Painful erection caused by Peyronie's disease or someting else?

Hello Doctor Herazy, I have been getting a painful erection each night (sometimes a few times a night) for the last few months.  What worries me is that the pain is slowly getting worse.  The pain when I am erect wakes me up at night and I do not know what to do about it.

I have no idea what started this to act up.  I have not injured myself and my penis is not bruised.  My erections are as strong as usual, and I have no pain when I urinate or ejaculate.   Speaking of ejaculation, I have a very vigorous and active sex life, but sex is getting to be a problem since the pain makes it difficult to keep an erection. Sometimes the painful erection is so severe that I just go limp in the middle of intercourse.

I called my medical doctor and he suggested some tests that sound expensive.  Instead of doing that I went to the internet and Googled “painful erection” and found your website.  I have learned that pain while erect is a sign of Peyronie's disease, and would like your thoughts about this as a possible explanation for my problem.

Can you please help me understand what is making my erections so terribly painful suddenly? If it keeps up much longer I will have to go see a doctor I suppose.

T. K.

Greetings T. K.,

There are a few conditions that can explain your current problem of pain while being erect:

  • Trauma – you deny any injury
  • Priapism – persistent or prolonged erections; can last for hours at a time; not related to night
  • Phimosis  – constriction of penis by foreskin or prepuce
  • Peyronie's disease  – a possibility
  • Lichen sclerosis – leathery skin condition
  • Disease of the penis – chlamydia, genital warts
  • Cancer  – very rare

You do not mention any other complaints that are going on with you for me to have an indication of what might be going on in your situation.  I suspect you can probably eliminate several of these possible causes since you are aware of other aspects of your history.

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The most common complaints associated with Peyronie's disease are:

  • Nodule or bump under the surface of the shaft caused by a mass of fibrous tissue (like a scar).
  • Penile distortion while erect caused by the same mass of fibrous tissue.
  • Reduced penis length and diameter cause by fibrous tissue contracting penis.
  • Painful erection caused by inflammation of penile tissue, as well as  the presence of the fibrous tissue in the deep layers of the penis.
  • Reduced erection quality, again caused by the presence of the fibrous tissue that prevents full closure of the penile veins that create the hydraulic pressure of an erection.

Some of these complaints related to Peyronie's disease, like painful erections, are not always seen in a case of Peyronie's disease.  The only mandatory finding to confirm a diagnosis is the presence of a mass of fibrous tissue.   Many times the loss of penis size does not occur early when Peyronies is present, and many men do not notice the telltale lump of Peyronie's disease.  What I am saying is that it is possible to have Peyronie's disease and not be aware of it except for a painful erection.

My suggestion is that you should go to a urologist for an examination to get to the bottom of your complaint.

You might also be interested in reading Nine causes of pain in the penis.

If it should turn out that you do have Peyronie's disease I suggest that you undergo an early round of self-directed natural treatment of Peyronie's disease to determine if you can reduce the internal scars without the need of drugs or surgery.    TRH

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What can I do for a jelqing penis stretching injury?

Hi, so a couple months i started trying jelqing penis stretching, i squeezed too hard and the next few days i was in pain, it's been a month now and my penis still hurts and i cant maintain a good erection. i damaged the left side the upper shaft under the top of the head. it looks and feels indented and red and also feels like there is a gap or tear in the tissue, maybe the tunica not sure, please help i don't know much about this stuff and i'm scarred i'm currently taking serrapeptase, maca, gingko, astragalus, kanabo nerve fix, icing, heat, with epsom salt, also i think there is some thrombosed veins and some curvature too.  i feel so dumb i got carried away and did this to myself while penis stretching. thank you. i want to prevent things from getting worse.

Greetings,

Join the club; you are not alone.  It seems I get several emails and calls a week from men who injure themselves while doing penis stretching as part of their jelqing routine.  I have warned repeatedly over the years that jelqing is such a potentially dangerous thing to do. Some guys are just not satisfied with what they have.  They try to get a bigger penis with jelqing and injure themselves so badly that they actually wind up with a smaller penis that does not work as well. 

To get over your immediate injury I suggest that you get on some over-the-counter anti-inflammatory medicine like aspirin, use a lot of ice, do not use heat at all until most of the pain and swelling is gone.   The serrapeptase makes sense to me, but I do not know enough about the other things you mention to comment on them.  I would suggest you also take a good dose of essential fatty acids since these will act as an anti-inflammatory for you. 

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If you do not get a lot of relief in a few day, please see a urologist to help you manage your problem.  I will bet you are not the first guy this urologist has seen who got hurt by penis stretching.

Please read a few articles from the PDI website that explains how jelqing and strong penis stretching can cause more problems than you care to think about.  Please review I think I have Peyronie’s disease from jelqing. What should I do?  and Penis stretching for Peyronie's disease.

If it turns out that you develop Peyronie's disease from this jelqing injury please consider getting some help with Alternative Medicine to assist the healing process.  TRH

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How does your Peyronies treatment idea work?

Dear Dr. Herazy:  I have seen three urologists, one of them the best in Florida.  They all have told me that none of this Peyronies treatment can work.  Please explain to me how can you prove them wrong.

Thank you,

Jose T.

Greetings Jose,

I do not have to prove them wrong.  In 2002 I eliminated my own Peyronie’s disease using the simple and direct methods you see on the PDI website.  I am fine today. 

To answer your question in the most direct and simple way, the PDI Peyronies treatment works by trying to improve, support  and encourage the natural ability of the body to heal Peyronie's disease.  It is not perfect, it does not always work.  From my experience it works in about 80% of the cases when done aggressively, correctly and faithfully as outlined in the PDI website. Nothing works all the time. When I talk to men who do not get help using the PDI concept of Peyronies treatment I find that it is because they did not use this method correctly; they altered or cheated the process and reduced its effectiveness.

If you decide to believe your doctors who have never used this approach, then that is your decision.  But before you make a final decision you should know more about this different concept of health care.

I suggest to you that you do some thinking on your own. While it is very important to discuss things with your medical doctor, it is also just as important that what you decide is reasonable and sensible to you. Decide if this is a rather simple way to look at this problem of Peyronies treatment sense to you, or not:

1. Does my body have an immune response that heals and cures many health conditions? The answer is generally, yes.  If your body is functioning as it should, correcting Peyronie's disease should be a natural thing to do; this is why about 50% of men get rid of PD on their own without any outside or additional help.

2. Is it true that PD is eliminated by about half of the men who come down with this problem in the first 12 months after developing it? The answer is generally, yes, men cure their Peyronie's disease in about half of the cases.  You might run into different percentages of those who self-correct, and these are usually lower.  However, just as there is controversy about what percent of men have Peyronie's disease, there is even more controversy about how many men self-correct for this problem.  No one knows for sure any of these numbers, so these are generally estimates of what someone thinks.

3. If Peyronies disease is cured in about half of the cases within the first 12 months after developing it, does this or does this not mean that there is a natural cure for PD?  The answer is that it does. When a problem is eliminated

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4. If PD is cured in about half of the cases within the first 12 months after developing it, what is wrong with my immune system that I did not correct my PD like those 50% of men whose PD just goes away on its own? The answer is too complex for anyone to answer at this time, so we flood the body with as much natural vitamins, minerals, herbs, enzymes and other therapies to help the body do a better job to heal and correct the original problem.

5. If the body can heal PD 50% of the time, is there something that I can do to improve, support or encourage my own body to do a better job of correcting or eliminating my PD like the other half of men who do it without any outside help? The answer is that about 70-80% of men see positive changes in their Peyronies scars when they use the methods as outlined in the PDI website.

Medical doctors, when they develop Peyronies disease, face a real dilemma because they know the limitations and dangers of medical care.  Many eventually come to the PDI website and use this method. I am helping 2-3 MDs right now correct their PD problem.  Medical doctors are aware of the limitations of what they offer the average Peyronies treatment patient; they are aware of the risk of creating additional injury when any drug is injected into the tunica albuginea of the shaft; they are aware of the potential danger of the new collagenase drug, Xiaflex; they know and have seen the horrors of Peyronies penis surgery when it goes bad.  This is why they hesitate to use for themselves what they prescribe for others.

It is a tough thing when people tell you different things. You must make up your own mind about your Peyronies treatment.  Does it make sense to first try to help your PD to heal better by using the natural PDI approach, and then later if that fails to try a more radical and risky treatment?  Or does it make sense to first risk getting more scar tissue from your surgical Peyronies treatment when you have already demonstrated that you make too much scar tissue.  In doing this Alternative Medicine work treating PD since 2002 I have seen no evidence of side effects or complications from using this conservative methods.  In that same time I have communicated with literally many hundreds of men who have had bad reactions to drugs and surgery to treat Peyronie's disease.

You must consult with your doctor about your Peyronies treatment, ask good questions, listen carefully to the answer you are given, and then make up your own mind about your eventual care.

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

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Would a penis extender help my curved penis?

