What is the maximum "safe" daily dosage of Vitamin E for treatment of Peyronie's disease?

What is the maximum “safe” daily dosage of Vitamin E (for example, Unique E) in IU that is recommended for treatment of Peyronie's disease. I have read that daily doses in excess of 1500 IU of d-alpha tocopherol can be potentially toxic. I am planning on taking Vitamin E, with Nattokinase 200mg 2x/day, and PABA 1000mg 3x/day. Any comments on this regimen are appreciated.

essay help

Greetings,

Please search this website for many articles I have written about safety of taking vitamin E within a Peyronie's disease treatment plan.  For example: Peyronie's disease treatment and vitamin E  and  Peyronie's disease vitamin E therapy.

To answer your question directly, I usually recommend that a man takes 800-1200IU of Unique E daily in a Peyronies plan.

Concerning the brief plan that you have outlined, above, I suggest that you consider adding some external therapies to this plan (DMSO with related copper peptides and vitamin E as topical applications, gentle manual penis stretching, ultrasound, etc.).  Your plan as you describe it is not fully developed.  I suggest that you look at the small, medium or large PDI plans to get an idea of what a well rounded plan looks like.

zp8497586rq

Is pycnogenol good or bad for Peyronie's disease?

Good morning,

I have recently ordered the alternative large package and I would like to ask you the following.

I have the Peyronie disease and for other reasons I am taking a supplement of (Solgar) called pycnogenol. If I have well understood this product is related to collagen. Can you please advise me if this is good for the Peyronie's disease or bad and whether I should stop taking it or not?

Thanks/Regards,
Panos

Greetings Panos,

I am very familiar with pycnogenol, which is an extract primarily from the bark of a pine tree, pinus pinaster, although the same pycnogenol can removed from peanut skin, grape seed, and witch hazel bark.  The reason that it is not included in the PDI lineup of therapies is that it has not been subjected to any testing for Peyronie's disease that I can determine.  Not everything possible that could be remotely effective for Peyronie's treatment is included in our PDI treatment concept; only those things that have received a sufficient level of testing and produced some positive research findings but insufficient to be considered a complete cure.   Pycnogenol has not been tested at all in that manner and so will not be considered for inclusion until it is.   

When you consider how to go about treating your Peyronie's condition you have to determine that it is not the scar you are treating but your total body and your ability to heal and repair the PD scar.  The best route for Peyronie's disease treatment is different for each man.   This is why there are so many variations of the different plans that are being used.

Pycnogenol is often mentioned as being effective for treatment of many diverse problems: asthma, allergies, skin problems, elevated blood pressure,  reduced blood circulation,  muscle soreness, pain, arthritis, menopausal symptoms, painful menstruation, diabetes, retinopathy and erectile dysfunction, to name just a few.  It is also commonly used by those who are interested in its anti-aging benefits.  

academic writing

It is your decision to continue taking it or not.  TRH

zp8497586rq

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.

proofreading services

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.
zp8497586rq

How should I change my Peyronies treatment plan to get better results?

Dr. Herazy,

I have been using the following and not seeing many changes. I’m wondering what I should increase.

Externally: Super CP Serum, Vitamin E then DMSO 3 x day

Internally: 2 Neprinol, 1 Quercetin/Bromelain and 1 Acetyl-L-Carnitine 3 times daily between meals
1 Ascorbplex 1000mg and 1 Unique E 400mg 2 times day with meals

I will also order the ultrasound unit to go with the treatment.

Thanks for your help.

Michael

 

Greetings Michael,

You need to tell me when you are taking these products and if/how they are being used during the day.  I can at least tell you that your  plan is rather limited and light compared to those who get good results with their Peyronie’s disease treatment plans.   I suggest that you set up an appointment to have a telephone discussion with me soon to get you on the right track.  TRH

Natural vitamin C for Peyronie’s disease treatment

What does your natural vitamin C have in it?  Why is it called natural? Thank   Dave G

 

Greetings Dave,

The vitamin C product from Douglas Laboratory is highly regarded for its quality and purity, and is the reason PDI has selected it as part of all Peyronie's disease treatment plans. It contains 1000 mg of ascorbic acid and the full bioflavinoid complex as is found in rose hips.  The base of the rose is a powerful source of vitamin C as it occurs in nature.  The vitamin C in this supplement is extracted from the hip of the rose plant (right below the base of the flower petals) and this is why it is called "natural".  TRH

Neprinol in a Peyronie’s disease treatment plan

I have had Peyronie's disease for about a year now. I have been doing lots of research and plan to purchase your medium plan. I feel that will be a god starting point. I have seen some other options with success stories, in particular, Serracor-NK mixed with Serra RX 80. My question is can I add these supplements to your medium plan in hope to defeat the disease better. Is that healthy, or would that be too much? I read that the Serracor-NK has nattokinase in it which is one of your supplements in the medium plan, so would this be pointless or do you think that would be ok?

Thanks

 

Greetings,

It seems most everyone makes changes and adds variations to the basic PDI-based treatment plan.  I cannot comment on the products you mention because I have no direct experience with them.  The problem with using these products is that I have been told that there is little information that has been made available about how to use these products.  

The medium plan is already a well diversified way to increase your ability to reduce your Peyronie's disease. I suggest that you simply start with the medium plan and see what it can do for you as it is presented.  If at a later time you think you might want to add some additional therapy you could always use the products you mentioned.

When you order your medium plan you will be impressed with the amount of information you will receive that describes in great detail how to use each component of the 10 items in that plan.  No one says that they do not understand how to go about using their therapy products after reading the information that is given with each order.

Lastly, in my opinion Neprinol is a better fibrinolytic enzyme product than those you mention, based on the formulation and the feedback I receive from people who have used both.  That is why we promote its use and not other enzyme products.  The ultimate decision is always yours.

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

Please Doctor Herazy you are the only person who I think can help my Peyropnie’s disease

Dr Herazy,

I am a young adult male from CA. I have been cursed with Peyronie's disease at a young age and it is destroying my youth. I am practically bed-ridden with depression and I can't even sleep right anymore. All I want is to fix my Peyronie's disease. My plaque doesn't even cause bending, it is in the base of the penis and is causing a severe narrowing of the tunica. My erection hangs low now and the deformation can be seen easily. You could call it "baseball bat" shaped. I lost my job due to my severe depression this has sunk me into an even deeper state of gloom. I can't afford to pay for anything on the site. Please Doctor Herazy you are the only person who I think can help me. Everything else is just suggesting thatcher's formula or surgery, but they think my penis is curved.

I eagerly await your reply.

-Thom

 

Greetings Thom,

I could write a 10,000 word response to your email, but I simply do not have the time or opportunity to reply to all the  levels of the different problems that you express in your email. 

The fact that you do not ask a question in your email suggests that you have not attempted to learn about how you might be able to help yourself out of this problem. You wish for me to fix your problem, and I cannot; only you can.  The fact that you suggest I am the only one who can help you tells me that you are not taking any responsibility for your recovery but would rather put that burden on me. This is not the way that Peyronie's disease treatment works, and for that matter it is not the way that anything in life works. You need to re-evaluate this aspect of your personality and mindset to see how this has affected your response not only to Peyronie's disease but to other aspects of your life.  

You are making your situation worse by wallowing in self pity and you amplifying how your condition is affecting you.  You are the one allowing yourself to be bed-ridden with depression. You are telling yourself that your life is being destroyed and you are believing that voice as though it was the truth. You are making your problem worse than it is, you need to take control of yourself, and you need to correct these deeper and larger issues that bother you.    

You say you are bothered by your observation that the baseball bat deformation can be easily seen. You are investing far too much worry and energy in the idea that someone else will look at your deformity and think less of you. This bothers you as much as it does because you already do not think much of yourself and have been bothered by low self-esteem for most of your life.  I suggest that your poor self image is what is really at the base of why you feel that your youth is being destroyed.       

I also suggest to you that you have always had many problems in life that have overwhelmed you, and Peyronie's disease is just the latest to flatten you out emotionally. 

Please allow me to help you by telling your to seek professional help for your other problems.  In the meant time, you should investigate a bit about Peyronies treatment and attitude.   TRH

How is DMSO applied in a Peyronie's disease treatment plan?

Hi doctor,

I just have a quick question regarding applying DMSO to my curved penis. Will it still be effective to the fibrous plague even my Peyronies disease condition started a long time ago. I had developed a curved penis since i was young and i am now 28. Looking to purchase your BETTER PLAN. How should one apply it? on erect state or not? Thank you and hope for your response.:)

Ollie

Greetings Ollie,

Are you sure you have Peyronie’s disease? Have you been formally diagnosed with PD? Perhaps you were born with a normally curved penis.

how to spy on a cell phone

Assuming you do have Peyronie’s disease, the medium plan is by far the most popular. DMSO is an important part of the overall therapy. All instructions you need for using every part of the medium plan are included when you receive your order; you will not have any questions about how to use the DMSO or any other part of the plan.

To answer your question, the DMSO is applied in the non-erect, or flaccid, state.

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

765qwerty765

How can you help my Peyronie's disease situation?

Hello,

I have, what I believe is the early stages of Peyroine's disease.

I have a very distinct and sudden narrowing of the base of the penis, on the left, but little angular distortion, and no palpable scar tissue. I do have have the pain associated with this condition.

I am fortunate that I found your site, and identified the condition before it becomes more established.

I would like to prevent this from escalating and of course return to normal ASAP.

How can you help in this situation?

Thank you.

Greetings,

You ask perhaps the most common question that is presented to me in a thousand different ways: “I have Peyronie’s disease, how can you help me?”

You are correct in wanting to get Peyronies treatment started early before the usual tissue changes become entrenched and more difficult to reverse; it can be done later, but is usually faster and easier to help in the early stages.

I enjoy the sense of knowing that I can assist someone like you toward recovery from Peyronie's disease, so I also feel fortunate that you found this website. In fact, maybe because it is early on a Sunday morning that I am writing this response, I will approach my reply to you in a slightly different way. You see, I have received hundreds and hundreds of emails exactly like yours – and I have answered each of them and yet I never know the best way to answer your most fundamental and sincere question.

I spend from 50-60 hours a week talking to men from around the world, answering emails, writing various articles and posts for the PDI website, and tending to the business of helping the shocked and discouraged men who have Peyronies. After doing this for a little over 10 years, the PDI website is monstrously large and loaded with unique content about all aspects of natural Peyronie’s disease treatment.

It has been estimated that if someone were to print out the PDI website it would be well over 1,500 pages of information – how to treat PD, how to get started, how to handle various questions and problems along the way, technical information and every day practical stuff. All of that free information is available for your use and education, right now, 24 hours a day.

And yet, after all that, men like you write a simple email asking, “How can you help this situation?”

With all that I have written and presented to you that you can have right now at your immediate disposal for the mere cost of clicking on your cursor button, I do not know what else I can say or do to get that information to you that I have not already done a hundred times before. All you really have to do is look and read what is in front of you.

All you have to do is spend some time reading and learning the concepts and philosophy involved in helping your body heal the Peyronie’s plaque like it should have happened in the first place. If half the men who develop Peyronie’s disease are fortunate to have their problem spontaneously and naturally heal all on its own, then there exists the possibility that your natural healing ability can be increased and strengthened if you supply a high quantity of high quality nutrients and enzymes to assist that natural recovery process that failed to occur in you and me when I developed my Peyronie’s disease many years ago.

When i developed my Peyronie's disease I worked hard to plow through a mountain of information about this crazy problem to understand what was known and not known about it; I worked hard to sort out a large amount of technical information, facts, opinions, and what I came to know was simply lazy medical thinking; I worked hard to apply the information that made sense to me; I worked hard to put together the first Alternative Medicine treatment strategy that could actually make a difference in the recovery from PD and it actually worked for me; I worked hard to understand what was going on when the Peyronie’s plaque started to get reabsorbed and disappear; and I worked hard to keep that recovery going until all the plaque disappeared and the distortion finally straightened out.

And now I am answering your question to make it easy for you, but you still must spend a little time reading the PDI website. Go to “Start Peyronie’s Treatment” that is found toward the top of the home page, and read.

buy cigars online

And as I always conclude when I finish a response, if you have any questions please let me know and I will be happy to assist you. TRH

zp8497586rq

What are the ingredients and concentration (%) of the DMSO to treat Peyronie's disease?

Have a few questions about the “PMD DMSO Gel” if you don't mind.

Was curious the ingredients or concentration(%) of the DMSO (dilution)?

I had some irritation before from a 80% DMSO, but I wasn't using it for Peyronie's.

Thanks.

Greetings,

Our PMD DMSO is a special formula that was developed specifically to be used for Peyronie's disease treatment. This formulation was created with the cooperation and help of Stanley Jacobs, MD, who did the original DMSO medical research that made it so popular in the late 1950s.

The PMD DMSO is a 60% DMSO, 10% urea, 10% PABA, 10% MSM, and 10% distilled water combination. Since it contains 60% DMSO it tends to not irritate the tissue and can be used often enough to do some good for treating PD; only rare men have trouble with skin irritation and this is solved by applying it less often. As you have learned, if the concentration is too high it cannot be used at all. It does no one any good to use a 100% concentration of DMSO but then not be able to use it. Our formula allows for repeated applications and this is where the real benefits come into play. Lastly, PMD DMSO is formulated in a gel form for easier and cleaner application since it tends to stay directly where it is applied and does not run down to create a mess.

how to get a girlfriend
How To Get Your Ex Back That Moved On

It is strongly recommended that before applying PMD DMSO that our Unique-E vitamin E oil and Super CP Serum (copper peptides) are applied over the area of Peyronie's plaque to increase the therapeutic benefit of using DMSO.

Of course, these three therapy products are topical applications and they should be combined with various internal therapies as described throughout the PDI website. TRH

zp8497586rq
zp8497586rq

Should I use Neprinol as part of my Peyronie’s disease treatment?

Dear Dr. Herazy:

I hope this message finds you and yours in good health.

It has been only three months that I “found” the PDI website after being suffering Peyronie’s disease for more than four years. I was diagnosed back in 2008 approximately when I went for pain on erections (reflected mostly on the front of the penis) to the current curvature of approximately 25 degrees upwards bending a bit to the right as well.

Due to the initial treatment in my country (Cuba) I got initially Vitamin E and then even direct injections on the plaque of Interferon and sessions of laser.  None stopped the bending process after pain with erection disappeared.  Then I stopped using Vitamin E, suspended laser and the injections and changed to an urologist that has been working on using natural pills made from bee’s propoleo.  I have been taking these pills for more than two years before going to bed (and at least three hours after my last meal).  This Dr. also used as a method the measurement of the curvature and sporadic ultra-sounds to keep track of the degrees of the curvature.  I must say that in more than two years the curvature seems to keep being of the same degree (not healing but not bending either).  Unfortunately for me and others this Dr. emigrated.  He was substituted by another urologist who seems to have more faith in continuous ultra-sounds to compare the process of growth of the plaque.  I skipped going to consultation like a year ago.  It must be pessimism or lack of faith that I will solve this disease.

I have gone through serious stress in my own marriage and I feel somehow ashamed that I would not be able to find a woman that will cope with this disease in my country if I decide to divorce my wife. I have had all the reasons to divorce my wife but I feel stuck with her. You know, being from a Latino country and culture machismo is a big thing.  I am 52 BTW.

Since I found about PDI I designed my own plan which is currently as follows:
1- I am taking daily at breakfasts:
a- PABA (500 Mg)
b- Acetyl L-Carnitine (500 mg)
c- Glucosamine with MSM (500 mg)

2- I also take daily around 3 PM: MSM (500 mg)

3- I take as well a pill daily 3 hours after dinner of Propoleo

I do not have enough resources but I am ready to pay for whatever even if I have to sell my belongings.  So my question to you is what you would suggest someone in my stage of Peyronie’s disease to buy?  I know I should buy your books (re: “Peyronie’s Disease and Sex and Peyronie’s Disease Handbook) but what else, please?

Should I use Neprinol?  Should I go back to Vitamin E being added to everything I am using already?

Being in the Caribbean (and subject to a US Embargo) the only way I would have to get all I need will be through friends living in the States visiting my country twice a year.  I will have to reveal my disease to one of them so to seek his help.  I am ready to do whatever it takes.

Best regards,

M. C.
Havana, Cuba

 

Greetings M.C.,

So sorry to learn of the difficulty you are having in finding and using a good Peyronie’s disease treatment.  You are to be commended for working so diligently to help yourself.

While I understand why you have been forced to try to duplicate a PDI-type treatment for Peyronie’s disease using substitute products since you cannot get them from PDI in the U.S., this is a great problem.   It is very likely that the quality and subsequent quantity of actual useable nutrients that are available to your body are not sufficient to help your tissue heal and eliminate the Peyronie’s plaque.    Just because the label might say there is 500 mg. of PABA or acetyl-L-carnitine in a product does not mean it is of sufficient quality to help your tissue heal, or that it is even present in the pill.   This is why I insist that men who are serious about eliminating their PD will only use those products that I have had good success with against Peyronies.   Correction of this problem is too important to take a chance that you could be using questionable or poor quality therapy. 

As a general comment concerning what you are currently doing,  a basic problem is that you are only using internal-type therapy items and no external therapies such as DMSO,topical copper and vitamin E, manual stretching or non-penetrating acupuncture treatments.

Another general comment is that you are apparently taking those therapies you currently have available but you have not tested or compared during use against the size, shape, density or surface features of the PD scars to determine the correct dosage.   In other words, you are swallowing a lot of pills hoping something good will happen to you.  But that is not how the PDI process works.   I want you to know the exactly correct dosage to make the best progress possible.

Yes, both books are a wealth of practical information; they will help you toward your recovery.  

Neprinol is a great Peyronie’s therapy, but by itself I have not seen it be very effective; it must be combined with other therapies for maximum benefits to occur.  Please refer to the PDI website for more information about this aspect of treatment.In addition, when you order Neprinol from PDI you will be given specific information about how to use it for maximum recovery benefit.  See Peyronie’s disease treatment with Neprinol.

Using vitamin E requires that it is the right kind of vitamin E and it is of excellent quality.   I cannot advise about using what you currently have been taking because I have no idea if it will be good enough to help you; it could be a waste of your time, effort and money.

Lastly, you are not the only person who we help receive PDI therapy products from visiting relatives.  Please send me an email to alert me when you are ready to place your order and I will see to it that we get this done as economically and effectively as possible for you.  Please keep me informed and I will do all I can to help you.  TRH     

 

What assurance is there this Peyronies disease treatment works?

What ass

How To Get Your Ex Girlfriend Back With Text Messages

urance is there after spending hundreds of dollars on your treatment options that the Peyronies disease will be helped?

Greetings,

Oh, I see. You are looking for me to give you a guarantee that the Alternative Medicine plans will work before you start.

