, but there is no good way to get a grip on it.  So the head must be squeezed tight enough to not lose contact with the stretcher, and this pressure concentrated to one area at the glans (head) can cause tissue damage and it can be very painful.  Many men report they can only wear it for a few minutes or an hour at a time.  Bruises, open sores or blisters can develop in a short time.  The manufacturer says it should be worn several hours or more per day.  I think it is not very likely that most men could do this.

Safe, gentle, manual penis stretching designed specifically for Peyronie's disease

If this problem of open sores and bruising were not actually a problem, the manufacturers would not include detailed information in their brochures about how to treat open wounds and infections caused by the stretchers, and they would not include information about wearing bandages and extra padding on the penis to prevent bruises and open sores.  But the fact is they do.  You will find they tell about these two problems and how to try to avoid kind of injury – they must because they try to prevent law suits that have occurred because these are common problems with the stretchers.

Even if these devices really worked, you would only have a temporarily elongated penis that still had the PD scar.  This is not progress or good treatment for Peyronie’s disease.

Since the concept for penis stretching for Peyronie’s disease treatment is interesting, after an 18 month research project I developed a gentle manual technique that is specific to the problem of Peyronies disease.   Keeping the penis stretched for just a few minutes with the fingertips safely and effectively can reduce the PD scar and distortion of Peyronie’s disease.  If you want to learn about a safe and effective way of treating your Peyronie’s problem with manual penis stretching, view the penis stretching videos at the PDI website at manual penis stretching technique.

Diagnosis of Peyronie’s Disease

Poor welcome to the world of Peyronie’s disease

It seems that most men cannot clearly or fully understand the scope of the problem when they are first given a diagnosis of Peyronie’s disease.

Obviously, when a man goes to the doctor for the first time it is because he is having a problem of some type with “his plumbing.”   It might be the sudden or gradual appearance of pain, a lump or nodule, curved penis or distortion of some type, or reduced sexual ability, that brings him to see his doctor or surf the Internet. While he knows he is having a few Peyronie's disease  symptoms that were not there until recently, he is surprised to learn there is actually a medical condition that causes his problem.

After being given the diagnosis, a common first mental question often is, “If there is this problem that can so cruelly affect a man, why on earth have I never heard of Peyronie’s disease before today?

It has been recently estimated that after the age of 40, there are about four to six cases of Peyronie’s disease for every 100 men around the world.  That is a lot of men and a lot of cases of Peyronie’s disease.  For such a common condition, why is it that no one seems to know about PD until it is too late?

There are a few answers to this question, and they are all important to any man dealing with Peyronie’s disease:

  1. No one likes to admit he has a problem, or is less than perfect, when it comes to his sexual apparatus and his sexual ability.
  2. No one wants to the subject of teasing or to be pitied.
  3. There is often such social restriction limiting discussion of sexual matters that prevents open and free information that limits the discussion of Peyronie’s disease or similar topics.

This is indeed unfortunate because if there was more knowledge of Peyronie’s disease there probably would be less of it. Additionally, if there was more knowledge and comfort  discussing this problem we would probably be a lot closer to a genuine Peyronie’s treatment than we are now.

If more young men were given more information, such as how trauma is associated with the start of Peyronie’s disease in over half of the cases, it is more likely that reasonable caution and defensive measures would be taken.  It is very difficult to avoid a problem if you do not know it exists. This is why in “Peyronie’s Disease Handbook” I spend a fair amount of time describing how men should talk to their sons about this problem.

To learn more about Peyronie’s disease, please go to the Peyronie’s Disease Institute website for information about cause, progression and Peyronie's natural treatment.

Medical Peyronie’s Cure is Lacking

Peyronie’s disease cure right under your nose

Everyone wants a medical Peyronie’s cure that is a fast, easy, economical – and, oh yes – guaranteed.  In short, the ideal cure for Peyronie's disease from the traditional medical viewpoint would be simply to pop a pill or two.  In this way everyone with a bent nail could go about with his life as before, with minimal inconvenience or effort.

Why would I say that this is the viewpoint of “everyone”?   Well, simply because we live in a medical society.  When people think of a “cure’ they think of medicine as it is currently being practiced.   All efforts on the medical industry drawing board are directed toward looking for a drug – oral or injectible – to be the great cure for Peyronie’s disease that has evaded us for over 425 years.   Currently, Peyronie’s disease surgery is the only treatment that organized medicine makes available to someone with this problem and it is beset by limitations and drawbacks.

Other than the Peyronie’s Disease Institute no other effort has been made to seriously investigate a treatment for Peyronie’s disease outside of the traditional medical model.

This limited viewpoint of looking only for a medication to treat Peyronie’s disease is typical of the medical and drug industries.   The business people who decide how to approach a particular health problem tend to look at these issues from a profit standpoint; they also only look in directions and for treatment approaches that are not only profitable, but which they can control so that their profit is protected.

Since the perfect Peyronie’s drug has eluded the medical establishment, they are quick to say there is no known cure for Peyronie’s disease.   What this statement really means is that there is no known cure for Peyronie’s disease using a drug or medical procedure they can profit from, control, and manipulate.

There is a Peyronie’s cure

What kind of medical quackery and heresy – nonsense – is it to say that there is a cure for Peyronie’s disease?  Actually none.  The body itself, in a fairly high percent of cases, will heal and correct – cure – the Peyronie’s plaque so that the problem does not advance.  Peyronie’s disease eventually leaves without a trace of deformity, pain, scar formation or limited sexual ability for about half of the men who get this problem.  It is said that about in half of the men who develop Peyronie’s disease, within the first 12-24 months the entire problem will just go away on its own.  Does that sound like a Peyronie’s cure to you?  It does to me.

How does the body go about doing this miraculous thing, to rid itself of the terrible curved penis that is the hallmark of Peyronie’s disease, and heal over the mass of fibrous material that is known as the Peyronie’s plaque?  I do not know; no one knows.  But then again, I do not know how my body does the thousands of miraculous and complex things it does every second of every day of my life.  I do not know, as a small example, how my body can take the breakfast I just ate and convert into living tissue.  We are all just wonderful that way, and part of this is demonstrated when a man heals his own Peyronie’s disease.

The Peyronie’s Disease Institute is involved with the use of a wide variety of nutritional and supplemental products that are intended to increase and improve the ability of the body to heal the Peyronie’s scar.  It is really not so complicated or more mysterious than that.

For those who say it is quackery or nonsense to think that a person can improve his ability to heal and function better in life, I ask, “Why it is that a person eats?”

What is the purpose of eating?  To satisfy the taste buds?  No, that is just a side benefit.  We eat, we put nutrients into our body so it can function; the food we take in is fuel to enable life and repair to take place.   By following the ideas of the Peyronie’s Disease Institute about PD treatment, all we are doing is trying to increase the odds and opportunity for the body to heal and repair in a way that is better than what is happening now.  Call this a Peyronie’s cure if you want, but it is no more miraculous than anything else that your body does during the course of an average day.

Peyronie’s Disease Vitamin E Therapy

Peyronie’s disease vitamin E treatment and other nutrients

There are many important nutrients – vitamin, mineral and amino acids – that should be used to improve and support the ability of the body to heal and repair the Peyronie’s plaque and help reverse the curved penis it causes.  However, since starting this work in 2002, I have never heard of a medical doctor prescribe any supplement other than vitamin E.  I think this says a lot about what MDs know about Peyronie’s disease vitamin therapy; their knowledge is limited, focused only to the obvious, and tends to not go beyond what everyone else is prescribing.

Vitamin E and Peyronie’s disease

The standard Peyronie’s disease vitamin E recommendation of the medical profession is to “get some vitamin E, and take no more than 400 IU a day.”  Occasionally the dosage will be doubled to 800 IU daily of vitamin E by some doctors who think outside the box a bit.  This is important to remember because vitamin E is essentially the only non-drug Peyronie’s disease vitamin E treatment that is suggested to a man with Peyronie’s disease.

Vitamin E is available in both a synthetic form and a naturally occurring organic form.  Which form you decide to use ultimately determines how much can be taken safely.  There are eight different members of the vitamin E family.  Four are known as tocopherols and the other four are tocotrienols.  The most widely found vitamin E member is gamma tocopherol, which assists the elimination of nitrogen free radicals, as well as being an effective anti-inflammatory agent.  Tocotrienols are primarily found in the skin and subdermis where they protect against UV and free radical damage. Tocopherols are found in the major organs.  A balanced diet – very difficult to achieve these days – contains all eight members of the vitamin E family.

Because of costs and chemical stability,  and because early research proposed it was the only member of the family to have biologic benefit to man, most vitamin E supplements contain only alpha tocopherol.  This means most men on Peyronie’s disease vitamin therapy as prescribed by their medical doctor will receive only one of the eight members of the vitamin E family.  Since the early days of vitamin E research (not so long ago in the 1950s) it has been proven repeatedly that the complete vitamin E family, stressing gamma tocopherol and tocotrienols in their natural and unesterified form, accelerate wound healing and minimize scar formation.   For this reason I am most insistent that men using Peyronie’s disease vitamin E treatment use a high quality vitamin E product that is heavily slanted toward gamma tocopherol and all the tocotrienols, like Yasoo Health’s Factor 400/400.

If you are concerned about vitamin E safety issues, please read Peyronie’s Disease Treatment and Vitamin E that answers all dosage and safety questions.

The body is like a house

In order to build a solid house and have it operate well, it is necessary to have a wide variety of components available during the construction phase and during the long maintenance phase when the house begins to need help in the form of repairs.

During the construction phase, many problems would develop if all the builder had to work with were roof shingles, or just windows, or just doors.  A wide variety of components are needed to make a good house – lumber of various widths, thicknesses and lengths, concrete, plywood, along with nails, dry wall, electric wire, and so many other hundreds of different things.

During the maintenance phase, many replacements and repair items are needed.  If the home owner only had nails, or furnace filters, or pale yellow paint to work with, it would not help a bit if the problem was a leaky roof, a squeaky door, or a leaky faucet.

It makes sense that a wide variety of replacement and repair parts are needed for all the parts of a house.  It also makes sense that a Peyronie’s disease vitamin therapy program has to also be broad and diverse.   How does it make sense that all the problems of Peyronie’s disease are solved with just vitamin E?

Peyronie’s disease vitamin, mineral, and amino acid treatment

Peyronie’s Disease Institute uses a variety of different nutrients to satisfy the many needs of the body to have all the needed supplies to heal and repair the scar tissue in the best way possible.

Look at the list of different products that are suggested for use in the large Peyronie’s treatment plan.  The list is long because the process is complicated.   Of course, even the large plan does not contain all the nutrients that could be recommended to heal and repair the Peyronie’s plaque; PABA, acetyl-L-carnitine, quercetin, bromelain and herbs to stimulate the process are just some of the additional therapies that can be used.

Your house is large and complicated, but it is nothing compared to the body. When the body develops Peyronie’s disease it just does not make sense to attempt to fix it with vitamin E only.  That would be like trying to fix a broken window with a screw driver.   The screw driver might be a useful to remove some glass from the window frame, but other tools – and glass – will be needed for the repair to be done correctly.