I have a question about using a penis extender to reduce my curved penis.

I have had some moles removed from the top of my penis some time ago. I have a scar from my pubic bone that runs about 2-3 inches toward the head. Recently I have noticed when I have a partial erection my penis is curved upwards. I do not feel anything along the top that would feel like plaque or a bump or anything that shouldn't be there.

Could the scar be causing my curved penis condition? Do you think that a tension device like a penis extender would help my situation?

Thanks
Harold Bridges

Greetings Harold,

Guessing simply because you have an Anglo-Saxon last name, there is a possibility you could be genetically predisposed to Peyronie's disease. Your brief description is consistent with Peyronie's disease.  The surgery you describe could have resulted in excess scar formation at the site on the top portion of the shaft where you were cut, causing an upward bend.  Many men find that even Peyronie's surgery which is intended to reduce penis curvature will heal with increased scar formation and make their Peyronies worse.

The fact that you, as a layperson, cannot detect a noticeable scar or fibrous mass would not be unusual; many men cannot locate a Peyronie's scar when it is rather obvious to someone trained in this area.

You ask about a penis extender or mechanical traction device being used in your situation.  You obviously have not read too much of the PDI website.  Many men develop Peyronie's disease after being injured by such mechanical penis stretcher devices.  For information about this, please refer to  What do you think of a mechanical penis extender for treatment of Peyronie’s disease?  and My Peyronie’s disease started after I tried to straighten my curved penis with a penis stretcher, should I use another one?  and  Penis stretcher: Big problem as Peyronie's treatment

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I suggest you get a formal diagnosis of your problem so you know exactly what you are dealing with. 

In my opinion, if it turns out you do have Peyronie's disease it would be good for you to attempts to try a brief therapeutic trial of Alternative Medicine treatment to see if you can stimulate a natural healing or recovery as it happens in about 50% of men who develop PD when the problem clears up on its own.

If you have additional questions please let me know.  TRH

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How long do we stay on the plan after the Peyronies scar or plaque is reduced?

My husband just got diagnosed with Peyronie's Disease. He has no pain, we have a healthy sex life and have

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found other ways to deal with the curve, but he would like to reduce the curve and stop the plaque in it's
tracks. He does take other supplements. I have ordered the Medium Plan, should we stop all of his other
supplements while he is taking your plan. And have there been any side effects with you supplements.
He takes Lipitor for cholesterol, will this effect anything. Please let us know. We are anxious to begin and
want to know if he gets results, how long do we stay on the plan, after the plaque is reduced.
I will await your reply.

Thank you so much
Marija

Greetings Marija,

It is good for a man to have a dedicated and loving woman to support him during this difficult time when he is treating himself for reduction of the Peyronie's scar or plaque.  You really should spend a little time reading some of the questions and answers in this area of the PDI site to learn how to go about treatment.  The more you know the better his results will become.

If he wishes to take the other supplements while he is following his PD treatment plan, I see no reason to discontinue using them.

The only side effect is occasional diarrhea that affects a small percent of men due to the detoxification effects of the systemic enzymes.  You have already received instructions how to handle this small problem if it arises. 

Lipitor is a member of the statin group of drugs that have been implicated in causing Peyronie's disease.  The official verdict has not been reached as of this time, but there is growing evidence that all of the statin drugs have the potential to start Peyronie's disease.  To learn more about this, please read My husband has a curved penis, is this normal?   I suggest that you read about his subject to educate yourself, as well as discuss this with the doctor who prescribed Lipitor for your husband.    You might want to discuss the possibility of getting off him Lipitor while you attempt to control his cholesterol in more conservative ways so as to avoid aggravating his Peyronie's disease.

I usually suggest that once the plaque or scar is gone to stay on the plan for at least six months to assure no return of the scar material.  TRH 

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Could ultrasound treatment help with some of the ED that is part of Peyrnie's disease?

I think that I got some positive results from taking Neprinol. I will continue to take at least six pills/day.

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My question is for the ultrasound machine that you have. I was wondering if this could help with some of the ED possibly.

Thanks,

John

Greetings John,

Taking any therapy by itself as a solo treatment is not a very effective protocol; usually Neprinol must be combined with other therapies for maximum effectiveness.

Having some degree of erectile dysfunction (ED) with Peyronie's disease is not uncommon.  It is due to the presence of the Peyronies scar preventing full closure of the veins that trap blood to create increased hydraulic pressure needed for an erection to occur.  The answer for this kind of ED is to reduce the size of the PD scar material, or get rid of it altogether, so the veins can close again as they did before you developed Peyronies. 

Here is some additional information about this subject: Should I use Neprinol as part of my Peyronie’s disease treatment?

The ultrasound machine is proving to be a good therapy to add to a basic PDI style treatment plan, based on the reports I am getting back from men who are using it in combination with broad therapy plans. 

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

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

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

Thanks for all that you do.

W.

Greetings W.,

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

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

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

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How to help my Peyronies disease that started after using Propecia for 14 years?

Dr Herazy,  I appreciate the work with Peyronies disease you have done and are doing. I have read your newsletters with great interest over the past year or so. I would love to get your opinion when you have time.

I have Peyronie's disease or what has been diagnosed as Peyronies disease due to the upward curve. However, mine appeared rather spontaneously. I had no injury. I have no pain. The curve does not seem to be changing (for the better or worse).

I read somewhere on the internet there appears to be a link between Propecia & Peyronies. I suspect mine might be similarly related as I took Propecia daily from '97? (or whenever it was approved as a “hair loss” preventive measure) until 2012 when I read of the possible connection.

Have you heard of this? If so, would Peyronie's treatment be the same?

I can feel a mass about the size of a dime—it feels like it does not go very deep—I mentally picture something as thick as a nickle although that may not be correct.

Things I've done:
Called my Doc May/June 2011 (as soon as I noticed)—referred me to a urologist
Saw the urologist—referred me to a specialist in VA Beach
Saw the Peyronies specialist in Nov 2011—prescribed Potaba, Vitamin E, L-Carnitine, & Cialis

Still taking all but the Potaba

May/June 2012 –Saw a specialist @ Johns Hopkins—-had not heard of any connection between Propecia & Peyronie's disease — said to come back whenever it reached the point of preventing intercourse & they would be glad to do surgery

August 2012–Saw a Peyronies specialist @ Mayo (liked him much more)—he said there wasn't much that could be done differently than I was doing except maybe try a vacuum pump—-I've tried but w/ no success

Any suggestions for what I can do to help my Peyronie's disease would be appreciated.

Thanks

Jim

Greetings Jim,

The Peyronie's disease specialist who was unaware of a connection between Propecia and Peyronies is either sadly unaware if what is going on in the world, or just did not want to spend the time to talk to you about the mounting evidence against Propecia in regard to Peyronie's disease and several other health problems.  For information that might be of interest to you please read Another case of Propecia and Peyronie’s disease.  In the absence of known trauma and known genetic predisposition, Propecia (finasteride) causation is an interesting possibility to consider.

If you do indeed have a case of Peyronies disease caused by Propecia the natural treatment would be essentially the same as for cases caused by trauma or other chemical causation. 

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I suggest that you consider trying to increase your natural ability to heal and correct the damage done to you that resulted in a Peyronies scar.  From my experience the more aggressive and consistent the treatment, when guided by the response of the scar structure to your therapy plan, the more likely you will help your body to heal.   A good place to start reading is How to start Peyronie's disease treatment.  TRH

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I continued jelqing for months even though my penile curvature was getting worse and now I might have Peyronie's disease

Dr. Herazy,   Firstly, I would like to thank you and this community for even being here to help those who suffer with penile curvature.  Finding information online regarding Peyronie's disease has been very tricky and even an anxious affair due to the condition's unnecessarily embarrassing nature. Anyway, a little background: I am a 23-year-old male who has had a healthy sex life for the last seven years. While dating my previous girlfriend, we had some bouts with sexual difficulty, mostly on her end due to numerous urinary tract infections and her mental condition; she has been on anti-anxiety and antidepressants for some years now. This made her very self-conscious during sex and, admittedly, other factors like privacy created tension. I have never experienced this before and thought something was wrong with me, and for some stupid reason, I wondered if my penis was somehow inadequate. So, I looked into enhancement options and discovered the murky world of jelqing and stretching.

I followed the exercise regiment very closely, with my workouts beginning in February of 2012 and ending at the end of October of 2012. I made sure to warm up every time with a hot wrap and never pushed myself too far, or so I thought. I discovered that my penis grew in length and girth, going from about 5.5 inches erect to 6.5 inches; flaccid, my penis has always been about one inch, no joke. Now, it is usually two but often three inches in length when totally flaccid. My ex at the time noticed it and was shocked I managed to change the size and shape of my penis. I was taking L-Arginine, L-Lysine, and Zinc on my workout days, including Pygeum Africanum, Lecithin, Flaxseed Oil, Fish Oil, Super B Complex, and a solid Multivitamin. But during the last week of October, after we had broken up, I think I went too hard and stretched too far, feeling an uneasy sensation in my penis. It's important to note that I had noticed the progression of a curve for months preceding this but with no pain. It is also important to note that I have always had a slight curve to the left, as several photos taken years ago prove.

