What can we do for our sex life after Peyronies gave me a 90 degree curved penis?

I was diagnosed by Dr. Levine about 7 years ago with Peyronies disease when I was 51 years old. When I told him I did not want to be cut on he politely told me he could not do anything more for me. I have read way too many horror stories about Peyronie surgery. Like I think I read on your website it does not make sense to operate on something that has already shown it is going to heal with an abnormal amount of scar tissue.

What I want to know is what can we do for our sex life after Peyronies has left me this way? My wife and me have had to be very careful about our sex life because my upward curve is close to 90 degrees, so there is a lot we can't do any more. We have learned to be satisfied with limited contact because my bent penis prevents complete entry. I am a lucky guy to have a wife who has stayed with me in spite of all this.

Thanks for all that you do.

W.

Greetings W.,

What I have written many times on the PDI website is that a man should be extremely careful and reluctant to undergo Peyronies surgery because of the increased risk of developing even more scar tissue and a worse case of Peyronie's disease after being cut on.  I have warned that before agreeing to undergo penis surgery it is very prudent to first use all of the possible non-surgical and non-drug options possible for at least a year before even thinking about being cut on to remove the PD scar tissue.  I am not against Peyronies surgery; I am against hasty and premature surgery as though it is the only option, and as though it is a simple and sure-fire cure for this terrible problem.  It is not. 

You ask for advice about your limited sex life, but I must back you up a bit and suggest that you might not have a limited sex life if your curve was improved or reduced.  This is a good place to start to help your sex life, by working to improve your Peyronie's disease.  It sounds like you have not tried to increase or support your ability to get rid of your PD on your own.   I suggest that you read How to start Peyronies treatment.

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The subject of sexual problems when Peyronies is in the bedroom is huge, and the subject of possible solutions is complicated.  There is so much to be said about improving sexual performance and compatibility in spite of a curved penis that must refer you to the book, “Peyronie's Disease and Sex.”   I wrote this book a few years back to address this problem that affects most couples who deal with Peyronies;  few couples are exempt; sex problems are common and just a matter of degree.  What I can tell you since writing this book is that almost all people who read it and follow the ideas in it will improve their sexual ability and regain either a small or large degree of their lost sexual pleasure.  As an outside observer in this area I can tell you that I have yet to find a couple whose sex life is not helped by using this book; some to a great degree and some to a small degree but everyone seems to gain something.   TRH      

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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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My Peyronie's disease started after I tried to straighten my curved penis with a penis stretcher, should I use another one?

Winter 2010 I used a penis extender for around 1.5 months (4-6 hours each day or less), where I probably made an injury on the left side (too hard penis with too hard stretch), just below the glans.

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I realize now that I probably have had congenital curved penis all my life.

When my penis is rock hard, it curves 30-40 degrees to the left. I think it was less before Winter 2010 when I started using the penis extender.

I wonder if it could have been possible that I didn't injure the penis, but bigger curve at the glans is due to longer extension on the right side compared to the left side (because of scar tissue on the left side) ?

Seriously, I didn't think so much about the curve before, so the curve might only have been congenital before this likely injury. I went to an urologist in May and he indicated that I maybe have had a little injury on the tunica albuginea (which makes the overall curve bigger).

In December I started to use an extender again, with the use of  XXXXXX, said to work specifically for PD. I stopped after 34 total effective days (9 h each day) as I have read some studies where they have used Verapamil injections before usage of an extender. In one study the curvature went from 30 to 0 and lengthened with 1.5 cm 🙂   I stopped using the extender 10 days ago.

Is this something you recommend? To remove the plaque first and then start using the extender after the plaque has been removed? Because it is speculated that some of the reasons the lengthening is shorter with PD, is because of the plaque. I have just started to use DMSO and SSKI (both topical), and will start to use Serrapeptase and Nattokinase as well. I see on this site that you also recommend Neprinol and some copper + +.

I have another question, so I may have to call you for more clearance; when the plaque diminished, will it leave an empty area in the flesh, maybe making the curvature worse and the penis shortened?

Peyronies disease is not just having plaque, but also having one side shorter than the other. It is then vital to use an extender so the shortest side can catch up the longest side, right?

I`m 31, which package do you recommend to me?