Peyronie’s Disease Treatment Via Direct Drug Injection

Injections can cause Peyronie’s disease

Peyronie’s disease treatment using drug injection into the delicate tunica albuginea of the penis is a medical therapy that is fast loosing favor for treatment of the Peyronie's penis.  One of the reasons is the lack of good results, the other is that it has been shown that injections can cause or aggravate Peyronie’s disease in many cases.

I have personally communicated with hundreds of men whose Peyronies started after a series of penile injections that were undertaken for a variety of reasons.  It appears the drug is not so much the issue that causes injury to the tunica membrane, but the repeated penetration and trauma that causes the scar material that eventually starts a Peyronies problem.   However, it has also been shown that the presence of certain drugs can cause a chemical irritation to the tunica albuginea.  So in this regard, drug injections could easily represent a double threat of injury to the tunica that results in Peyronie’s disease.

Peyronie's treatment – "First, do no harm"

This blog post about Peyronie’s disease treatment using direct drug injections (Verapamil, cortisone, etc.) should hit home for a large number of you.  Many men have undergone painful drug injections into the penis because their medical doctor thought it was worth the effort, and only found themselves with a new problem or worsening of their original Peyronie's disease.

First I will simply copy an article, “Extracorporeal shock-wave therapy in the treatment of Peyronie's disease.”  This research discussion is essentially about Extracorporeal Shock Wave Therapy, ESWT (or ESWLas they call it here).  

What is important to note in our particular discussion is the area I have highlighted for emphasis.  This form of therapy has been fairly well abandoned by a large percent of doctors who used it for many years since these injections seem to cause more problems than it helps. The reason this information about ESWT (or ESWL) is included in this article about penile injections is that these Russian physicians make a very interesting comment while discussing ESWT that underscores the damage created by injections (of any kind) into the tunica albuginea.

[Article in Russian]

Neĭmark AI, Astakhov IuI, Sidor MV.

The authors analyse the results of treatment of 28 patients with Peyronie's disease using extracorporeal shock-wave lithotripsy (ESWL) performed on Dornier U15 lithotriptor. A total of 2-6 sessions were made, maximal number–12. The efficacy was controlled by clinical indices and ultrasonic investigation (Doppler mapping of the blood flow). ESWL proved to be efficient in the treatment of Peyronie's disease (PD), primarily, in patients with early disease before appearance of severe fibroplastic alterations. Less plaque vascularization by energetic Doppler mapping due to ESWL is an important diagnostic criterion of PD treatment efficacy. Conservative treatment is not indicated in marked deformities and plaque calcification, erectile dysfunction. Moreover, any injection into the tunica albuginea, especially complicated by hematomas (deep tissue bruising) may be a damaging factor which triggers fibrous inflammation. Such patients should be treated surgically. If the patient is interested in immediate results or is not interested in continuation of sexual life, the treatment is ineffective. Thus, ESWL is an effective, safe method of PD treatment but requires further study and accumulation of clinical experience.

It seems that the problems penile injections can cause is not that necessarily about the drug that is injected into the tunica, but the needle itself that is used to deliver the drug. An injection to deliver any drug, or sterile water, can cause injury to this delicate membrane.  This sets off an inflammatory response that can result in significant Peyronie’s disease plaque or scar tissue formation for men who as so predisposed.   Doing this once can be risky.  Doing this up to a dozen times over a few months, as is often the recommended course of therapy, just multiples the opportunity for injury to mount on top of injury.

This Russian research team offers the opinion that the effects of such injection into the penile shaft causes such significant plaque development, that surgery is the best treatment option for the damage that it can cause.   Obviously, I do not agree with that, since surgery can also cause more scar development. Their conclusion is that they find men who receive these injections often eventually are rewarded with a disturbed and discontinued sexual life.

Growing concern about injections for Peyronie's disease treatment

This idea is brought to your attention to demonstrate there are many in the medical community who agree with the same position that I have taken for many years now.  These doctors and I contend it is inherently risky, in fact, dangerous, to stick needles repeatedly into the penis for Peyronie’s disease treatment. Their  logic concludes that any treatment that can start or aggravate the very problem it is attempting to treat, is not much of a treatment.

It is unfortunate that the medical community turns a blind eye to the direct observation of poor results, serious irritation of the tunica, and the solid logic that reputes injections as a form of Peyronie’s cure.  Those who continue to inject their Peyronie’s disease patients, and bring these men farther down the road toward greater plaque development, must be desperate to look useful or just ignorant of how Peyronie’s disease often develops.  It is so common for medical doctors to think only in terms of medicine and surgery, notwithstanding the tragedy that can often result from their limited thinking.

The Peyronie's treatment concept of using non-invasive methods to increase the healing response of the body is a safer and more trustworthy Peyronie’s disease treatment than some of the aggressive medial schemes being promoted today.

Links of Interest for Peyronie’s Disease

Links of Interest for Peyronie’s Disease

Here is a list of Peyronie’s disease resources for your convenience.

Peyronie’s Disease and Penis Health Resources

* Peyronies Organization
Excellent Peyronie’s disease medical website, hosted by Martin Gelbard, MD, offering information for patients and health care providers, with discussion sections and referral guide. Largest and best presented traditional medical PD information on the Internet.
* Peyronies Disease Information
Informative site with a many informative and interesting articles about Peyronie’s disease – cause, treatment options and before/after pictures.
* Peyronies Disease Support
News, treatment options, and a support forum for those that suffer from Peyronie’s disease.
* Victoria Baum, LCPC, NCC
Individual and Relationship Peyronies Counseling – Are you or your partner struggling with the many emotions of Peyronie’s Disease? I can help you learn to cope and to achieve the most positive outcomes with depression, frustration, insecurity, anxiety and resentment. It can be done, you can learn to live and enjoy life again, in spite of PD.
* Altpenis
Lots of information and news covering all things penis related – Peyronie’s disease, impotence, fertility, penis size and enlargement, prostate troubles, male menopause and male sexuality.
* Peyronie.co.uk
The purpose of the site is to share experiences and information with people who have Peyronie’s disease. The web site is aimed at all users who have a vested interest in the Peyronie condition, be it patients, doctors, students, relatives or partners.

Health, Body, & Wellness Resources

* WholeNurse.com
The world of online nursing, featuring in-depth holistic nursing concepts. Very user friendly and helpful.
* Acne, Blemishes, New acne treatment, Body Back acne, Oily Skin, Pimple, Clogged pores, Acne vulgaris vitamins
SkinB5s delicious drink zeros in on acne at the core of the problem, unlike applied products which attempt to artificially treat acne after it has appeared on the skin.
* Drug Rehab Alcohol Rehab Alternative To Treatment Center Programs
The Saint Jude retreat house is a social/educational program providing a permanent solution for drug and alcohol abuse. We currently hold the highest verified success rate in the country. Also we are America’s # 1 non-12-step based program.
* Health Care Center
Our mission is to provide you with the most accurate and up to date information available regarding diseases and conditions, diet and exercise, women’s health, men’s health, child health, senior health, mental health, and alternative health.
* Natural Stress, Depression, Anxiety Relief
Natural relief from stress, depression and anxiety, quickly and permanently.
* Cool Nurse
Upbeat website, slanted to a young audience, offering a wide range of medical information presented in easy to understand terms. Most topics covered, including PD, concern sexuality, reproduction and wide range of physical and mental health issues.
* Cure Zone
This is the 2nd largest natural health website and directory of Alternative Medicine services on the internet. “Educating, not medicating”.
* Sex and Relationships
A delightful, comprehensive and interesting look at many aspects of sexuality and how it affects the dynamics of a healthy relationship. Very thorough.
* Bodybuilding Supplements | Muscle Building Secrets
Bodybuilding supplements for bodybuilding bodybuilders. Learn the best muscle building secrets and find the best bodybuilding supplements. If you’re a bodybuilder looking for bodybuilding supplements, befit4free. Com discount supplements has it.
* Weight Loss Research Center
The Weight Loss Research Center is where you can read Independent Information and see consumer ratings on weight loss plans.
* Your Fastest Way To Permanent Weight Loss
Superb Program For Fast Permanent Weight Loss. Lose 14 Pounds In Your First Week, Then Eat Your Way Slim.
* Healthcare Reviews
Free physician ratings, hospital ratings, rate a dentist, chiropractic doctor reviews. Judge and comment on your healthcare, easy to use forms, search other ratings.
* Best Weight Loss Program
Your fastest way to permanent weight loss. Lose 14 pounds in one week.
* Alkaline Food
Alkaline food resources for healthy living. Recipes, juicers, wheatgrass, etc., all at the lowest prices.
* Mesothelioma And Lung Disease
This site is dedicated to providing up-to-date information regarding mesothelioma, asbestos related disease, and treatment.
* Ourfamilyshealth.com
Holistic Health Directory with searchable listings of medical and holistic – health resources, information and Alternative Medicine practitioners.

Medical Resources

* Alternative Medicine Angel
Non-profit site offering Alternative Medicine educational information and research on various health topics, lists of Alternative Medicine physicians, newsletter and book reviews, a non-proprietary product guide and links to high quality sites.
* The Anti-Aging Revolution
The Authority in Anti-Aging Medicine. We provide news, articles, glossaries, books, directories and more. 100% Anti-Aging Medical Focus. Learn anti-aging medical secrets that will allow you to live longer and healthier.
* UrologyPlace
Dr. Matthew M. Robinson is a Houston Urologist who treats general patients and specializes in female urology including: minimally-invasive treatment of female incontinence and fallen bladder, including Monarc and SPARC Sling Placement.
* Pharmaceutical companies
Pharmaceutical databases online, over 100,000 approved prescription drugs, OTC drugs and health products. Include medications, nutrition, supplements, veterinary products, pet meds, cosmetics, drugs active ingredients, pharmaceutical companies.
* Chinese Medicine Directory
Over 100,000 Diverse Websites & Internal Links – Family, Health, Business, Sports, News & More.
* Drug Information – Drugwatch.com features up to date information on the drug side effects of prescription and over-the-counter medications. Accutane side effects and Yaz side effects are the most recent drug alerts.
* Lab Equipments, Scientific Instruments, Laboratory Equipments – Biotechnologies inc, manufacturer, exporter, laboratory bioreactor, laboratory autoclave, laboratory oven, India, laboratory pcr
* STD Testing – Most reliable, accurate and private STD testing.  Medlabusa is a physician owned, std testing site that allows people the opportunity to order variety of online laboratory testing without a prescription at a discount price.
* Chelation– Chelation therapy. Both iv chelation and oral chelation saved my feet and legs from amputation and peripheral vascular disease. Chelation improves poor circualtion unclogs blood vessels.

Men’s Health Resources

* The Berkley Free Clinic
Community based collectively run clinic, staffed completely by volunteers. Offers limited medical, dental, and counseling services, information and referrals.

General Interest Urology

1. American Board of Urology The American Board of Urology (ABU) provides this web site as a service to its Diplomates, applicants, residents, residency program directors, and the general public; of special interest to erectile dysfunction .

2. American Society for Reproductive Medicine ASRM is a voluntary, non-profit organization devoted to advancing knowledge and expertise in reproductive medicine, including erectile dysfunction, male sexuality issues, infertility, menopause, and contraception.