Anyway, after this weird feeling from stretching, I finished my workout and decided to take some days off. But the pain got worse and I noticed a small bruise/discoloration and what appeared to be a reddish stretch mark running about two inches on my penis. So, I scheduled an appointment to see a urologist. I saw him and he said I essentially “sprained” something or caused a microtear near the glans of my penis. He told me to abstain from sexual activity for six to eight weeks. He didn't feel any plaque and said that he couldn't diagnosis Peyronie's because there wasn't significant curvature or plaque. While I didn't exactly abstain as much as I should have, I did mostly stop masturbating for weeks on end.

The pain is now completely gone but the discoloration and stretch mark (maybe inflamed vein) are still there, though they seem to have faded a bit. I am now living in Chicago and have scheduled an appointment with Dr. Levine for March 1st. I need some kind of closure on this; I need to know if I have to start treatment or maybe I just have a congenital curvature. The curve hasn't increased since my injury and, as stated above, I noticed the enhanced penile curvature while flaccid months before my injury. While erect, there's not much of a difference between the way my penis looks now and a few years ago when I was sixteen. The only difference is the discoloration/bruise, stretch mark/inflamed vein, and a bigger, more curved flaccid penis.

I am currently taking a Multivitamin, L-Arginine, CoQ-10, Acetyl L-Carnitine, and Vitamin E. I also was using Bio-Oil and Cocoa Butter, but have cut back significantly; I liked how smooth it made my unit feel. I have continued sexual activity with no pain and no loss of erectile function. Based on what you all know and what I have told you, can you point me in the right direction? Can you give me advice? My current girlfriend and ex have been very supportive through all of this, including my brother, best friend, and mother. I just want some kind of pointers and opinions; it can be quite suffocating with everyone telling you “you're going to be fine” or “you're overreacting.” This is a serious condition and I am not sure where to turn. Dr. Levine has me scheduled for an ultrasound the morning of our appointment so he can check it out before meeting with me. I seriously hope there is no scar tissue or, if there is, it is something I can deal with. I have grown fond of my curved flaccid penis and don't mind it; life is too short to dwell and panic about these things as long as I can have a functional sex life. Please. And thanks in advance for reading my story and any opinions. It means a lot!

Greetings,

Thank you for your detailed report and  insightful commentary concerning your experience with jelqing and penis stretching.

In many posts I have written about the dangers of forced penis stretching: for example please see I think I have Peyronie’s disease from jelqing. What should I do?  Too many men take a cavalier attitude about remodeling their penis to Adonis proportions.  The websites that sell the books and tapes attempt to support the idea that all problems of low self-esteem and difficulty with female relationships will simply disappear with a sausage-like member tucked in below the belt.  Life is perfect for men who have an unusually large penis.  They do not discuss the many problems and tragedies that occur with these strategies of forced stretching.  The jelqing websites try to create the idea that the penis can be squeezed and molded like a slab of clay can be tugged and strangled into an exaggerated size to please a lady or gratify a weak ego.  When penis tissue is taken forcefully and repeatedly beyond a certain point of limitation it will suddenly fail.

At this point you can only be certain that you have a bruise or micro-tear of the external tissue of the shaft.  You might be one of the luckiest guys in the world to only have a superficial injury, and not a deeper problem in the shaft at the level of the tunica albuginea; if it turns out that you have injured the tunica you are perhaps a step closer to having a case of Peyronie's disease.  Even so, with injury to the tunica and an early case of Peyronies to deal with, about half of these cases repair or reverse on their own without outside intervention – spontaneous recovery is the medical term for self healing. This is mentioned so that you can appreciate the gravity of what you have done and the position you are in at the moment.  

When you wrote that you “…  never pushed myself too far, or so I thought,”  you made a critical point about jelqing that gets to the heart of the craziness about this brutal practice. Did you ever watch a movie in which the bomb squad is called for help to defuse or take apart a complicated explosive device?  The tension and drama of those scenes where the bomb wires are being cut is based on the person never knowing if he is cutting the correct wire or in the correct sequence until it is too late.  The trick of taking apart the bomb is that you can be doing it correctly when everything is going well, until the moment you make a mistake and the bomb and you blow up.  Jelqing is not much different.  You can think you are doing it correctly and safely, until you make a mistake and injure your penis to cause a problem like Peyronie's disease.  Who knows how far to go until after you have gone too far?  Who knows how hard to squeeze and stretch, until after you have squeezed and stretched too much?  Everything can go well until after everything does badly, when the whole jelqing idea blows up in your face.

Based upon what you have written, I suspect that you have injured yourself enough to have caused Peyronie's disease.  I am lead to this conclusion by your statement, “… I had noticed the progression of a curve for months preceding this but with no pain. “  By this you say that for months your penis was becoming curved and yet you continued to jelq for months.   Since I have not examined you I can only speculate, although you will learn in time if I am correct or not.  I further suspect that you do not have at this time a curved penis when erect only because your condition is still too early and you are in the stage where the plaque has not yet formed the telltale Peyronie's scar that is far more capable of causing penile curvature.  Further based upon what you have written, “While I didn't exactly abstain as much as I should have, I did mostly stop masturbating for weeks on end, ” even when the doctor told you to abstain from sexual activity you did not.  Not only did you not stop having intercourse, you only reduced masturbating. You need to read a bit about the subject of hedonism.   

If you do not develop Peyronie's disease as a result of your immaturity and lack of self-respect, and I hope you do not, it will be a miracle.  Please try to use this experience as a way to learn something not only to learn about the dangers of jelqing and Peyronie's disease, but more so to learn about yourself and what aspects of your personality are in need of growth and maturity.

If it does turn out that you have an incipient case of Peyronie's disease, please consider that there is much you can do to assist your body to heal and repair the problem.  If half of the men who develop Peyronie's disease eventually heal it on their own without assistance and their penile curvature goes away on its own, there is the possibility you can assist your recovery over Peyronie's disease  by using information found on the PDI website.

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Good luck to you, sir.

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After my penis implant failed, will I ever be able to get an erection again and keep it?

I developed Peyronie's disease about 10 years ago.  I guess there wasn't much treatment then because my doctor put me on vitamin E for a couple months ,but it didn't help.  I had almost a 90 degree bend to the left and had torn tissue on the left side.  He did surgery to correct it and he did a penis implant.  As a result  I lost about 50 to 60 percent of size.  Now after about a year and a half to two years my implant no longer works, but I am still able to get a erection but have a problem keeping it for very long!!  Now at best I can only get maybe half an erection, but can't keep it very long!!  Is there any hope for me now and can anything be done to improve size now after all theses years.  Will I be able to ever get a hard on again and keep it?

Greetings,

Any doctor who performs a penis implant surgery is supposed to completely and in great detail explain what he is going to do and tell you exactly what is going to happen as  result of surgery:  what you can expect in the near and distant future, your risks and rewards, as well well as your  odds for partial and complete success, the pros and cons of that kind of surgery, and if the changes are permanent or reversible, and what it might take to reverse the surgery – all before actually doing the implant surgery.  This is called informed consent; it means the surgeon must inform you of you everything you need to know in order to be able to make an intelligent decision about whether you want the surgery or not.  I hope this was done for you. 

I suggest that you contact that doctor who did your penile implant and tell him the problems you are having.  Ask him those same questions you have asked me, and do not let him push you out of the office until you have a clear answer you can understand.  Bring someone with you who you trust for this discussion.  Tell the doctor that you want that person in the room to help you process the information he will give to you.  Do not go into the room without that person with you because you need to have someone there to catch ideas and information you might miss.  You have a right to this person being there so do not let anyone tell you that it cannot be done. 

No matter what kind of answers or promises you get from this first surgeon who did the actual operation, then please, please, get a second opinion from another surgeon  before you actually let anyone cut on you again. 

You might want to read, Should my husband have a penile implant?

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If you need further help, please let me know. TRH

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Where can I find a multi-tube VED to treat Peryronies disease?

I have been diagnosed with Peyronies disease. It came on very quickly.

I work as a consultant. I am 62 years old. Until recently I enjoyed a very energetic sex life. I began to notice around May of last year pain when I acquired an erection.  My penis remained straight despite the pain. I was able to ejaculate and erection was not a problem.

I was on a job. My wife visited me mid October last year.  Then she went home. I had two more weeks until the job ended. I decided to wait until I returned to California and give my penis a chance to heal.  During first sex after two week layoff my penis was bent to the left. I was stunned.  I can feel the hard areas along the left side of my penis. My urologist suggested vacuum therapy.

I bought a device with a large tube that still permits my penis to bend.  I am an engineer.  To me this is just teaching my penis to continue bending. Now I learn there is multi-tube device and suggested therapy.