No worthwhile and accepted medical treatment or procedure provides a guarantee of results. Aspirin does not guarantee anything, no blood pressure or cholesterol medication manufacturer can guarantees results, no guarantee comes with Viagra, and certainly no surgeon guarantees even the most minor surgery. Your dentist does not guarantee the Novocain will numb your gum, and that is why he keeps asking you while he is drilling your tooth if you can feel anything (he/she does not know if it is working the way it should). Yet you ask me to guarantee treatment of Peyronie's disease.

Within the world of Peyronie’s disease treatment I seem to notice most often a guarantee attached to ads and promotions for single remedy products that are sold by overseas companies. To keep myself informed about these products and to determine if there might be anything to their claims, I have on several occasions attempted to contact these companies that “guarantee” results. Never have I had any success in having a single one of these companies return a phone call or answer an email inquiring about their products. This, in my opinion, speaks volumes about the worth and credibility of any guarantee from companies that offer such a promise. I think the informed buyer had certainly beware meaningless and silly guarantees for results with a condition so difficult to treat as Peyronie’s disease.

All information found on the PDI website points to the direction that each man must understand that Peyronie’s disease is an extremely tough problem to deal with, hence the lack of interest or effective treatment from the medical community. The condition is marked by many variables and almost no constants that are commonly found in other health problems that make treatment possible. PD is so variable it lacks those benchmarks, due to the variables you correctly anticipate must be part of this response. It is the variables of PD that make PD what it is, and complicate all forms of treatment of it. How long a person chooses to treat his PD is a personal choice, as are other aspects of undergoing Alternative Medicine treatment. I would speculate that on average, a man – if he is going to see results at all – will tend to notice change within the first 3-4 months of care using the PDI concepts of Alternative medicine treatment. Sometimes noticeable change occurs in a few weeks, and other times not at all.

How To Get Your Ex Girlfriend Back With Text Messages

Further, there is no way to predict or guarantee outcome of treatment because there is no way for me to assure that a man will actually go about treating his PD as he should.

That is just the truth of it. I am sure if you would ask your family medical doctor that same question you would get the same answer.

Perhaps you are simply not aware that 50% of the cases of Peyronies disease will clear up on their own, demonstrating that the condition is indeed responsive to self-repair or self-healing. The PDI concept of treatment for Peyronie’s disease is simply to do as many things as possible – all at the same time – to help and support and encourage the body in its effort to cure its Peyronie’s problem. We are not trying to get your body to do something special like growing an extra finger or raising your IQ 100 points. We are only attempting to assist the body to heal the Peyronie’s plaque like 50% of men will do naturally. It is as simple – and complicated – as that.

I suggest you go to the PDI website to read more about this process of natural healing, at “Peyronie’s Treatment Philosophy.” You simply lack confidence in yourself and this concept because you do not understand it. TRH

How To Get Your Ex Girlfriend Back With Text Messages

/strong>

zp8497586rq

How should I use moist heat to treat Peyronie’s disease?

What do you recommend to use for "moist heat" and to what temperature and for what duration & frequency?

Thank you.

Greetings,

Moist heat is often overlooked as a part of Peyronie's disease treatment because it is common and not flashy or scientific.  It quickly, easily, cheaply and very effectively draws blood to the area of your treatment. Add it to your therapy plan today. 

A moist heat pack can be made by wrapping a towel that has been soaked in hot water around an old fashioned rubber hot water bottle to keep the temperature sufficiently hot for the time it will be used.

Since many people would not have easy access to a thermometer to actually test water temperature,  I will only comment that a good temperature for water for the purpose of making a moist hot pack to use for Peyronie's treatment is somewhere in the area of 105°F, give or take a few degrees either way.   Most people just hold their hand in the flow of water and know what temperature will feel good and still be safe to use.  We always caution to use a safe water temperature that will not cause tissue burns to this delicate area of the body.  I would hope that common sense and past experience will guide everyone to know how to keep themselves from getting burned.

Duration should be at least 10 minutes to bring enough increased blood flow to the area to provide therapeutic benefit; longer if you have the time and opportunity.  I suggest that you should use such a hot pack before you do any of the external therapies: manual penis stretching, DMSO, vitamin E and copper peptide applications, or the Genesen Acutouch pointer therapy. 

It is very safe if you are careful and use common sense.  Do not fall asleep while using a heat pack, and do not use a water-proof electric heating pad because if you do fall asleep with one it can continue to "cook" you while you sleep.  TRH 

Not sure what to do next for Peyronie’s treatment

I have Peyronie’s disease for over 3 years.  Lately, the curvature is 45 degree and bending rapidly. It’s preventing me from concentrating and keeping a firm erection. This condition is starting to affect emotionally.  I avoid having sex.  I’m 52 years old and married for 25 years.

I had taken Potaba pills and did not work. For the past two weeks I have been taken Vitamin E. Not sure what to do next.

Looking forward to hear from you.

Your help is greatly appreciated.    Thank you.

E. Garcia

 

Greetings E. Garcia,

vitamin E by itself is not very effective as a Peyronie’s disease treatment, but then again there is nothing that when taken by itself will be effective.   To get truly good results with your vitamin E you must combine it with other therapy products to support and increase your body’s ability to remove the PD plaque material.

POTABA is not a well tolerated drug and it is not especially effective against Peyronies.  POTABA is a modification of PABA, a member of the B vitamin family, that is made into a drug by adding a potassium molecule onto the vitamin.   This was originally done because PABA received good research results as a Peyronies treatment, but the drug industry would prefer to sell drugs and not low-price and ow-profit vitamins.    So they created the drug POTABA that irritates the dickens out of the digestive track so much that few men can take the drug very long, and it does not work as well as PABA anyway.   For this reason we continue to suggest the use of PABA in Peyronie’s treatment plans.   

Please go to the PDI website and click on the link Start Peyronie’s treatment.    This is a good starting point to begin to put a plan of action together for your recovery.  Keep in mind that an important element 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.

 

Please let me know if you have any specific questions.   TRH 

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

Hello,

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

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

Thank you
Carl

 

Greetings Carl,

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

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

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

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

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

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

Tocopherol group

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

Tocotrienol group

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

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

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

Peyronie's and vitamin E connection

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

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

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

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

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

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

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

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

Thanks.

Greetings,

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

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

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

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

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

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

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

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

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

 

Greetings, 

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

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

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

How do I develop synergy to treat my Peyronies disease?

Been searching your site, have ordered Neprinol, but have not found the alternative product suggested for the synergy 'maybe' needed — besides Vitamin E, which I take.

Greetings,

Please read this page from the PDI website, "Synergy and Treatment of Peyronie's Disease."

In this discussion you will learn that synergy results from the combined use of several different therapies, but not any particular therapies.   For successful Peyronie's disease treatment the more therapy and wider variety of therapy products that are used, the deeper and more effective your synergy will be – the more the merrier.

Synergy is a natural reaction when groups of similar things are combined.   Let's take for example people.    If we combine a group of people who are slightly bad, when they get together they will tend to do things and behave in a way that is generally more bad than they would if they were not together.   In a similar way,  if we combine a group of people who are good, when they get together they will tend to do things and behave in a way that is generally better than they would if they were not together.  I suppose you can say that by combining similar things the natural tendency of those things is intensified. This is synergy. There is no limit to the number of things you can add for synergy to happen, and everything seems to be affected by it so you can use any Peyronie treatment you want to cause it to help you.

In the Alternative Medicine treatment of Peyronie's disease we  use different therapies that have been shown to be slightly effective as a Peyronie's therapy.  But when you combine them – the more the better – you get an increase of this ability to reverse  the Peyronies problem.

Further, since no one can tell which of the Peyronies therapies you need most and which you are lowest in, we approach treatment from a broad base that you supply all of those that could be helpful so that you are not missing any and this will also strengthen the effect of synergy on your problem.  Let me know if you have any more questions about the Alternative Medicine treatment of Peyronies disease. TRH

Have you any knowledge about serrapeptase or nattokinase for Peyronie’s treatment?

Hi, I just ordered your massage CD.

Have you any knowledge on the product serrapeptase or nattokinase?

They are in a category of systemic enzymes which are fibrolytic — fibrolytic enzymes break down fibrin and reduce or prevent scarring. Examples of these are serrapeptase and nattokinase. So, more precisely, could a fibrolytic enzyme like serrapeptase possibly reduce the fibrosis in the penis?

Best to you,

Michael

 

Greetings Michael,

Certainly.  Since 2002 PDI has advocated the use of the fibrinolytic enzymes, nattokinase and serrapeptase to treat Peyronies disease.  You may learn more about them here Enzymes (Neprinol, Nattokinase and Fibrozym) for Peyronie’s Treatment.   TRH

 

What is the dosage of therapy that will improve my Peyrnonie’s disease?

I am taking a combination of Neprinol, Vitamin C and Vitamin E. Can you advise me of a good number of each to be taken per day? I am currently taking 6 Neprinol per day, 3,000 mg of Vitamin C and 800IU of Vitamin E per day. Is this a safe amount that will effect Peyronies disease?

Greetings,

As I write repeatedly in these commentaries, there is no way to know ahead of time if any therapy plan is going to be effective for any particular person's Peyronie's condition or what dosage will work for you.  This is why it is essential each plan should be as varied and aggressive as possible, and that it is followed faithfully each day.  Because you will be able to monitor the size, shape, density and surface features of your scar before therapy begins and as it continues you will know whether your plan is working.  If it is working, you continue following your plan. If it is not working, you slowly increase the dosage of your plan until you begin to notice changes in the scar.

It is essential that you not just take your various supplements, but that you "work" your plan.  The PDI concept of determining the dosage of Alternative Medicine to treat Peyronie's disease is based on a simple system followed to prescribe drugs in medical practice. 

This is how your medical doctor fine-tunes the dosage of the drugs he/she gives you:   Your dosage is started based primarily on your age and body weight for that particular drug – everyone starts at about the same dose, but it will change based on response to the drug.  You take the drug as prescribed, you return in a week or two and your doctor asks you questions and examines you to see if your symptoms have changed.  If your symptoms have been reduced to your doctor's satisfaction, your dosage is kept the same.  If your symptoms are the same the dosage is either increased or you are given even more drugs.  You now taken an increased drug dosage as prescribed, you again return in a week or two and your reduction of symptoms is determined.  If your symptoms are now reduced your dosage is kept at this higher level.  If your symptoms are the still same the dosage is once more increased or you are given even more drugs.  This goes on until your doctor thinks your symptoms are under control.  This is how medicine is generally prescribed. 

You can use the same method to determine how many and which of your different therapies to use to change the size, shape, density and surface features of your Peyronies plaque and hence to reduce the curved penis that the scar causes.

As you take the dosage of the Alternative Medicine therapies you are using you monitor the size, shape, density and surface features of your Peyronie's plaque or scar, just as a doctor would.   If your scar shows improvement (smaller, softer, a different shape, more difficult to locate or you have signs of the scar "falling apart," you keep dosage the same.  If your scar is the same size and shape, just as hard and just as easy to locate, you slightly increase the dosage of what you are taking or you add new therapy to your plan.   You compare your scar every 10-14 days, looking for positive signs of scar reduction.  This pattern of increased therapy continues until you find that your scar has begun to improve.

You do not just start popping a predetermined number of pills each day hoping that you get better.  You monitor your scar for positive scar changes and you are fully aware what it will take to make it happen.  This is PDI method of Peyronie's disease treatment.  

The Neprinol, vitamin E and C dosage you are taking is very common, and might even be a little low in regards to Neprinol.  Please refer to the notes and detailed instructions you were given about taking Neprinol when you received your order from PDI.

If you have specific questions about altering your Peyronies treatment plan please contact me directly.   TRH

Would my doctor recommend your treatment for Peyronie’s disease?

Dear Dr. Herazy,

I've been all over your web site and read all the amazing testimonials. I'm 54 and I've been suffering with Peyronie's disease for years. I have not been regularly intimate with my wife for years now, and she recently told me intercourse was too frustrating for her due to the challenges we deal with due to my condition. That was hurtful, as if I haven't already lost all self confidence. Anyway, you may have heard of my doctor, Dr. Ridwan Shabsigh.

I have already been through three rounds of penis injections with little or no results. Dr.Shabsigh has told me to consider surgery.  I need to do something as I can't continue to live this way, and my marriage is just about shot.

Dr. Shabsigh is considered to be knowledgeable in the area of PD & ED.  Do you know him?  Would he recommend I try your treatments? I really need help. Please let me know what you think.

Thanks very much,

Tom

Greetings Tom,

No, I have never heard of your doctor.  I have no idea what he would think of using Alternative Medicine.  However, if it is his idea to think that sticking multiple injections into a penis that already has Peyronie's disease is a good way to treat this problem, then he is likely to follow the standard medical line of thought about treatment.  

If you want to really get some help beyond the standard medical concept of risking additional scar formation after surgery on a penis that has already demonstrated the tendency to create excessive scar formation , then I suggest you spend some time reading the PDI website.    The PDI website is full of useful information if you take the time to read it.  When you have a specific question about Peyronie's disease treatment please  let me know.  TRH

Can my urologist prescribe PDI Peyronies treatment so my insurance covers it?

Can my urologist prescribe products from your catalog so my insurance covers it?

Greetings,

While your idea makes a lot of sense, you must realize that insurance companies do not make decisions based on what makes sense; they decide based on popular medical thinking; insurance company policy is dictated by standard medical ideas.   Your urologist can prescribe anything he/she wants to do, however that does not mean your insurance company will have to pay for it.  Insurance coverage does not work that way.

Using nutritional therapy products to increase your ability to heal and repair the Peyronie's plaque might make a lot of sense to you and me, it is not standard medical thinking.   Standard medical thinking is to allow the curved penis caused by the Peyronie's plaque to get so bad that it is treated by a $30-40,0000 Peyronie's surgery.  Rather than attempt a brief therapeutic trial of natural vitamins and enzymes over 3-4 months that might cost less than a $1000, the insurance company would rather spend a lot of money to cut on a man's penis and run the risk that it could make his problem worse.

I suggest you talk to your urologist to see if he would be receptive to your idea.  Who knows?   It might happen that you get lucky with your insurance company, and you get your Peyronie's disease treatment reimbursed.   Strange things happen.   Let me know how it turns out.  TRH

Would Neprinol work on my Peyronie’s disease?

Hi,

I've had Peyronies now for roughly 10 years. I passed a kidney stone in my 30's and it jammed at the end of my urethra, I squeezed it ,and it passed. But for a month my penis killed me. It eventually shrunk to about 3 inches, from 7  1/4 inches . Ive tried everything. I went all natural. vitamin c, 1000mg , omega 3 1200mg, vitamin e 1000 mg, l-arginine, ginkgo biloba, saw palmetto 1000mg, and flax seed oil, 1000mg gotu kola.  All have helped get at least 6 inches in length back after 10 years.

My love life suffered at first, but we overcame things. I would like to get the other 1 1/4 inches back. Right at the tip, just behind, it curves up around 30 to 35 deg. I can feel the hard plaque still. It just won't soften up any more.

Would Neprinol work, or do you have any suggestions on how to finally rid my self of this man destroying dilemma?  I'm 45 now, I would like to keep going if you know what I mean.

Thanks.  Any suggestions would be a great help.

Greetings,

While I realize you have probably just discovered the Peyronie's Disease Institute website on the internet, my first suggestion is that you stop playing around using different herbs and supplements that have not been shown to be helpful for treating PD.

"Going natural" is not the key to successful Peyronie's treatment; you have to use the right products and use them in the right way.  It looks to me like you just started using anything that might have had some positive things written about it, and hoped it would help your problem.   You have not "used everything."   You have only scratched the surface.   You have approached your problem from the wrong direction and gotten lucky that some of the things you did  might have helped you.   Had you spent that same time, effort and money using the products from the PDI lineup for your Peyronie's treatment I believe you would have been far better off today.

I suggest you get on at least the PDI medium plan along with the PDI gentle Manual Penis Stretching CD video and use them faithfully for a few months.  It is important to use the exact therapies from PDI because not all brands of Alternative Medicine therapies are of the same quality or potency.   You cannot walk into the average vitamin store and expect to get good quality products that will do the job for you.  It is amazing and appalling that many vitamin shops sell such low quality items.

Your question about Neprinol shows that you do not understand how to use Neprinol and that you are again approaching your therapy from the wrong direction.   You need to spend more time reading what is on the PDI website to learn how to go about successful Peyronies treatment. 

When you order from PDI you will receive specific instructions how to use everything that you order for the best possible treatment of Peyronies disease.   Let me know if you have specific questions about helping your problem.   Good luck to you.   TRH   

Must I accept there is no cure for Peyronie’s disease?

Hello Dr. Herazy,

I've had Peyronies since I was 14 years old. There was a blunt trauma, I was too young and shocked to address the issue and chose to ignore it.

Initially, my erections were not greatly diminished. There was a curvature of about 30 to 35% to the left and slightly downward. Erections lasted a little less long and were slightly harder to produce. Urine did not pass as forcefully as it had before.

Now I am 31, erections are much harder to produce, are never full and have significantly less duration. At times there is a slight pain in the penis after ejaculation and urine passes much slower than it use to. I would place the curvature at 40 to 45% and in a more flaccid state. It is very depressing for me because I have only experienced sex with this condition and as it worsens I avoid it and relationships. Surgery sounds horrible and signing up to a treatment plan has me concerned about developing conditions or side effects from the treatments, as I have a lot of life to live.

Is there any hope? Must I accept that there is no cure and what ever options are available will involve sacrifice or long treatment plans?

Suffering Guy

 

Greetings Suffering Guy,

Apparently you have not spent much time reading the vast amount of information about natural Peyronie's disease treatment available on the PDI website.  

When I developed PD in 2002 I began my treatment with the premise that there is a cure for Peyronie's disease – various authorities will report that from half to 20% of men who develop this problem will undergo a spontaneous remission in which it just goes away on its own.  In other words, the body corrects the problem of the internal plaque or scar tissue in the tunica albuginea, and the scar and the curvature just go away.  that sounds like a cure to me. 

When you read on the medical websites that "there is no cure for Peyronie's disease," what they really mean is that there is no prescription drug available from a pharmaceutical company that has FDA approval to eliminate the plaque in the internal tunica tissue.  While it might be true that "there is no cure for the common cold," does that mean that everyone who has a cold will continue to keep the problem and will eventually die from it?  No.  With rare exception (the very young, the very old, and those who are very weak with severe illness), anyone who develops a cold will cure it usually in a little less than a week.  That is what the body is designed to do to cure itself.  

Certainly, there are some conditions (cancer, multiple sclerosis, Alzheimer's disease, etc.) that are more difficult and more rare to overcome, but for the most part there are a large number of health problems that the body is fully capable of self-repairing.   Where exactly is it written that every case of Peyronie's disease is permanent and beyond the ability of the body to eliminate? I have never read that anywhere, and as I mentioned earlier every authority states that a fair number OF PD cases reverse themselves for complete elimination.   If that is true then the question should be asked, "Why hasn't your body eliminated your PD?"  