Greetings,

First of all, I removed the name of the penis stretcher product from your email because I think all of them are dangerous, as you have already shown us by reporting you injured yourself with one.  I wish to not promote these contraptions in any way.  The name of your particular device is not important because none of them are different from the others in any important or meaningful way.   All cars are fundamentally the same because all have a motor, seats, windows, wheels and a steering wheel; in that sense they are all identical in their basic design.  The same can be said of penis stretchers.  They all have a clamping device that holds the penis at or near the head, a base that is held against the pubic region, a pair of extendable threaded rods that lengthen the device while it is worn on the penis, a book of instructions that tells you what to do if you develop blisters and skin erosion while using the extender, and surgical wool and antibiotic ointment to keep you from hurting yourself further.

You are a rare man.  I have communicated with very few men who are able to wear a penis extender device for more than a short while; some could not wear one for even 10 minutes.  I have worked with many men who told me they could only put it on only one time and threw it away because of pain and apparent injury.   Many of those men who persisted in spite of the pain and superficial tissue erosion caused by these stretchers soon developed Peyronie's disease.  Some men put a penis stretcher on only one time for 30-60 minutes and then never again because they next day they have signs of early penis injury, and later demonstrate full blown Peyronie's disease.

It seems the prolonged pressure from the head clamp  causes local tissue anoxia (oxygen starvation) deep within the penis tissue; this is probably what happened to you.  When there is a lack of blood circulation in the penis caused by smashing it down with the clamp of the penis extender, blood circulation is cut off and a lack of oxygen occurs where the head is compressed.  This is very much like what happens when a tourniquet is worn too tight or for too long – the lack of oxygen caused by poor blood flow will kill tissue.  Any good boy scout or soldier learns that even if your arm or leg is severely cut you must periodically release the tourniquet – even if hemorrhaging starts again – so that fresh blood can deliver oxygen into the injured limb.  If this is not done the entire limb can become damaged and gangrene can develop.   But you report in one area of your email that you wore yours for 4-6 hours daily for six weeks, and you state later you wore another penis stretcher for nine hours daily for 34 days.  That is incredible.  If you were a boy scout you would have flunked the first aid class for leaving the “tourniquet” on for far too long.  No wonder you developed PD.

You state your congenital penis curvature is now worse than it was before you started using your first penis stretcher; your bent penis now curves 30-40 degrees to the left, more than before using the stretcher.  You think that the solution to the problem caused by the first penis stretcher is to use a second penis stretcher.  I do not agree with your thinking, and I will explain why later.

Please think about this statement I am about to make because it is very important in helping you to understand why you have injured your penis, and why I feel you are going about treatment in a totally wrong way:  If you have Peyronie disease, your problem is not that your penis is bent, dented or otherwise distorted; your problem is that you have dense scar tissue within the tunica albuginea layer of  the penis that as a secondary factor is causing your penis to be curved, dented or otherwise distorted.

Think of it this way.   If you cut yourself shaving, what is the actual problem?  Is your problem the blood running down your chin?  Or is the  problem the hole in your skin that as a secondary factor is allowing blood to leak out of the blood vessels and run down your chin? Certainly the blood gets your attention, but it is not the problem.  If you did not have the hole in your skin the blood would not be running down your chin.  If I was to offer you a way to wipe your face clean, it would not address the real problem which is the hole in your skin.   If I was to offer you something that would help you heal the hole in your skin rapidly you would not have to worry about the blood running down your chin.  Certainly when your penis is bent it gets your attention, but it is not the problem.

I emphasize this point because I believe you are seeing Peyronie's disease as being a curved penis, when it is not.  Peyronie's disease is a soft tissue condition of the penis in which a fibrous plaque of scar tissue develops excessively for some reason (congenital predisposition, nutritional deficiency, trauma, chemical or hormonal imbalance, drug side-effect, or a combination of some or all these) in the tunica albuginea, which in turn prevents the even and symmetrical expansion of the erection and a few other nasty symptoms.

You ask, “Is this something you recommend? To remove the plaque first and then start using the extender after the plaque has been removed?”   The answer is simple:  No.  If you did something to remove the plaque first, you would not need to use an extender because you would not have Peyronie's disease.  With no plaque in the tunica albuginea you would not have a curved penis and there would be no point in using the penis extender unless you are one of those men who believes stretching on the penis will make it bigger – and that is an entirely different topic.