Where is this mythical multi-tube device ?

Thanks,

John K.

Greetings John K,

I do not endorse the idea if using a vacuum erection device (VED).   You can read this information in Peyronie's disease treatment with vacuum pump (VED).  

Over the years I have encountered too many men who had negative experiences after using the VED, either causing injury that resulted in Peyronie's disease or they noted that the device simply made the penis larger than usual for a few minutes but did not help the actual problem of PD.  The fundamental issue of Peyronie's disease is not the penile curvature weak or erections of Peyronie's disease that get your attention.  The real problem of PD that causes all the other nasty problems that you are experiencing is due to the existence of the Peyronie's scar inside the shaft of the penis.  Using a VED will not get rid of the Peyronie's scar; it will only stretch the tissue temporarily.

As an engineer I am sure you are familiar with the concept of trying to apply traction to a material that has rigid and less rigid areas; the traction force will be absorbed by the less rigid areas and will not allow the more rigid area to be stretched by the traction force.  This is the fallacy of the VED concept to treat Peyronie's disease, as well as the mechanical penis stretcher or extender devices.   This idea was discussed in some depth in a post I wrote called My Peyronie’s disease started after I tried to straighten my curved penis with a penis stretcher, should I use another one?  I would appreciate a comment or two from you concerning the engineering and physics principles that are discussed in this post. 

As far as where you can get a double-walled VED device, I can only suggest that you speak to a urologist who advocates the VED idea. The problem with the double-walled VED is that while it does not allow for the lateral bending of the distorted PD penis (which is good), it also does not allow for the expansion or stretching of the tissue (which is not good on one hand since this is supposed to be how this device is purported to help PD, but is good because it is less likely to injure the penis while it is being used). 

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Overall, it is my opinion the VED is not an effective therapy for Peyronie's disease. Note, that it is not only my idea that the VED is not a great Peyronie's therapy; many urologists are against their use for the same reasons I cite.   Having said that, you will note that makers of the VED and those MDs who advocate the penis pump product for PD will point to a few positive published research reports for the VED.  My answer to those positive VED research reports is the same concerning the thousands of positive research reports for hundreds of new drugs that come out annually.  These hundreds of new drugs, because of the positive research behind them, receive FDA approval each year .  And each year hundreds of them are taken off the market in a year or two after they are proven worthless or injure hundreds of people in the short time they are used.  TRH

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What plan do you recommend for someone with a 10 year-old case of Peyronie's disease?

Hello Doctor,

I've had a mild curvature to the side, enough for me to be pretty self-conscious but not enough to interfere with intercourse, for about ten years. Extremely rarely does it cause mild pain.

I'm 30, in good health, I haven't used ED drugs, and I haven't tried PD treatment before.  What plan do you recommend for someone like me who has had Peyronies for almost 10 years?

Also:  Do the plans include instructions for maintenance therapy once the scar has faded?

Thank you.

Ron

Greetings Ron,

The problem with a Peyronie's disease situation like yours is one of instability and vulnerability to re-injury. I see it happen often: A man with a nuisance kind of problem he can live with will suddenly have an accident during sexual activity and make his PD worse. With even a minor curve the penis is more likely to suddenly bend while thrusting than a straight shaft.  A  curved penis , even when mild, is an accident waiting to happen; the problem is that you have no way to know when that accident might happen and how bad it can be.   In my opinion the reason for you to do something about your PD is based more on prevention of this kind of problem, rather than being self-conscious.

Please go to  Suggestions to help you decide how to start Peyronie's treatment. You will see a lot of help there for yourself and it will put things into perspective for you as you decide how you wish to proceed. Based on the protocol outlined in the chart I think the age of your condition supersedes the fact your problem presents with only a mild curve at this time.For this reason it would seem appropriate that you begin using a large level treatment plan for Peyronie's disease.

Complete instructions are included for the use of all therapies that are ordered. Some men follow a maintenance program and some do not; usually the maintenance program consists simply of a low dose of systemic enzymes.

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

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Sex is better after PDI treatment, but still needs help to locate the Peyronie's scar

Dr. Herazy,

I began using your small treatment plan about 4 weeks ago with what I feel have been very good results. My upward curvature was most extreme at the end of the penis, but still not very extreme based on what I've read on your site. When I first noticed the problem, the pain was terrible during intercourse but has gotten much less over the course of treatment. I want to thank you for your website as it gave me hope without a sense of over confidence about getting healed. I read both booklets and with some adjustments sex is back to being very, very good although there is still some dull pain.

My question is about locating the scar. While I can definitely tell where painful areas are when erect, it's difficult for me to locate exactly where the scar is when applying PMD. Do you have any suggestions on what it should feel like or will there be any noticeable areas on the skin?  The only thing I can tell is that a good portion of the penis from head to about 3/4 of the way to the base is somewhat harder in the center (like along the urethra.)

Thank you again for your work, and any advice is appreciated.

Greetings,

Most men with Peyronie's disease need help to locate the Peyronies scar.

The painful areas you feel when erect might not exactly correlate to the location of the actual Peyronie's fibrous scar tissue.   You do not want to be treating painful areas; you want to be treating where the scars are located and this will in turn reduce your pain and assist in your overall recovery.

It is a rarity to be able to see an elevated area of the skin that is caused by the internal Peyronie's scar tissue; for the most part, it is a waste of time trying to actually see the Peyronie's scar from the exterior.  The best way to locate the scar material is when flaccid, meaning not erect.

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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.

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 your penis.  When you find it, mark its location with a marker pen or something that will stay on the tissue for a day or two.  Go back each day to that area and re-think what you are feeling.  You are trying to see if it becomes easier to make sense of it.  It could be that you have an unreasonable expectation of what a “scar” should feel like, and you are missing what is really rather obvious only because your expectation is wrong.  Really, how could you know what a PD scar feels like if you have never had to do this before?  Trouble locating the scar is a common problem.

PDI 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.  A large part of being in control of your treatment is to have a vivid image of the scar physical qualities in your mind.

If you need additional help to locate the offending Peyronie's scar, please contact me directly.  TRH

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What program would you suggest I try for my four year-old Peyronie's disease?

I have had Peyronie's Disease for probably 4 years or so (not initially diagnosed) and the initial bend and associated pain is no longer apparent. I have several plaques on the shaft and these cause somewhat of an hourglass effect and an associated constriction.

I no doubt have suffered from depression during this period partly due to feelings of guilt and helplessness. I have taken l-carnatine and more recently Neprinol. I have found that if nothing else doses of vitamin E have also been good for my skin health.

More recently I have been diagnosed with Ehlers-Danlos syndrome. I am in quite good health and have not experienced any loss of sexual function. In taking the Neprinol – this is probably of no association – I now wake with an erection.

I recognize that I should have acted earlier but as it took several attempts to find a doctor that could actually offer help I had already somewhat resigned myself to my fate. As described there has been substantial improvement from the original condition and I am looking to continue my recovery. What program would you suggest that I try? I look forward to receiving your advice.

Greetings,

As I suggest to all men who contact me with the same basic question about what program to get started with, I think you should visit the page  Suggestions to help you decide how to start Peyronie's treatment.  This is a good starting point for anyone who wishes to increase his ability to naturally heal and eliminate the offending Peyronie's scar tissue.  The basic idea is to support and encourage the strongest healing response possible by using the largest and most aggressive plan you can use for at least 2-3 months.

It is encouraging to think that you saw some degree of improvement by just using acetyl-L-carnitine and Neprinol.  This is not a good plan design, so if you decide to use what we offer as a viable treatment plan I would guess your results would be considerably better than what you did on your own. 

Fifty percent of men who initially develop Peyronies will cure or eliminate it without any outside help.  You saw what your body could do when you helped it a little in a lop-sided way.  The PDI therapy idea is simply to encourage that natural healing ability by supplying at the same time and in an elevated dosage all possible nutritional elements to help that healing process along.  

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If I can help you in any way, please let me know. TRH

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

Not every curved penis is Peyronie's disease

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Do you know of any link between Peyronie's disease and PSA (Prostate-Specific Antigen)?

My question is, do you know of any link between Peyronie's disease and PSA?

Since I acquired Peyronies, my PSA has increased over a couple of years.

Dave

Greetings Dave,

In my opinion there is a possible link between an elevated PSA test and Peyronie's disease, actually two links, but only in an indirect way and probably not as you might expect.  I will discuss that association a bit later after a few preliminary remarks so all readers can be more familiar with the PSA test.

Every man needs to know that PSA (prostate-specific antigen) is a protein made by normal prostate gland tissue in the adult male.  A recent ejaculation, any inflammation of the prostate whether caused by  acute injury, benign (non-cancerous) enlargement (BPH or benign prostatic hyperplasia) associated with aging, or prostate cancer can elevate the PSA level found in the blood.