For the last 10 years I have spent every day with that question on my mind.  I have developed some ideas and strategies I have seen over and over again that will increase a man's ability to get rid of his own Peyronie's disease.  You can read about a few of these Testimonials of Peyronie's Disease Institute. 

There is not much I can do to reduce whatever level of sacrifice or time is required for your body to reduce your Peyronie's plaque to the best of your ability.  I hope you think enough of yourself, and are willing to do some work, to bring about your best level of recovery.  If you have any questions about using Alternative Medicine to treat Peyronie's disease please let me know.   TRH

What about using Kegel exercise as a Peyronie’s treatment?

2 very simple short questions do kegels exercises help peyronies i read it will or may because it's said to be a exercise that women used but it can be used in men and online says it can force more blood into the penis and help with the healing process. The other i have on my mind is i read W What does it mean to "Break Up Scar Tissue" I was reading about castor oil and they said it "breaks up" internal/external scar tissue and breaks them up? Is it different than "reducing" Could you clear up this definition? Thanks, and hope this wasn't too much to ask, but i just didn't want to forget the other question so i just put them both here in one, thanks again Dr. Herazy.


Greetings,

Yes, spend a of of time in our video. "Massage and Exercise" for Peyronie's disease to give you specific measures to assure you do Kegel exercises correctly for PD.   I have advocated Kegels for PD for many years, and used them as part of the Peyronie's disease treatment protocol when I got over it. 

You will have ask those people who use these terms – breaking up and reducing scar tissue – what they mean when they use them.  To me it sounds like careless use of words.   TRH

Is it really possible that Peyronie’s disease completely disappears?

Hello,

Is it really possible that Peyronie's disease actually completely disappears?

One often-quoted study says that 13% of cases improve spontaneously after one year. This, however, includes very small curvature or plaque reduction. However, I have not heard of one single reliable and medically documented story of complete remission. It seems that even if some treatments appear to be effective in reducing or even dissolving the plaque, the tunica can never regain its original elasticity.

Can you give us your thoughts about this please.

Best regards,

Leo

 

Greetings Leo, 

Thank you for the excellent question.

How often, and to what degree, Peyronie's disease spontaneously recovers is such an interesting and important PD topic that I wrote,  "Spontaneous Remission and Natural Cure of Peyronie's Disease."    You might consider reading this also for additional ideas.

Anyone who has looked for help with Peyronie's disease knows why it has been called the bastard-child of medical practice.  No one should be surprised it has never been the subject of investigation to determine the frequency or degree of spontaneous recovery or natural healing.  I could not find any information about what criteria is used to determine a complete response to treatment or a spontaneous remission of Peyronie's disease.  For example, when all outward signs of cancer disappear after treatment, this is called a "complete remission" or a "complete response."   These terms do not necessarily suggest the cancer has been cured.  It only means the cancer cannot be detected in a way that it was previously used to identify it.  If after treatment the cancer is still present but in a reduced capacity to incapacitate the patient or of a reduced size, it is called a "partial remission."  In regard to Peyronie's disease these concepts might also apply, but this has not been worked out clinically for PD.  For this reason, the words we use (remission, recovery, response, cure, improvement, complete, partial) are subject to controversy because they have not been defined in relation to Peyronie's disease.  

Thus, there is room for interpretation when you ask if Peyronie's disease ever "completely disappears."   A consensus would have to determine if a practical (functional) or anatomical (structural) definition of recovery was to be used for Peyronie's disease.  Previously I have written, "the average man would not care at all that he had Peyronie's disease if it did not cause a penile distortion that denies him from having sexual intercourse.  If the Peyronie's lump did not interrupt sex activity, the problem would be essentially ignored." 

While i understand the thought and motive behind asking about a study of spontaneous remission of Peyronie's disease, I believe it is unlikely for the pharmaceutical or medical industries to actually spend money to research if this problem goes away on its own.  Their focus is far more likely to be directed toward drug creation or surgical advancements.  In preparation for writing this reply I Googled "spontaneous remission cancer" and "spontaneous recovery flu" and could not find any medical studies for those searches.  That this information is not available should not be interpreted that these things do not happen, but only that no one yet has taken the time, effort and money or has a vested interest to study these topics.   

For a majority of men, from a practical or functional standpoint, restoring sexual function would define "complete recovery" if this occurred as a result of direct treatment, or "spontaneous remission" if this occurred without treatment, regardless if the Peyronie's plaque persisted or the tunica albuginea was less elastic.  To underscore this prevailing and practical attitude that men take about their Peyronie's condition, I have communicated with many men who have told be that they like having Peyronie's disease because their particular direction and degree of penile curvature increased the sexual pleasure of their partner and thus they saw themselves as better lovers. Their interest in correcting their Peyronie's disease was equally practical and sexually motivated:  they were concerned that if the curvature worsened, they would not be able to engage in intercourse.  Conversely, from a clinical or anatomical standpoint, restoring previous physical normalcy (external appearance of the shaft, elimination of the internal fibrous plaque, complete elasticity of the tunica albuginea), would define "complete recovery" if this occurred as a result of direct treatment, or "spontaneous remission" if this occurred without treatment.  Without these terms being defined it is difficult to communicate accurately.

Yes, I am aware of that study reporting 13% of cases improve spontaneously; others reports suggest up to 50% of Peyronie's disease cases simply go away without treatment.  This variation in numbers is probably due to a different set of criteria for determining what degree of improvement constitutes a real improvement  or recovery; this is discussed in the 3rd paragraph. Given the nature of the problem It is easy to understand why there is still controversy and revision (usually upward) of the reported rate of occurrence of PD in the general population, to say nothing of the rate of spontaneous remission for the problem. 

When I developed Peyronie's disease I struggled frantically looking for a way out of the Peyronie's nightmare.  After reading reports of 20-50% spontaneous recovery from PD my thoughts turned in a more positive and productive direction.  The pivotal insight that occurred to me was:  "If 50% of men heal their own PD, then the body has a cure – even if the MDs do not.   All I have to do is increase my immune response to this PD scar in whatever way makes sense to me, and I believe I might be able to heal my problem like those lucky men who spontaneously correct their own problem.  Now I am in control."  Before that I held the common negative and hopeless victim mentality displayed on many of the Peyronie's forums. This little bit of information so encouraged me and uplifted my thinking, that I eventually developed the treatment protocol that enabled my body to heal my PD problem.  This same protocol (now improved in several significant ways) has since been used many hundreds of times by men who learned about it on this PDI website.

From my experience in working with men since 2002 I have used the informal, uncommitted, and long-distance format of the internet, emails and telephone calls.  Since I am not conducting formal research, I have no way to control, monitor or verify how anyone is conducting his PD therapy plan.  Men do what they want to do.  I can only offer suggestions and hope my message gets through.  Not only does everyone seem to create a slightly different therapy plan, but each man goes about using his plan in a different way.  The non-uniform and irregular application of the ideas you see on the PDI website makes it difficult to evaluate effectiveness or degree of improvement achieved.   Not only that, men are notoriously bad communicators about this aspect of their private life.  Once Peyronie's disease is eliminated from a man's life he quickly disengages from the problem and happily returns to his previous life, rarely contacting anyone about his success.  They gladly try to forget about the condition that so humiliated them and nearly ruined their lives.  Men are reluctant to discuss or report on the stigma of diminished size, erectile dysfunction and disfigurement associated with Peyronie's disease.  For these reasons the number of men who experience spontaneous improvement of their PD will always be much more speculative than even the number of men who have PD, which is wracked by speculation for the same reasons.      

You are correct, there are no formal medical studies of complete Peyronie's remission.   But what of those published medical statistics reporting 13-50% of cases that get well without treatment or outside intervention.  Is that not more than the medical acknowledgment or the single story of complete remission you asked for?  Further, what of the hundreds of urologists and family doctors each day around the world who advise their newly diagnosed Peyronie's patients to "come back in six months to see it it goes away"?  Aren't each of these MDs implicitly saying that from their experience they see a sufficient percent of PD cases clear up on their own, thus justifying the standard wait-and-see strategy they all use?  "Wait-and-see-back-in-6-months" is part of the standard medical protocol and must exist for some reason; do you think that spontaneous remissions happen often enough to build a treatment protocol around it?  I do.

I offer a simple speculation about the condition of the tunica albuginea after favorable Alternative Medicine treatment, because I do not know.  The body eliminates to the best of its ability what it does not need.   I have a scar on my knee from a childhood injury.  Over the years it has slowly faded and now is barely visible.  I assume that if there is no useful purpose for the PD scar within the tunica albuginea, the body will pick up the collagen fibers over time.  This might not be a fast process like the body removing the cells of inflammation, but it should at least in theory happen if only because the body is designed to eliminate foreign matter.  Along that line of thought, I am a retired chiropractor with a highly refined sense of touch developed over 42 years of practice.  When I report that I cannot find any evidence of my previous gang of PD scars, you can believe that they are either gone or so dramatically diminished in size.  Of course, this is ultimately speculation because surgery would be required to verify the actual state of my tunica.       

Lastly, it is difficult to know how to label my particular improvement of Peyronie's disease or the experiences of those men with whom I have worked.  They no longer come to the PDI site for treatment information because they are apparently satisfied with their previous Peyronie's problem after following their version of PDI therapy protocol.  I do not know if I can say my body eliminated or cured my Peyronie's disease, or not. I do not know if I can say I had a "complete remission" or a "partial remission" because those terms have not been defined clinically. 

All I know for a fact is that back in 2002 when I was at my worst, I could easily describe 4-5 different plaque primarily on the left and dorsal aspect of the shaft.  My primary distortion was a combination 35 degree curve to the left, a ten degree curve upward, with a counterclockwise rotation.  I say primary distortion because twice while I had this combination curve and twist, it was replaced for a few weeks by a severe bottle-neck deformity that made me sick to look at.   After following an aggressive and faithful PD therapy plan that I devised over many months, all of that went away.  I was able to monitor the slow and gradual reduction of the size, shape, density and surface features of each of those 4-5 plaque.  As I observed them slowly fragment and disappear, my distortions disappeared and my lost length and girth returned.  Today I cannot find any PD plaque and my shaft is straight.   I have worked with many men who have reported various stories along that same basic outlineOf course, some men respond better to Alternative Medicine therapy than others; not all respond well, and some do not get any improvement at all.  When I learn of men who are not making improvement I can usually trace it back to a small and non-aggressive application of the PDI therapy concepts that is revealed by meager and irregular purchase of therapies. Conversely, those men who report better results ask more questions, follow a more faithful and aggressive plan of action, and overall seem to be more focused and serious about their eventual recovery.       

Back to your original question, "Is it really possible that Peyronie's disease actually completely disappears?"   By that question I take it that you mean, "Is it possible that the tunica albuginea returns to a completely normal state after what you call a self-repair, self-healing or spontaneous remission?"  To that question l answer that I do not know.  I must assume that in order for my curvature pattern to improve, for my scars to be undetectable, for my lost length and girth to have been returned, that some favorable and demonstrable tissue change must have occurred within substance of my tunica.  This in turn should have caused the tunica to become more elastic than when it supported the nasty Peyronie's plaque.  Speculation, for sure, but logical.

For me, and I believe for the men who come to the PDI website looking for some straight information about what they can do to help themselves get well, I wish to say we do not care if the tunica albuginea completely returns to normal or not.   I am satisfied when a man tells me he cannot find his PD scar any longer; that he can have intercourse for the first time in many years; or that his penis is now straight.  At this time I am more interested in learning how to more effectively help the men who have Peyronie's disease so they can more quickly and efficiently eliminate their problem, than I am in splitting hairs while defining the words cure, healing, recovery and remission.

Again, thanks for the great question that gave me the stimulus to put a few thoughts on the internet that were not there previously.

Good luck to you and I trust that you are successful in dealing with whatever prompted your interest in this subject.  If you have interest in learning about Alternative Medicine Peyronie's disease treatment, please let me know.    TRH

Question about Peyronie’s treatment

Dear Sir,

I M.A. Mujeeb from India is suffering from Peyronies. Up to May 2010 I was quite well in sex but May or June 2010 onwards my penis is bending from both side (stem side and ring side) While incursing I am getting pain. I request you to tell me whether this medicine is effective for the above problem for me.

Thanks and regards,

M.A. MUJEEB

 

Greetings M.A. ,

Any or all of the different Peyronie's treatment ideas found on the PDI website can be successful when combined in an aggressively and faithfully applied treatment plan.  The likelihood for that success is increased by following a broad based plan that includes both systemic, topical and external therapies.

Even if you did mention several Peyronie's therapies there is no way for anyone to intelligently predict the outcome of your use of any therapy.  Treatment results is far too complex, with far too many variables, to give a meaningful answer to your question if you could be helped.  It is always something that each man must attempt to learn for himself how he will respond. 

To assist you I suggest you read at least a few of these articles:  "Peyronie's disease treatment frequently asked questions" and  "Peyronie's treatment philosophy" and "Peyronie's disease natural treatments: introduction."  

 

 

 

TRH 

Should I continue with the same Peyronies therapy and for how long?

On 4/15/11 I suffered a trauma to my penis during sex, (no black and blue or bleeding), my girl leaned too far back while on top. I went to the urologist 2 days later experiencing pain and a lump at the base. He suggested 4 weeks of abstinence. Unfortunately that didn't work and I searched the internet for some answers. I am 47, of good health, exercise regularly, no health problems. I did the enzyme therapy,Vita-E and C, PABA and applied the Thackers formula every night. It has been 3 months now and no change in the lump at the base. I have an hour glass shape, no bend. The only change was the pain subsided within the first 2 weeks but the lump only changes size when erect it's larger and smaller while flaccid. This has been constant since the beginning. Should I continue with the same Peyronie's therapy and for how long? Please reply with any suggestions.

 

Greetings,

You ask for suggestions:

1. While abstinence might have been wise during the very acute stage of injury, it is poor Peyronie's disease treatment.  I suggest ice and anti-inflammatory measures (essential fatty acids, aspirin, etc) would have served you better.     

2. I do not know what you mean when you say you "did enzyme therapy, Vita-E and C, and PABA."   That does not tell me enough; you need to provide dosage, frequency or timing for how how you used them.  That makes a tremendous difference for the possibility of success.  Just popping pills in hopes that something works is usually not helpful and it is definitely not the way PDI suggests anyone conducts good therapy.  I cannot comment on the kind of treatment plan that you followed without knowing more about it.  I suggest you provide more information.

3.  Further, it appears that while you got your idea for using vitamin, E, vitamin C and PABA from the PDI website but you did not get your therapy products from PDI.  This is often a mistake since you have no assurance about the quality of those products or how to use them.  People who visit the PDI website for a few ideas and then experiment on their own with only partial compliance to our ideas, usually earn partial results.  I suggest you made a big mistake by deciding to experiment when you should have been actively treating yourself with known products of high quality.

4.  When you say their is no change in the lump at the base of your penis, what do you mean?  What is the current size, shape, density and surface features of that lump?  If you do not know the specific answer to those questions, I suggest you are only guessing if your lump has or has not changed.     

5.  You say since the time of your injury the lump changes size when erect compared to being flaccid, but you also say you were not black and blue as a result of the initial injury. This seems to be contradictory. Since I am not able to verify this information, I would suggest that you might be mistaken on this point. 

6.  You ask if you should continue your therapy and for how long.  You did not tell me enough about your therapy or your lump so that I can answer that question. Please provide those details.

7.  Based on the information you provided, you "did enzyme therapy, Vita-E and C, and PABA." for about two months.  That is a short time for whatever you did.  I suggest you are being too hasty judging the effectiveness of care.  This tissue is often slow to respond.

8.  I suggest you might not have Peyronie's disease at this time; you might be on your way toward it but you might not have it at this time. You notice I used the word "might" three times in that last sentence.  This is because I am unsure since your injury happened less than four months ago, and you did not present your story in a way that is typical of Peyronie's disease. My guess is that you are still in the acute stages of a soft tissue injury and that you should consider doing more to reduce the active inflammation at this time.

9.  My last suggestion is the most important:  Learn more about the correct Alternative Medicine treatment of Peyronie's disease by spending more time reading about it in the PDI website.

Good luck to you.  TRH

Can you tell me how long the PDI middle plan will last?

Hello Dr. H,

My husband is considering the middle plan for his Peyronie's. Can you tell me how long it will last him?

Thank you!

Karen A.

Greetings Karen A.,

Many people want to get an understanding about rate of product usage, so yours’ is a common concern.

Each person approaches his Peyronie's disease treatment plan a little differently, not only in regard to size of treatment plan and overall direction of therapy, but especially in terms of dosage.  Some men take all their PD therapies in a very conservative way, some men take all their PD therapies in a very aggressive way, some men take 1-2 of their therapies conservatively and a few very aggressively, other men do not follow their plans very faithfully and so forget to do what they should do.

Because of this, each bottle and each therapy plan will last for a variable length of time.  In other words, not all men who get a Medium Plan use it in the same way or at the same rate.  So, how long individual bottles of any therapy plan will last is a personal and variable issue for which I can only give you approximations based on what I see others doing.

Based on my experience with others who use a PDI Medium Plan, the average person re-supplies the DMSO and Super CP Serum close to once every 3 months, while the Factor 400/400 and Maxi-Gamma E, C, Scar-X and MSM about every 4-6 weeks, and the systemic enzymes every 4 weeks.  Of course, the Massage and Exercise video CD is never replaced.  based on many years of experience working with men who use all of these plans, the average man will spend about $75-100 monthly to replenish the Medium Plan, after he makes his initial purchase which will be the greatest expense.  To state it another way, the Medium Plan costs around $210 to start, and about $75-100 per month to continue.     

In addition to the usual information that comes with your plan, I would suggest that you really should get the book I wrote about PD, “Peyronie’s Disease Handbook.”   In chapter 4 of this book you will learn the essential skill of how to determine the size, shape, density and surface features of your scar so that you will know exactly how to regulate your intake of therapy in your plan.  In addition, the book also gives a wealth of practical information that you can easily use every day to make life with PD easier and less stressful.  This popular book gives treatment suggestions and a dietary approach to PD that are not found on the PDI website; actually, the book is most helpful and valuable in treating PD, but in a much different way than what is found on the PDI website.  Check it out.   

Good luck to you and your husband.  Let me know if I can help in any way. TRH

 

 

Benefit of VED for treatment of Peyronie’s disease?

Dr. Herazy,

Do you recommend or see any benefits for using a Vacuum Erection Device (VED) for the treatment of early stage Peyronie's Disease when the patient has no difficulty achieving a normal erection by sexual stimulation?


