I have Peyronie's disease. Is there anything i can use or do to lessen the pain when getting an erection?

Hello Dr Herazy,

About 3 months ago i had a vasectomy done, and to try and “clear out the system” i was masturbating a lot more then usual. Over time I began having throbbing pain from the shaft of the penis which would pulsate towards the tip when getting an erection, i don't recall this pain prior to the surgery or frequent masturbation. But it seemed as though it had worsened and after a self examination i noticed a BB sized ball towards the bottom of my shaft, so i made an appointment with my urologist.

Well I just had that appointment today and after a short physical exam by him he indicated that the BB sized ball was plaque/scar tissue and that i have Peyronie's disease. He has prescribed me Verapamil gel and is advising me to take Vitamin E UI pills, but he was up front letting me know this may not cure my problem. Now like most men i immediately came home and did further research, but all i'm finding are most men talking about the “extreme curvature” to their penis. And in my case its the pain when getting an erection that i'm more concerned about but i cant find anything that relates directly to that. Let me also point out that although i have a slight natural curve to my penis that i've had for years i do not have anything extreme going on in that area.

So my question to you is there anything i can use/do to lessen that pain when getting an erection? Now that i've located the plaque it seems to be radiating from that area. It has become very frustrating when trying to be intimate with my wife as i focus more on getting that pain when developing an erection then trying to enjoy the intimacy. Any help/suggestions would be greatly appreciated!

Thank You,

Johnny J

Greetings Johnny J,

Sorry to learn of your problem and the pain you are in.  Please follow the advice and direction of your doctor. I agree with him that a course of topical verapamil and vitamin E by itself is seldom successful.  This is why I developed the Peyronie's Disease Institute to explore and develop an alternative medicine approach to treating PD.  As another option,  I suggest you spend some time reading the PDI website to determine if this alternate approach that seeks to increase your natural ability to heal, repair and eliminate the Peyronie's plaque makes sense to you.  A good place to start is Natural Peyronie's Treatment Options. 

Frankly, when I communicate with men who start Peyronie's disease treatment I am told that pain usually goes away in a few days.  Pain during an erection seems to be rather easy to control with the therapies in any of the treatment plans you might select.  

You need to understand that Peyronie's disease is a process that takes time – sometimes up to 18 months or so – to fully develop all levels of symptoms and signs of this problem.  In fact, I have many times communicated with men who find that their problem continues to develop (deteriorate) well into the 2nd or 3rd year.  Do not assume that your condition will remain the same as it is right now.  If you have no particular curve associated with your Peyronies problem at this time, be grateful because some men start out with a wicked curve.  However, it is a rare case of PD that does not eventually display some level of penis curvature or distortion.  If you do not have at this time any aggravation of your fundamental naturally curved penis, it will probably not stay that way.   It is just a fact, so be prepared.

Whatever you and your wife decide is the appropriate level of intimacy at this time, please be sure to be careful so that you do not exacerbate your Peyronie's disease. Do not stop having sex; have sex in a gentle and sane way so that you do not cause further injury to your penis.  You were abusive and overly aggressive with your masturbation to the point that you developed PD.  Do not repeat that mistake by making your PD worse.  It can be done and it can be a nightmare you do not want to visit.  Use additional sexual lubrication during intercourse and select those techniques that avoid the possibility of accidental slipping out and jamming/ramming the penis that would injure it further.

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Let me know if I can help you in anyway.  TRH 

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Did my Peyronie's disease or curved penis begin because of always using the same hand while masturbating?

Dr. Herazy,

I have a personal interest in Peyronie's disease. At about 70 years of age I developed what was diagnosed as a true case of Peyronies. Prior to that I had no particular problem having multiple partners and three wives resulting in four offspring. The true signs of Peyronies were of rather rapid onset, over a period of a few months. My Urologist suggested Topical application of Verapamil cream which I used for approximately six months to no avail. I experienced no pain and my wife and I continued to have pleasurable sexual experiences.

The architecture of my penis varied over a period of time. It was and is noticeably curved to the left. The Glans was small but has subsequently achieved normal architecture The curvature and a shortening of two inches prevails. (From a true 6″ to about 4).

I am now 81 years and seldom achieve orgasm and then only after prolonged oral and manual stimulation with adequate lubrication.