In the mid-80s the PSA test was approved by the FDA only to monitor the progression of prostate cancer that was previously diagnosed.  In the mid-90s the PSA test was approved by the Food and Drug Administration (FDA) to be used in conjunction with a direct digital rectal examination (DRE) to annually test men who did not have active prostate symptoms as a screening procedure for prostate cancer. 

However, due to recently becoming aware of the limitations of the PSA test and the potential harm that can arise with its use, it the FDA acknowledges the PSA test is not a dependable prostate cancer screening procedure; it yields a false-positive result in about 75% of positive tests (only one correct test result out of four positive tests) . This means that three men who do not have prostate cancer will receive an incorrect test result for every four positive tests.  Prostate biopsy operations are performed on a routine basis when a PSA test is positive, so this means that three out of four prostate biopsies are unnecessary and expose those men to unnecessary risks and side effects.

On the other side of the coin, a false-negative PSA test can also come back with a low or normal readying even thought active prostate cancer is present.  This does not happen nearly as often as a false-positive PSA test, but it does occur, giving a man and his doctor, as well as his family, a false sense of security that cancer is not present when in fact he might have prostate cancer that requires immediate treatment.

As a cancer screening test the PSA, when it is actually correct,  can help detect the presence of small cancers that do not cause symptoms.  However, simply locating a small prostate cancer does not result in a man living longer.   Several types of prostate cancer detected by PSA testing grow so slowly they are unlikely to be a cause of death.  Further, detecting cancer early might not help a man survive a fast-growing or aggressive tumor that often spreads to other tissues and parts of the body long before it is detected.   For this reason the FDA now takes a different position about the PSA detecting prostate tumors:  early detection of slow growing and non-malignant prostate tumors that do not threaten a man’s life can result in “overtreatment” of low-threat problems, and this routine screening use of the PSA test has been called “overdiagnosis.”

Active and aggressive treatment of a low threat and slow growing prostate cancer is called overtreatment because the side effects and complications that arise from this kind of cancer treatment are often far worse and more life threatening than the cancer itself.   Beginning with  suppression or weakening of the immune system that makes a man more susceptible to infection anywhere in the body and other diseases, urinary incontinence (inability to control urine flow), bowel and urinary dysfunction and erectile dysfunction are a common side effect of cancer treatment.

More commonly now only those men who report actual prostate symptoms will be given a PSA test along with a digital prostate examination to determine the cause of their symptoms. The exception to this more limited use of the PSA test is for those men who are who are at greater risk of malignant prostate cancer (black men or those men whose father or brother had prostate cancer).  For this group it is recommended that they begin to screen for prostate cancer in their mid-40s.

For these men in a high risk group, PSA testing spread out over a period of several years rather than several months gives the most accurate and revealing diagnostic information. One individual elevated PSA test may be a reason for only mild concern, because often the next PSA test will be normal.  But a series of slowly raising PSA tests over a period of a few years is another matter and warrants further prostate testing. 

PSA testing is also controversial for men 75 years old and above.  This age group is far more likely to have a slow growing cancer.  This type of cancer posses very little immediate health risk compared to the other cancers, heart, lung and kidney diseases, diabetes, degenerative neurological and vascular disease (that often occur as multiple health problems) in the elderly.  For this reason PSA screening is not recommended for elderly men with multiple health problems or a single major medical problem, or when life expectancy is less than 10 years.

So now, Dave, with all that on the table, allow me to offer my thoughts about a possible connection between Peyronie's disease and the PSA test. 

When a man has a PSA test and the results come back positive, the doctor treating doctor will do additional tests that will probably include a prostate biopsy.  After the prostate biopsy the man might be catheterized (a thin catheter tube inserted up his urethra – the urinary passage in the penis) to help him void urine. I have written in the past about the issue of abusive catheterization leading to PD in  Possible Peyronie's cause: Catheter and cystoscope trauma. In this sense, men who have had a PSA test can develop Peyronie's disease indirectly as part of the process of having their prostate gland treated.

As a second possible link of PSA tests and Peyronie's disease, please consider the man who goes to his medical doctor for symptoms of prostate enlargement (urinary frequency, urinary dribbling, difficulty starting or stopping the flow urine or pelvic and penis pain).  As these things often progress, this man could be given a PSA test to assess the condition of the prostate and subsequently be prescribed the drug Proscar (finasteride) to reduce prostate enlargement (benign prostate hyperplasia – BPH).   There are a growing number of lawsuits now pending which claim that Proscar can cause Peyronie's disease; for additional information please see Will the drug finasteride (Proscar) (Propecia) affect my Peyronie's disease in any way?

I would be interested to learn more about your situation, Dave.  In particular, if you have ever taken Proscar in relation to prostate enlargement; and if have, if your Proscar was taken before you knew you had PD.  Now that you have Peyronie's disease I believe there is no direct connection between your prostate gland or Peyronie's disease and the raising pattern of your PSA readings.     

For additional information please see Prostate screening and Peyronie's disease.   TRH

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Do any of your Peyronies therapies have harmful side effects?

Hi Dr Herazy,

Please advise whether any of the Peyronie's Disease medications are known to have any harmful side effects. Also, I'm located in South Africa – is there a local agent I can contact or do I need to purchase the medication online? Thanks.

Kind regards,

Paul

Greetings Paul,

Diarrhea is the only adverse reaction that happens from time to time with some men when they begin taking higher doses of systemic enzymes.  With every order of systemic enzymes that we send out we include detailed instructions explaining what to do if a temporary diarrhea “reaction” occurs.

In all the years that PDI treatment has been used I have not encountered any adverse reaction when the plans are used appropriately and as instructed. Since the PDI treatment concept uses vitamins, minerals, food-based enzymes and herbs the possible range and frequency of side effects are not what is commonly associated with drugs.  As far as your body reaction to the increased nutritional intake that is part of this kind of PD treatment, you are simply eating better.

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I am not aware of anyone doing this kind of work other than PDI located in the U.S.   We send to South Africa almost weekly without any problem.  TRH  

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Upward 40 degree curved penis with Peyronie's disease, 22 year-old thinks sex is over and mentions suicide

I am 22 years old, i was messing around with a girl (not having sex) but, she got turned on and thrusted down on me and her pelvic bone hit on the end of my erect penis and it hurt momentarily and i thought nothing of it and went on with business. When we finally had sex the next week and i felt smaller but just shrugged it off to a bad day. Then it still seemed to stay smaller and it began to hurt.

After 2 months of it hurting when i got an erection and noticing a bend in the middle i scheduled an appointment with a Urologist and wasn't too worried because i figured no matter the cost it would be fixable and i have an upcoming deployment so i would have the money to pay for any reconstructive surgery (which i looked up and found out there is nothing to fix it!).

I went to the urologist appointment and he said real quick it was Peyronie's disease and explained what i injured, to take vitamin E and just it will heal but i'll lose length and girth and will be more liable to injure it further in the future then he abruptly left the room and that was it.

The past week since my visit i have been scouring the internet and becoming very depressed and have been contemplating suicide ( seen another 22 year old post similar which made me feel as i should ask for help also) i have a 40 degree upward bend, the top of my dick when flaccid has a hard feeling to it, sort of a elongated lump. I feel about 3/4 to an inch smaller and much thinner. Also weaker erection but, that has started since the diagnosis which i believe is more mental that actual physical condition. But just a quick prelude, when having sex with girls for the first time i've always been shy and would struggle to hold an erection the first time or two until i was comfortable. Had a good sexual relationship with the girl before and was almost always ready to go no problem, and then that ended and after finally having confidence in my sexual self, i hurt myself and feel i'm ruined forever.

Greetings young man,

No, you are not ruined forever.  You are only ruined if you allow yourself to be ruined.  But, you are too good for that; you have already proven that you are too good to allow Peyronie's disease to ruin you because you have already started to take steps to take care of yourself and to learn about this ugly problem.  You have already showed me in your email that you will be one of those who survives Peyronie's disease one way or the other.

However, it sure as hell is true you are deeply scarred; you are also confused about this mystery condition that came out of the blue to hit you when you weren't looking; you are also shocked at how little the medical profession has to offer you; and you are also upset at the cold and indifferent way the urologist treated you.  When you put all these powerful negative emotions together it can rattle your thinking and put you mentally and emotionally off-balance for just a little bit.  Because of this you have allowed yourself to think about suicide for maybe the first time in your life.   How do I know you are feeling this way?  I experienced something similar when I developed PD in 2002.  In fact the majority of the thousands of men I have communicated with about PD have felt just like you, and have thought many of those same black thoughts.  When you have a lousy medical experience with Peyronie's disease like you did – just like almost all men do – you can understandably have an almost identical emotional reaction – just like almost all men do. The difference is that only a few men are honest enough to talk about it.

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What you must do now is get busy to help yourself because you already know there is very little help for you from the medical side.  Most MDs are rather indifferent to the plight of the men they diagnose with Peyronie's disease.  In your reading and investigation of the PDI website I am sure you have come across the information by now that is repeated many times about 50% of men who develop PD getting over it  (spontaneous remission of Peyronie's disease) without any outside help at all. The message of the Peyronie's Disease Institute is that you always have the option of improving your odds of recovery by supporting your natural ability to heal PD like those lucky guys who do it naturally.   In fact, you could be one of those men and you just do not know it at this time.  There is much you can do to support the natural tendency of the body to always do the most it can to heal and recover to the best of  its ability.