Greetings,

Generally, like with most things related to Peyronies, I find men saying different things about the VED; some say it helps and some say it does not and others say it caused their PD.  The greatest limitation I find is that whatever stretching of the penile tissue occurs using the VED is too general.  To do any good in Peyronie's disease treatment the stretching must occur only and specifically at the site of the scar, not the entire organ.  To do this I developed the Peyronie's Disease Institute Manual Penis Stretching Method described in this video.    

Another way to look at the subject  of the VED is in regard to the current level of injury and vulnerability of your penile tissue at this time.  You already have a problem, and the problem often starts from a very small injury – sometimes so small that it goes unnoticed.  The VED will apply perhaps up to 100 PSI to your tissue; enough to often break blood vessels and tear tissue.  This amount of force applied to the penis that already has shown a tendency to over-respond to injury by creating excess scar tissue does not sound like a good idea to me.  TRH

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

viagra online

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 ©.

zp8497586rq

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

bone shaped butane cigarette lighter

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.

bone shaped butane cigarette lighter
zp8497586rq

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.

zp8497586rq

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

Aeon Swtor Guide – 75% Commission

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.

Aeon Swtor Guide – 75% Commission
zp8497586rq

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.

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.

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.

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.

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.”

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.

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.

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.

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.

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.

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.

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.

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.

Pictures of Peyronie’s Disease – Penile Curvature and other Distortions

What does Peyronie’s disease look like?  Pictures of Peyronie’s disease

Send This Page To A Friend

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 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.


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.

Peyronie’s Disease Treatment Question

Common question about Peyronie’s treatment

Every now and then someone emails a question to me about an herbal Peyronie’s disease treatment (ginkgo biloba, echinacea), a micronutrient (coenzyme Q, EPA), or an old home remedy (garlic, castor oil, olive oil) that might be used as a Peyronie’s disease cure.  Along a similar line, I am sometimes asked if I know anything about a legendary Peyronie’s treatment known as Thacker’s formula, what I would think about using the treatment, and why does this treatment not 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 that could be actually very effective.  But who among us wants to waste his time, effort, energy, 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.

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 is 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 PDI 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 have that constitute the majority of what you do for yourself.

Try not to become so desperate that you grab at straws. There is a lot of good information about sensible Peyronie’s disease treatment I can offer if you need help with your rehabilitation program.

Peyronie’s Disease Treatment and Vitamin E

 

Peyronie’s vitamin E dosage

The usual Peyronie’s disease vitamin E dosage advice from a medical doctor will be to “take no more than 400 IU of vitamin E a day.”   Sometimes this number will be doubled to 800 IU daily by some doctors who are more aggressive with their recommendation.  All of this is of valuable interest because vitamin E is the most commonly recommended non-drug Peyronie’s disease treatment, and very often it is the only non-drug Peyronie’s disease treatment that will be discussed.

Since vitamin E is available in both a synthetic form and a naturally occurring organic form, which form you use determines how much you can safely take.  Eight different members of the vitamin E family, four known as tocopherols and four known as tocotrienols, make up the vitamin E family.  A balanced diet – very difficult to achieve these days – contains all eight members of the vitamin E group.  The most widely found member is known as gamma tocopherol, which works to eliminate nitrogen free radicals and is a very effective anti-inflammatory agent.  Tocotrienols are primarily found in the skin and subdermis where they protect against UV and free radical damage.

Most vitamin E supplements contain only alpha tocopherol because it was thought that only this single part of the family of eight is the most important for Peyronies disease treatment. In fact, most vitamin E skin products contain a small amount of synthetic dl-alpha-tocopheryl acetate.  This means that they contain only one of the eight members of the vitamin E family in the less effective synthetic form. Only products which supply the complete vitamin E family and are particularly rich in gamma tocopherol and tocotrienols in their natural and unesterified form contribute to accelerated wound healing and minimized scarring.  This is why PDI is most insistent on men using a vitamin E therapy that is heavily slanted toward gamma tocopherol and all the tocotrienols.

Peyronie’s and vitamin E controversy

Concern about vitamin E safety during the past decade or so has been due solely to bad publicity in this area, which is based on perpetuation of questionable research and misunderstanding about vitamins.   Faulty research reporting and misinterpretation of findings are the same two reasons for the condemnation of vitamin E supplementation.

First, vitamin E confusion arises from a medical reporting that ignores details of a particular vitamin E study reported in the Annals of Internal Medicine.  The problem is gross generalization or not understanding the vitamin E research study.

Review this information to verify what I report is accurate:

  • Those who took part in this vitamin E research often combined vitamin E with various drugs while they were being studied.  All potential and actual adverse drug reactions to these different drug combinations were not factored in or considered anywhere in the study results.
  • All study participants were elderly people, already being treated for a variety of chronic diseases. The researchers report this as a strong complicating issue, and puts suspicion on all conclusions because these elderly and sick people are far more likely to be taking high doses of vitamin E. They readily admit it is inaccurate to generalize these findings of this group to a healthy, normal, average or younger age group population.
  • This study contained too many variables.  It evaluated many different research studies, all of them used different procedures and protocols such as different vitamin E dosages administered for a widely variable amount of time. They admit they evaluated and combined data from sources that originated and were collected in different ways; they went beyond comparing apples and oranges, they compared grapes and bowling balls.
  • None of the studies reported took the time to report or differentiate chemical immense differences of natural and synthetic vitamin E.
  • Within the scientific community the findings of the original research has been questioned and criticized.

Vitamin E safety

The Annals of Internal Medicine report states vitamin E has a relative risk of 1.05. A relative risk of 1.0 is actually a neutral finding.   This 1.05 risk level is not clinically significant to establish an association between a fatal dose or use high dose vitamin like vitamin E.  Consider that water might have a relative risk of 1.05 in certain situations.

Before taking higher doses of vitamin E for therapeutic benefit, consult a health professional first.  Discuss your health concerns, possible vitamin E side effects, and what dosage of vitamin E might be best for you.  Vitamin E may be deficient in some diets, especially very low fat diets. Most nutrition experts agree that taking vitamin E supplements is safe.

Vitamin E study limitations and problems

Here is a summary of this study presented by those who conducted this study:

The evaluation of high-dosage vitamin E trials in which more than 400 IU of vitamin E was used was often too small to establish accuracy of findings.  This study should not have included elderly patients with one or more chronic diseases, yet they were the primary participants.  It is not clear how to generalize the findings of this study conducted on ill and elderly people to a population of healthy adults.  It is also not clear how to determine the exact dosage at which someone might be at risk of taking too much vitamin E based on this study using ill and elderly people.

In spite of these large obvious flaws and limitations, the conclusion of this study is that any dosage at or above 400 IU daily of vitamin E mayincrease mortality and should be avoided.

Secondly, misunderstanding and confusion exists over the many subtle differences between natural and synthetic vitamin E.  The ultimate error is that natural and synthetic vitamin E will chemically react the same, and that is not true.

Problem #2 – Natural or Synthetic Vitamin E

Natural vitamin E is d-alpha-tocopherol, and synthetic vitamin E is dl-alpha-tocopheryl. Since the names of the chemicals are different you know the chemicals are different.  As the chemicals are different, their reaction is also different in the body.

The Townsend Letter for Doctors and Patients reports, “Natural vitamin E supplements outperform synthetic forms, according to a VERIS Research Summary. Results of recent studies suggest that natural vitamin E is more bioavailable and is retained in body tissues significantly longer than synthetic vitamin E. These studies show that previously accepted differences were underestimated and that the bioavailability of natural vitamin E is about twice that of synthetic vitamin E compounds.”

Vegetable oil, specifically soybean oil, is the primary source of naturally occurring vitamin E.  However, synthetic vitamin E is manufactured from petroleum chemicals (yes, the same oil that comes out of the ground, used to make tar, motor oil and gasoline, often linked with cancer).

Doctors are very comfortable and familiar with prescribing synthetic chemicals.  For this reason they are not hesitant to prescribe a synthetic vitamin.  But, the primary difference scientists use to determine toxicity and function within the body is the molecular structure of a compound.

When taking levels of “vitamin E” above 400IU is found to be unsafe, it is because the vitamin E is synthetic and not tolerated well. All biomedical testing proves that within the human structure there is a strong chemical discrimination or preference between natural and synthetic vitamin E.

“Our studies suggest without question that natural vitamin E delivers at least twice the impact as synthetic E,” said Robert Acuff, PhD, Professor and Director, Center for Nutrition Research at East Tennessee State University.  He concludes it is the natural form of vitamin E is obviously the one human tissue was designed to use.  Margaret Traber, Associate Professor at the Linus Pauling Institute, Oregon State University, seems to discriminate between the two forms of vitamin E, reporting that the human body will retain the natural organic form of vitamin E, while rapidly eliminating the synthetic form in the urine and bowel.

It is my opinion that the human organism will tolerate much higher doses of natural vitamin E – provided by Peyronie’s Disease Institute and the Natural Complementary Medicine LLC website – and can tolerate much less synthetic vitamin E available found in lower cost and lower quality products.  For this reason PDI only uses organic and natural vitamin E for use in Peyronie’s disease treatment plans.  Using the kind of vitamin E we have available, many men use levels in the 800IU-1,200IU range while attempting to reduce their Peyronies plaque or scar.

For additional information go to the PDI website at vitamin E.

Treatment for Peyronie’s Disease with Drugs

Medical Peyronie’s disease treatment

Medical treatment for Peyronie’s diseaseis basically limited to simple reduction of pain and hope for some level of sexual function.  Since no known medical treatment of Peyronie’s disease exists, several experimental approaches are used with only half-hearted enthusiasm by the average medical doctor.

Current experimental medical approaches used to treat Peyronie’s disease:

  • COLLAGENASE – Currently being researched as an injection directed into the scar tissue to enzymatically digest and eliminate it.   It is found that repeated injections into the penile tissue can cause Peyronie’s disease, and hence the long term outlook for this method is questionable.
  • POTABA – This is PABA, a B vitamin, with a potassium molecule attached.  PABA is a safe form of Peyronies treatment, but the addition of potassium to the B vitamin requires a large dosage often resulting in severe gastric pain and digestive problems.
  • COLCHICINE – This is a standard gout medication that is used to treat Peyronie’s disease because it is supposed to reduce inflammation and scar formation.  Not many reports of success are evident in the literature, and for this reason this drug is not a very popular Peyronie’s treatment.
  • INTERFERON – A protein that is used because it is thought to disrupt the production and promote the breakdown of collagen.  Of all medications used, this is the least popular Peyronies’ disease treatment.
  • VERAPAMIL – A drug normally used to treat high blood pressure. Can be administered topically in gel form over several months, or is directly injected into the plaque in a series of 8-20 shots into the penile tissue. This drug, in either form, is also less popular than it was when first introduced several years ago due to poor clinical results.
  • STEROIDS – This is the same common drug used for many conditions, basically because of its anti-inflammatory ability.
  • RADIATION – In low dosage thought to reduce pain, and no other benefit to Peyronie’s treatment.   Can lead to other problems of excess radiation.
  • SURGERY – Because the body does spontaneously resolve about 50% of Peyronie’s disease cases without any treatment or medical intervention, surgery should not be considered for at least one or two years following onset of signs and symptoms of the disease.  Peyronies surgery is used only in severe cases, because it is not uncommon for surgery to make Peyronie’s disease worse or lead to complications that are worse than the original problem.

Most men who contact the Peyronie’s Disease Institute have already tried one or more of the above treatments, and are still looking for Peyronie’s help.  The philosophy to treat Peyronie’s disease is simply to treat the man who has the Peyronie’s scar so he is better able to eliminate and correct his own problem – just as happens with the 50% of men who spontaneously heal their own Peyronies scar without any help from anyone.

The basic approach used by the Peyronie’s Disease Institute is to use as many well-researched Alternative Medicine therapies as possible so as to support the natural healing ability of the body.  This can be done with vitamin E and C, acetyl-L-carnitine, PABA, dietary guidance, gentle manual soft tissue stretching of the scar tissue, DMSO, copper peptides, and others.   For more details click Treatment for Peyronie’s Disease and you will see how easy it is to take control of your future.

Peyronie’s Penis

What causes curved penis?

Before I discuss what can be called a “Peyronie’s penis,” it would be good to mention the normal penile curvature of many men.  Many men look for answers to “Why is my penis curved?” and eventually come to think they have Peyronie’s disease, when that is not the case.  They think that just because they have curvature of the penis, that it must be a Peyronie’s penis, when it is not.

Normal penile curvature

A small degree of curvature of the penis is common among men and can be considered normal, as many men are born with this benign condition, commonly referred to as congenital curvature. Probably the single best and easiest way to determine is a curved penis normal, is to answer the question “Have you had this curved penis problem all of your life?  When you were a small boy, was your erection bent?”  If the answer is “yes,” then it is most likely your current problem is not a Peyronie’s penis.

It is most common for the curvature of Peyronie’s disease to cause a bend or distortion that is angular or abrupt, like a sudden bend in the road, while a congenital curvature is usually gradual and milder in degree, like a banana.  Some cases of Peyronie’s disease will cause a gradual, mild, banana-like curvature, however.  Because no case of Peyronie’s disease can be diagnosed on the basis of the appearance of the curved penis, a doctor must evaluate the condition for other signs and symptoms.

When a man has Peyronie’s disease the condition is characterized by an internal scar or plaque, or hard lump that forms within the substance of the penis. Congenital penile curvature will not exhibit this internal scar material.  If the cause of the penile curvature is Peyronies, it will often appear rather suddenly, be accompanied by pain, be accompanied by some degree of lost penile length or girth, and cause a certain degree of erectile problem that has not been experienced before.   Not all of these factors must be present for a diagnosis of Peyronie’s disease; the presence of the internal scar or lump is most valuable to make the decision.

Peyronie’s disease can cause pain, penile distortion and reduced sexual ability due to the presence of flat or cord-like internal lesions (scar tissue known as “plaques”) located on the top, bottom or sides of the penis within a thin but tough membrane known as the tunica albuginea.  Although it is a popular notion that Peyronie’s Disease always involves curvature of the penis, the scar tissue sometimes causes other distortions like a bottle neck deformity, an hour-glass deformity, or divots or indentations or nicks, rather than the classic curvature.

How to fix penile curvature

Once it has been determined that a man has only a normal congenital curvature of the penis, it is still possible to help him using a few parts of the standard Peyronie’s disease treatment approach.  He can use topical DMSO, Callisto topical vitamin E oil, Super CP Serum, and the gentle manual penis stretching technique developed by the Peyronie’s Disease Institute to make positive improvement safely and effectively once he knows he does not have a Peyronie’s penis.

Peyronie’s Treatment Sensations

Strange reaction to Peyronies therapy

Every now and then I get a question about the variety of unusual sensations and reactions that men notice during Peyronie’s treatment, or immediately after, a particular therapy used in Peyronies treatment.  These are the Peyronie’s disease therapies most often associated with this kind of response:

  1. Genesen Acutouch Pointers
  2. Manual stretching method found on the CD
  3. DMSO PMD formula
  4. Super CP Serum copper peptide ointment

Most often the sensation is described as a "tingling” or “aching” or “electrical” sensation in or near the area of treatment.  It can be felt during or within the hour any of these therapies are applied.  The intensity can be variable from time to time it is felt; sometimes very mild and hardly noticeable, and at other times enough to wake a person from a sound sleep. Sometimes the response occurs each time the treatment is done, and for other men the reaction occurs every now and then at irregular times.

If you experience this kind of reaction in the area of your Peyronie’s scar, do not become alarmed. It is common and usually signals some good response to your Peyronie’s treatment as changes are occurring in the condition of the scar.

This is not something that has been studied much in the scientific literature since those researchers prescribing drugs or standard medical procedures for PD do not get the kind of reactions and responses that occur while following the Peyronie’s Disease Institute therapy principles.  They do not report this kind of reaction because they do not make the kind of rapid changes that are seen in men using the PDI protocols.

Therefore, there is no research that has been done to explain this phenomenon.  It is my theory that these reactions are due to the rapid changes that take place in the tissue in and around the scar material.  During or after a particular Peyronie’s treatment a change may occur in the tension and length of the otherwise contracted scar material of the penis.  These alterations of tension and position of the tissue layers could easily explain the unusual sensations that occur. I find from my own treatment experience, and that of other men who have had improvement in their Peyronie’s disease, that these "moving" or “tingling” or “aching” sensations appear when the scar is undergoing some level of change (improvement).  Many men come to count on the appearance of these changes to herald improvement of their scars from time to time.

It is most probably NOT just one therapy or just the one product causing this usual sensation.   It is closer to the truth to say that these sensations are the sum total of all the synergistic efforts that are included in your therapy plan. The problem (a good problem) with using so many of these therapies together is that you will never be able to accurately say which one did the most or least for you.   A synergistic Alternative Medicine therapy plan is a group effort, with all therapies making some contribution to whatever happens to you.

Please email your questions about Peyronie’s disease treatment to this blog.

Curved Penis and Peyronie’s Disease

Peyronies bent penis is focus of problem

While the primary interest of Peyronie’s disease treatment is the internal scar tissue or fibrous  plaque material that causes the distortion or curved penis to develop, it is not the primary interest of the man who has PD.  For him, the most important aspect of Peyronie’s disease is the curved penis that plagues him.  For this reason Peyronies is also known as the “bent nail disease.”

For those interested in viewing graphic pictures, click curved penis of Peyronie’s disease.

Peyronie’s disease causes a curved penis when the fibrous tissue of the Peyronie scar or plaque pulls unevenly or causes incomplete filling within the erect penis.  This can vary in degree or severity from man to man.  For this reason the curved penis does not indicate the severity of the Peyronies problem or success of Peyronies disease treatment.  The true success of Peyronies treatment is based on the change that occurs in the Peyronies plaque or scar.  Once the fibrous scar changes, eventual improvement in the curved penis can be expected in time.

The internal tissue of the healthy penis is flexible and expandable.  This normal tissue is able to allow for a normal erection to develop when blood is trapped inside the organ.

In Peyronie’s disease some of the tissue is not healthy or flexible and elastic.  Specifically, the deep tissue known as the tunica albuginea is not elastic because it replaced by dense and inelastic fibrous tissue that is called a scar or plaque.   As an erection develops the elastic tissue of the tunica albuginea must stretch and expand evenly on both sides, left and fright, and top and bottom, of the penis.  If this cannot happen because an area of the penis is no longer flexible and expandable, then a curved penis results.

Peyronie’s disease usually begins with a small nodule or bump that is found on the top or sides of the penis, just immediately below the surface.  A few weeks to several months to a year later, a small fibrous nodule can expand into a larger irregular scar of variable size, shape, density and surface quality.  These scars can be as long as the penis.  Some appear like a collar to go around the shaft.   Some are one large mass, while others appear to be like small isolated islands of fibrous tissue in many areas.   Scars can be so soft or small, with edges so tapered and vague that no scar can be found.  In a case of Peyronie’s disease when no scar or plaque can be found, it is still assumed to exist when a curved penis develops during erection. .