You also ask, “…when the plaque diminished, will it leave an empty area in the flesh, maybe making the curvature worse and the penis shortened?”   The short answer is again, no.   As a longer explanation:  When a pregnant woman delivers a baby, does her abdomen stay stretched out?  When a weight lifter stops exercising, does he develop empty areas and voids where the larger muscle tissue used to be?  When you over-eat and your stomach and abdomen expand and bulge out, does it stay that way permanently?  No, to all of that.  All our body tissues are elastic (even bone to a very minimal degree), allowing the removal of unneeded or foreign tissue cells that are eliminated and healed over in the best way the body can accomplish under the circumstance.   The body always attempts to return to the most efficient and normal state it can whenever and however possible.  In the case of Peyronie's disease the body will attempt to reabsorb the strands of fibrous tissue and heals the tunica albuginea to the best of its ability.  In about half of the men who develop Peyronie's disease this attempt at self-repair and self-healing is successful.  In the approximate other half, the condition is not healed and becomes more or less permanent.

This tendency of the body to always attempt to return to normal (homeostatis), or self-heal, is the basis of the PDI concept for eliminating the Peyronies disease scar. By presenting to the tissue a wide variety of helpful and supporting vitamins, minerals, enzymes, and naturopathic modalities like moist heat applications, DMSO, gentle manual penis stretching (which is vastly different from your mechanical penis stretching concept), ultrasound and acupuncture therapy, we attempt to support, promote, stimulate and accelerate that ability of the body to eliminate the Peyronie's scar that works in 50% of men and fails in the other 50%.  What PDI attempts to do is really not so far fetched or bizarre.  We only attempt to assist and  promote a natural process that is successful in 50% of men when they eliminate their PD scar without any help from anyone.  We are not trying to make pigs fly.  The PDI concept of helping PD correction is one of working with the man who has PD so he can do a better job of what he failed to do in the first place.

Another question you pose is,  “PD is not just having plaque, but also having one side shorter than the other. Ii is then vital to use an extender so the shortest side can catch up the longest side, right?”   You ask that question as though having plaque and having a shortened side of the penis are two separate and distinct problems.  I get the impression you believe that the shortened concave side of penis curvature happens independent of the plaque, when that is not the case.   It is the presence of the dense fibrous scar that shortens the side of the penis in which it is located, and not the other way around.

To solve the problem of Peyronie's disease the body must eliminate the mass of dense fibrous scar in the tunica albuginea.  You cannot eliminate that tissue by stretching or pulling on it.  How do I know that?   Simple laws of physics governing our universe explains why stretching a penis with a PD scar will not influence that mass of inelastic tissue. 

We all have heard the expression many times, “A chain will break at its weakest link.”  We all intuitively understand what that means.   When a stretching or traction force is applied to a series in which there are stronger or stiffer areas as well as weaker or more flexible areas, the weaker or flexible parts or areas will give way, break down, fail or somehow give  up before the stronger parts or stronger areas.   In war: when the enemy attacks, the weaker part of a battle line will give in before the stronger part of a battle line.  Toilet paper and postage stamps: when the paper is pulled the area of paper that has been weakened by the small perforation holes will tear before the non-perforated paper has a chance to tear.  Tires on a car:  the softer the tire, the more it will absorb the vibration energy of a rough ride, and the harder the tire the more it will pass the energy of a rough road to your body.  There are countless examples of the idea that a weaker, thinner or more flexible area will absorb energy before a stronger, thicker or more rigid part is able to do so.  This is why a chain will break at its weakest link.  What does this have to do with Peyronie’s disease?