You admit that you are a shy person.  Many times shyness comes from insecurity and lack of confidence that are rooted in past childhood issues.   There is nothing like being naked in front of someone for the first time to test your self-confidence and personal comfort.  Now that PD is an issue these insecurities and self-doubts are challenged even more.   This is a vitally important and complex subject that is central to the negative emotions that so many men feel when they first deal with Peyronie's disease.   I want to say many things to help you with this subject but my time and space is limited.  I strongly encourage you to get one of the books I wrote that I think will help you greatly, “Peyronie's Disease and Sex.”  There are so many helpful topics covered in this book that I am confident will help you think your way through your self-doubts.  Hopefully reading it will guide you to the other end of the problem at which time you will feel differently about having Peyronies disease.  If it does happen that you continue to have thoughts of suicide it is important that you talk to someone you trust for help and advice.

At the end of your email you said”…I hurt myself…”  Actually, that is only partially true.  The truth is that you put yourself in a dangerous situation and you allowed someone else to hurt your penis.  This happened because you did not know any better because you and 99% of the men in the world do not know about Peyronie's disease until they developed it.  If men do not know about PD, you can imagine that women are even more ignorant of it.  Therefore, it is likely that in your life you will never meet a woman who understands how dangerous it is for a man to be jammed and smashed down by her when he is erect.  You know; she never will.  Therefore, it is not up to you to deliver any lecture about PD and sex safety.  But, it is up to you to be smart; do not ever again allow a young lady to get that close to you when you are erect when she could duplicate that kind of injury. You must select a different range of safer sexual positions in which you are more in control of sexual activity, or at least learn to hold on to her waist so that you can limit how far back she can move to avoid a similar injury.

Please contact me again if you need help of any kind and I will do all that I can for you.  TRH 

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Will the drug finasteride (Proscar) (Propicia) affect my Peyornie's disease in any way?

Dr. Herazy,

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My urologist prescribed finasteride (PROSCAR) to shrink my enlarged prostate and lower my PSA level.  Will this affect my Peyronies in any way?

Thanks,

Lou

Greetings Lou,

Finasteride (prescribed under different names depending how it is being used) is used to treat enlarged prostate and prostate cancer,  (under the name Proscar), and it is used to treat hair loss and male pattern baldness (under the name Propecia).  Initially when finasteride was first given approval by the FDA (Food and Drug Administration) the known side effects of  fatigue, dizziness, weakness, breathing difficulty and reduced blood pressure were thought to be acceptable because they were mild.  Since approval by the FDA and greater usage in the general population more disturbing side effects have been associated with finasteride use.

In mid 2012 the FDA announced that finasteride use can increase the risk of a very serious form of prostate cancer, even though it is sometimes used to treat symptoms of a mild form of prostate cancer.

My first thought when reading your email was, “I wonder if Lou told his urologist that he has Peyronie's disease?”  But being your urologist, I assume you have gone to this doctor in the past simply because you have Peyronie's disease, right?  If so, it appears to me that you probably have gone to this urologist for your PD and now your enlarged prostate, and the doctor prescribed the finasteride for you anyway.

You see, there are currently several lawsuits being litigated against against Merk & Co., the maker of finasteride, about the many apparent side effects of this drug, including complaints related to the urogenital system:  Peyronie's disease, reduced semen volume, reduction of the size of the penis, genital numbness and lowered sex drive.  Unlike many drug side effects that stop once a drug is discontinued, the side effects of finasteride that affect the male reproductive system appear to be permanent and do not go away after the drug no longer is taken.  In addition, there are other categories of lawsuits being processed due to the mounting evidence that it also causes depression, anxiety, “brain fog”, memory problems, comprehension issues, reduced exercise tolerance, weight gain, and muscle and joint aches.

The FDA (Food and Drug Administration) has ordered Merck & Co. to revise its labeling of Propecia in recognition of the growing body of complaints that the side effects of this drug appear to cause permanent sexual dysfunction long after it is no longer being taken.  Most disturbing it seems is that the FDA acknowledges that new side effects and complaints against finasteride are being reported over time, creating a new medical condition now called the Post-Finasteride Syndrome.

Please see, Another case of Propecia and Peyronie’s disease.

Your urologist was not negligent or wrong in prescribing Proscar for your prostate enlargement because the FDA has not officially stated that finasteride causes Peyronie's disease or aggravates established cases of PD.  All of these claims are being studied and evaluated to determine if the association between the drug and the side effect are real or merely coincidence.  While the FDA might take perhaps a few years to reach an official conclusion, and your urologist can still prescribe this medication, you must decide if you wish to take it.

Just a few weeks ago I worked with a man in his late-40s who took Propecia (finasteride) for his thinning hair problem.   He was on it for perhaps a few months when he developed many unusual problems of skin eruptions, anxiety, forgetfulness and weight gain.  A few months later he developed severe erectile dysfunction (ED) and a curved penis.  His doctor denied any connection or association between his patient taking finasteride and these health problems that started after taking the drug.   In the face of all the information and evidence that is developing about this drug, I told him that his MD was not being honest because he was trying to protect himself from a possible law suit.  You must assume that an MD who prescribes a drug knows about its growing history of drug side effects.  The MD must make a decision:  Do I prescribe this drug knowing that it is getting a lot of bad reports of side effects and the drug maker is drowning in law suits, or do I continue to use it because the FDA has not pulled it from the market?  It seems to me that MDs play with fire, but it is their patients who get burned while the MD is protected by a good lawyer!

The problem this 40 year old fellow was having as he worked to reduce his Peyronie's scar, was that his response was very irregular and very slow.  Some days the scar was softer and smaller, and other days it would return to its previous density and size; some days the curved penis was straighter and other days it was not.  He was getting very discouraged.  I later learned that he was also taking a beta-blocker drug for high blood pressure, long known to cause PD.  Apparently this double-whammy of two drugs that cause Peyronie's disease was the basis of his slow and unusual response to his aggressive PDI treatment plan.   

Perhaps you should consider that some of the other drugs you are currently taking for different health issues might also contribute negatively against your Peyronie's disease.  For information along this line, please see Could these drugs be the cause of my Peyronie’s disease?  

I cannot answer your question if Proscar will affect your Peyronie's disease in any way.  My guess is that if it is possible for  finasteride to cause Peyronies disease, it would be possible to make an existing case of PD a bit worse and it might also be possible for it to make recovery all the more difficult as I work to reverse the problem with a PDI plan. 

To my way of thinking, being a very conservative person in these areas related to health and well being, I would talk to my urologist.  I would  learn if there are options to explore;  if there is an enlarged prostate drug that does not carry the possible side effect of causing all these different urinary symptoms that could be used as a substitute for Proscar.  If I had an enlarged prostate and I had Peyronie's disease, I would not take Proscar.  I strongly advise that you should do what you and your urologist decide to do.  TRH

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

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

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

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

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

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

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

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

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

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

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

Greetings,

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Can you help me with a penis that has been shortened by scarring from x-ray radiation?

I have had peyronies since 1977 when  I had a testicle removed and very soon after I contracted peyronies.  The oncologist treating me for the cancer also zapped the peyronies.  My problem is the x-ray treatment scar has shortened my penis form 6″ to 3.5″ also left me with the inability to maintain an erection so when I use the cock ring for intercourse it only leaves about 2.5″ and that ain't much fun. I have just found your web and am wondering if you can help.

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Greetings Mate,

You have a few things going on here at the same time and that will impact the outcome you finally earn. 

While the PDI gentle manual penis stretching technique was developed specifically for the effects of Peyronie's disease, it has been used by many men who wished to change their congenital penis curvature and a few men so far who have had scarring of the penis surface from x-ray radiation treatment.  Based on the reports I have received back from some of these men the  response was most often good enough that they were pleased with the outcomes and they thought it was worthwhile, even in those cases in which total recovery did not happen.

You have dealt with your problem for a very long time, so I assume you will be patient with this process and allow ample time for your tissue to respond to the best of its ability – if at all.  I mention this because I have no idea how bad your scarring is, where it is located, how deep it is, and most importantly, I have no idea how well and how faithfully you will use the stretching technique to assist changes to happen.  I can only hope you will follow the detailed technique instructions exactly as they are presented and that you will not try to use only penis stretching as the only way to try to regain lost penis size.  This is usually the best way to fail to get help.

To work well it is necessary to help your scarred tissue also from the inside by also using systemic enzymes, DMSO, vitamin E and Scar-X.  When these are combined with the stimulus of gentle manual penis stretching it might be possible to regain perhaps a part of what you have lost, perhaps a lot.  I have no way of knowing.   I cannot predict or promise anything to you because there are so many variables and unknowns.  The important thing is that you try to do this in the best and most aggressive way possible for at least 3-4 months.