Normally curved penis

Most men have a straight erection, but some are born with a penis that curves or bends (usually upward).   Just as fingers on the hand or a nose can display a natural bend, or arms can be of different length on the same person, the penis can be bent without the presence of Peyronies.  Typically, the normally curved penis follows a more gradual and arched design, more like a banana.  In Peyronie’s disease the curved penis is more localized and abrupt, like an angulated bend.

When the two primary chambers (corpora cavernosa) of the penis are a different diameter or length, the penis will bend when erect.   The penis will appear straight when flaccid, and on erection it will bend.

This slight penile distortion will not be associated with pain, there will be no trauma in the history, and it will not appear suddenly as does the curved penis of Peyronie’s disease.

Curved penis affects sexual intercourse

It is estimated that 75-90% of Peyronie’s disease couples will sooner or later experience a sexual intercourse problem, in regard to either pain or difficult penetration – or both.   The curved penis of is the primary reason sexual penetration is compromised, and it is also the reason for the pain that can be experienced by either – or both – partner. This is especially so in those cases in which the distortion is so severe it is described as “cork screw” or “cane handle.”

Incomplete filling of the penis with blood during erection can also happen in Peyronies.  This results in an area of the penis, either small or large, that is soft and unable to sustain the rigors of intercourse.  A soft area within an otherwise firm erection presents a weakness and vulnerability of the normally turgid erection.  A weak area of erection can suddenly collapse or buckle during intercourse, causing additional injury to the penile tissue.  This can cause pain, inflammation and additional fibrous infiltration.

It is a rare Peyronies couple that does not deal with some level of sexual difficulty related to penile distortion and reduced firmness of the erection.  The many physical, emotional and social issues of Peyronie’s disease are complex.  For this reason the reader is referred to “Peyronie’s Disease and Sex” for more information about this complicated area of life with a curved penis.

Treatment of the curved penis

It is important to remember that any penile distortion that develops in Peyronie’s disease is not the primary problem of this condition.   A curved penis that appears one night is difficult to ignore, but is only a symptom of the real problem of Peyronie’s disease – the scar. Without the Peyronies scar there would be no curved penis.

This is the reason I advise men who are undergoing Peyronies treatment to focus on the size, shape, density and surface qualities of the scar or plaque to determine if their Alternative Medicine treatment is being effective.  The curvature can improve or worsen as the scar is reduced.

A small scar can cause a large bend, just as a large scar can cause no bend at all if it is balanced and symmetrical.   For this reason a curved penis can worsen as the scar is being reduced or eliminated.   Estimating progress or success of a PD therapy plan is difficult .  A man can have many more scars than he is aware of, and they can be larger than can be detected since they are often difficult to locate and often overlap.

If only one scar is present the curvature problems are direct and easy to understand, although  this is unusual.   However, if multiple scars are present the internal pulling and twisting they cause can be very complicated.   Several scars can interact on many  planes of internal penile tissue.   Any reduction in one or more scar will alter the internal tension and pulling of the tissues, resulting in an altered curvature.  There is no guarantee the curvature will change for the better initially – sometimes it can look worse as the scars become smaller.  This is why 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 what is going on with the scar9s) below the surface.

Do not be discouraged by the curved penis of Peyronie’s disease.  Instead, stay focused on your plan for effective Peyronies treatment.  Learn more about Peyronie’s disease treatment.

Peyronie’s Disease and the Erection

Peyronie’s treatment and how to care for erections

An important consideration of Peyronie’s disease treatment concerns how the ability to develop a normal erection will be influenced.

While erections can be difficult to develop on demand during a sexual situation, paradoxically, an erection can be difficult to stop, especially when it develops while asleep.  Nocturnal (nighttime) erections occur for a reason, and they are important for the overall health of the spongy tissue of the corpora cavernosa and corpora spongiosum (deep tissues of the penis that fill and trap blood to create the erect state).

It is as though the body takes the opportunity to develop an erection during the night when there is little other activity going on, to assure that the penile tissue is stretched and used in this particular way for its own benefit.  The problem with a nocturnal erection in Peyronie’s disease is that confinement and binding of the erection can be sustained against the penis for a long period of time at the risk of additional injury.  Be especially careful about getting an erection during a time when the penis has no comfortable place to go – do what you can to avoid an erection while wearing tight underwear or pants.

For this reason it is important to not wear tight clothing to bed in order to avoid this problem.

For the most part, a normally occurring erection that can simply “stand on its own” with no pressure against it, is not going to bind or stretch out the penile tissue to any great excess that is going to be detrimental to the penis. Where you can get into trouble is in creating 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.  So in this way we see that a naturally occurring erection is safer than an artificially created erection.

Over the years I have communicated with many men whose Peyronies disease 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 PSI during normal use, and over-inflating it to 100-150 PSI during use.  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 Peyronie’s disease, but rough, aggressive, hard sex could really hurt you.  Developing and using a natural erection is not to be avoided either in PD.  Just keep your wits about you and do not go wild during sex.  The emphasis should be on an easy, smooth and gentle sexual encounter.  Anything 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 recent book, “Peyronie’s Disease Handbook.”   I think you would enjoy learning more about what you can and should do to take care of this nasty problem.

zp8497586rq

Peyronie’s Disease Treatment Question

Peyronie’s treatment that are not mainstream

Every now and then someone emails a question to me about an herbal Peyronie’s disease treatment (ginkgo biloba, echinacea), a micronutrient (coenzyme Q, EPA), and old standby like vitamin E, or an old home remedy (garlic, Castor oil, olive oil) that might be used as a Peyronie’s disease cure. Along a similar line, I am sometimes asked if I know anything about a legendary Peyronie’s treatment known as Thacker’s formula, what I would think about using the treatment, and why does this treatment not appear in the PDI lineup of therapies?

How is a Peyronie's treatment method selected by PDI?

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 that could be actually very effective. But who among us wants to waste his time, effort, energy, 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.

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 is 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 PDI 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 have that constitute the majority of what you do for yourself.

Try not to become so desperate that you grab at straws. There is a lot of good information about sensible Peyronie’s disease treatment I can offer if you need help with your rehabilitation program.

zp8497586rq

Peyronie’s Disease and Baby Boomers

Peyronie’s disease: male health problem no one knows about

If you are a member of the baby boomer generation and have never heard of Peyronie’s (pay-row-neez) disease, you are not alone. However, if you are a male baby boomer or married to one, you are in the prime age group to experience a problem you know nothing about. This is so because Peyronies disease primarily affects men between 50 to 65 years of age, although an age range of 18 to 80 years has been reported, with an average age at onset of 53. Few people know about the problem until they need Peyronie’s disease treatment. This is why it is important for all baby boomers to know about, and how to avoid, it because this health problem can easily ruin your life. Peyronie’s disease remains one of the most perplexing and difficult urological diseases to treat; it has been called “the doctor’s nightmare”. Most everything about this condition (cause, progression, symptoms, age distribution, response to treatment) is variable and unique to the man who has it. The great variability of Peyronie’s disease that makes it difficult to study and to understand, also makes it almost impossible to treat like other medical conditions. It is a complex problem that is much more common than most people realize. Estimates suggest that up to eight out of 100 men over the age of 40 have Peyronie’s disease – that is a lot of people worldwide – and still only a small percent of people have ever heard of it. People are reluctant to discuss this problem because it involves the male organ. For this reason it is difficult to develop accurate information and statistics, especially since men are so shy on one hand, yet also inclined to exaggerate.

Definition of Peyronie’s disease

Peyronie’s disease can best be understood as an exaggerated wound healing in response to an injury in which an excessive amount of Peyronie’s scar tissue develops within the man’s shaft. Peyronie’s disease (also known by over 12 different names, among which is “iduratio penis plastica”) is very special disorder of the connective tissue in which fibrous “scars” or “plaques” develop usually after direct injury. This Peyronie’s plaque occurs in a special tissue of the shaft known as the tunica albuginea, a fibrous chamber or envelope that surrounds the two penile cylindrical shaped masses of spongy tissue known as the corpora cavernosa. The corpora cavernosa enlarge during sexual excitement, and the tunica albuginea covering, are designed to expand and elongate. If there is fibrous scar or plaque material in the tunica albuginea, the expansion and elongation cannot develop properly resulting in bending, weakness, shortening and incomplete filling of the organ. Sometimes this distortion is mild (just a few degrees) and does not affect the ability to perform, while at other times the distortion can be extreme (more than 90 degrees) resulting in greatly adverse consequences. A certain degree of normal penile curvature can and does occur in some men. This is a benign and natural condition many men are born with, commonly referred to as congenital curvature; this is not Peyronie’s disease.

Peyronie’s disease signs and symptoms

Four common findings of Peyronie’s disease:

  1. Pain – caused by inflammation and stretching of internal tissues in response to injury and distortion; can be present constantly or only during erection
  2. Nodule or mass formation – variable size lumps or elongated cords can develop in one or multiple areas; sometimes these are difficult or impossible to locate depending on the density, depth and size of the scar formation
  3. Curvature or distortion – caused by presence of one or more nodules or masses of scar tissue in the tunica albuginea, preventing normal expansion during erection; can be minor to gross in appearance
  4. Reduced sexual ability – due to physical distortion that prevents penetration or due to reduced firmness that also prevents penetration (erectile dysfunction).

The onset of Peyronie's disease symptoms can be sudden or slow, but often appears within a month or two after direct injury. The pain of Peyronie’s disease is extremely variable; from hardly noticeable to the kind of pain that prevents sleep. Peyronie’s pain is worse in the beginning, usually gradually improving over time – improvement in a few weeks while others continue for years. For these reasons Peyronie’s pain is not a reliable way to judge the severity or calculate the time for eventual recovery. Even though Peyronie’s disease is a male health problem, women are also affected by it. They are indirectly and adversely affected by the erectile dysfunction, organ curvature and distortion that make intercourse often impossible, as well as loss of organ size that often occurs over time. Additionally, and perhaps even to a greater degree than men, woman bear the brunt of the mood swings, anger, brooding and ill-temper that accompany their partner’s Peyronies problem.

Treatment of Peyronie’s disease

There is no standard or accepted medical Peyronie’s cure since no drug is proven to eliminate the scar within the shaft. The only accepted and available medical treatment is Peyronie's disease surgery. However, given enough time after Peyronie’s surgery the condition will only re-appear in a worsened presentation. This surgical outcome is made bleaker by knowing that even the first Peyronie’s surgery can result in total loss of sensation (anesthesia), increased pain and increased curvature and greater scar formation than before surgery, and in some cases amputation. The Peyronie’s Disease Institute has specialized for the last eight years in the use of Alternative Medicine therapies and techniques that are found to be successful in perhaps 60-80% of cases. None of the therapies are known to result in adverse reactions or side effects. For more information about the Alternative Medicine approach, visit Peyronie’s disease treatment.

Prevention of Peyronie’s disease

google sniper review

With so many variable aspects of this problem to consider, it is important to know that in addition to everything else, there is no universal agreement about the cause of Peyronies. Some say that injury alone cannot start the problem as we have described above, but that other genetic and metabolic factors must also be present. The Peyronie’s Disease Institute takes the position that this is true. However, if a man never sustains direct injury to the area he is far less likely to develop Peyronies. With age not working in the favor of any baby boomer couple, it is important to evaluate all situations in which direct injury can affect this area – especially sexual activity. This requires that special caution is exercised if a baby boomer gentleman finds he no longer has the usual firmness he previously possessed (erectile dysfunction). Attempting intercourse with a partially flaccid organ can result in sudden buckling or abrupt bending during insertion or the sex act itself. Another way to prevent injury is to modify the techniques used during sexual relations. The single most common injury that starts Peyronie’s disease occurs when the female partner is on top, and she loses hold of him while she thrusts down, jamming and painfully bending him against her upper thigh. To avoid this kind of injury it is important to not use any female-superior position, but to use other techniques in which physical contact is controlled, firm and not likely to disengage during activity. Even if baby boomers have never heard of this terrible condition that robs a couple of one of the greatest pleasures of life, it happens every day. Now that you know about Peyronie’s disease you can do a lot to protect the best years of your life. Dr. Theodore Herazy has practiced Alternative Medicine for over 40 years, and has directed the Peyronie’s Disease Institute for the last eight years. He has written two books about this problem, “Peyronie’s Disease Handbook” and “Peyronie’s Disease and Sex.”

zp8497586rq

Peyronie’s Plaque or Scar

Peyronie's plaque or scar central issue

The central issue of Peyronie’s disease is the infamous Peyronie’s plaque, also called a scar. Peyronie’s disease typically occurs in men between 40 and 65 years of age, although a range of 16 to 80 years is documented; some experts say it can occur at any age. From personal communication with a particular man, I was told that his own Peyronie’s disease was started after a dog bite to the groin – at the age of 10. Nonetheless, it is most important to recognize that all clinical signs and symptoms of Peyronie’s disease originate from the effects of the plaque upon the internal tissue layers (tunica albuginea) of the penis.

A developing Peyronie’s plaque appears in response to either micro-trauma to the small blood vessels from a single injury of great force, or multiple injuries of a small force. While there is strong evidence that genetic factors and drug factors also influence the start of PD, it is trauma that is usually considered to be the most likely cause of the Peyronies plaque or scar.

A Peyronie’s plaque on the cellular level initially consists of fibrin threads deposited in a massive network throughout an area of injury within the tunica albuginea of the penis. Peyronie’s plaques, or scars, later combine the dense threads of fibrin connective tissue with reduced and fragmented elastic connective tissue fibers, as well as excessive amounts of type III collagen material, which happens to be specially inclined to excessive scar development. In about one-third of chronic cases of Peyronie’s disease, calcification of the plaque can occur over time. For more technical information about the Peyronies disease plaque.

The curvature of the Peyronies penis is due to the fact that scar tissue does not stretch as easily or as fully as healthy normal tissue. The normal tunica albuginea is composed of elastin fibers and collagen, although the site of scar tissue from Peyronie's disease is composed mostly of collagen. This difference in composition of these two tissues is what causes a bent penis to develop during erection.

Eventually as one or more Peyronie’s plaques develop into a mass of hardened tissue in the delicate tunica albuginea, it results in variable pain and penile distortion that most often takes the form of a bend or curve; sexual function is often reduced as a result of direct or indirect affects of Peyronie’s disease, also. The penile curvature of Peyronie's disease is caused by the dense inelastic scar, or plaque, material that shortens the involved side of the tunica albuginea layer that covers the corpora cavernosa of the penis. In approximately one third of patients, the scarring involves either the top or bottom portion of the penis shaft, occasionally both. The lateral sides of the penis can also be affected by Peyronie’s plaque development, if that area experiences injury.

Peyronie's plaque not easy to find sometimes

In some men the Peyronies plaque is easily found on manual examination, in others it is found with difficulty, and in some men no Peyronies plaque is ever located. It can be frustrating to have a wicked penis distortion, and still not be able to locate the Peyronie’s plaque.

 

To locate the plaque or scar material a light and inquisitive touch is most effective. Do not be heavy-handed, or press down into the deeper layers to find the Peyronie’s plaque material, because it is found just below the surface of the skin. And, oh yes, you will never directly see the plaque or scar, since it is not on the surface of the skin, but below. Make peace with the Peyronie’s plaque and do not hate it, just determine how to assist your body to remove it.


To learn about using Alternative Medicine to increase your ability to heal and repair the Peyronie’s plaque, a good place to start is the PDI website, Peyronie's disease treatment introduction.

What is the Best Peyronie’s Disease Treatment PDI Uses?

 

Best Peyronie's treatment

Every week, without fail, some poor guy who just learned he has PD will write an email to me asking, “What is the best one of all the Peyronie’s disease therapies PDI uses?” it is a common question, and a good one.

The best way to treat Peyronie's disease is with everything you can throw against it.  It is that kind of problem.

There is no one therapy that is a magic bullet. There are no wonder cures, no nifty little tricks that will get you a larger penis and are also a Peyronie’s disease treatment.

Each person must educate himself about the problem, read about the different Alternative Medicine therapies and what they can do, determine if there are any indicators that one or more might be indicated, and then consider time, effort and cost. Lastly, it is necessary to determine how important it is to you to regain your health. Based on all this, a man should feel comfortable with a plan of action he can follow for several months as he goes about doing all he can to improve his body's ability to heal and repair the injury of PD.

Those men who get good results with their Peyronie’s disease are the tough SOBs who just keep going after it day after day with as much therapy as they can afford to use, until they seem to wear the fibrous tissue down. Slowly they gain on it, with the scar(s) becoming softer and smaller; slowly they come around. Some get fantastic results and some get only moderate results – few who work hard at it do poorly. There usually is progress to be made if you work at it.

So, again, “What is the best Peyronie's treatment?” I would say the answer is that you do all that you can for as long as you can until your body overwhelms the Peyronies plaque tissue. To do less than that is to allow Peyronie’s disease to ruin your life.

Penis Stretching for Peyronie’s Disease Treatment

Penis stretcher in Peyronie’s disease treatment

 

Here is a post that I recently entered on a Peyronie's disease forum in response to a man’s comment that he wore a particular penis traction device for three months and noticed no change in his condition.   This information about this manual therapy that works well with other Peyronie's disease natural treatments found on the PDI website.

 

Greetings estep32002,

 

I have read your post about the penis stretching or penis traction device for Peyronies treatment.

 

Previously, I have written to this forum in the negative about these penis traction devices. I have done so because of repeated communications I receive from men who have Peyronie's disease, who tell me of their lack of success. They tell me of their inability to wear these penis stretcher devices because of built-in design flaws, and their experience of being injured by these stretchers. All that I learn tells me they do not help Peyronie's disease as the sellers say they do.

 

Actually, I think you are somewhat unusual in your ability to have worn or used one for three months. Men tell me they cannot stand to put one on for longer than a half hour. They say they get bruised and develop sores after a few minutes or a few hours of use.

 

One fellow recently told me he wore his expensive model for ten minutes and never put it back on again. Another poor guy admitted to me he has three of them sitting in a drawer, and they all hurt him badly. He thought if bought a better and more expensive one, he would eventually find one that he could use. Three stretchers later, no such luck.

 

If you could wear such a device long enough to actually stretch the soft tissue of the penis, that does not mean the more rigid and more dense tissue of the Peyronies plaque would also stretch. When I was first introduced to the idea of using a penis traction device to treat Peyronie's disease, it did not make sense to me. I figured that the only thing that could eventually happen – if all went well – would be that the penis would be larger, but it would still exhibit the PD plaque with the related curvature that it causes. Let me explain.