The PD scar is thicker and stronger than normal skin and corpora cavernosa tissue of a penis. When a traction force is applied to the penis, the normal elastic corpora cavernosa and skin tissue will absorb the energy of the traction force as it stretches out before the inelastic scar tissue has a chance to stretch – the scar will not get a chance to get stretched because the healthy penis tissue will absorb the energy as it stretches first.  Don’t believe me?  Do this experiment.  Find  three rubber bands– two that are thin and stretchy and one that is thicker and heavier than the two thin rubber bands.  Loop these three rubber bands together in a series, placing the two thin stretchy rubber bands at the ends and the thick heavy one in the middle.  Now hold this series of rubber bands at the two ends and pull on it so you are stretching the whole thing out to make them all longer.  Notice that all movement and stretch  is coming from the two thin stretchy rubber bands that are at the ends, and no movement or stretch is taking place in the thick rubber band in the middle.  Only when you stretch so far that the two thin rubber bands are near their breaking point and are ready to snap, will the thick rubber band in the middle begin to move a little.  If you continue to pull, one of the thin bands will break before the thick band has stretched only a small amount.  This will happen every time.  Thus, when you pull on a flaccid penis that has Peyronie’s disease you cannot stretch the thick fibrous scar tissue because the normal elastic skin and deeper corpora cavernosa tissue will absorb the traction force to do all the stretching just like the thick and thin rubber bands looped together.  

In Peyronie's disease any apparent inequality of length is caused by unequal expansion of the corpora cavernosa due to the presence of the dense fibrous scar material within the tunica albuginea. The dense and inelastic scar prevents full expansion of the erect penis, and perhaps only a minor amount of actual contraction of the tunica albuginea.  When I work with men who have been successful in reducing or eliminating the their PD scar material their curved penis returns partially or completely back to normal depending on how much scar elimination occurs.  I am told for some the scar elimination is complete and for others only partial; when I treated my own Peyronie's disease in 2002 it was complete elimination of the PD scar.  No mechanical penis stretching is done and no mechanical penis stretching is needed.  In 2006 a research project was undertaken during which we devised and perfected a gentle manual penis stretching method that works completely unlike and contrary to the concepts presented in the mechanical penis stretchers.  Additionally, I find that lost penis length and girth that occurs is a result of fibrous infiltration of the tunica albuginea and this often improves to the degree the body is successful in its attempt to remove this foreign fibrous tissue, owing to the natural tendency of the body to heal itself when given the opportunity.

Your last question about what Peyronie's treatment plan I recommend for you is the most difficult and also easiest one to answer.   Since I am not your treating doctor I can only advise you as I advise all other men who come looking for help in starting self-treatment.  I suggest you use the largest and most aggressive plan of treatment that you can sustain for at least 3-4months while you follow the PDI concepts of Peyronie's treatment that supports and encourages your body to eliminate this terrible scar material.  If you decide to do so, you might use the gentle manual penis stretching technique as part of that effort.

I appreciate your hard work, earnest effort and sincere desire to rid yourself of your Peyronie's disease.   You are like many men I deal with daily.  I commend you for not accepting your problem and encourage you do all you can to heal your problem.  If I can help you in any way, please let me know.  TRH

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I was injured by rough masturbation, and now I have a bent penis. Will I be able to have sex with my girlfriend?

I am 21 year old and i used to masturbate for the last four years until I developed a bent penis.  My penis head is not covered by skin and its by birth, not from circumcision. About 2 years back i found that masturbating on the bed is more exiting than by hand for me and due to that one day i slightly bent my penis and had a slight pain in the middle of the penis.  But that didn't bother me too much so i masturbated like that regularly.  My question is this now. For the last 6 months that have passed i realized that i was doing it in the wrong way and that i have hurt my penis,  and i discovered I have a bent penis with a bend in the middle of the penis on the left side, but i don't have any pain in erections now.  i used to masturbate with my hands 2 times a week.  There is no difficulty in ejaculation and pain in erection,and yaa doc. One more thing when half erected it bents downward easily and not upward as its tight some time i had seen hour glass shape when its not erect and i m still a virgin, and very upset with my peyronie condition.  Can it become straight again?  Can i be able to have sex ever with my girlfriend?  i am too much depressed. sir plz help me…its very important for me……

Greetings young man,

Rough or unusual masturbation practices can injure the penis, especially when repeated many times, and can lead to Peyronie's disease. Please read I am 19 years old and I need your help with a curved penis after rough masturbation

A bent penis and an hourglass shape indicate you could have Peyronie's disease.  However, your young age, lack of pain, and the fact that you do not mention a lump or knot of tissue under the surface of the penis indicates that you might not have Peyronie's disease at all.  At this time, you are only thinking it is PD, and maybe it is not.  First things first.  You should go see a doctor who specializes in this kind of problem, a urologist, who can tell you definitely one way or the other if you have Peyronie's disease.   