If you decide to follow for a few months a therapeutic trial to see if changes can be made in your situation, please advise me by email when your order is placed.  I will supply specific information for you.  This is not what our therapy protocol is normally used for, so I will have to guide you through a few special steps.   TRH

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Am I doing the right things for my Peyronie's disease at this point?

Hello,

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My first sign of Peyronies was just 5 weeks ago, a small indentation on side below mid-shaft. A week later I noticed a slight bend in the  same area. Last week the bend was even a bit worse and I did masturbate, not rough though. Since that time I have almost no ability to get a full erection. I believe some of this is mental as I had no problem before and am quite upset mentally about this problem. Injury can be seen (not felt) below the skin when nearly erect. Looks flat elongated and possibly a bit larger recently. So I am now nearing 6 weeks since first signs.

Believe I hurt myself originally during aggressive sex with a slip and bend.

Daily I have been taking since day one 1800mg fish oil, 3- 100mg doses of ubiquinol, 3- 500 mg doses of ALC, 3- 500mg doses of Arginine, 4- 100 mg doses of vitamin E. Daily vitamin B, C and Zinc (30mg). I have no pain with exception of occasional burning sensation at base of penis and above that area.

My question is am I doing the right things at this point? Also, I have heard from many and read that traction often works over time. Is this something I should consider? My case is very new and I saw it almost Immediately.  Is  it too early to begin massaging the scar?some. I workout daily and am in reasonably good shape. Not overweight and have a near impeccable diet. I am severely stressed by this.

Thank you.

Greetings,

First of all, you do not know for a fact that you have Peyronie's disease.  You might simply be feeling the effects of the sudden bending injury to your penis. Typically it takes longer to notice signs and symptoms of an actual case of Peyronies disease, although it is possible since most everything about PD is variable from one case to another.  Because of this I strongly encourage you to go to a urologist for an examination and to have your problem diagnosed so you are sure of what is actually going on with you at this time.

Please be careful with any future sexual activity that could potentially re-injure your penis, whether it be intercourse or masturbation.  The last thing you need is another injury on top of this one.   This is something for you to keep in the back of your mind for the rest of our life.

If you do indeed have Peyronie's disease the actual Peyronie's plaque and later scar formation will never be visible.  These are tissue changes that go on under the surface of the skin in a layer of tissue called the tunica albuginea, and can be located by light and sensitive touch.

Your list of supplementation is interesting but I cannot comment on what you are taking because the quality of the supplementation is just as important as what you are taking and the quantity you are taking.  Since I have no idea about the quality of these items I cannot assume you are doing the right thing for yourself.  If you are interested in using a supplement program to assist your recovery I suggest you consider using those on the PDI website since I have utmost confidence and experience with them when used to increase healing of Peyronie's disease. I can tell you from looking at your list of supplementation that you are incorrect in addressing your problem by only taking supplements and not using what I will call external therapies to assist recovery from the exterior of the body.   I will be able to work with you when it is these products you are using.

Every month I hear from men whose Peyronie's disease started after using a penis traction device; they can and do cause injury.  For this reason I think it would be wrong thing to use for any man, especially after having sustained an injury such as the one you describe. 

Please do not massage your penis directly because doing so could cause further injury.  Perhaps you have read about the PDI Massage and Exercise video.  Well, in that video we clearly instruct men with PD to not directly massage the penis.   The message we propose to use is applied to areas and tissue other than directly over or to the penis.  You can find out more about this by clicking Peyronies disease exercises.

Right now it appears that you are guessing about a lot of things when it is important that you should be doing the right things.  Please spend some time reading different aspects of this subject, as with the article  Guide for Peyronie's disease treatment.   If you have additional concerns or questions please let me know.  TRH

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

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

Greetings young man,

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

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

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

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

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

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What Peyronie's treatment plan would you recommend for me with an enlarged prostate?

I have used your basic plan in 2010 and after that I discontinued since I was able to get erections and intercourse was not painful. Later I have been diagnosed with an enlarged prostate but PSA is normal. Now I have irritating and burning pain after ejaculation for many hours and my penis appears to become short although the curvature is not significant. The amount of semen is also very little. I am 47 years old. Never used Viagra or any other enhancing drugs.

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I am deficient on Vitamin D and taking an Omega supplement which also has Vitamin E.   What plan you would recommend for me and can you provide me details of medication in each plan. It was listed in this site but could not find now.

R Venkat

Greetings R,

I suspect that you did not correctly or completely finish your course of initial care and that this is the reason some of your symptoms of small curvature has come back.  Since you discontinued care because your erections improved and intercourse was no longer painful, I suspect you made a fundamental mistake in understanding how the PDI treatment should be used.   It appears to me you did not monitor the condition of your scar in terms of reduction of the size, shape, density and surface features of your Peyronie's disease scar to know for a fact that your true problem was gone.  While it is good your pain improved and your erection quality improved, that is not a good way to determine success or failure in treatment.  I also suspect that you got a small reduction of your scar (enough to make intercourse less painful and erections stronger) but that there was more work left to be done to reduce the scar further that you did not do.

Many of your current complaints could be due to the prostate enlargement you mention; you should discuss this with your doctor.  For this I suggest that in addition to using the medication he has prescribed for you, that you consider using multiple vitamin supplement that will supply all the nutrients that you need for your general health, plus special nutrition and herbal support for the prostate gland; it is called Prosta-Support.   Additionally, it would be good for you to talk to your doctor about performing a simple and economical prostate massage on yourself a few times a week using the Aneros prostate massager.

You should consider using at least a medium Peyronies treatment plan, and even a large Peyronie's treatment plan if it is in your budget because it is larger and more diverse, to help your body completely eliminate the remainder of your Peyronie's scar.  TRH

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Question about PDI ultrasound machine usage outside of U.S used for Peyronie's disease

Hi

I live in Australia and purchased the ultra sound device with my last order. The power supplied here is 240Volt – Is the ultra sound suitable for use in this Country ??

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Paul Craig

Greetings Paul,

Yes, the ultrasound machine we have available is made in two voltage ratings.  For the US and a few other countries it is made as a 110 volt unit.  For most of the rest of the world it is made as a 230 volt unit which will work when using 220, 230 or 240 volts power sources.  TRH  

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Is having a penis with a congenital twist really rare or fairly common?

Hi, Dr. Herazy.

I'm wondering if your treatment program might help me improve my penile torsion–my penis has a counter clockwise rotation some 45 degrees. I'm 40-years-old and married.

One more thing–is having a penis that twists in one direction or another really rare or fairly common?

Thanks for any advice.

Very best–Chris

Greetings Chris,

Since you do not mention having Peyronie's disease I will assume that your twisted shaft is a condition you have had all your life, or a congenital twist that is simply the way you are.  I mention this because it could also be part of the deformity pattern that develops as a result of Peyronie's disease, since many men note this finding along with a curved penis and loss of size that results from the presence of the Peyronie's scar.  When I had Peyronie's disease back in 2002 I also had a torque or twist in the shaft; mine was also counterclockwise, and it was resolved along with the 35 degree bend to the left, upward 10 degree bend, and loss of size when I was able to heal the PD scars that were causing that mess. 

But I assume your twist is unrelated to PD and is only something that makes you the unique and wonderful guy that you are.  For information about how some men are born with a different looking penis please refer to  How can I tell the difference between Peyronie’s disease and a congenitally curved penis?

Previously I have described how many men have used the PDI gentle manual penis stretching technique to partially or completely reverse congenital penis curvature and bends.  Please refer to Will the PDI Manual Stretching Technique help a congenital penis curvature?

It is not I often learn of men who have a congenitally twisted or torqued shaft; most often it is congential curvature that is mentioned.  Further, when twisting is mentioned I believe the amount is not often as much as our 45 degrees.   However, when it comes to these kinds of variations of the penis there is a tendency for men to not broadcast this information.  I would suspect that it is more common than generally spoken about.    For these reasons I will say that your situation is not all that common, but certainly not rare.  

I would suggest that if your torqued shaft is presenting a problem to your sexual function that you could consider a brief therapeutic trial of maybe three months or perhaps more using this PDI protocol to see if you can reduce the degree of variation you have. TRH

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Depressed 22 year old student thinks he has Peyronie's disease and mentions suicide

Hi Dr.Herazy,
I am young student of just 22. I am feeling some cord-like lesions (around 4) around my penis and the penis is curving just right at the base lesion,the curve is though minor but my penis is loosing girth at the base and I am sure this is peyronies.  I can find the lesions i.e plaque very soft and moving like veins. please help me. Depressed a lot. Went till suicide.

Greetings young man,

I will be happy to help you.

First of all, you do not know you have Peyronie's disease.  You think you have Peyronie's disease.  You could easily be wrong because a few things you mentioned in your email does not fit a good description of this problem. 