 

Just as a chain breaks at its weakest link, a penis that has a Peyronies plaque in it will primarily stretch from the normal, healthy tissue. The normal tissue will stretch sooner and farther than the plaque material can respond to the stretching force. Think of it this way: A roll of toilet paper tears at the perforations because that is a point of weakness in the paper. Here's another example: Remember when automobile tires had inner tubes? Remember what would happen if you blew it up with air, if it had a weak spot in the rubber wall of the inner tube? Sure. The weak part would bubble up or swell up because it was weaker than the normal strong part. The weaker part would stretch under pressure before the strong part of the rubber had a chance to stretch.

 

In Peyronie's disease stretching the weaker tissue is the softer normal tissue, while the stronger tissue is the plaque that contains all the dense fibrous materials. When someone with PD stretches his penis, most or all of the lengthening will come from the more flexible and weaker tissue, not the scar tissue. The scar will not be altered because it cannot participate in the stretch, because the traction force is used up by the normal tissue.

 

When I ask these traction device makers a few simple questions exactly how their penis enlargement products can help Peyronies, I never receive answers back from them. I ask about the pain and tissue erosion created by the pressure that is applied to hold onto the penis head, and again I get no reply. I think this says a lot

 

There are safer and more effective ways to stretch the penis, to reduce the PD plaque material, than applying a mechanical appliance that smashes down on the glans to hold the penis. Peyronie's disease is a complicated and stubborn problem to treat. I have been personally involved with PD for about seven years now, since having the happy experience of developing a pretty nasty case of it. In that time I have learned a lot and helped many men along the way. My advice is to be very careful with these mechanical penis stretcher products. TRH

 

What I did not mention in that Peyronie’s disease forum response is that the safer and more effective way to stretch the penis was developed by me while working with 10 men who I knew who were customers of the Peyronie’s Disease Institute. If you are interested in learning about this gentle and effective way to treat your Peyronies, go to Peyronie's penis stretching.

Peyronie's Plaque and Fibrin

Peyronie's disease plaque and fibrin

The tissue changes that occur in Peyronie’s disease are unique in regard to the Peyronie's plaque that develops.

In a November 2005 abstract account, Kenneth D. Somers and Dawn M. Dawson, of the Department of Microbiology and Immunology, Eastern Virginia Medical School, Norfolk, Virginia, and Department of Pathology, Cleveland Clinic Foundation, Cleveland, Ohio, reported on their findings concerning the tissue changes that occur in Peyronie’s disease.

To begin this explanation, they remind us that Peyronie's disease is actually a pathological fibrosis, or a situation in which there is excess fibrin tissue located in a small area to the degree that it becomes a problem for the body. In the case of Peyronie’s disease, this fibrosis also is associated with an excessive deposit of collagen in the same area of the fibrin plaque or scar.

Although the cause of Peyronie's disease remains unknown, they tell us, injury or trauma has long been thought to be the inciting event. To determine if this is true, they looked at the cellular structure of the Peyronie’s plaque or scar to get an insight into the cause of this condition.

Materials and methods they used

Small samples of plaque tissue was taken from 33 patients with Peyronie's disease, and control tissue and nodular tissue was taken from the penis of eight patients with Dupuytren's contracture; both groups of tissue were analyzed for collagen staining, as well as fibrin and elastic fiber structure and distribution.

Their results

As a result of this study they found abnormally stained collagen in 97% of the samples, disrupted elastic fibers in 94% and excess fibrin deposition in 95% of the samples. These same findings were not found in the normal scared tunica albuginea of control patients who did not have Peyronie’s disease. The presence of abnormal fibrin accumulation in Peyronies plaque tissue was detected in a special chemical analysis, while this abnormal fibrin was not found in skin tissue samples from the same patients.

Their conclusions

Their conclusions from this study is that the fibrin deposits in Peyronies plaque tissue is consistent with the theory that repeated minor injury or single major injury to the tunica albuginea results in fibrin being deposited in the tissue spaces at the site of trauma to start this condition.

PDI therapy concept

learn Chinese online

Peyronie’s Disease Institute has taken the position that it is this excess fibrin deposit within the excess collagen formation that can be safely and easily removed by the use of a battery of systemic enzymes that are specific for foreign fibrin protein in the body. By using natural Peyronie's disease treatment methods to increase the healing response of the immune system against Peyronie’s disease plaque, it is possible to reverse the abnormal tissue found in the tunica albuginea and therefore eliminate the cause of pain and penile curvature associated with Peyronie’s disease.

zp8497586rq

Peyronie’s Disease Impotence

Peyronie's Impotence facts

There are several reasons why Peyronie’s disease impotence (erectile dysfunction) develops in about 75 percent of the men who have this condition. Peyronie’s disease impotence can be mild or total, it can be occasional or constant, but it is extremely common for men with Peyronie’s disease to experience sexual intercourse performance problems or alteration of erection strength.

Impotence is defined as the continual inability to sustain an erection long enough or strong enough for sexual intercourse or the inability to achieve ejaculation, or both. Peyronie’s disease impotence is the erectile dysfunction that develops due to abnormal changes in the penis that are part of Peyronie’s disease.

Most people assume that Peyronie’s impotence develops due to lack of blood flow to the organ. This might be true in especially in those cases in which the man has an underlying problem with the cardiovascular system (high blood pressure, elevated cholesterol, vascular disease, diabetes, etc.) In other men , another occasional cause of Peyronie’s disease impotence is emotional. Because of the reduced self esteem, shame, embarrassment and anger related to penile distortion and reduced length and girth of the organ, a man can develop strong emotional reactions expressed as Peyronie’s impotence. However, for most men the primary cause of Peyronie’s disease impotence is simply due to what is known as “venous leakage.”

Peyronie’s impotence fundamentals

In a great number of cases of Peyronie’s disease impotence the fundamental problem is that the blood is no longer being trapped by the veins of the penis to dam it up to create the greater fluid pressure of an erection. The problem is that the veins of a man with Peyronie’s disease do not close to trap blood well. This imperfect or absent closing is caused in great part by the presence of the Peyronie’s scar. The scar acts like something that is blocking a door from closing. That is where therapy should be directed in Peyronie’s disease impotence – toward removal of the scar so the veins can close to allow a normal erection to develop.

zp8497586rq

Peyronie's Pain

Peyronie's disease pain is different with each man

Peyronie’s disease symptoms – even Peyronie’s pain – can be extremely variable. In fact, one of the things that makes Peyronie’s pain so undependable as a factor on which to create a diagnosis of Peyronie’s disease is that the penile pain is a different presentation from one man to another. Because of the wide variety of Peyronie’s disease pain symptoms, Peyronies treatment can be equally variable when using Alternative medicine.

Peyronie’s pain symptoms

The onset of Peyronie's pain symptoms can be sudden or slow, but most often will appear in less than a month after direct injury. Often the pain related to Peyronie’s disease is worse at the beginning of the problem, and then gradually improves over time – perhaps in a few weeks or months. Other men have a delayed onset of Peyronie’s disease pain. For all these reasons it is not a reliable way to judge the severity of the condition or to use to calculate the time necessary for eventual recovery.

For many men the pain associated with the actual injury that causes the problem to begin can be greater than the daily Peyronie’s pain that is associated with living with the condition. For others, the pain associated with the actual injury is mild and brief compared to the daily Peyronie’s pain they experience. Again, all of this is related to the variable nature of all Peyronie’s disease symptoms.

Peyronie’s disease pain patterns

Peyronie’s pain most often occurs with an erection during the first six to 18 months after onset. However, pain associated with Peyronie's disease may present itself in many ways:

  • Only during an erection
  • Only when not erect (flaccid)
  • Only during an orgasm
  • Only when the penis is touched

Peyronie’s pain originates in Buck’s fascia

The scar tissue, also known as a plaque, associated with Peyronie's disease and the variable pain it can cause can often – but always – be felt below the surface of the skin of the penis as small elevated or flat beads, lumps, bands of slightly to greatly dense and hard tissue. These soft tissue masses are located in a layer of soft tissue in the tunica albuginea. However, the scar in the tunica albuginea does not cause the actual Peyronie’s pain. The pain originates from the many pain fibers found just below the tunica albuginea in another layer of soft tissue called Buck’s fascia.

Apparently, when a man experiences intense or frequent Peyronie’s pain, it is because the scar is large enough or deep enough to press down deeper from the tunica albuginea into Buck’s fascia. And when pain is not as great a complaint, it is because Buck’s fascia is not being irritated by the scar or plaque material.

For a more comprehensive discussion of Peyronie’s disease pain, local penile anatomy and Peyronie’s disease treatment you can start searching the Peyronie's Disease Institute website at Peyronie's disease introduction.

zp8497586rq

Peyronie’s treatment breakthrough

Non-drug Peyronie’s breakthrough

When someone thinks of a Peyronie’s breakthrough most commonly a miracle drug, like Xiaflex for  Peyronie’s disease treatment might come to mind.  Yet, the Peyronie’s Disease Institute has brought several key ideas and therapies to the Peyronies community in the last few years, any one of which could be called a Peyronie’s breakthrough.

Peyronies breakthrough treatment concepts

Several different and new Peyronies treatment ideas and products developed by the Peyronie’s Disease Institute since 2002, in addition to improvements over existing concepts known to the medical community.

A genuine Peyronies breakthrough is the Peyronie’s Disease Institute Manual Penis Stretching Method© The basic idea of stretching the Peyronie’s scar to straighten the bent and contracted tissue is not new. Because there is considerable profit in this devices, the idea has been overrun by copycats who use a mechanical penis stretching device to make the penis straighter in spite of the Peyronie’s plaque. After talking to many men who were injured by these ineffective and dangerous mechanical penis stretching devices, the Peyronie’s Disease Institute investigated the subject. After a two year research project, PDI developed a safe, effective and affordable technique that is very effective when combined with a traditional aggressively designed PD therapy plan.

The CD for this new Peyronies breakthrough treatment clearly demonstrates how to gently stretch the thickened fibrous tissue inside the shaft of the bent penis – something totally new in the world of Peyronie’s disease treatment – to improve the six basic types of PD deformities:
1. Twist
2. Curve
3. Bend
4. Dent (also called a ding, depression, or hinge)
5. Hourglass
6. Bottleneck
Further, additional information is included that explains how to successfully stretch a combination of distortions, since very often two or more penis distortions appear together.

Peyronie’s breakthrough research

The PDI research group to develop the idea of a safe and effective manual stretching technique consisted of 10 men, all of whom:

1. Were 40 to 72 years of age,

2. Had PD four to eight years,

3. Had penile curvature from 40° to100°, that had not changed in over six months,

4. Stayed under medical supervision during the project,

5. Failed with at least two different medical therapies without help (POTABA, verapamil, cholchicine, cortisone, etc.),

Within six months, of the 10 research participants:
8 – saw moderate to significant improvement of curvature,
2 – saw no progress with their curvature, and
10 – (100%) saw moderate to marked improvement of sexual ability.

Those eight participants who earned moderate to significant correction of their Peyronies distortion, also used an aggressive PD therapy plan of vitamins, minerals, herbs, PDI Massage and Exercise program or Genesen Acutouch Pointers during the penis stretching research. None just stretched the penis; that would only result in penis enlargement, and that is not the PDI goal. All men added the Peyronie’s Disease Institute Manual Penis Stretching Method© into an already large and actively pursued Alternative Medicine therapy plan designed to reverse and eliminate their PD scar. As a result, eight of 10 men noticed an abrupt and significant objective and subjective improvement of their symptoms.

For those interested in learning about a true Peyronie’s breakthrough treatment, go to Peyronie’s Disease Institute Manual Penis Stretching Method©

New Peyronies Treatment

Many New Peyronie's Treatment Available

There are several totally different and new Peyronies treatment concepts recently developed by the Peyronie’s Disease Institute. These Peyronie’s disease treatment concepts are improvements over existing ideas and information known within the medical community.

The first new Peyronies treatment is the most exciting, and this has to do with the professionally produced CD video that presents the Peyronie’s Disease Institute Manual Penis Stretching Method©. After talking to so many men who were injured by those ineffective and dangerous mechanical penis stretching devices, I decided to investigate the subject. The basic idea of stretching the Peyronie’s scar to reduce the tight and contracted tissue is interesting. So much so, that after a two year research project, PDI developed a safe, sensible, effective and affordable method that actually works and is safe. With this new Peyronies treatment it is possible to manually stretch the scar material because it goes about it in a way that is different from the mechanical penis stretchers.

The CD for this new Peyronies treatment clearly demonstrates how to gently stretch the thickened fibrous tissue inside the shaft of the bent penis – something totally new in the world of Peyronie’s disease – to improve the six basic types of PD deformities:
1. Twist
2. Curve
3. Bend
4. Dent (also called a ding, depression, or hinge)
5. Hourglass
6. Bottleneck
Further, additional information is included that explains how to successfully stretch a combination of distortions, since very often two or more penis distortions appear together.

Synergy as a new Peyronie's treatment

Another new Peyronies treatment concept first presented by PDI is the concept of using a combination of several Alternative Medicine therapies together at the same time to increase the effectiveness of each one. This is a concept called synergy. This new treatment approach to Peyronie’s treatment is the foundation of the Peyronie’s Disease Institute therapy approach. To read more about this concept, go to synergy.

Diet as a new Peyronie's treatment

Next in the way of a new Peyronies treatment is the idea of using diet in the management of PD, that developed from the ongoing research project conducted for almost eight years by Peyronie’s Disease Institute. The dietary treatment approach for Peyronies treatment centers on the idea of closely reducing wide swings of the acid and alkaline balance of the blood. This diet is explained in some detail in the book written by Dr. Theodore Herazy, “Peyronie’s Disease Handbook.”

Actually, most of the information presented on the website of the Peyronie’s Disease Institute falls into the category of a new Peyronies treatment because in the past, before PDI came into being, only drugs and surgery were considered a serious Peyronie’s disease treatment. Now, many areas of Alternative Medicine are being successfully applied.  PDI has opened wide horizons for new Peyronies treatment.

Peyronies Treatment and the Penis Stretcher

Peyronie's Curved Penis and the Penis Stretcher

This blog report is about the hot Peyronie’s disease treatment topic of penis stretchers, or as they sometimes call an extender, and the long awaited announcement of our new, one-hour PDI Manual Penis Stretching Method© CD video.

All of this work and the discovery of yet another way to use Alternative Medicine to treat Peyronie’s disease started because I receive so many questions about the penis stretching devices, and the sad fact that I hear so many bad stories about them. I got tired of telling people why these penis stretcher devices cannot work, describing the common potential dangers they create, their mechanical limitations of use, and the many horror stories I hear from men whose PD started after using a penis stretcher. So, I started with a goal to learn if I could safely and effectively stretch the Peyronies penis, and I did.

A few months ago I wrote in the PD Institute Newsletters that I would soon offer a process that would revolutionize the concept of penis stretching as an improved form of Peyronies treatment. Now, the brand new PDI Manual Penis Stretching Method© CD is complete and ready for your review on the PDI website.

There are several very good reasons I looked into, and then developed, this entirely new concept in Peyronie’s disease treatment. Most of these reasons are well known to a large percent of men who have Peyronies treatment and have tried and failed with the commonly advertised mechanical penis stretcher devices, and should be well known to the rest of you for your personal benefit and safety.

From my experience, those over-priced penis stretcher devices you see advertised so heavily as a Peyronies treatment are not effective, and are potentially dangerous to all men with PD.

One aspect of the problem is the inability to wear the stretcher. Makers of these manual devices do not mention on their websites that you should not wear the device for more than two hours at a time – yet they want you to wear it for eight to nine hours a day to achieve results. If you could actually wear the stretcher for the full two hours, this would mean that you would put it on and take it off four or five times a day, with perhaps an hour or two rest periods between each wearing cycle. Most of your day would be spent tending to the stretcher, and you would have to do this for perhaps a year or more!

However, after talking to many hundreds of men over the years I know that most men cannot wear one for longer than 10-15 minutes at a time because of the pain and injury they cause. The pain is not so much caused by actual stretching of the penis, but by the pinching and compression to the head of the penis (glans) that is needed to forcefully hold the penis while it is stretched. Now, I don’t know about you, but my penis does not have a handle on it, so there is no good or easy way for a mechanical stretcher to grab the penis in order to stretch it. Thus, it is necessary to apply a strong and constant pressure directly around and below the glans while the traction force is applied.

I have met a few men who could wear a manual stretcher for up to an hour at a time, but not much more than that. If you are one of the men tough enough to wear one for up to an hour, this would mean most of your waking hours would be spent waiting in pain to either put the stretcher on or take it off. I have met men who had so much pain, tissue erosion and broken blood vessels that they never tried to wear it more than once. I have met men whose Peyronies started after a single use of a manual penis stretcher.

The danger of bruising, blisters and tissue erosion are so common that the instructions that come with the stretcher devices discuss what you should do when – not if – these problems occur. If this level of injury happens to the outside of the penis, it can do similar injury to the delicate tunica albuginea where the real injury of Peyronie’s disease occurs. This is how men get into trouble.

There are other practical problems with the stretchers. These involve common issues of daily living like wearing clothes, sitting down, working or urinating that make using a stretcher rather difficult or impossible. I guess these would not be a problem to men who do not wear clothes, do not sit down, do not work, and urinate wherever and whenever they wish. For the rest of us, the mechanical stretchers pose a real problem in the real world.

There are other considerations about the stretcher devices. Have you ever wondered why most of the penis stretcher companies that advertise so heavily are located outside the U.S.? It could be that it is better for them to be located outside the bounds of U.S. law when it comes to customer complaints, product returns and refunds.

Over the years I have been approached by many major manufacturers of these stretching devices, asking me to sell their products on the PDI website. When I ask a few specific questions of these people, something interesting always happens. I find that the person I am speaking to suddenly is not the correct person to answer my kind of question, and I am told that someone else will get back to me with an answer. When I do not get called back by the second person, for fun and curiosity, I call back to speak to the second person. The second person is never available, or is never in the office, and never calls me back. Never, in all the times and all the situations this has happened over the years, has anyone ever answered one of my questions. Remember, these are the people who want me to sell their product, yet this is the kind of help and service I receive. Can you imagine the help and service you would receive if you called with a problem after you spent your money?

Did you ever wonder, if the stretchers worked as quickly and easily as the advertising says they do, why do they have to advertise constantly everywhere you go when you read about PD? There is a reason they are advertised so heavily, and it is not because of effectiveness.

Yet, the concept of stretching soft tissue is interesting since Peyronie’s disease is a soft tissue problem.

So, I recently completed this experimental trial that lasted a little less than two years, in which I worked with 10 men who were customers of PDI and NCMP. From this effort I was able to devise a totally new concept in manually stretching the Peyronies plaque or scar. Our results showed that 80% had moderate to marked reduction of curvature and/or scar formation, with each and every man experiencing an improvement of sexual function.