If you have Peyronies disease then you can discuss with the doctor the best way to proceed to help yourself.  At your young age, and having relatively mild symptoms,  I suggest that you be extremely reluctant to allow yourself to be talked into surgery.  It might eventually be necessary, but I would offer to you that it only be done as a last resort after you exhaust all possible conservative Peyronie's treatment measures that would help your body to cure any Peyronie's plaque you might have at this time.      

Many men continue to have sex in spite of having Peyronie's disease, even with a bent penis.  It depends on how badly it is curved and where it affects the penis. All is not lost.  But you need to learn more about this problem and change how you masturbate.  Please read Peyronie's disease and masturbation.

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I suggest that you read and learn about natural ways to help your body eliminate the Peyronie's problem, and reverse your bent penis, if it turns out that is what is going on with you.  Please let me know what you learn and what you decide to do.  TRH   

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My severely bent penis is almost back to normal, but how can I get my size back?

Hi Dr. Herazy,

I've been following your instructions and using your products now for about two years. My progress has been slow, but thanks to you, I HAVE made progress and almost back to normal…..as far as the severe bending and curvature. There is now only a small knot remaining at the upper right on top, near the head of the shaft and appears to be all that is remaining. I will continue your Peyronie's treatment procedures. My question is, and it's VERY important to me is : Can I get my size back ??? Since this issue began, I've lost at LEAST an inch in both length and girth even though my erections are “near” normal. Is it possible to use a pump with care and restraint to gradually build back up ?? This is driving me crazy with worry.

Thanks,

David V

Greetings David V,

First of all, congratulations in getting your bent penis under control and eliminating all but a small knot of scar tissue. 

However, in spite of all the reading and instruction I know you have read, it seems to me you are making a huge mistake to only gauge your treatment success based on reduction of your severe penis curvature.  You must have read a hundred times it is necessary to use the size, shape, density and surface features of your scar to guide your treatment.  Once you begin to do that your treatment will be a lot more effective and you can expect to see more changes in your curved penis and lost size.

I suggest avoiding a penis pump, or VED.  With those devices it is not possible to know that you are not injuring yourself until it is too late.  There is a better way to get back lost penis size.  

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In regard to getting back your lost penis size, let me give you some advice.  I have reviewed your file of past purchases and see that you have not used the gentle manual penis stretching technique.  This would be a very logical addition to your current plan as I understand it.   Please continue with your current treatment plan, but add in the gentle manual penis stretching to see if you cannot possibly reduce the last of that small remaining scar as well as coax back some of your lost dimensions.   TRH  

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Comments about Peyronie's disease measurements and difficult or painful sexual intercourse

Hi doctor,

I saw a picture of a individual on your site with Peyronies where the claim was, he was 45 degrees. It didn't seem to me like his curved penis was 45 degrees, obviously there's more than one way you can measure. 

I always believed the side with the curve is the side you measure. The problem is that when measuring Urologists can do it differently because there is no set standard. Its like penile length measurement,some doctors/researchers will press the ruler to the pubic bone, but others will only touch the ruler lightly to the abdomen. When measuring girth some measure at the base, some in the middle.  Some researchers /doctors stretch the length only with some doing it once,others a few more times & elongating it ,others use pharmaceutical induced erection. 

The bottom line is that a congenital curve or Peyronies curve (if it doesn’t hurt) doesn’t matter if its 0 degrees or a 1,000 degrees if intercourse can be done without pain for both parties.

Bill

Greetings Bill,

Often I will notice that the person will only estimate the degree of penis curvature, and usually on the exaggerated side.  Actually, while the degree of curvature is of course important to know and record, it is really much more important and significant to know the size, shape, density and surface features of the PD scar that is causing the curvature. You see, the curved penis is just a result or secondary factor to the real problem of Peyronie’s disease – the Peyronie’s plaque. Too much time and attention is paid to the secondary problem (the bent penis) and not enough to the cause (PD scar). I can certainly understand why the curved penis and distortion get so much attention from people, but being all engrossed only in the curvature does prevent a man from focusing on the actual problem and how to treat it correctly.