However my question and interest is regarding the “natural” curvature of the penis. I started masturbation at age 13 and as I recall my underdeveloped penis was relatively straight. However as length and maturity developed a definite but slight (10 Deg.) curvature to the left seemed to develop. This conformed to the natural curvature of my right hand which was the one used to masturbate. This continued until my full adult development and remained so for many years. Other than a marked curvature the symptoms presented no problems.

My thesis is that as the penis develops during adolescence the bend will be the result of the constant “abuse” of the organ. A nurse friend and lover of mine used to joke she could tell the left handed males from the right by the deviation of the penis. I have observed many males with straight penises and I am sure their masturbating habits were as common as mine.

Do you think that this may lead to Peyronies later in life. Review of the literature reveals little information specifically relating to this issue.

Sincerely,

C. A. H. DDS MS

Greetings Doctor,

You are correct, there is no specific reference in the literature in regard to this particular, and somewhat common, question about repeated masturbation altering the shape of the penile shaft to conform to the hand that is habitually used.

I believe the reason there is so little interest to investigate this idea is that it is rather implausible and has no evidence of occurrence in related or similar scenarios. By this I mean if we take an approximately similar situation of a 13 year old boy who does something with approximately the same level of frequency or habituation as you or the average boy would masturbate, I cannot think of one example in which the body would be deformed or adapt to the repeated physical contact he would experience.

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Giving this a few minutes thought, it seems to me that the best general area in which to explore or consider something like what you are suggesting would be in the area of sports or farm work, since it is common for 13 year old boys to be so engaged and to continue to be engaged in sport and farm work activities for many years thereafter.  Not only would the sport or farm activity start at this early age, and continue for many years subsequently, but it would typically be performed at a frequency similar or greater than such a boy would masturbate. For example, a 13 year old boy growing up on a dairy farm would be obligated to milk cows twice a day, pitch hay daily, scoop manure several times a week and many other repetitious and physically demanding duties that significantly impact his developing body. Yet, no deformity of the hands or upper body develops as a result of his work other than the development of callus tissue on the hands which is only temporary.

History does not report that when children during the Industrial Revolution were put into servitude at the age of 5 or 6 to work 10 hours a day 6 days a week in factories and coal mines , that their bodies were in anyway significantly or predictably misshapen by rigorous and repeated contact with machines or the tools they used.

Come to think of it, I have worn a belt snugly around my waist since at least five years of age or earlier yet I do not have an indentation to conform to 8-12 hours of compression from a belt over a life time – and I am 67 years of age.

Lastly, and perhaps most importantly, I think you have made the case that handedness while masturbating does not lead to any particular curved penis pattern.  You wrote that many men have straight penises although they were all likely to have masturbated at the same age and the same or greater frequency and gusto than what you used.   The fact that those straight penises exist tends to refute what you have proposed. 

What you ask about is a common idea, but I do not see evidence to support it.

However, what you describe in your email does sound like Peyronie's  disease.  I would suggest that the apparent injury that started your Peyronie's problem was not because of your right (or left)  hand holding your erection with any particular hand repeatedly, but from some accident that occurred while as a young man or even later in life.     TRH

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Will reduction of masturbation help Peyronie’s disease?

Hello Dr. Herazy,

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

Greetings J,

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

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

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

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

Is there a “sex toy or tool” to prevent additonal injury to my Peyronie’s penis?

Good day! 

Doctor,

Is there any "sex toy or tool" that can help not to get more injured when masturbating?

Thanks for being available to us  PD Warriors.

Greetings,

You are welcome, and thanks for being a Warrior.   It is my pleasure and my obligation to tell people about how to help themselves recover from Peyronie's disease without drugs or surgery.

For years I have listed a nice size group of such "Peyronies sex toy' items on the PDI website because they can indeed protect and support the shaft during intercourse and help prevent further injury when you already have Peyronies.   When the shaft is bent, curved, dented  or narrowed due to the underlying scar material it is extremely vulnerable to injury by collapsing or folding over during the rigors of intercourse and masturbation.  Any man with such a penile deformity should look at these devices to see what appeals to him – and use it to prevent additional harm.   Go to PDI store front and scroll down until you see the penis support devices to be used during intercourse.  

Of course, it is always best to slow down, use a reasonable and cautious technique while masturbating, and use plenty of sexual lubricant to avoid additional injury while masturbating.   Vibrators are always a safe tool to use since little friction or force is used.   TRH