3. The American Society of Andrology The American Society of Andrology (ASA) fosters a multi-disciplinary approach to the study of male reproduction, and exists to promote scientific interchange and knowledge of the male reproductive system.

4. American Urological Association The vision is to be the premier professional association for the advancement of urologic patient care.

5.The Journal of Urology The official journal of the American Urological Association (AUA), the most widely read and highly cited journal in the field

6. British Journal of Urology International Distinguished journal of urology from the UK that includes general urology topics

7. The New England Journal of Medicine Highly regarded health authority publication worldwide discusses broad health topics with frequent discussion of erectile dysfunction

8. The Lancet Widely read and prestigious medicine and health authority presents wide range of publication worldwide discusses interesting medical and health-related topics for the interested professional and layperson, with frequent discussion of erectile dysfunction

9. Society for the Study of Male Reproduction The purpose of this organization is to encourage the study, to elevate the practice, and to improve the quality of care of the subfertile male

10. Society for Male Reproduction and Urology Professional group devoted to the study of male reproduction issues and related urology problems like erectile dysfunction

11. The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Conducts and supports basic and clinical research on many of the most serious diseases affecting public health.

12. Urology Health Organization The official website of the American Urological Association Foundation offers a wealth of patient information, as erectile dysfunction and related male urology issues.

13. AllExperts Forum for Urology An excellent forum location to ask any questions about erectile dysfunction

14. Society of Urologic Nurses and Associates Wide variety of urological conditions and aspects of treatment of erectile dysfunction presented here

15. Androlgy Not many people are aware that in most cases physical rather than psychological causes are responsible for impotence (ED), and that ED is usually eminently curable

16. Urology Notes Information from the Urology Institute concerning male urological health issues and erectile dysfunction

17. Prostatitis Symptoms Useful articles on prostatitis treatment issues and prostate cancer symptoms. Only quality and proved information.

18. Boost Libido  Increase Virility And Erectile Power  A combination of powerful life enhancing herbs, and potent natural herbal aphrodisiacs that have the extraordinary capability of increase in libido and virility and also treating erectile dysfunction, sexual dysfunction, diabetes impotence and alcoho

Erectile Dysfunction

1. Mayo Clinic Erectile Dysfunction webpage The webpage of the Mayo Clinic that discusses all aspects of erectile dysfunction.

2. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) erectile dysfunction webpage The webpage of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) that discusses all aspects of erectile dysfunction.

3. The International Journal of Impotence Research Publishes the most essential research on male and female sexual dysfunction, such as erectile dysfunction, including important information related to cardiovascular disease, diabetes, menopause and vascular deficits.

4. Medline Plus Erectile Dysfunction Medline Plus offers trusted health information about erectile dysfunction in an easy to find and follow format

5. Urology Channel on Erectile Dysfunction Important erectile dysfunction information from the popular and informative Urology Channel

6. Family Doctor Organization Health information for the whole family; this page is devoted to all aspects of erectile dysfunction

7. Medical News Today erectile dysfunction page The webpage of Medical News Today that discusses all aspects of erectile dysfunction.

8. WebMD erectile dysfunction page Lots of traditional information about erectile dysfunction provided in this series of health topics

9. Cleveland Clinic Center for Continuing Education This is the page for the Cleveland Clinic’s information about erectile dysfunction

10. About.com: Alternative Medicine and erectile dysfunction Interesting and informative discussion of natural remedies for erectile dysfunction

11. Doctor’s Guide Personal Edition This is the website the MDs use to find new information and helpful ideas for problems like erectile dysfunction

12. HealthLine ED page The popular HealthLine website has an extensive discussion of the standard medical information related to erectile dysfunction

13. About.com: Alternative Medicine and men’s health Interesting and informative discussion of many men’s urological health issues

14. Digital Urology Journal on Erectile Dysfunction In-depth information about erectile dysfunction from the popular Digital Urology Journal

15. MedicineNet Offers good article about erectile dysfunction and related issues important to male health

16. NetDoctor forum for erectile dysfunction The popular NetDoctor series from the UK that is devoted to addressing all issues and aspects related to erectile dysfunction

17. University of Iowa medical information series on erectile dysfunction The very popular and helpful webpage of the University of Iowa medical website that discusses all aspects of erectile dysfunction.

18. University of Pennsylvania Health System Series Large review of erectile dysfunction information from their website

19. University of Maryland Health Center Series Informative help offered for erectile dysfunction and male urology reviewed in traditional format

20. University of Rochester Medical Health Center Easy to understand and in-depth discussion of male urological conditions and erectile dysfunction

21. University of Virginia Health System Another review for the layperson devoted to erectile dysfunction and related male health problems

22. Cornell University Medical Series Detailed and informative discussion of erectile dysfunction for the layperson in their urology series; very interesting.

23. UCLA Health Series For men experiencing problems with urination, erectile dysfunction, incontinence, infertility or other prostate or genitourinary problems, help can be found within the Center for Male Urology.

24. The Journal of the American Medical Association erectile dysfunction page Discover the latest thinking of the AMA concerning erectile dysfunction

25. John Hopkins Medicine Read what the James Buchanan Brady Urological Institute has to say about erectile dysfunction

26. Daily Strength Support Group for ED Learn from the questions and responses from this very popular erectile dysfunction support group; good help from people who live with this condition

27. eHealth Forum for ED Interesting and informative questions and answers about erectile dysfunction offered by the people who live with this problem daily

Sexuality Issues

1. His and Her Sexual Health A most fascinating and informative health website that explores sexual and medical breaking news and views for men and women including treatments for erectile dysfunction, sexual dysfunction, new medical and surgical treatments for heath conditions that affect human sexuality (SCI, prostate cancer, etc.).

Miscellaneous Health Issues

1. Dupuytren’s Contracture Institute Learn about Dupuytren’s contracture and related problems like Peyronie’s disease and treatment for both of this conditions

Pictures of Peyronie’s Disease – Penile Curvature and other Distortions

What does Peyronie’s disease look like?  Pictures of Peyronie’s disease

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Peyronies pictures of the classic curved penis shown on this page are offered to widen the experience and education of anyone interested in this terrible problem. The pictures of Peyronie’s disease found at the bottom of this page are graphic full male nudity, presented for educational purposes.

In the experience of PDI, most men do not understand the full consequences and eventual degree of distortion that are possible from Peyronie’s disease – until it is too late. Because they do not know how bad the penile curvature, Peyronie’s pain, and loss of sexual function can be, there is a tendency to underestimate the problem. Thus it is assumed that the small problem will stay “just an inconvenience, and hardly noticeable”. For some the curve or distortion starts small and stays small. However, for others it starts small and just continues to get more distorted, more curved, and perhaps more painful, eventually resulting in total loss of sexual function. At this point most men resort to surgical correction. For a discussion, click Peyronie’s disease surgery.

If your Peyronie’s penis is causing sexual distress, you might be interested in the in-depth and detailed discussion and loads of helpful information found in Dr. Herazy’s   second book, “Peyronie’s Disease and Sex.”

There is a direct, safe and effective technique for manual penis stretching that has been researched and developed by PDI.  For details, click on stretching curved penis.

Without fully understanding where Peyronie’s disease might take them, it is easy for some men to not take the curved penis of Peyronies too seriously. The uninformed and uneducated can accept and agree with the wishful thinking of the standard medical treatment to do absolutely nothing for PD in its early stages.

Peyronie’s Pictures: an Education and Wake-Up Call

To help comprehend and verify the nature of the Peyronie’s disease problem, many men are shocked to see a Peyronies picture for the first time. It can be a real wake-up call.

These Peyronies pictures are not intended to aid a layperson make a self-diagnosis, nor are they intended to guide Peyronie’s disease treatment. They are offered to encourage prompt medical evaluation and attention about any problem that might be PD. Bear in mind, just as every person is a unique individual, with unique physical characteristics – this even extends to the appearance of the penis in health and disease. Simply because you have a curved penis, or even a severely bent penis with a 90 degree angle, does not necessarily mean you have Peyronies. Do not think that your penis must look like any of these. Only a physician experienced in this condition can accurately diagnose this problem.

Before viewing these Peyronie’s pictures, please review what causes the dramatic penile curves and distortions you are about to see.

Peyronie’s disease can be considered an exaggeration of the wound healing process. It is characterized by the presence of one or more flat and irregular benign (non-cancerous) fibrous plaques or scars anywhere along the shaft of the penis, as well as painful erections. Usually there is only one scar, but multiple scars do occur.

These scars can stop full expansion of the penis during erection, resulting in various degrees and patterns of distortion. Depending on the number, size and location of scar tissue, the penis can be slightly to severely distorted or shortened during erection or not at all. For more information, Anatomy of the Penis and Related Areas.

Peyronies pictures showing the erect penis from 5°- 45° are not uncommon, sometimes 90º or more. Sexual difficulty and impotency also range from mild to severe, depending on the degree of curved penis deformity.

Graphic pictures of  Peyronie’s disease

Peyronie's Disease downward penile curvature - unusual
Peyronie’s Disease downward penile curvature – unusual
Peyronie's Disease hourglass deformity in lower one-third
Peyronie’s Disease hourglass deformity plus slight penile curvature
Peyronie's Disease upward penile curvature - common
Peyronie’s Disease upward penile curvature closer to glans (head) – rather common
Peyronie's Disease upward penile curvature closer to glans (head) -<br />
            rather common
Peyronie’s Disease upward penile curvature – common
Peyronie's Disease bottleneck deformity with lateral penile<br />
            curvature to left - common
Peyronie’s Disease bottleneck deformity with lateral penile curvature to left – common
Peyronie’s Disease 90 degree lateral penile curvature to right

Hopefully, these pictures of Peyronie’s disease will help you to understand your own situation better, and motivate you to see your medical doctor. Please review the section, Peyronie’s Disease Treatment, to determine how to incorporate the aggressive use of multiple conservative measures to treat your PD.

Click here for more Peyronies pictures.

Thacker’s Formula – Other Peyronie’s Treatment Questions

Thacker's formula and other Peyronie’s disease treatment questions

Perhaps a few times a month someone emails a question to me about Thacker's formula.  This legendary Peyronie’s treatment – called Thacker’s formula because of the Dr. Thacker who is said to have created it – contains a specific ratio of Castor oil, DMSO and apple cider vinegar.  Although I know the exact proportions to make this Peyronie's treatment I will not disclose this information here because I can not provide in this space all the details for correct use that are necessary to use it correctly and safely.

Along a similar line, I am sometimes asked if I know anything about using various things like herbs for herbal Peyronie’s disease treatment (ginkgo biloba, echinacea), a micronutrient (Coenzyme Q, EPA), or some type of old home remedy (garlic, Castor oil, olive oil) that might be used as a Peyronie’s disease cure.   They want to know what I would think about using the Thacker's formula or other treatment, and why don't any of these types of treatment appear in the PDI lineup of therapies?