I have worked with men who swear they cannot penetrate with a 10 degree bend, and other men who say that their 60 degree bend only slows down penetration. The problem of penile distortion and resultant difficulty of sexual intercourse is a complex problem, that is made so because human emotions and motivation are a part of the equation. Many times the amount of difficulty of penetration, or pain during intercourse, with a couple who must deal with Peyronie’s disease is due to lack of natural lubrication and lack of preparedness of the female partner; if she is tense and fearful that she will hurt him, she is less likely to be relaxed and fully sexually stimulated to produce the level of natural readiness for that makes penetration easy. If you are interested in this subject because of some difficulty with sex now that you have Peyronies, please see my book “Peyronie’s Disease and Sex.”

Your last comment is quite true.  Most men would not care or do much about their Peyronie's disease if they could still have intercourse without a problem.

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TRH

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Another Peyronie's disease treatment success story

Hi Dr Herazy

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When I was 58 years old (I am now now 62 years old), I had a severe case of Peyronie's disease which came out of the blue. When erect, my bent penis had an angle bend of about 60 degrees about half way along, so my future looked pretty bleak.

I investigated surgery and it frightened the hell out of me. There were no promises of success and I formed the opinion that the surgeons/urologists had locked in their opinion and you were just fodder for their work. Then I found your web site and treatment plan. I did the lot other than the Japanese herbs which irritated my stomach. I hit it really hard and kept at it. It took about 6 months before I really noticed some improvement and it gave me some cheer. I kept at it and it took about 18 months in total to really get my penis back to pretty well straight.

I'm very pleased to say that I'm fully functional and have been since the recovery.

I've been meaning to tell you of my success and I can recommend to anyone – follow the full treatment plan for as long as it takes. It's a pain to do as it's got so many pills/lotions/etc, but it works. And it's been a darned side cheaper than surgery could ever have been.

Best regards

Greg Woodford

Greetings and thank you Greg,

Thank you for the report of your success, but especially thank you for being dedicated enough, tough enough and stubborn enough to stick with it to work for your recovery.  Yes, you are right a lot of work and sacrifice are needed for recovery against Peyronie's disease.  I see that most men who fail to earn  the degree of improvement that you did are not willing or able to work the way you did.  Too many try to change the PDI method to make it something that it is not, and they fail.  You did it the right way and you beat the monster that was taking your life from you.

If PD was an easy problem, and easy to reverse, it would not be the kind of life changing problem that it is.   There are many more men getting the kind of results you got in the last few years because the PDI method is getting more refined.  For more information please see  Is it really possible that Peyronie’s disease completely disappears? 

Before I make a few comments, Greg, allow me to remind the readers of a few things  based on what you have told us in your email.  First, this recovery that took place was in a case that was for Peyronie's disease that was 2-3 years old when you started your care; this was far after the time it should have cleared up on its own.   This means Greg's case was past the time it should have gone away on its own, so we are confident that it was just not a spontaneous recovery that would have happened anyway.  Greg was successful in helping his body do what it was not doing on its own.  Second, his doctor wanted to cut on him, he was that bad and his sexual activity was that effectively reduced that he was fair game for the scalpel.   This was not a minor or easy case.  Thirdly, he said, “I did the lot” meaning he did not hold back he was aggressive.  This is always key to recovery.  Please take note.

For full disclosure I think I am am accurate to say that you and I have never spoke or communicated about your treatment plan, or to answer any questions from you during your 18 month Peyronies treatment .  My recollection is that you did your treatment pretty much on your own while learning how to approach your self-care from the PDI website exclusively.   This is good because it has always been my intention to make the PDI site so informative and inclusive that a man like you could read and learn on your own, and be totally self-sufficient to reach total recovery, as you did.  Congratulations.  

Having mentioned all that, allow me to say it is my guess that I could have probably helped you along the way and made your journey a bit faster, or a bit easier, or a bit less expensive, or all of these.  I get feedback from the men I work with that the personal input and ideas I can offer will often make nice changes in the rate and degree of their recovery.    I mention this because  most men I work with usually wrap up their plans in less than a year; sometime in six months or so.

Now that you are back to where you want to be, please keep in mind that anyone can re-injure themselves by being careless or assuming too much.   There are several things you need to keep in mind as you resume sexual activity as before:  Make sure your erection is a solid as you are able. Make sure she is ready for intercourse with a lot of foreplay and natural lubrication, or use copious amounts of silicone based lubrication if necessary.  Make sure your selection of sexual positions are safe; do not use any intercourse positions that you have had trouble with in the past in keeping connected during intense activity (when you pop out of her you are extremely vulnerable to re-injury so keep your arm around her waist or hold her hips to make sure you do not get injured), so steer clear of those , please.