I encourage you to visit the PDI website to learn more about this method to safely, painlessly, comfortably, and effectively reduce your PD scar, reduce your PD curvature, and improve your sexual ability in 80% of the cases. I ask that you understand that the same concepts of Alternative Medicine, logic and common sense you see throughout the PDI website also applies to the strategy and methods taught in the new PDI one-hour stretching CD.

If, after watching the brief demonstration video, you still have questions about the procedure then just send me an email at info@peyronies-disease-help.com You know I will answer your questions.

Bear in mind that the primary principle behind all PDI treatment concepts has always been synergy, and it always will be. Therefore, you need to understand that the PDI Manual Penis Stretching Method© is not a stand alone method.

Manual penis stretching was used in our tests in conjunction with standard Peyronie’s Disease Institute treatment plans as an additional method to increase synergy of care. No one used just this gentle manual penis stretching technique. In each case, greater progress occurred after using the Peyronie’s Disease Manual Penis Stretching Method© than without it; each man who followed the system saw better progress from his PDI therapy plan after adding the stretching technique. It seems that the PDI Manual Penis Stretching Method© increased effectiveness of our current treatment concept in eight out of 10 in our little study group.

Yes, Peyronies is a lousy problem and I wish I could tell you that this is a magical cure – just like the people who make the mechanical penis stretchers or the herbal products, but I can’t. Effectively treating Peyronie’s disease is still work.

While I can report that 80% of the group saw improvement, that means that 20% did not. I came to learn that those who did not do well with the manual stretching method were those who used very small therapy plans or did not follow their plans faithfully. So, there is room for improvement with this manual Peyronies treatment method. I would hope so. We are just learning how to apply this concept, so it will be necessary to share our insights, experiences and ideas with each other.

Please check it out. I believe you will be impressed and intrigued with the PDI Manual Penis Stretching Method©.

zp8497586rq

Peyronie's Disease Acupuncture Treatment with Genesen Acutouch Pointers

Genesen Acutouch pens for Peyronie's treatment

So many readers of the Peyronie’s Disease Treatment Blog use the Genesen Acutouch therapy pens and report good tissue changes after Peyronie's treatment with them. For this reason this blog commentary will focus on basic techniques and concepts for their correct use. Please recall that these Genesen Acutouch pens are the same professional quality instruments used to deliver acupuncture treatment for Peyronie's disease.

Many people ask about treating the Peyronies plaque with them, wanting to know if it is better to use the holders that come with the pens or to just hold both pens manually.

The answer is that either methods will work for Peyronies treatment, depending upon each person’s particular response to the therapy. While there is a lot of research behind the development and use of the Genesen Acutouch Pointers by the Korean manufacturer, I would start out closely following their guidelines. Most men find using the Genesen pen holders is more comfortable and convenient, although some say the rigid distance that the holders mandate is not as effective for them as a slightly greater/lesser distance. Each user must feel free to experiment with the Genesen Acutouch instruments or pens – be creative – and use the approach that delivers the greatest “reaction” that is described on the PDI website.

Some men get confused about pen tip placement around the Peyronies scar. It is important to remember to keep the pen tips 1/8 to ¼” from the edges of scar. If a scar is ¼” in size, that means your pointers are rather close to each other, and if a scar is 3” in size your pointers are considerably farther apart. The idea is to get the pens to deliver the current through the substance of the scar – whatever its size. Since the manufacturer’s holder keeps them 1 1/2 inches apart, I would work with that distance too, especially if the scar is smaller than 1¼” in size. Even if it is pea-size, try keeping the pens in the holder and stay farther away than the 1/8 to ¼” distance from the edges that I just mentioned. You see, there are no rules, just guidelines that should eventually result in greater reactivity. Break most any rule I give you about the Genesen pens, to see if you can generate a stronger or more dependable reaction. Stand on your head in the corner, if it seems to give you the greatest response.

http://mortgagerefinancee.com/

The Genesen pens are extremely popular for good reason; they are effective, easy to use, inexpensive compared to going to an acupuncturist at $90-$125 a visit, and very convenient to use in the privacy of your own home.

Each set of Genesen pens comes with my own 10 pages of notes that I created for the treatment of Peyronie’s disease. These outline some very common and popular treatment protocols. Any of these could be used by an acupuncturist who might easily needle these for you. The big advantage of the Genesen pens is that you can treat yourself in this very same manner, any time of the day or night, and several times a week, as you wish. You can really concentrate your treatment with frequent care for best results, without going broke.

Consider adding the Genesen Acutouch pens to your therapy lineup if you are not seeing the kind of results you want.

zp8497586rq

Peyronie's Disease Treatment to Bring Back Lost Length and Girth

fasthomeworkk.com

Here is a very brief but informative email exchange about Peyronie’s disease treatment I had just today with a man who I know has a fairly advanced case of PD.

From: XXXXX, XXXXXXXX [mailto:XXXXXXX@XXXX] Sent: Friday, September 04, 2009 10:52 AM
To: herazy@sbcglobal.net
Subject: QUESTION

Hi Dr. Herazy,

I have noticed decrease in length and girth. Can this be brought back to original size? Can the remedies you recommend help change this back?

What do you suggest in terms of remedies or therapies? I look forward to hearing from you.

Thanks,

XXXXXXXXX

Greetings XXXXXX,

Men note partial or complete recovery from lost dimensions when using:

1. General Peyronies treatment from the PDI when applied in an aggressive and faithful way often brings back a good part of lost dimensions, sometimes complete.

2. PDI Gentle Manual Penis Stretching Technique© video. This is a very direct way to stretch the Peyronies plaque material and reduce the contraction that causes lost length especially.


Regards,

Theodore Herazy, DC, LAc
Receive the PDI Newsletter FREE
Valuable information about Peyronie's Disease
Sign up:
www.natural-complementary-medicine.com/

zp8497586rq
zp8497586rq

Peyronie’s Disease Treatment Results

Effectiveness of Alternative Medicine Peyronie’s disease treatment

Many people want to know about the effectiveness of this Alternative Medicine method for Peyronie’s disease treatment that is being used by the Peyronie's Disease Institute.

All day long I deal with men from around the world – like you – who do not have to report back to me. I have no control about how, if, and when anyone uses their various Peyronies therapy.  The information presented on the PDI website is available for people to use, and there is little to be done to assure the ideas and information is used correctly. In the casual relationship we both enter into, there is no guarantee you or anyone else will use any of these products as I suggest they be used.

You know how people can be.  I can only hope the suggestions I make are given fair consideration, and application of my suggestions and ideas are made in the correct way. PDI has no way of knowing how any of these procedures are being used.  This is a most important point to consider because how these products are used determines the results that are earned. PDI stresses the importance of multiple therapies to maximize the effectiveness of synergy, and this is where most of the discussion of treating PD seems to center: How to go about creating a synergistic effect and how much to develop for the best response possible.

I get back bits and pieces of information from men, here and there. But guys are guys, and so the feedback I receive back is limited in relation to the large amount of time, effort and information I put out to the PD community. But from the information I receive on an irregular basis, I can tell you candidly I see strong evidence that the more that a person does to knock that scar out of the tissue the greater the synergistic effect and the greater the likelihood for success.

Peyronie's treatment and synergy

From an Alternative Medicine perspective, success in treating Peyronie’s disease comes down to synergy. You recall that 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”.

The Peyronie’s treatment philosophy of PDI  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, 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 Peyronie’s disease 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.

While most men agree that the concept of synergy can be used to their benefit, they seem reluctant to use it. Why this is so is a matter of speculation. For the most part their hesitance to employ synergy aggressively with multiple therapies is based on financial considerations (money problems) or skepticism and caution that this process is too good to be true (fear of being lied to). In response to both of these possible reasons, PDI has done as much as possible to clear the way to effective use of these synergy therapy principles.

For those who have money troubles we have placed prices that are the most competitive and discounted possible. For those who are skeptical and concerned about being given false hope, PDI has taken great lengths to document the research and effectiveness of the many therapies that are used. For the most part, personal opinions are avoided and research results are used to explain our choices. The rest is up to the reader. Either this form of therapy makes sense or it does not. It either is something that appeals to you or it does not. You either understand the concept of synergy or you don’t.  It is the reason that MDs have so much trouble with patients when they start putting them on more than one drug – when combined, the synergistic effect of multiple drugs begins to magnify, often causing drug reactions that most people have come to be concerned about.  In the area of Alternative Medicine the synergistic results tend to be beneficial because the substances are basically beneficial and desirable to the organism. When given in large measure the results earned from Alternative Medicine measures tend to be positive and enforce a positive response.

No guarantee for Peyronie's disease treatment

Peyronies is an extremely tough problem.  No one can promise results for ANY health care problem, let alone PD.  You know, some people never recover from a common cold, and some people can have a broken bone that does not heal.  No reasonable person can make guarantees of success.  So much is yet unknown about PD that we are still working on the treatment concepts.  You must do your best, do as much as you can, and do it for enough time for your tissue to respond.

How well you respond to this form of Peyronies treatment is dependent on your effort. Like the old saying goes, “You get out of it what you put into it.”  If you want to develop your own personal Peyronie's cure you must be ready to work for it. PDI will help you.

Peyronie’s Disease and Sex Safety Concerns

Safety with a curved penis

Couples are always concerned if they can safely engage in sexual activity, especially during the early phase of Peyronie’s disease treatment.

The short answer is, YES.   Sex is good on may levels for you as individual people and as a couple, so go for it. You can and should engage in as much sexual activity you are comfortable with and desire, during treatment and in spite of your Peyronie’s disease.

The longer answer is, YES, but you must be careful and cautious in exactly how and what you do during sex.   Careful, gentle, non-stressful sex is certainly the safe and smart goal fore care of the erection. As the owner of the Peyronie's curved penis, it is important to stay in control of yourself, and your partner should do the same, without becoming so carried away that you injure yourself further.  You are the only one who is going to suffer further if you bend or jamb yourself during sex, so it is your ultimate responsibility to be careful.

If any sexual activity or position causes ANY amount of pain or distress to either of you, it should be stopped.  Pain is your signal that something is wrong.  Do not do anything further to even slightly injure your penis while you are spending all this time, effort and money trying to get well.   Figure out other ways to enjoy sex without generating a pain response, and you will do fine.

Slow and careful does not mean dull.  It should mean more passionate sex, taking more time doing what feels good, all based on better communication between the two of you.

Please make sure that you do not attempt sexual entry too early, if she is too dry or otherwise unprepared for intercourse.  If you usually do not need to use any external lubrication (water-based lubricant like K-Y jelly), it is simply a smart thing to start using it now. This is a vital step to prevent further injury, since a second injury could be catastrophic.

Do not use positions and techniques in which the man does not control movement and activity.  Rear-entry sex positions are usually safer to use since they allow the man more control, but caution is still needed.

"Peyronie's Disease and Sex"

The topic of sex in relation to Peyronie’s disease is immense.  When I began writing my first PD book, I intended to combine the topics of Peyronie’s disease treatment and sex all in one book.  When it became apparent how large this sex topic is, I simply decided a separate book would have to be written; it eventually became “Peyronies Disease and Sex.”

Any questions about sex and Peyronie’s disease?   Send them along at the heading on the right column, “Ask Dr. Herazy…”

Peyronie’s disease treatment and Viagra, Cialis and Levitra

Questions about Viagra, Cialis and Levitra, and Peyronie's disease

Boy, do I get questions about Viagra, Cialis and Levitra and Peyronie's disease!  Most of these questions come from men who are taking these drugs on the advice of their MDs who using it as part of their Peyronies treatment efforts.

These drugs are wildly popular, not only among men who have erectile difficulty (Peyronie's disease impotence) but also healthy men who merely use them to have longer lasting and more repetitive sexual intercourse.

Sounds like a good thing, doesn’t it?

While I hate to spoil the fun, but over the years I have had a disturbing number of men tell me they know their PD started after using Viagra, Cialis, etc.   The erections created by these drugs are indeed super-erections and get to be that way because of the greater than normal internal pressure that is created within the tunica albuginea.  This is powerful stuff that can really cause problems in this delicate area of the male body.

These drugs create such hard and long-lasting erections because they induce an abnormal state in the penis. 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.  It would cause great damage to internal organs, your spine, your blood vessels, all major joints, etc.  Simply put, “It just ain’t natural.”  Same with Peyronie's treatment with Viagra, and the rest of these products.

As much as it might sound like a dream come true, the penis is not built to sustain increased internal pressures that are created by these drugs, and the penis is not built to have hour after hour of intercourse.  That kind of activity can be abusive to the delicate tunica.  Just because you can, doesn’t mean you should.

I have an interesting story from a man who called me a few months back and explained that he injured his penis in a most unusual way.  He and his wife had used Viagra for the first time to their mutual delight.  Both of them went to sleep, except his penis continued to stay erect.  It was a monster of an erection and at first he thought it was great.  During the night, while asleep with a huge erection, he rolled over in bed and jammed his penis into the mattress.  He felt a great pain and felt the tissue “pop.”  Basically he tried to pole vault on his erection and he found his penis could not sustain that force.  About two months later he developed PD.  Can you imagine what would happen if you already have Peyronies disease and had something like that happened?  You would go from bad to worse.  This man did.

I know many men with PD have their MDs write prescriptions for these erections drugs.  I am sympathetic why men do these things.  They figure if it was not good for them the MD would now do it.  What they forget is that most MDs do not understand or care about PD, and are more interested in getting the fee for the office visit, than doing what is the smart thing to do.  MDs also perform surgery for PD that makes the problem worse, knowing there is a high rate of poor surgical results from this kind of surgery.  Just because you can get a prescription for it doesn’t make it any safer or any less stupid in the long run.

Use your head and stay away from these forced erections.

One last metaphor.  Your car tires are designed to hold 40 pounds of air pressure.  What would happen if you decided to increase the pressure to 80 pounds, just for “the fun of it?”  Well, first of all, we would all understand the tire would be much more likely to blow up and pull away from the rim because it was not built to be used that way.  It would be damaged by applying more pressure to it than it was built to take.  Enough said.

Peyronie's Disease Institute has access to some really great Oriental herbal erection enhancing – not forcing – products.  These will easily and gently boost your erectile ability but not in such a forceful way that you will get hurt.  They surely do work, but with no side effects, they last a good 8-12 hours, and they are a whole lot less expensive than your prescription drugs.  Let me know if you are interested and I will give you some information about these wonderful and safe products.

Average Time for Peyronie’s Disease Treatment to See Results

Peyronie's disease treatment averages

There are no averages with Peyronie’s disease.  Everything about Peyronie’s disease is up for grabs. And for sure there is no average time within which men respond to Peyronie’s disease treatment. Some men respond in a few weeks, others take months, and some not at all. There are those who email me saying they are not responding to Peyr0nie's treatment.  After questioning them,  I usually find  they made the mistake of either using a plan that is too small or not faithfully following the plan they have.  PD is a tough problem and you must be dedicated to eliminating the problem – half efforts do not work. What we propose at PDI is a concept for Peyronie's disease therapy that is not so earth shattering or extreme.  All we are doing is attempting to figure out why your PD did not correct like about 50% of the men who develop this problem.  If half of the men “cure” their own PD, why not you?  That is all we are attempting to address with our therapy concept.  It is really not so far out as some of the other things you find on the Internet. All standard medical information about PD clearly states that in half of the cases, the Peyronies “goes away on its own.”   The Peyronie’s disease treatment approach promoted by PDI is to do all that is necessary to prepare the body to heal on its own, just as it should happen, just as happens in half of the cases.   In this sense you can say that a natural Peyronie's cure is about 50% effective.   It is really not such a crazy or extreme idea.  PDI advocates that an aggressive use of multiple conservative Alternative Medicine therapies, as outlined in our website, an assist the body to heal the Peyronie's plaque or scar better than if that effort were not extended. Since 2002 it is my experience that those men who follow the largest and most aggressive therapy plan will usually get the best results.  For those interested in doing all that can be done to promote healing and repair, the “Large (Best) Plan” is designed for maximum personal treatment.  The Medium Plan is the most popular of the three plans offered by PDI. There is also a Small Plan that is 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. All can be modified to suit your thinking about therapy.

Aggressive Peyronie's treatment is usually best

Peyronie’s disease treatment must be followed aggressively and faithfully because PD is a very difficult and stubborn problem to treat successfully.  For any level of correction of the problem be prepared to spend time and effort to build up the strength of the immune response.  It can be done; I talk to men everyday who are doing it. I would be pleased to answer any specific questions you have about treatment.  I will be happy to give you the best of my thinking about what you might want to do to change the direction your problem is heading.  Simply ask a question at the end of this blog post. I have worked with hundreds and hundreds of men, some mild and some severe, some just a few months and a few more than 10 years old.  I had a pretty bad PD problem until I cured my condition using the procedures found in the book I wrote – the "Peyronie's Disease Handbook" – and the same Alternative Medicine ideas as on the website.  Success against PD is not determined by how bad the problem is at the start of care or how soon you start treatment; it seems to be determined by intensity of effort. You do not have to feel like a victim if you are working to improve your health and immune response against the presence of this foreign tissue. Peyronie’s Disease Institute is available to offer information and suggestions for effective care.  The PDI website offers ideas and information you will not find anywhere.   If you want some help and ideas that you are not now getting, I would be pleased to help you along.

Peyronie’s Disease Treatment Blog to Help You

Peyronie’s disease blog

Peyronie’s disease is surrounded by a world of misinformation, honest differences of opinion, lack of judgment, as well as total confusion.

Every week I get at least one email from someone who is newly diagnosed with Peyronie’s disease, but doubts that he has it.  The email will explain that the writer doubts he has Peyronie’s disease because he has heard that there is a Peyronie’s plaque or scar involved, and since he cannot see one, he doubts the diagnosis is correct.   He asks me to tell him if I think he has Peyronies, solely based on the information that his penis is bent.

What does this have to do with Peyronie's disease treatment and blogging?  Well, with this Peyronie’s Disease Treatment Forum blog available to any man or woman who deals with the problem of PD, it is far easier to create a library of information and ideas about Peyronie’s disease treatment using Alternative Medicine.

If you are reading this blog looking for answers to an important question, you owe it to yourself and to the larger Peyronie’s disease community to ask that burning question about your problem that you would like explained.  There is a very good chance that other people would also like to know more about that same issue.  Without your participation in this blog, it will not reach its full potential to help you and others with Peyronie’s disease.

Questions in these areas?  Fire away:

  1. Anatomy of the male or female genitals
  2. Erections – how do they happen, why is mine weaker than before, how to increase and strengthen mine
  3. Peyronies disease – any aspect
  4. Peyronie’s disease  treatment – any aspect of medical, surgical or Alternative Medicine treatment
  5. Intercourse – any aspect
  6. Relationship problems – any aspect
  7. Your treatment plan is not going the way you thought it would

Please ask your questions and make your comments to those who have left a comment here.  In this way the misinformation, honest differences of opinion, lack of judgment, as well as total confusion of some, can be lifted.