In order for any therapy or procedure to be included in the PDI lineup of 14 potential Peyronie’s treatments, it has to have either been applied specifically in treatment of PD in a series of scientific studies and proven at least 50% effective in several trials (even though it might have done poorly in others), or it must have demonstrated good success and acceptance within the scientific community for treatment of other unrelated health problems (acupuncture and homeopathy).  With this simple criterion we establish some level of scientific credibility for those therapies in our PDI lineup, and further increase the possible effectiveness of therapy when several of these are united in a synergistic program of care.

There are probably some really good Peyronie’s disease treatment ideas that could be actually very effective.  But who among us wants to spend his time, effort, money, and most importantly, his opportunity to get over his Peyronie’s disease by experimenting with theories that have absolutely no proven ability to influence the body to promote healing? I did not want to waste my time on theories of questionable merit, when I knew there were many available that had already achieved some level of success.  This last group seemed to be a better place to look for answers, than chasing unproven ideas.

Edgar Cayce’s castor oil pack might indeed be an effective Peyronies’ disease treatment, but for one reason or another it has not been subjected to even minimal scrutiny for PD.  The goal of recovering from Peyronies is too great to use an untried treatment, when there are so many others of higher credibility and logic to work with.

Thacker's formula does not meet Peyronie's treatment guidelines

PDI was started on the basis of using treatments of some level of known and proven merit, and uses this standard today to determine what additions will be recommended and used in future therapy plans.  Rumors, stories, and speculation you read about on a Peyronie’s forum are not enough.  Alternative Medicine employs early science to see through the maze of superstition and learn the truth of what may or may not work to regain health.  These are the principles used to formulate the current Peyronie’s disease treatment strategies you have learned about.  We are already working on the outer rim of established medical practice, but we must be careful to not go too far away from common sense and valuable scientific information that will help us achieve our health goals.

Usually, my suggestion for someone who wants to use such a new Peyronie’s treatment is to do it in combination with several other known and better proven therapies already in the Peyronie's Disease Institute lineup.  This way there is back-up treatment, and the total effort will create a therapeutic synergy.  Never is it suggested to use only the one therapy of any type, proven or unproven.

So, if you are just adding in an extra type of therapy because you read about it on a Peyronie’s forum, I say, all the more power to your curiosity and sense of adventure, but please do not use it exclusively as the treatment you provide for yourself.

While there is no reason to believe there is any potential harm in using Thacker's formula correctly, and perhaps great therapeutic benefit,  at this time I cannot endorse the use of Thacker's formula because it is essentially untested and unproven in any meaningful way.  There is a lot of good information about sensible Peyronie’s disease treatment, with reasonably good results in research testing, that should be used in a broad based  rehabilitation program.

Peyronie’s Treatment Help Starts Here

Peyronie’s Treatment Right Now

Every day I talk to men who have taken control of their Peyronies disease situation and are helping their curved penis when nothing else has helped them. They do all of their Peyronie’s disease treatment with the information found only on this Alternative Medicine website and “Peyronie’s Disease Handbook.” If your Peyronie’s penis is causing sexual distress, you might be interested in the in-depth and detailed discussion and loads of helpful information found in Dr. Herazy’s second book, “Peyronie’s Disease and Sex.”

If you are interested in a direct, safe and effective Peyronie’s treatment technique for penile curvature that was researched and developed by PDI, click on stretching curved penis.

What we propose at PDI is not so earth shattering or extreme in concept. We simply try to help you figure out why your Peyronie’s plaque did not heal or self-correct like the 50% of men whose Peyronie’s disease goes away on its own.  If half of the men naturally “cured” their own Peyronie’s desease, why not you? That is all we are attempting to accomplish with our therapy concept. It is really not so far out as some of the other things you find on the Internet.

To read success stories, click on Peyronie’s disease treatment testimonials.

Why Buy from PDI? It’s all about getting the best Peyronie’s disease treatment possible:

  • Service PDI offers email support and assistance for the products and services we provide. Dr. Herazy is here to help you with questions about the products we sell. This is an extremely valuable service the others cannot possibly match.
  • Quality and Quantity Repairing the Peyronie’s scar is such an important mission. It is critical you use a high quality and quantity of nutrients. We have done the hard part of selecting good companies and products. Buy with confidence.
  • Value PDI has a competitive pricing structure of which we are proud. You cannot find better products that deliver the quality and quantity for the prices we have set.
  • Convenience Everything you need is here, right now, in one place.

 

 

Three simple steps for Peyronie’s help:

1. Learn about your Peyronies problem. You were told  next to nothing about Peyronies disease by the doctor who gave you the diagnosis. You are on the internet right now looking for information about what you can do to help your Peyronie’s disease.   Get clear and concise information from a doctor who had Peyronie;s disease.  I put my personal experiences and how I recovered from PD in a book I wrote called “Peyronie’s Disease Handbook.” This book gives you all the information about day-to-day treating and living with Peyronie’s disease you will need. The information found in this book is different in many ways than the information on our website; there is no duplication of information between the book and the website. Another book that will help you tremendously is “Peyronie’s Disease & Sex” that covers all aspects of this complex subject. Get help through education.

2. Start the most aggressive therapy plan you are comfortable following so that you will get your best results. If you are interested in doing all that you can to help yourself, then perhaps you could consider using what is called the “Large (Best) Plan” for personal treatment. The “Medium (Better) Plan” is perhaps the most popular of the three plans. There is a “Small (Good) Plan” that is also well designed. It is very common for men to substitute Neprinol in place of the two smaller products, Nattokinase and Serrapeptase in any of the plans. These products and plans are found at Peyronie’s treatment products.   All plans can be modified, by subtracting or adding, to suit your personal Peyronie’s disease treatment philosophy.

Or, you can design your own therapy plan using the information found on this website. You do not have to use any of these model plans, they are only examples – but they make sense and they have helped hundreds of men improve their Peyronies plaque and reduce the bent penis of Peyronie’s disease.

3. Stop being discouraged. Sign up for the Peyronie’s Disease Treatment Forum blog and get motivated, inspired, educated and reminded that everyday men around the world are actually beating their Peyronies problem using the Alternative Medicine methods of the Peyronie’s Disease Institute.

As you will soon see, the PDI website is full of exciting and helpful research information about Peyronie’s disease treatment you have never seen before. You will also see this site is different because it gives you the answers you have been looking for. But you must work along with the PDI guidelines in order to get the kind of results you will read about.

We strongly suggest you get all of your Peyronie’s disease natural treatment products and supplements from PDI. The products we use have been selected after years of experimentation because they are special, and a prime reason for the results our customers receive. The PDI therapy concept and strategy are built around the therapy products available from PDI, and no others. Peyronie’s Disease Institute only uses what are called “pharmaceutical grade” products, which are of a higher quality and purity level, and pass rigorous tests to guarantee that what is on the label is contained in each capsule. Time and again we see that when men switch over to PDI products and follow our instructions, good things start to happen. Our therapy products have been used successfully in hundreds of treatment programs. Most people understand that it is a poor time to experiment and sample bargain products while they are attempting to repair a serious health problem like Peyronie’s disease.

With over 31,000 nutritional products available on the worldwide market, this subject is confusing. Many of them – more than you would believe – do not contain what they are supposed to contain. They have far fewer – or none – of the nutrients you need to do the big job in front of you.

Peyronie’s Disease Institute cannot answer your questions or help you with your therapy plan if we do not have knowledge, experience or confidence with any “foreign” therapies you might decide to use on your own. On the PDI website we clearly state, “Sorry, but due to the volume of emails PDI receives and with limited hours available in a day, we can only answer questions from PDI customers. Purchase your therapy products only from PDI so you have full access to the vast experience and careful assistance available to our customers. If you purchase inferior grade or questionable bargain products elsewhere, you will have to rely upon that source for whatever help you might need later.”

Please email me any questions you might have about treatment of PD with Alternative Medicine, like how to use vitamin E or the best advice about those mechanical penis stretchers.   I will be happy to help you in any way that I can.

PEYRONIE’S TREATMENT STARTS LIKE THIS

Peyronies Help To Use Right Now

Every day I talk to men who are have taken control of their Peyronies disease situation and are helping their PD when nothing else has helped them. They do it all of this with the information found only on this site.

What we propose at PDI is not so earth shattering or extreme in concept. We simply try to help you figure out why your Peyronie’s plaque did not heal or self-correct like the 50% of men whose Peyronie’s disease goes away on its own. If half of the men naturally “cured” their own Peyronie’s desease, why not you? That is all we are attempting to accomplish with our therapy concept. It is really not so far out as some of the other things you find on the Internet.

Do these three simple things to get started right now:

1. Learn about your Peyronies problem. You were told nothing, or next to nothing, about Peyronies disease by the doctor who gave you the diagnosis. You are on the internet right now looking for answers, so get them in a special book I wrote, called “Peyronie’s Disease Handbook.” This book gives you all the information about day-to-day treating and living with Peyronie’s disease you will need. The information found in this book is different in many ways than the information on our website; there is no duplication of information between the book and the website. Another book that will help you tremendously is “Peyronie’s Disease & Sex” that covers all aspects of this complex subject. Get help through education.

2. Start the most aggressive therapy plan you are comfortable following so that you will get your best results. If you are interested in doing all that you can to help yourself, then perhaps you could consider using what is called the “Large (Best) Plan” for personal treatment. The “Medium (Better) Plan” is perhaps the most popular of the three plans. There is a “Small (Good) Plan” that is also well designed. It is very common for men to substitute Neprinol in place of the two smaller products, Nattokinase and Serrapeptase in any of the plans. These products and plans are found at http://peyronies-disease-help.com/buy.html All can be modified, by subtracting or adding, to suit your personal thinking about Peyronie’s disease treatment.

Or, you can design your own therapy plan using the information found on this website. You do not have to use any of these model plans, they are only examples – but they make sense and they have helped hundreds of men improve their Peyronies plaque and reduce the bent penis of Peyronie’s disease.

3. Stop being discouraged. Sign up for the Peyronie’s Disease Treatment Forum blog and get motivated, inspired, educated and reminded that everyday men around the world are actually beating their Peyronies problem using the Alternative Medicine methods of the Peyronie’s Disease Institute.

As you will soon see, the PDI website is full of exciting and helpful research information about Peyronie’s disease treatment you have never seen before. You will also see this site is different because it gives you the answers you have been looking for. But you must work along with the PDI guidelines in order to get the kind of results you will read about.

We strongly suggest you get all of your therapy products and supplements from PDI. The products we use have been selected after years of experimentation because they are special, and a prime reason for the results our customers receive. The PDI therapy concept and strategy are built around the therapy products available from PDI, and no others. Peyronie’s Disease Institute only uses what are called “pharmaceutical grade” products, which are of a higher quality and purity level, and pass rigorous tests to guarantee that what is on the label is contained in each capsule. Time and again we see that when men switch over to PDI products and follow our instructions, good things start to happen. Our therapy products have been used successfully in hundreds of treatment programs. Most people understand that it is a poor time to experiment and sample bargain products while they are attempting to repair a serious health problem like Peyronie’s disease.

With over 31,000 nutritional products available on the worldwide market, this subject is confusing. Many of them – more than you would believe – do not contain what they are supposed to contain. They have far fewer – or none – of the nutrients you need to do the big job in front of you.