Again, nice work and congratulations, sir.

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What can I do to make my congenital penis curvature better?

Hi doctor,

I think I have a natural penis curvature or I was born with a bent penis to the left side by about maybe 35 degree max.  I already asked a urologist and after checking me he told me to not do surgery and told me that I do not have a scar tissue or anything.  After I did some research on the internet I found that there is some exercise that can help to fix my bent penis  and also some people talk about using vitamin E cream mixed with Cetaphil moisturizer.  So please just let me know if this can help or not.  And if not, what can I do to get better in this case? Thank you in advance and hope to hear from you soon.

Greetings,

As I have written many times in this blog, men have changed their congenital penis curvature using the methods described on this website.  I do not think that applying a moisturizer lotion mixed with vitamin E is capable of making significant tissue changes that would be required to alter a 35 degree curved penis.  Applying topical lotions that are intended to make the skin soft are far too superficial to accomplish what you have in mind.

You did not describe the exercise that you have in mind to correct your curved penis.  This would be key, I believe, because there are many ways to influence the tissue in most areas of the body by stretching the tissue.  As far as the penis is concerned, however, you must be very careful about being too aggressive and causing injury to this delicate tissue.  From my experience the penis stretching programs I see on the internet are far too abusive to consider doing.   For example, many cases of Peyronie's disease have been started by mechanical penis stretchers and jelqing.  In response to these abusive methods, several years ago I worked with a group of men through PDI to develop what I call the PDI gentle Manual Penis Stretching Technique that uses a very light but sustained traction to stretch the penis tissue over a period of time when accompanied by a wide variety of internal and external therapies that assist this stretching process.  I get back good reports from those men who use a broadly diversified and gentle approach to correcting their penis curvatures.

Please review a few posts to give you a better idea about what this method can do for a bent penis that started from birth, Will the PDI Manual Stretching Technique help a congenital penis curvature?  and Could Peyronie treatment plans still possibly help my congenital curvature? and Can my congenital penis curvature be fixed by surgery or is there some other way to get help?

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I ask that you investigate this methodology to see if it makes sense to you.  TRH 

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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.

Do you have any advice because I am making slow progress with my Peyronies treatment plan?

Dr.

 

I now take Neprinol 4 pills 3 times daily, vitamin E 2 pills 400iu 3 times daily, Sulfur 2 pills 3times daily, and Scar x 2 times daily, e oil, and Super CP Serum with DMSO.  Sometimes progress seems very slow but have only been doing this dose for about a month. Have been about half this dose for about 7 months.  Any advice?

Scott
 
Greetings Scott,
 
If you were taking half of your current plan for seven months it is no wonder your progress is slow.  It is great that you can see progress with your problem after only one month of being on a more aggressive plan.  This is how it should be done.
 
Your current plan is moderate perhaps compared to others who make progress.  I mention this only to give you an idea what others find they must do to reduce the PD plaque. 
 
You should not design your plan based on what others do, but only work based on how your tissue responds to what you are doing.  If the scar does not get smaller, softer, less well defined or change the surface texture, then you should consider upping the plan in some way that will increase your ability to break the scar down and remove it.  Again, as I am sure you are tired of reading from me, all plan changes are based on the response of the PD scar or plaque and not the appearance of bent penis.  The scar will guide you to what your body needs to do the job of healing your Peyronie's disease.    
 
You are taking a large dosage of vitamin E, Scott, so I would suggest not taking any more of it. In fact, you could be taking less vitamin E if you added some vitamin C to your plan (maybe 3,00-5,000 mg daily).  The other therapies can be increased especially the enzymes.    
 
I also suggest that you add in some additional external therapy, like perhaps the technique found on the gentle manual penis stretching video. This would give you more variety of treatment options.  
 
You should be slowly and gradually increasing the dosage of your plan every 7-10 days if you do not see improvement with the size, shape, density and surface features of your Peyronie's plaque. 
 
If you have any specific questions about locating or defining your PD scar or increasing your plan, arrange for a phone discussion soon.   TRH