Peyronie’s disease treatment inspiration

Just the other day I ran into this exciting quote that meant a lot to me.  I can only hope it will inspire you to feel more focused and confident as you conduct your Peyronie's disease treatment; to gather your inner strength to do more to help yourself along during the repeated trials and long days you spend working for your personal Peyronies cure.

"At the moment of commitment, the universe conspires to assist you."
Jean-Paul Sartre

I have seen this is in action in my life.  I have noticed many times, usually in great despair, that when I finally make up my mind about something – I finally no longer resist, but deeply and completely commit myself  – then suddenly the situation changes.  Problems reveal solutions.  Difficult people become cooperative.  I feel my determination and strength return.  Mountains of objections and problems become transparent to reveal the situation in such a different way that answers and success are finally in view.

Of course, all of this applies to Peyronie's disease treatment in more ways than you can imagine.  If you find that you are more negative than you can stand, and you cannot think clearly any longer about the dark place you are in, send me a comment here.  Let's work on it together.   TRH

Peyronie’s disease treatment with Scar-X homeopathy

Homeopathic Scar-X used for Peyronie's disease treatment

Scar-X is a great Peyronie’s disease treatment that just happens to be a Peyronie's Scar-X homeopathy therapy.  This is a unique homeopathic product that was put together exclusively for Peyronie’s Disease Institute by a gifted young homeopath from California.  Homeopathy is not a nutritional therapy; it is a type of energy medicine. It is about 175 years old and is gaining rapidly in popularity in the U.S., although it is used far more extensively in most other parts of the world.

Let me tell you how you can know for sure that homeopathy is gaining respect and use within the traditional medical community.  Recently, I attended a medical meeting at a famous teaching hospital in my area, during which the benefits of homeopathy were explained.  There were about 500-600 MDs in attendance.  We all were urged to consider using homeopathy in a case if standard prescription drugs were ineffective.

In addition there is yet another, even stronger, proof that homeopathy is gaining tremendous medical acceptance and use.  Go to your favorite drug store, and ask the pharmacist for some over-the-counter cold relief remedies.  In this same area of the drug store I guarantee you will find several – many – homeopathic preparations.  However, you will not know they are homeopathic preparations  because the DRUG store and the DRUG companies do not want you to know you are taking a non-drug preparation. Now they sell it to you, but it is presented as though it was just another drug.  Homeopathy will be packaged and presented as though it was just another over-the-counter medication, although it is not.  You will also find more homeopathic remedies in the over-the-counter section that are used for menstrual cramps, headaches, sore throat, hemorrhoids, fever, and many other common complaints.

Yes, homeopathy has really gained a large following within the mainstream medical community, they just don’t want to make a lot of fuss about it because they have ridiculed homeopathy for so many years it the past, saying it was worthless and quackery. The medical establishment is not good at admitting it was wrong.

Different way to use Scar-X

Scar-X is a very popular and low cost homeopathic remedy that can be a part of your Peyronie’s disease treatment.  If you follow the directions that are provided with each order you will be taking it in a very effective way.

However, there is a variation for taking Scar-X, and any other homeopathic preparation that you may have, that adds to its effectiveness.  I used this method when I was treating, and cured, my own Peyronie’s disease.   Here is another way to take a liquid homeopathic formula, rather than simply squirting it under your tongue and holding it there for 30 seconds:

1.      Place about 12 ounces of water in a glass, or find a water bottle of 12-16 ounces.  The exact amount of water is not that critical.

2.      Place 2-10 drops of Scar-X in the water, and agitate and stir well.

3.      Sip this water all day long, following the restrictions about not having any strong taste or recent food or liquid in your mouth for 15 minutes before or after you do take the water/Scar-X combination.

4.      It should take you perhaps all day long to finish the water/Scar-X combination.  So, in effect, it will take you all day long to consume the 2-10 drops of the homeopathic formula that you started put into the  glass of water.   The idea is that since homeopathy is all about extreme dilutions of substances down to the point that they are only present as energy when you take them, this further reduction and dilution of the Scar-X will make it more effective for you.

So there you have a different way of taking Scar-X that might be more effective than the other method.  Try it and let me know what you think.  Follow all of the other rules about taking the homeopathic formula that you were given when you received your order.

If you are not using Scar-X, you should look into it to increase your chance for Peyronie's treatment success.

Let me know if you have comments or questions about this post.  Just leave your comments in the reply box, below, and thank you. TRH

Ladies Peyronies Forum – Women only!

Peyronie's Disease Forum for Women Serves Useful Purpose

Women need a Peyronie's forum for their special needs and issues.

While no one can doubt that the man who has Peyronies suffers in many ways with this problem, the women who love and live with these men suffer greatly in their own way.  Every woman touched by Peyronie's disease suffers not less because hers' is an indirect involvement, but perhaps more because of the acute frustration and helplessness of being unable to do anything to comfort her man during his times of distress.

Many of the emails I receive each day come from the women who are just as confused, frustrated, and angry about all the same issues that each man experiences in trying to deal with PD – with a few added issues.

Just as the man who first learns he has Peyronies, the woman must also attempt to grasp the answers to the basic questions that commonly arise at this time:

  1. This condition I have never heard of before – Peyronie’s disease – just what is it, and what do we do to get rid of it?
  2. Is it life threatening?
  3. What do you mean, there is no known cause or Peyronies cure?
  4. In the early part of the 21st century, when even cancers are being cured, how is it possible that science has no help for this problem?
  5. Could it be that we have talked to a doctor who is lazy or incompetent: should we talk to someone else?
  6. Would we get better answers, and help, if we spent more money and went to a higher level specialist?
  7. How could this problem affect up to 9% of the male population, but I have never heard of it before?
  8. What do you mean, you do not know if it is going to get better or worse?

On and on the questions pour out, trying to make sense of a terrible situation.  But there are other questions that a woman must naturally ask in the privacy of her own self:

  1. I am sorry that he got injured during intercourse.  He knows I did not do it on purpose.  I feel so guilty when I see him suffering.  Is he holding all this against me?
  2. What about my sexual needs; what am I going to do now?
  3. I didn’t do anything wrong, why am I suffering too?
  4. Why is he being so quiet and secretive about this; why won’t he talk to me about this problem?  Doesn’t he realize It is affecting me, too?
  5. What is going on with him?  He is getting so moody and irritable that I am afraid to talk to him sometimes.
  6. I feel like there is a brick wall around him, and he is a hundred miles away.  Why won’t he talk to me?

Of course, there are all the sexual problems and sexual discussions that are so unique between couples.  These too, are a part of the problems associated with Peyronie’s disease treatment– sometimes minor and manageable, and sometimes so major that a couple can not sustain themselves together.  In these cases where I counsel couples, I find that most all of the time each couple has a problem communicating on a much deeper level necessary to truly understand each other to the degree needed in this time of special need.

Throughout all this time, during discussion and lack of discussion, the woman suffers in her own unique way.  There are no easy answers to any of this, but it is necessary that a woman be able to communicate with someone, express her fears and her needs, and learn she is not alone.  This section of the Peyronie’s Disease Treatment forum blog is intended for this purpose.

Please feel free to ask questions, post comments and replies to each other, so you may feel this is a place of understanding and comfort for you.

Peyronie’s disease treatment with vacuum pump (VED)

Vacuum Erection Device (VED) and Peyronie's Disease

Every now and then I am asked about the use of a VED,  vacuum pump or Vacuum Erection Device to treat the curved penis of Peyronie’s disease.  Many men are encouraged about a VED because their medical doctor has suggested it, or they have read something written on the Internet saying that it is a good Peyronie’s disease treatment.  Some of the more outlandish ads even say a VED is a Peyronie’s cure. A Vacuum Erection Device is a clear plastic cylinder chamber that is open at one end, and is placed over the penis and held tightly against the skin of the lower abdomen.  At the other end of the VED is a simple air pump that removes the air inside the cylinder once the penis is inside it. The air is removed from the chamber so that the bent penis is affected by the negative atmospheric pressure inside.  As a result, the negative pressure causes more blood than normal to enter the penis and an unusually large erection develops. This grater than average enlargement is said to be able to stretch the deeper tissue of the penis and reduce the penis curvature. The effect is temporary, but impressive.  A VED will give you an erection larger than you have ever had before, although it will not last more than a few hours outside the chamber, and any tissue changes that the stretching produces are equally temporary. The effects of reduced atmospheric pressure on tissue can be demonstrated by the "love kiss" or "hickey" that is created by placing the mouth over an area of skin (classically the neck), and forcefully sucking the tissue for just a short while.  Within seconds the blood vessels of the area are so dilated –  and often ruptured –  that a bruised mark is left in the area that will last for several days.  The Vacuum Erection Device does something similar to the entire penis.  It dilates all the tissue, allows more blood to enter the penis for as long as it is held in place, and it can also result in ruptured blood vessels and injury to the delicate tunica albuginea.  This kind of tissue reaction can be a catastrophe for someone who already has Peyronies.

VED can cause Peyronie's disease

In my time communicating with men who have Peyronie’s disease, I have found a surprisingly large percent of them who state their initial injury that resulted in their Peyronies can be traced back to use of a VED.  These are the men who started out simply wanting to increase their penile dimensions, and injured themselves to the point that Peyronie’s disease developed.  While there are a few men who say a VED helps them, there are many more who say it does not. The danger with a penile vacuum pump is in the overuse or abuse of such a device.  The theory behind the therapeutic use of the VED is to slowly and gently stretch the scar tissue and soften it.  That does not appear to happen, because the normal tissue does indeed stretch, but the Peyronie’s disease plaque tissue does not.  As a result a man finds that he has a temporarily larger penis that is less able to reach a normal full erection – and it still has the same Peyronie’s disease plaque or scar, and/or curve, he had before. When a man uses a VED he will either overuse the device, taking the very real risk of injuring the penile tissue even more, or he will temporarily enlarge the penis but injure the vascular mechanism so that his erection is not as rigid as before.  What he winds up with is a large soft penis that is rather ineffective in intercourse.  You definitely can create an artificial erection with a pump, but there are often damaging consequences to a VED that causes men to quickly stop using it once they see all the drawbacks. Many people ask for my advice about a “penis pump.”   Here is the basic problem with the VED:   You and I have both definitely proven that we have penile tissue that is susceptible to injury and when injured (and even when not injured), we can develop an excess scar reaction.  If you injure the penis by over-stretching, as is easy to do since there is no way to know at what point is the point of over-stretching, you will create more Peyronies plaque material.   Most men will probably over use the VED just because they get excited when they see the results the device can produce temporarily.  If you are prone to Peyronie’s disease anyway, this kind of tissue stretching can be a disaster.  The only way you can safely use a VED is to not over use it; the problem is there is no way to know what is over use and abuse until it is too late. From my experience with countless men, my opinion is that it is simply better to avoid the temptation and pass on the Vacuum Erection Device.  It can cause a lot more problems than the small and temporary change in Peyronie’s disease is worth. Send along your questions concerning Peyronie’s treatment under the “Ask Dr. Herazy…” heading, or reply to this particular article in the space below.

Peyronie’s treatment

Peyronie's disease treatment in detail

Since mid-2002, I have been deeply and continually involved in Peyronie's disease treatment – initially for myself, and then later for other men who have PD. All the details of my successful effort to heal my own case of Peyronie's disease using Alternative Medicine are revealed in my first book, “Peyronies' Disease Handbook."

The most popular single topic of any email question I receive from around the world concerns Peyronies treatment, naturally.  More than wanting to know about the chemistry or the physiology of Peyronie’s disease, or how to locate the Peyronie’s plaque, or names of doctors in different parts of the world, or anything else about PD, people want to know what must be done to successfully treat this terrible problem.

Many details about Peyronie’s disease treatment are found on the PDI website, in “Peyronies' Disease Handbook," and in nearly 100 issues of the Peyronies Disease Institute Newsletter.  Some days I answer more than a dozen emails from men and women who have countless questions about PD treatment.  I offer the best information I possibly can to each person. Yet, no matter how many times I present this information in a variety of formats, there remains one aspect of Peyronies treatment that many people just do not seem to understand.

Perhaps it is my fault for not stating this treatment information plainly enough, or not presenting it often enough.  Yet, somehow I feel responsible I have not found the best way to present this basic aspect of Peyronie’s disease treatment so everyone will understand this topic as well as I do.   If this is so, if all this is my fault, here is yet another attempt to make this important point about Peyronies treatment perfectly clear.

Peyronie’s disease treatment critical point

Regardless of how a person attempts to increase their immune response to eliminate the nasty Peyronie’s plaque, it is not as important how you start treatment, as it is how you progress and eventually finish your Peyronies treatment.   There are many ways to rationalize and calculate how you will go about treating your PD problem.  There are many good ways to help your body eliminate the Peyronie's scar and restore penis health.  That is the reason I have assembled three different size sample treatment plans. I have repeatedly said that these three plans can be increased or decreased in an effort to help your body heal your Peyronies.

Each day several men begin their Peyronie’s treatment with PDI in a wide variety of formats. Some of these are ultimately successful and some are ultimately unsuccessful, not because of the plan they put together at the beginning of their care, but their ability to modify, organize and apply the necessary changes to their Peyronie’s treatment plan if they do not get the kind of results they are looking for with the plan they start with.

Peyronie's treatment is like a football game

Let’s say that you are a football coach, and you have a big game coming up.  As part of your job, you rationalize and calculate how you will beat the opposing team.  You know the strengths and weaknesses of the men on your own team, and you do the best you can to understand the strengths and weaknesses of the men on the other team.  You keep in mind the weather conditions, the time of day, home team advantages, and countless statistics to eventually develop a winning strategy.  Eventually, you devise a plan to win.  The day of the big game arrives and you put your plan into action.  After a few minutes into the game you see that you have made some mistakes because none of what you planned is happening, because apparently you did not figure things out correctly.

You can do one of two basic things:

  1. You continue with the plan you started with.  You follow the basic plan that you started with because you tell yourself that your plan made sense to you before, and it should eventually work out.  You tell yourself, you must have patience with your plan.  You remind yourself that if you continue to follow your starting strategy things will sooner or later come together, your plan will begin to work, and you will eventually win.  Besides that, you do not know what else to do, so you struggle forward.
  2. You change your plan after giving it a reasonable time to work.  You eventually keep those parts of your starting strategy that seem to be working, while you change other parts of the plan that are not.  You improvise where you can, make minor and major changes if you are able, and look around for options that you might not ever have considered before.  You try different things until something works.   It is not pretty, it is not what you planned, but you take every advantage you can find during each moment of the game. Besides that, you do not know what else to do because continuing with a loosing plan does not make sense to you.

You see, my PD Warrior, Peyronie’s treatment should not be not static, although some people approach it that way.  Just because you start with one idea, one plan, does not mean you must continue with it if it does not seem to be working after a reasonable length of time.

If you start with one idea, and it seems to be working, fine, continue with it.  But if it is not working, change it.  How?  I don’t know.  But if you let me ask you a few questions and tell me about what you are doing, I know I can offer you some ideas you have never considered.  Sometimes these changes make a small difference in the progression of Peyronies treatment, and sometimes they make a huge difference.

Now, I hope this little discussion makes a difference in your effort to increase your ability to heal and repair your Peyronie’s disease.

Please comment and ask questions here if there is more that you would like to know about successful Peyronies treatment.

Peyronie’s Disease Treatment and Neprinol

Neprinol Used for Peyronie's Treatment

Many men with Peyronie’s disease seem to have questions about Neprinol, the systemic enzyme that is such a popular therapy.  Some confusion exists because Neprinol is actually a high potency combination of several different systemic enzymes, rather than just a single enzyme, like so many other products.

These are the basic highlights of what you need to know about Neprinol as it relates to Peyronie’s disease treatment:

  1. Neprinol contains a high concentration of nattokinase, serrapeptase, bromelain and Coenzyme Q, and related co-enzyme factors.
  2. The nattokinase and serrapeptase in Neprinol are in much higher concentration than in the separate pills containing just nattokinase and serrapeptase.  You do not need to take as many Neprinol to get a higher dose of these two enzymes, as when you take the lower concentration enzymes separately.
  3. Taking Neprinol makes taking separate doses of nattokinase and serrapeptase unnecessary, although some men still take Neprinol plus additional nattokinase and serrapeptase products to diversify the sources and varieties of these enzymes.  PDI sells a separate nattokinase product call Nattokinase 1500 and a separate serrapeptase product called Fibrozym.  Both of these are great products and they can be used successfully in any PD program; it’s just that Neprinol has more of these same enzymes in it than these separate enzyme products.
  4. Neprinol comes in a bottle of 300 pills, while the separate Nattokinase and separate Fibrozym enzyme products come in bottles of 100.
  5. While a single bottle of Neprinol is comparatively expensive a few reasons:  the bottle is thee times larger than the average enzyme product, and each Neprinol pill contains a more concentrated dose of nattokinase, serrapeptase, bromelain and Coenzyme Q than are found in any other enzyme product.  Besides, PDI sells Neprinol through our sister-site, Natural Complementary Medicine Products, for $135 a bottle of 300, the best price on the Internet.  Neprinol represents a better value in the long run since you would need to take fewer or them, and the bottle is simply larger so you buy fewer of them.  For more information about how  Neprinol is used with great success in Peyronie's disease treatment, clink on  go to Neprinol.
  6. If you want the discount we offer for Neprinol, just type in the discount code word “Neprinol” when you place your order with us, and you will be given a discount of $10 that brings the price down to $135.
  7. Most men can slowly work themselves up with very little trouble to 6 Neprinol per day; in fact, many men start at this dosage level and continue on from there to higher dosages without a problem.  Those who take it in the 9-12 per day range seem to get better results.  I know of many men who are quite successful with their Peyronie’s disease treatment who take a dose even higher than this.  Some people cannot do this, and all should be very careful to use caution and follow the directions that are supplied with the Neprinol when it is sent to you.

If you want to read more about systemic enzymes and Neprinol used in Peyronie’s disease treatment, go to the PDI website discussion about systemic enzymes at Neprinol.

Many times I get questions from men wanting to use only Neprinol in their Peyronies treatment.  I advise against it, because as good as Neprinol is, I have seldom see it do more than reduce penis pain associated with Peyronie’s disease.  Now, I guess there are men who have used it all by itself, and have found reduction of Peyronies plaque material or improvement of their curved penis.  I just have never learned that directly from anyone in personal communication.  However, when incorporated into an aggressive and well balanced Alternative Medicine Peyronie’s disease treatment plan, I have seen Neprinol often make a great difference in the effectiveness of the overall plan.

Remember, treating Peyronies is all about creating synergy with multiple therapies designed to increase your ability to heal and repair the Peyronies plaque or scar.  It is never as easy as popping a few pills – even as great as Neprinol – and getting the kind of results we all want.

Please send your questions about Neprinol to “Ask Dr. Herazy…”