PDI cannot answer your questions or help you with your therapy plan if we do not have knowledge, experience or confidence with “foreign” therapies. On the PDI website we clearly state, “Sorry, but due to the volume of emails PDI receives and with limited hours available in a day, we can only answer questions from PDI customers. Purchase your therapy products only from PDI so you have full access to the vast experience and careful assistance available to our customers. If you purchase inferior grade or questionable bargain products elsewhere, you will have to rely upon that source for whatever help you might need later.”

Please email me any questions you might have about treatment of PD with Alternative Medicine, I will be happy to help you in any way that I can. info@peyronies-diseae-help.com.

PEYRONIE’S TREATMENT STARTS LIKE THIS

Peyronies Help To Use Right Now

Every day I talk to men who are have taken control of their Peyronies disease situation and are helping their PD when nothing else has helped them. They do it all of this with the information found only on this site.

What we propose at PDI is not so earth shattering or extreme in concept. We simply try to help you figure out why your Peyronie’s plaque did not heal or self-correct like the 50% of men whose Peyronie’s disease goes away on its own. If half of the men naturally “cured” their own Peyronie’s desease, why not you? That is all we are attempting to accomplish with our therapy concept. It is really not so far out as some of the other things you find on the Internet.

Do these three simple things to get started right now:

1. Learn about your Peyronies problem. You were told nothing, or next to nothing, about Peyronies disease by the doctor who gave you the diagnosis. You are on the internet right now looking for answers, so get them in a special book I wrote, called “Peyronie’s Disease Handbook.” This book gives you all the information about day-to-day treating and living with Peyronie’s disease you will need. The information found in this book is different in many ways than the information on our website; there is no duplication of information between the book and the website. Another book that will help you tremendously is “Peyronie’s Disease & Sex” that covers all aspects of this complex subject. Get help through education.

2. Start the most aggressive therapy plan you are comfortable following so that you will get your best results. If you are interested in doing all that you can to help yourself, then perhaps you could consider using what is called the “Large (Best) Plan” for personal treatment. The “Medium (Better) Plan” is perhaps the most popular of the three plans. There is a “Small (Good) Plan” that is also well designed. It is very common for men to substitute Neprinol in place of the two smaller products, Nattokinase and Serrapeptase in any of the plans. These products and plans are found at http://peyronies-disease-help.com/buy.html All can be modified, by subtracting or adding, to suit your personal thinking about Peyronie’s disease treatment.

Or, you can design your own therapy plan using the information found on this website. You do not have to use any of these model plans, they are only examples – but they make sense and they have helped hundreds of men improve their Peyronies plaque and reduce the bent penis of Peyronie’s disease.

3. Stop being discouraged. Sign up for the Peyronie’s Disease Treatment Forum blog and get motivated, inspired, educated and reminded that everyday men around the world are actually beating their Peyronies problem using the Alternative Medicine methods of the Peyronie’s Disease Institute.

As you will soon see, the PDI website is full of exciting and helpful research information about Peyronie’s disease treatment you have never seen before. You will also see this site is different because it gives you the answers you have been looking for. But you must work along with the PDI guidelines in order to get the kind of results you will read about.

We strongly suggest you get all of your therapy products and supplements from PDI. The products we use have been selected after years of experimentation because they are special, and a prime reason for the results our customers receive. The PDI therapy concept and strategy are built around the therapy products available from PDI, and no others. Peyronie’s Disease Institute only uses what are called “pharmaceutical grade” products, which are of a higher quality and purity level, and pass rigorous tests to guarantee that what is on the label is contained in each capsule. Time and again we see that when men switch over to PDI products and follow our instructions, good things start to happen. Our therapy products have been used successfully in hundreds of treatment programs. Most people understand that it is a poor time to experiment and sample bargain products while they are attempting to repair a serious health problem like Peyronie’s disease.

With over 31,000 nutritional products available on the worldwide market, this subject is confusing. Many of them – more than you would believe – do not contain what they are supposed to contain. They have far fewer – or none – of the nutrients you need to do the big job in front of you.

PDI cannot answer your questions or help you with your therapy plan if we do not have knowledge, experience or confidence with “foreign” therapies. On the PDI website we clearly state, “Sorry, but due to the volume of emails PDI receives and with limited hours available in a day, we can only answer questions from PDI customers. Purchase your therapy products only from PDI so you have full access to the vast experience and careful assistance available to our customers. If you purchase inferior grade or questionable bargain products elsewhere, you will have to rely upon that source for whatever help you might need later.”

Please email me any questions you might have about treatment of PD with Alternative Medicine, I will be happy to help you in any way that I can. info@peyronies-diseae-help.com.

Curved Penis: Bent penis of Peyronies disease prevents sexual intercourse

Penile Curvature of Peyronie’s Disease

Peyronies curved penis is common diagnostic sign

Peyronie’s disease natural treatment is all about supporting your own ability to heal and repair the internal scar tissue (plaque) that causes a distortion or curved penis to develop.

Even though the internal Peyronie’s scar tissue is the most important element of PD, Peyronie’s disease is known as the “bent nail disease.”   It is the bent or curved penis that is the most noticeable aspect of this problem.  The presence of the penile curvature often allows sexual difficulty to develop.  Besides looking strange, the penile distortion also causes problems by preventing sexual penetration from taking place, as well as by acting as a weak area on the shaft that allows sudden buckling to occur.

In a healthy penis the internal tissue is flexible and expandable to allow for a normal erection to develop when blood is trapped inside.

In Peyronie’s disease the healthy and elastic tissue of the penis (in a part called the tunica albuginea) is replaced by dense and inelastic fibrous tissue that is called a scar or plaque. During an erection the normal elastic tissue of the penis can stretch and expand to allow the penis to become larger in length and circumference (girth) symmetrically, resulting in a straight erection. With the addition of Peyronies fibrous scar material this normal expansion cannot develop, resulting in a curved penis.

Peyronie’s disease often starts as a small nodule or bump on the top or sides of the penile shaft immediately below the surface of the skin. Over a few weeks to several months, this small area of density can expand to develop into an irregular shaped mass of variable size, shape, density and surface quality. Some scars are as long as the penis, or surround the shaft like a collar. Some scars are either so soft or small, or their edges are so gradual and vague, that the scar is not detected. When the scar or plaque cannot be located, it is can still be assumed to exist because of the curved penis that is commonly associated with Peyronies.

To learn more about a new, safe and effective technique for manual penis stretching of the Peyronie’s curved penis that does not involve costly manual stretching devices. For details, click on stretching curved penis.

Curved penis affects sexual intercourse

The curved penis of Peyronie's disease can break a marriage because it prevents sexual acitivity in 25-30% of cases.

About 75-90% of couples who deal with Peyronie’s experience problems with sexual intercourse. The primary issue compromising sexual penetration is the presence of a greatly bent or curved penis that makes penetration physically impossible or so painful that intercourse impossible. Distortions can be so severe they are described as “cork screw” or “cane handle.”

Further compromising and limiting sexual activity is the incomplete filling with blood that can also develop in Peyronies that results in a small or large area of softness of the penile shaft. This softness causes a weakness of the normally turgid erection that can cause additional difficulty for the sexual act.

It is a rare Peyronies couple who does not experience sexual difficulty because of penile distortion and reduced firmness of the penis.

If your Peyronie’s penis is causing sexual distress, you might be interested in the in-depth and detailed discussion and loads of helpful information found in Dr. Herazy’s  second book, “Peyronie’s Disease and Sex.”  Because of the complexity of so many physical and emotional issues that surface for the couple who struggles with Peyronie’s disease, the reader is best referred to “Peyronie’s Disease and Sex” for detailed discussion and answers about all the problems of intimacy that occur when a curved penis interferes with sexual activity.

Normally curved or bent penis

Some men are born with a penis that is not perfectly straight. Just as some people are born with hands or feet of different sizes, curvature of the nose, or ears that are not the same size, the two primary chambers of the penis can be a different size – resulting in a normally curved penis. For these men the penis will look straight when non-erect, but then exhibit the imperfection only during erection.

Usually this type of lifelong penile curvature is more gradual and arched than what is associated with Peyronie’s disease, and seldom prohibits intercourse.

This slight penile distortion will be noted all throughout life, and does not appear suddenly as does the curved penis of Peyronie’s disease. Additionally there is rarely pain associated with the normally asymmetrical penis, while pain is often felt in the early stages of Peyronie’s disease since inflammation is part of the initial process.

Curved penis treatment

The most important point to keep in mind at the start of Peyronie’s disease is that any penile distortion that develops is not the primary problem. While a suddenly curved penis is difficult to ignore, it is only a symptom of the real problem of Peyronie’s disease – the scar or plaque material under the surface of shaft. If there was no Peyronies scar there could be no curved penis.

This is the reason I counsel men who use the Peyronie’s Disease Institute method of Peyronies treatment to focus their time and attention of the size, shape, density and surface qualities of the scar or plaque to determine if their Alternative Medicine treatment is being effective.

It is common during successful Peyronie’s treatment for the curved penis to worsen as the scar is being reduced or eliminated. This happens because it is difficult to know how many scars a man actually has, since they are often difficult to locate and often overlap. If only one scar is present (unusual), the curvature problems are direct and easy to understand. But, if several scars are present (common), the internal dynamics are made very complicated. Several scars could be influencing 2-3-4-5 different planes of connective tissue within the deep tissues of the penis to which they are all interconnected. Any change in one or more will change the way the internal tissues are pulled internally. This can make the curved penis and other penile distortion appear worse, even though the scars are improving under treatment.

For this reason it is wise to ignore the penile distortion and focus all attention to the condition of the scar while using Alternative Medicine to treat your Peyronies problem.

Do not be discouraged by the curved penis of Peyronie’s disease, but focus on the possibility of using effective natural Peyronies treatment under your doctors supervision.

Peyronie’s Disease Treatment and Russian Roulette

Peyronie's Disease Treatment is Not a Time to Gamble

Standard medical care of Peyronie's disease often is to do nothing for the first year or so. The medical thinking is this: “In half of cases the curved penis  goes away on its own. If it doesn’t go away, we can always do Peyronie's disease surgery.” For the half of the Peyronie's disease cases that do not go away, the scar and problem either stay the same or get a lot worse. If the PD results in an "acceptable" level of pain, an "acceptable" degree of penile curvature, or an "acceptable" level of sexual impairment, the outcome of the Peyronie's disease is said to be "satisfactory" and the wait-and-see strategy is said to have been successful for that individual.

Do you know who judges what is an "acceptable" outcome for YOUR penis? Well, it is not you. That determination is made for you, ahead of time, by someone else. Your doctor is only hoping that you will eventually develop a certain "acceptable" level of a penile problem. If you get only as bad as he or she hoped, then your doctor's opinion will be that everything worked out pretty well for you − even if you don't think so. Can you believe that? Did you know this is how the wait-and-see strategy is justified?

Peyronie's disease treatment can be a gamble if you do nothing for a year or two while your curved penis can worsen.  Peyronie's surgery is also a gamble.

You should find out early in your care if it is your doctor's opinion that a 5-10-20° bend in your penis is a "satisfactory" outcome, and is not worth the trouble of perhaps taking some enzymes and other supplements. You should find out if it is your doctor's opinion that not being able to have intercourse normally − as you have done previously − for the rest of your life is a "satisfactory" outcome, and is not worth the trouble of perhaps doing some exercises and using DMSO with copper and vitamin E. You should find out early if it is your doctor's opinion that a dull ache and throb (maybe even a sharp pain) in your private parts every time you happen to get an erection is a "satisfactory" outcome, and is not worth the effort of perhaps following a nutritional program of MSM, vitamins E and C, Japanese herbs and maybe some carnitine. Carefully read those medical websites that discuss Peyronie's disease treatment options. You will find how common is the opinion that so long as the penis is not terribly distorted and extremely painful, then everything is "acceptable".

If you have PD you should know that the medical profession has a very low standard by which to judge what is an "acceptable" level of pain and distortion for YOUR penis, and what is an "acceptable" level of sexual impairment in YOUR bedroom. Using these standards by which to judge the health and well-being of YOUR penis, the medical profession has determined that this wait-and-see treatment approach makes sense to them. But, does it make sense to YOU? A man with PD should know his doctor is willing to take a chance like this with YOUR penis, when there are many reasonable conservative treatment options — even if they are currently unproven. Peyronie's Disease Institute thinks this wait-and-see approach is a poor gamble and a bad strategy.

Peyronie's disease treatment with bad odds

The watch-wait-and-do-nothing strategy for Peyronie's disease treatment must sound good only to the surgeon. To PDI it sounds like playing Russian Roulette with very bad odds. In Russian Roulette there is one bullet in a six-cylinder gun; that’s a one out of six chance of losing. In the wait-and-see approach, half of the cases clear up spontaneously; that’s a one out of two chance of losing. Or to put it another way, that’s like playing Russian Roulette with three bullets in a six-cylinder gun. No thanks.

Of course, if the PD worsens so that pain and/or distortion are intolerable, or intercourse is impossible, or impotency results, then surgery can always to taken as a possible solution.

Most would agree that it is better to do all that you can for your Peyronie's disease, as soon as you can, using as many of the safe and scientifically grounded options that are known to have some limited success in helping the PD scar heal. If after following an aggressive alternative medical program, such as is presented on this website, there is less than complete repair and healing — as can happen — then surgery can still be used. Yes, you are taking a chance that the currently unproven alternative therapies PDI advocates might not work for you, but the down-side is minimal for the most part. We leave it to the reader to decide which is the greater risk: ignoring the problem, or exploring an uncharted treatment area. For further discussion, click on Heads You Win, Tails You Don’t Lose.

Standard medical care of PD often is to do nothing for the first year or so. The medical thinking is this: “In half of cases the PD goes away on its own. If it doesn’t go away, we can always do surgery.” For the half of the PD cases that do not go away, the scar and problem either stay the same or get a lot worse. If the PD results in an "acceptable" level of pain, an "acceptable" degree of penile distortion, or an "acceptable" level of sexual impairment, the outcome of PD is said to be "satisfactory" and the wait-and-see strategy is said to have been successful for that individual.

Do you know who judges what is an "acceptable" outcome for YOUR penis? Well, it is not you. That determination is made for you, ahead of time, by someone else. Your doctor is only hoping that you will eventually develop a certain "acceptable" level of a penile problem. If you get only as bad as he or she hoped, then your doctor's opinion will be that everything worked out pretty well for you − even if you don't think so. Can you believe that? Did you know this is how the wait-and-see strategy is justified?

You should find out early in your care if it is your doctor's opinion that a 5-10-20° bend in your penis is a "satisfactory" outcome, and is not worth the trouble of perhaps taking some enzymes and other supplements. You should find out if it is your doctor's opinion that not being able to have intercourse normally − as you have done previously − for the rest of your life is a "satisfactory" outcome, and is not worth the trouble of perhaps doing some exercises and using DMSO with copper and vitamin E. You should find out early if it is your doctor's opinion that a dull ache and throb (maybe even a sharp pain) in your private parts every time you happen to get an erection is a "satisfactory" outcome, and is not worth the effort of perhaps following a nutritional program of MSM, vitamins E and C, Japanese herbs and maybe some carnitine. Carefully read those medical websites that discuss PD treatment options. You will find how common is the opinion that so long as the penis is not terribly distorted and extremely painful, then everything is "acceptable".

If you have PD you should know that the medical profession has a very low standard by which to judge what is an "acceptable" level of pain and distortion for YOUR penis, and what is an "acceptable" level of sexual impairment in YOUR bedroom. Using these standards by which to judge the health and well-being of YOUR penis, the medical profession has determined that this wait-and-see treatment approach makes sense to them. But, does it make sense to YOU? A man with PD should know his doctor is willing to take a chance like this with YOUR penis, when there are many reasonable conservative treatment options — even if they are currently unproven. PDI thinks this wait-and-see approach is a poor gamble and a bad strategy.

Peyronie's disease treatment with bad odds

The watch-wait-and-do-nothing strategy for Peyronie's disease treatment must sound good only to the surgeon. To PDI it sounds like playing Russian Roulette with very bad odds. In Russian Roulette there is one bullet in a six-cylinder gun; that’s a one out of six chance of losing. In the wait-and-see approach, half of the cases clear up spontaneously; that’s a one out of two chance of losing. Or to put it another way, that’s like playing Russian Roulette with three bullets in a six-cylinder gun. No thanks.

Of course, if the PD worsens so that pain and/or distortion are intolerable, or intercourse is impossible, or impotency results, then surgery can always to taken as a possible solution, although not a good one as you can read in Peyronie's surgery.

Most would agree that it is better to do all that you can for your Peyronie's disease, as soon as you can, using as many of the safe and scientifically grounded options that are known to have some limited success in helping the PD scar heal. If after following an aggressive alternative medical program, such as is presented on this website, there is less than complete repair and healing — as can happen — then surgery can still be used. Yes, you are taking a chance that the currently unproven alternative therapies PDI advocates might not work for you, but the down-side is minimal for the most part. We leave it to the reader to decide which is the greater risk: ignoring the problem, or exploring an uncharted treatment area.    

Synergy and Treatment of Peyronie’s Disease

How Synergy Applies to Treatment of Peyronie’s Disease

Questions?
Peyronies disease treatment forum blog of the Peyronie’s Disease  Institute, with Peyronie’s desease cure discussion
Learn the latest and best Natural Peyronie’s treatment

Synergy (sin’-er-je) is the interaction of two or more substances or forces that when combined tends to produce a total effect that is greater than the sum of the individual elements. A short explanation of synergy is “1 + 1 +1 = 5”. Taber’s medical dictionary defines it as “the harmonious action of two agents such as drugs, or organs such as muscles, producing an effect which neither alone could produce, or an effect that may result which is greater than the total effects of each agent operating by itself”.

Synergy can be applied to winning a game of tug-of-war, or to the treatment of Peyronie’s disease to reduce the terrible curved penis that so often develops.

Here is a very good example of synergy in everyday life. A doctor must closely monitor the combined effects of drugs that are prescribed to a patient. The effect of drug A on the body might be well known, and the effect of drug B might also be well known. But the synergistic effect of combining drugs A and B can be difficult to predict. As a result the doctor must closely monitor a patient when multiple medication is being administered. Thus, synergy is a significant part of the art of medicine.

There are many examples in life in which two or more agents or elements act in common to produce an end result that is greater than the simple sum each is able to achieve separately. A good example of synergy occurs in agriculture, when soil nutrients are applied to benefit crops. If nutrient A is known to produce a 2% increase in crop production, and nutrient B is known to produce a 2% increase in crop production, it is logical that using these two nutrients together should result in a 4% crop increase. However, because of the synergy between nutrients A and B a 6-8% crop production increase might occur, instead of the expected 4%. Taking it a step further, nutrients A, B, and C (with each increasing crop production by 2%) when used together might result in a combined synergistic effect above 12%.

Did you ever hear that some cooking recipes cannot be simply doubled if you want to make twice as much of a particular dish? Have any idea why that would be so? Sure you do: synergy. Perhaps, when a recipe is doubled, the oil, or the salt, or other ingredient reacts in a way that is more than twice its single effect. This is another example of synergy in action.

Let’s say that I can lift a maximum of 100 pounds, and you can lift a maximum of 100 pounds. It would seem reasonable that by working together, you and I should be able to lift 200 pounds. However, with the principle of synergy, it might be possible that together you and I could lift more than that, maybe 205, 210 pounds or more. Life is full of situations in which the synergy of team effort occurs.

Peyronie’s disease treatment using synergy

PDI’s philosophy for Peyronie’s disease natural treatment makes a lot of sense when you think about taking advantage of the power of synergy. We are suggesting that you take advantage of a simple and frequently seen phenomenon that occurs all around us every day. This explains why it is better to combine vitamin E with vitamin C and MSM or PABA in your Peyronie’s therapy plan.

Peyronie’s Disease Institute’s  approach of using multiple natural therapies uses this power and expects a synergistic result in treating PD, just as in other applications commonly seen in medical practice, architecture, agriculture, or any other part of life. The synergistic effect applies in countless areas and situations, and treatment of PD is no different. Therefore, the synergy of multiple therapies selected from successful PD research and studies should result in an improved ability of the body to heal and repair.

Science is Slow about Peyronie’s Treatment

Science Can Be Slow – Especially with Peyronie’s Treatment

It is said that if aspirin was discovered today, it would not meet the rigid and exacting standards of scientific proof that are currently in use. Aspirin would be one of those drugs that would be outside of accepted medical practice since it would lack sufficient scientific proof.

Medical acceptance and scientific proof of a therapy is, of course, important and desirable especially with Peyronie’s disease treatment for the elimination of the classic curved penis or other penile distortions that occur.  Yet it is important to keep in mind that just because a procedure or substance lacks this acceptance does not mean it is therefore ineffective or inferior. It might just mean that medicine and science have just not yet figured it out sufficiently to declare that it is OK.

Remember that it was not too many years ago medicine and science said the following were falsehoods, and could not be proven scientifically: 1. Exercise is good for your heart. 2. Diet is related to heart disease. 3. Smoking causes lung cancer. 4. Smog is harmful to lung tissue. 5. High fat diet raises cholesterol in the blood. 6. Antioxidants, vitamin E and vitamin C are related to immunity and resistance. This list of what science made mistakes about could go on for a long time, all the way back to the “The world is round”. Most of us are old enough to remember the problem with Thalidomide. How about the AMA declaring that there was “insufficient scientific proof” of a correlation between a high fat diet (think French fries) and obesity?

The point is simple:  Sometimes science is just slow to pick up ideas and information that are apparent to average people who use common sense and simple observation.  PDI thinks the same is basically true in regard to Peyronie’s disease natural treatment.

Peyronie’s Disease and a Man Whose House is on Fire

Peyronie's Disease and a Man Whose House is on Fire

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Here's a little story from the Peyronie's Disease Institute that expresses the thoughts and frustrations of someone with Peyronie's disease:

A man came home one day to find his house was on fire. He ran to his neighbor's house and yelled, “Hurry, call the fire department. My house is on fire!”

The neighbor came to the widow and replied in a professional voice, “Be calm, and try not to worry. Research shows that 50% of house fires go out by themselves, so in my opinion there is really no need to bother the fire department. I suggest you just wait and see if you will be one of the lucky ones.”

Peyronie's disease, a curved penis and Peyronie's plaque is an emergency for most men that requres immediate action

The first man replied, “Are you kidding? 50/50 odds are terrible! If I'm in the wrong 50% group, I could lose everything. I can’t take a chance like that. The fire is small now and it’s on the first floor, so maybe I can do something to take care of it. If you won’t call the fire department for me, then I'll just use a garden hose to help myself.”

The neighbor again casually replied, “I advise against it. There have been no double-blind or cross-over scientific studies to show that a man with a single garden hose can consistently put out a small house fire. Some studies have shown that it works, but then again there are other studies that show that it doesn’t work. There is so much controversy about this subject that the experts advise against doing anything but waiting to see if the fire goes out by itself. I think we need more studies in this area. I really can't explain why some indicate that it does help, and others show it does not. I hope you understand that I don't want to go out on a limb and recommend something that might not actually work. With no official agreement how to handle your situation, to protect my reputation for always being right, and to prevent you from suing me for giving you false hope that you can put out your own fire, I am going to suggest you do nothing right now. That’s about the safest advice for me to give to you.  I know your house is on fire, and all of that must be terribly inconvenient for you, but I have to protect myself you know. Can't you just wait a while longer for more research to actually prove your garden hose idea is correct? Research is being done right now to develop a new chemical that can be used to put out small house fires. Of course, any new chemical will be expensive and will only be available through authorized outlets that will have to charge a lot of money for the product, but in time, it could be helpful in a situation like this.”

The first man shouted in a panic, “Are you crazy? My house is on fire right now, and it is getting worse by the minute. I need help right now. I can’t wait for your studies and your research to prove anything, and I can’t wait for any new chemical. If some of the studies show that the garden hose will put out a house fire, or at least control it to some degree, then why shouldn't I give it a try? I would be a fool to not give it a try because it might be just the right thing to do. I know — maybe I can get a few garden hoses going and even increase the odds it will work. Maybe it will completely put out my fire. If it works, look at what I have gained – if it doesn’t work, who cares, at least I tried.”

The neighbor then explained to the worried and agitated man, “Not to worry: Be patient. You know, you are really getting worked up. If your home is destroyed – and becomes useless to you – you can always get a contractor to fix it. Think of it as your back-up solution. If your house becomes useless, just get it repaired. I've heard that some of the houses turn out pretty good.”

The first man snapped back, “You are nuts! Why should I let this fire get so bad that I need a contractor? Some contractors are better than others; what if I get a bad one? I’ve heard horror stories about dealing with a bad contractor. What if there are problems with the contractor's work? What if my house isn’t as good after his repair work as before the fire started? Even good contractors sometimes have problems with their work that even they can’t explain. I could be stuck for the rest of my life with bad results. No. Common sense tells me the best thing I can do now is to protect what I have and try to avoid dealing with any contractor if I can.”

The neighbor leaned against his doorway and told the frustrated man, “I guess the garden hose idea could do no real harm. But you could be wasting water, you know. Be careful that you do not use more water than you actually need. Now, I've read some studies about using too much water to put out a fire, and… ”

The first man didn’t hear the neighbor’s last bit of logic. He was now running back to his burning house and the garden hose. He shouted back to the neighbor, “Maybe you would feel differently if this was your house on fire. I’ve got to get busy and try to help myself if you can't offer me better help than that. I have to do what makes sense to me, even if there is no research to prove me right.” The man whose house was on fire picked up his hose and started working with it. He felt less stressed as he got busy doing all he could in a bad situation. Who knows, maybe he even put the fire out.

Peyronie’s Disease and a History Lesson

Peyronies Disease and Important Lessons from History

This discussion is about a terrible sickness that appears in the news occasionally, with an interesting application to Peyronie's disease natural treatment.

Throughout history great epidemics have occurred, killing huge numbers in a given population. However, it is rare to find evidence that an epidemic – no matter how devastating – killed an entire population.  In fact, it is not known if an entire population has been lost to a disease epidemic. This is a simple fact that has great importance to Peyronie's treatment.

That the human race survived the ravages of many deadly epidemics tells us something about ourselves, and our ability to defend against disease and heal tissue.  You must remember that in every epidemic that has ever occurred some of us recover after becoming sick − or never even get sick at all − while others become severely ill and die. From this we learn our bodies, for the most part, do a great job of defending, mending and repairing, even in the face of great health challenges.

As an example, a smallpox epidemic will typically kill 30-50% of the people who are exposed. Yet, did you ever wonder if a small pox epidemic is so bad that 30-50% of a population will die, what about the other 50-70% of people who survive the small pox epidemic? Why do these 50-70% survive? Why don’t 80%, 90% or all of those exposed to smallpox die from it? What is so special about the 50-70% who survive? What do they do, or not do, that keeps them from contracting the disease or dying? No one knows exactly how those who survive such an ordeal do it. But, we can at least assume that those 50-70% who survive an epidemic have a healthier immune system and were able to maintain better function of body chemistry and physiology. There is another way to say it that sounds a little silly, but is true: We can generalize that people do not get sick after exposure to a disease like smallpox because they are healthier than those who get the disease. Some bodies function better in some way to heal, repair and survive than the others who get sick, or die. The same can be said of any health problem, even Peyronie’s disease – if your body is working at its highest level, you stand a better chance of avoiding or surviving a health problem. This is where the PDI theory about PD comes in.

We all have scars on our body. Sometimes a minor injury heals with a major scar, while on the other hand, some major injuries heal without a scar. Some scars from childhood injuries fade as we get older. These are important points to consider, since scar formation of the tunica albuginea of the penis is central to the problem of PD. If scar tissue doesn’t always develop after injury, and is reversible in 50% of the men with PD, what about you? Do you really have to be stuck with a scar and a permanently bent penis? Our interest at PDI is to determine why this reversal of scarring happens in 50% of PD cases, and how to assist scar reversal for more PD sufferers. We think we are on the right track with our efforts, and we offer our ideas to you for your consideration.

We all have seen from our everyday observations and experience that scarring is not always inevitable and is sometimes reversible. At the Peyronie's Disease Institute we simply attempt to create a favorable environment in which scarring of the tunica albuginea is minimized to the best of each man’s ability, and maybe even eliminated, by enhancing and supporting the normal healing response of the tissue to injury. Remember:  no epidemic killed everyone, so we know our body has an amazing ability to repair and heal.   History proves this to us.

Just as we have seen from history that not everyone who is exposed in an epidemic of a fatal disease gets it, PDI is working with the theory that the scar of Peyronie's disease might be avoided or minimized if you can improve your tissue health and immune response.    If you work a bit to increase your ability to repair and heal your problem, you might even be able to avoid Peyronie's disease surgery, wouldn't that be nice?

Organize a Peyronie’s Disease Treatment Plan

An Effective Plan to Treat Peyronie's Disease is Simple and Direct

Let’s understand something. You do not have to use each and every one of the following products to create a Peyronie's disease treatment plan. Which therapies – and number of therapies – you finally select are entirely up to you. One therapy – any therapy – has got to be better than none; two are even better, three even more so, etc.

Perhaps the average number of therapies that are used in a treatment plan is about 9-10. As a general rule, the greater the number of therapies the greater the power of synergy working for you. Our experience is that those who try to do the least, get the least. Makes sense, don't you think? No one can predict how a person will respond to any plan, but as the old saying goes, “You usually get out of it what you put into it.”

Additional information about Peyronie's disease treatment – totally different and totally from a different direction, not presented anywhere on this website – is also available in the "Peyronie's Disease Handbook."|A good attitude seems to be directed toward an aggressive plan that can run for several months to help the body heal the Peyronie's plaque material – anything that will avoid Peyronie's disease surgery.

Why Buy from PDI ? It's all about getting the best Peyronie's disease treatment possible:

  • Service PDI offers email support and assistance for the products and services we provide. Dr. Herazy is here to help you with questions about the products we sell. This is an extremely valuable service the others cannot possibly match.
  • Quality and Quantity Repairing the Peyronie’s scar is such an important mission. It is critical you use a high quality and quantity of nutrients. We have done the hard part of selecting good companies and products. Buy with confidence.
  • Value PDI has a competitive pricing structure of which we are proud. You cannot find better products that deliver the quality and quantity for the prices we have set.
  • Convenience Everything you need is here, right now, in one place.

Brief guide to create your Peyronie's treatment plan:

1. Be aggressive. Think in terms of overwhelming your problem and supporting your tissue health in a broad area. Picture this as a war plan and you wish to attack from as many directions and levels as possible to assure your success in battle.

2. Diversify. Use some internal therapies and some external therapies. Use some nutritional therapies and some energy therapies. From the internal options, consider some nutritional and some enzyme therapies. Mix it up.

3. Educate yourself. Read about the various therapies so you can understand why each is recommended in treatment of PD. Determine which are the most important to you.

4. Get personal. Think in terms of what you know about your own health and body. Try to select those options that address you personally.

5. Discuss your ideas with your doctor. Do not exclude your doctor from your decision-making process. Keep him/her informed and listen closely to all advice you are given.


Options PDI recommends for your consideration in your PD treatment plan:

Method Item Product name, count PDI price
Internal Vitamin E Integral E 400/400 (60 soft gel) $28.00  
internal Vitamin E Gamma E 500 (60 soft gel) 28.00
Internal Vitamin E Aqua-E (60 soft gel) 32.00
Internal Vitamin E Unique E (180 soft gel)       33.50
Internal Essential Fatty Acid Omega T 1000 (60 soft gel) 28.00
Internal Vitamin C Natural C 1 gram (100) 7.75
Internal Vitamin C Natural C 1 gram (250) 19.00
Internal Vitamin C Ascorbplex 1000 (90) 11.00
Internal Vitamin C Ascorbplex 1000 (180) 20.00
Internal MSM  Fundamental Sulfur (100)           12.25
Internal PABA PABA 500 mg (100) 8.50
Internal Acetyl-L-Carnitine Acetyl-L-Carnitine 500 mg (100) 39.75
Internal Enzyme Quercetin-Bromelain 333 mg (100) 16.00
Internal Enzyme Fibrozym (100)  16.50
Internal Enzyme Fibrozym (200)  28.00
Internal Enzyme Nattokinase 1500 (100) 16.50
Internal Enzyme Neprinol (300) Call for sale price 144.50
Internal Enzyme Neprinol (90) Call for sale price 79.99 
Internal Japanese Herb KBG formula  17.00
Internal Japanese Herb HJG formula  18.00
Internal Homeopathy Scar-X  12.50
Internal Green Drink Greens First – 10 oz 39.50
Internal Multiple Vitamin Prosta-Support Formula (120) 22.50
External DMSO PMD Topical DMSO (4 oz) 21.00
External Vitamin E Callisto Vitamin E oil (1 oz) 20.00
External Copper Super CP Serum (1 oz) 21.00
External Acupuncture Genesen Acutouch Pointers 399.00
External Massage Exercise Instruction CD program 39.50
External Stretching Manual Penis Stretching Method 49.50
External Stress EFT – telephone consultation 80.00/hour

If you have any questions or problems concerning your Peyronie's disease treatment plan, just send an email to info@peyronies-disease-help.com

 


Why Buy from PDI ? It's all about getting the best Peyronie's disease treatment possible:

  • Service PDI offers email support and assistance for the products and services we provide. Dr. Herazy is here to help you with questions about the products we sell. This is an extremely valuable service the others cannot possibly match.
  • Quality and Quantity Repairing the Peyronie’s scar is such an important mission. It is critical you use a high quality and quantity of nutrients. We have done the hard part selecting good companies and products. Buy with confidence.
  • Value PDI has a competitive pricing structure of which we are proud. You cannot find better products that deliver the quality and quantity for the prices we have set.
  • Convenience Everything you need is here, right now, in one place.


How an Erection is Affected by Peyronie’s Disease

Peyronie’s Disease Stops Normal Erection Mechanics

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An erection is the stiffening or hardening with enlargement of the penis that periodically occurs upon a sexual and non-sexual stimulus. The primary purpose of an erection is sexual intercourse.  The curved penis of Peyronie’s disease occurs when this process is interrupted or impaired by the presence of the Peyronie’s plaque material.

There is a direct, safe and effective technique for manual stretching of the curved penis of Peyronie’s disease that has been researched and developed by PDI.

If your Peyronie’s penis is causing sexual distress, you might be interested in the in-depth and detailed discussion and loads of helpful information found in Dr. Herazy’s   second book, “Peyronie’s Disease and Sex.”

The complex erection mechanism can start in either the brain (a thought), the penis (a touch), or the bladder (when filled). Upon stimulation a beautifully intricate and balanced reaction of nerve messages occurs between the brain and the reproductive organs. The first thing to happen to the penis is a message is received from the brain. This message causes nitric oxide to be released from the tissue of the penis. Nitric oxide in turn causes the same cells of the penis to produce cyclic guaosine monophosphate (cGMP). This chemical, cGMP, has the ability to cause rapid relaxation of both the arteries of the penis and the smooth muscles that line the network of small interconnected spaces of the corpora cavernosa and corpus spongiosum. This relaxation response has an expansive and enlarging effect on the penis, because it causes more blood to flow into the penis and it is “loosened up” to receive and hold the extra blood that is being shunted to it .

Going up

Blood quickly enters the network of erectile tissue spaces as this relaxation continues along the length of the penis. A small amount of blood enters the corpus spongiosum, but the majority of it engorges the corpora cavernosa which expand to hold 90% of the blood involved in an erection.

As more and more blood enters the relaxed spaces of the penis, the expanding spongy tissue presses against the firm tubular connective tissue sleeves known as the tunica albuginea and Buck’s fascia. This increased pressure in turn pushes against veins that normally let blood out of the cavernous and spongy spaces of the penis, compressing and closing their valves. Now with the veins closed off a greater and greater amount of blood is trapped in the penis. When the three penile chambers are filled with blood the penis is at its maximum length, diameter and rigidity, and is said to be erect.

The glans or head of the penis, the mushroom-like end of the corpus spongiosum that sits like a cap on the end of the penis, remains more soft and pliable during erection because its tunica albuginea is much thinner than elsewhere in the penis. This thinness of the tunica at the head of the penis does not allow it to develop the rigidity that other parts of the penis achieve. Of course this is a good design feature, since the relative softness of the glans protects the cervix of the uterus during intercourse.

Going down

After ejaculation, or upon loss of mental or physical stimulus, the brain stops sending signals to the penis to release nitrous oxide. With loss of the nerve signal and subsequent chemical release, the flow of blood is reduced, the pressure drops, the vein valves are no longer held closed and so open up to release blood, and the erection ceases. The penis returns to its normal pre-erectile size and flaccidity.

A simple balloon can give you a better idea of how an erection works: Before you blow up the balloon, the balloon wall material is very soft and flexible. Put a little air into the balloon and it begins to change shape by filling, making the balloon larger. As more and more air gets trapped inside the closed space of the balloon, it continues to become more rigid and large, until a limit is reached. After this certain limit point the previously flexible balloon material gets surprisingly tight and rigid. To keep it rigid you tie off the opening, and to reduce the rigidity you untie the opening.

Peyronie’s disease and leaky valves

PD causes a problem with the erection mechanism because the vein valves “leak” and cannot build up sufficient pressure to create a full erection, due to interference from the scar or plaque tissue in the tunica albuginea. Its as thought the scar tissue blocks the closer of the vein valves, just as a kink in a car door keeps the door from closing completely, or not at all. As improvement occurs in the size, shape and density of the PD scar as a result of successful therapy, one of the first observable changes will be in the quality of erection response.

And this is why we contend, as you will read in other parts of this website, Peyronie’s disease is all about the scar.

Honey Of an Idea for Peyronie’s Disease Natural Treatment

Honey and Peyronie's Natural Treatment

Peyronie's disease treatment must be profitable for the drug industry, even if honey could help a bent or curved penis it would still have to make money to justify Peyronie's research This is one of those “I’ve got bad news and good news” stories. Here is the bad news: Peyronie’s disease  usually is given a bleak outlook based on current medical thinking. There is no strong research that currently proves any treatment method consistently or significantly improves the course of PD. Yes, PDI agrees with the medical establishment, there is currently no proven medical cure for PD; but that says notice about Peyronie's disease natural treatment using a variety of non-drug and non-invasive ways to assist you to heal your own Peyronie's problem. Here is the good news: We think the lack of a known or accepted medical “cure” shouldn't discourage the man with Peyronie’s disease at this time, since there are so many safe and non-controversial natural and alternative therapies that have earned good — but non-conclusive — reports in research from around the world. As you know from reading reports about various therapies, there are many encouraging therapies from which to choose. There is potentially very much that can be done for PD outside of standard medical treatment, with encouraging science to back it up. Scientific research is slow and deliberate; it is often contradictory, and it is sometimes – often – driven by the profit motive. Some Peyronie’s disease research shows favorable and positive results with vitamin E, or MSM, or Neprinol, or carnitine, or Nattokinase, etc., while other research of these same substances indicates just as unfavorable and negative results as the others are positive. Some research shows that only such a small percentage of men with PD are helped by conservative management that the results are not scientifically significant, or the results are inconclusive, or they are contradicted by other equally valid research. In other words, Peyronie’s disease research is often contradictory, vague and undependable. Many treatment methods are never studied because there is not enough potential profit to justify the high cost of such research. Just as a wild example, what if honey was actually an effective treatment for PD? Yep, all you had to do was eat some honey or smear it on you, and a short while later your PD would be gone. What would be the motive for a large drug company to do the necessary and vital research proving that honey was a good treatment of Peyronie's disease?   None.   If honey was a proven cure for PD only some beekeepers – and you – would benefit. Without profit, research usually doesn’t happen.

Understand why Alternative Medicine treatment of Peyronie's disease is not accepted by traditional medical practice, click  Science is Slow.

Profit and Peyronie’s disease treatment

If honey was the cure for Peyronie's disease, the research would never get done, and scientists would be correct to say there is “no research available to prove its      effectiveness.” Of course that lack of proof would be by their design. That is the dilemma of alternative medicine, and it is the basis for the indifference and lack of enthusiasm for Peyronie's disease treatment. PDI thinks there have been enough favorable findings for many therapies – fully acknowledging research and studies that contradict and refute them – that a person should investigate these inexpensive and naturally occurring therapies to learn their therapeutic benefit firsthand. Please note that for all of the therapies (vitamin E, DMSO, carnitine, Neprinol, copper, etc.) that are sometimes given negative results, there are other favorable and positive studies of these same therapies that contradict the negative studies. The therapies that PDI suggests are scientifically grounded, safe, economical and adequately proven to a degree necessary to justify their cautious and limited use in treating PD.

So don’t be too bothered by a current lack of proof for theses Peyronie's treatments. Peyronie’s Disease Institute thinks it has  “A Honey of an Idea “ for you.

Heads You Win, Tails You Don’t Lose with Natural Peyronie’s Treatment

Heads You Win, Tails You Don't Lose with Natural Peyronie's Treatment

Logic and scientific basis for natural Peyronie's care

Questions?
Peyronies disease treatment forum blog of the Peyronie’s Disease  Institute, with Peyronie’s desease cure discussion
Learn the latest and best Natural Peyronie's treatment

Anything you do for your Peyronie’s disease – even if what you do is to do nothing – is a choice and a calculated gamble.

Peyronie's Disease Institute's opinion is that it is smart to use the best of what is known and available while the truth about PD is still being debated. If what you do makes a difference to your Peyronie's disease, look what you gained. If your Peyronie's disease natural treatment effort does not help your PD, you did not harm yourself and chances are the various therapies at least benefited your overall health and well-being.

Commentary:  Standard medical "wait-and-see treatment" of Peyronie's disease, click Peyronie's Disease and Man Whose House is on Fire.

This website offers a base of information to create a personal treatment plan with reasonable possibility to improve your opportunity for success, based on the synergy of using multiple therapies yet with minimal risk since none of these treatments are inherently dangerous. With so many simple, safe and sensible things that often work, even though none of them have full scientific proof and acceptance, you have a reasonable chance to increase your tissue’s ability to heal and repair your PD. Even if these therapies do not help your PD, there is only remote chance any of them could do harm. This is not true of medical therapies. Peyronie's Disease Institute uses therapies that are refinements of substances normally and naturally found in your tissues – vitamins, minerals, enzymes, and amino acids. None of the therapies we propose are foreign or invasive in nature.

If you are successful in supporting your health sufficiently, and your tissue responds by healing your PD – you win. If you are not successful in supporting your health sufficiently or early enough to adequately make the changes or improvement in your PD as you hoped – you don't lose. There are no known side-effects to the elements of this treatment plan, and you improved your eating habits, improved your nutrition input, exercised more, probably removed some plaque from your arterial walls, probably lowered your blood pressure, probably noticed that your blood circulation was improved and your hands and feet are not cold as they were before, and probably witnessed general improvement in your overall health or elimination of your curved penis – you don't lose.

To read success stories, click on Peyronie's disease treatment testimonials.

Peyronie's treatment and your odds for success

If after following an aggressive and scientifically based alternative program of care your PD does not respond, as can certainly happen, then Peyronie's disease surgery can still be performed. It seems logical that the PDI approach to managing PD is a safe way to use the time that the average MD would suggest that you do nothing to help yourself. Most conservative thought would be favorable to spending a few dollars and reasonable effort to reduce the need for an eventual surgical procedure. The person with a cold takes vitamin C to increase the function of his immune response, and expects to shorten the time he is ill. The person who has a broken bone and takes a calcium supplement, or the person who is anemic and takes some extra iron, or wants to build up some additional muscle tissue and takes some extra protein, is thought to be sensible and intelligent.

The Peyronie's Disease Institute tactic of aggressively using widely acceptable nutritional information and science in a Peyronie's disease treatment plan is not much different. These measures have been reported to improve the ability of the body to heal and repair PD in certain studies — and could increase the odds you could be in the 50% group that eventually recovers from Peyronie's disease.