1.  You are far younger than average to develop Peyronies.

2.  Seldom does Peyronie's present itself as multiple cords.

3.  Seldom does Peyronies in the early stage appear as a soft lesion, but usually firm to hard. 

4.  Seldom are the Peyronies lesions moveable to any great degree.

5.  Seldom does someone have four separate lesions that are easily located; most men cannot find one. 

6.  You did not mention pain, which is a rather common complaint in the early phase of Peyronie's disease.  

7.  You did not mention trauma, which is usually a large part of Peyronie's disease when someone your age develops it, so this is a missing part of your story that is almost always mentioned from someone like you. 

Based on the above, I have serious doubts your problem is Peyronie's disease.  I suggest the first thing you should do is to go to your local doctor for a complete examination to determine the actual problem that is going on.  My suspicion is that you have a small congenital anomaly or curved penis you were born with that you are just now noticing; that the four cords are indeed veins; and that your overactive imagination is suggesting that you have lost girth.

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If you read some easily available information like, What is Peyronie's disease? , you can learn more about it.

Lastly, you are more than a penis.  You are an important and valuable person with or without Peyronie's disease.  Anyone who thinks less of you because you might be missing an arm, an eye, a leg, or the use of your penis, would only do so because of immaturity and distorted values on their part, and the fact that they do not know you.  You need to organize your thinking and control your emotions which are now only being guided by fear and poor judgment.   Look around you for just a few moments to see how fortunate you are and how good your life is at this moment, and in the future that you are creating.  Put your personal, moral and spiritual values where they belong .  Realize how good life is regardless of small problems that arise while we live the wonderful life that we choose for ourselves.  

There is a lot that a person like you could do to help yourself heal if it did turn out that you have a case of Peyronie's disease.  That is why we have so many people who come to this website to help their body reverse and correct the Peyronie's problem.  Go to  Testimonials from the Peyronie's Disease Institute to learn about the many people who have used the PDI therapy ideas and eliminated their problem by supporting their natural ability to heal the Peyronie's scar.     

Keep your heart and your mind on the positive.    Please keep in touch with me and let me know soon what you learn.  TRH

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

Hi doctor,

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

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

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

Bill

Greetings Bill,

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

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

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

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TRH

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Another Peyronie's disease treatment success story

Hi Dr Herazy

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

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

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

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

Best regards

Greg Woodford

Greetings and thank you Greg,

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

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

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

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

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

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

Again, nice work and congratulations, sir.

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

Hello Dr Herazy,

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

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

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

Thank You,

Johnny J

Greetings Johnny J,

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

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

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

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

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

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Do you think masturbation in childhood may lead to Peyronies later in life?

Dr. Herazy,

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

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

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

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

My thesis is that as the penis develops during adolescence the bend will be the result of the constant “abuse” of the organ during frequent masturbation. A nurse friend and lover of mine use to joke she could tell the left handed males from the right by the deviation of the penis. I have observed many males with straight penises and I am sure their masturbating habits were as common as mine.
Do you think that this may lead to Peyronies later in life.  Review of the literature reveals little information specifically relating to this issue.

Sincerely,

C. A. H. DDS MS

Greetings Doctor,

You are correct, there is no specific reference in the literature in regard to this particular, and somewhat common, question about repeated masturbation altering the shape of the penile shaft to conform to the hand that is habitually used.  There is also nothing noted in the literature tying Peyronie's disease and masturbation together.

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

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

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

Come to think of it, I have worn a belt snugly around my waist since 5 years of age or earlier yet I do not have an indentation to conform 8-12 hours of compression for a life time.     

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

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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.  

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

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Any reason why these 10 items were not included in the Peyronie’s Large (Best) Treatment Plan I received?

I ordered the Large (best) plan – order number 4789358764 Double checked by Dawn
In the instructions – Dosage: start of Care
there were 22 items listed for the therapy.
this is what did not come with the Large (best) package
Ascorbplex 90 or 180
Acetyl – L – Carnitine
PABA
Quercetin Bromelain
Neprinol
Unique-E oil
HJG and KBG Honso Herbs
Prosta- Support
Omega-T
Any reason why these would not have come in the large (best) Treatment Plan?

Also – While I assume all of the activity – nutritional, eastern medicine, Acupuncture, strectching, applicants, exercise all work together somehow – Is it truly a holistic plan or do some parts tend to work better than others.?

John

Greetings John,

The Peyronie’s disease large treatment plan does not contain everything that is available from the PDI store; it is not intended to be an all-inclusive plan – just large.  If you go to the PDI website and look at the description of the Peyronies  large plan  you will see there are 12 items in the large plan, and this is the number of treatment items that you received.  your order was complete and correct.   To say it another way, you did not receive everything in the PDI store because only 12 items are in the large plan and that is what you received.   It is a large plan, not an “all inclusive total kitchen-sink nothing-left-out therapy plan.”

There are several reasons that not every possible therapy is included in this large plan.  First, it might not be necessary to use such a huge array of all possible therapies to correct your problem.  If it does prove later to become necessary to include additional items in your therapy plan there will be additional items that can be used later.  And, the plan is limited to 12 items to simply keep the costs down for the person just getting started in care.

I suggest you spend a little more time reading some of the information available to you on this site to understand how this process works.

Please let me know if you have additional questions so I can help you in your recovery from Peyronie’s disease. TRH

 

Cortisone injections and Peyronie's disease

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

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

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

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

Dr. Herazy,

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

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

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

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

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

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

Sincerely,

C. A. H. DDS MS

Greetings Doctor,

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

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

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

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

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

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

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

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

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Where can I purchase the 3MHz ultrasound machine to treat my peyronies?

Where can I purchase the 3mhz ultrasound machine to treat my peyronies?   I couldn't find it here.  rabalar.

Greetings Rahalar,

Please go to 3MHz ultrasound treatment of Peyronie's disease for the information you need.  TRH

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I am in the early stages of Peyronie's disease. What do you suggest I do?

Dr. Herazy,

ppp home removal

After doing some research I am convinced that I am in the early stages of Peyronie's disease. Very recently, the skin directly before my penis head has swollen a little on the left side and left a small dent on the right side under my head.

I haven't told anyone. What do you suggest I do?

Keith

Greetings Keith,

First, I suggest that you go to see a urologist who has experience with Peyronie's disease and get a diagnosis of your problem.   Until your diagnosis has been firmly established you are merely guessing and that is not good for you. 

Second, if you are told you do have Peyronie's disease you should begin the largest plan you can sustain for 3-4 months while you attempt to accelerate and support the natural tendency of the body to heal and eliminate the Peyronie's plaque. You can find more information about this process at Start Peyronie's Treatment.  TRH

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Should I change my Peyronies treatment because I am younger?

Hi,

www.howtoincreasepenisize.com

I am a young man in my thirties. My torture with Peyronie's started two years ago. Following masturbation I damaged myself at the tip of my penis.  I knew at the time is was a major event and one that would change my life irreversibly for the worse.  It was caused by pulling the foreskin back too far with force.

Following it, I had considerable pain for a year and a half. I went to casualty, multiple doctor's but no-one could tell me what it was. Surprisingly, the first doctor I saw guessed maybe Peyronie's because I had a bit of fibrosis at the tip but it was not a nodule – it was clearly calcification along what I thought was a nerve. It soon circled round the head as a thin band. The pain continued and intensified and after a few operations on the skin, a circumcision was suggested as the only cure.

I had that done and it removed the ring of tissue, but no I just had pain when I came to a climax. The original injury happened just before climax so I hypothesized that it was still the same problem. Gradually the pain turned into Peyronie's with a big nodule just behind the head, neither at the top, bottom, left or right but in the middle. Where I had the pain at the top left, scar tissue was forming. The pain was intense, day in, day out. I am a very fit young man and nothing seemed to stop it, sometimes its subsides but then it comes back to remind me and worse than before.

I have tried pentox with Cialis and also Tamoxifen having gone to a specialist. I am quite well studied and just can't understand this disease. I also tried using a stretching device but that was the worst advice in my opinion and stopped quickly afterwards. I have read studies, have read your book and am interested in what happens to younger men.  No one seems to know. I am 1% of a sample size of 1% of the population – aren't I lucky. I am not giving up, your book makes a lot of sense which is why I started off with your mid plan and have now bought everything I can get my hands on. I do take pentoxyfilline at the same time though as I feel it does help blood flow although it doesn't fix anything.To summarize therefore, at the moment, I have changed my diet (as much as I can), now just started taking everything on your list (although I am still nervous about DMSO but it is a calculated risk) and pentoxyfiline.

Having said that, it is all slowly getting worse. I have days with intense pain and all the time I have some pain. I think your point about digestion is valid as I do struggle with digestion and find it hard to go to the toilet.

I would really like your help. Currently I have a very fibrous penis all throughout. Sometimes it feels better than others but it isn't good. I am a positive guy but I am at my limit. I have a beautiful girlfriend who doesn't mind and I am great at sex, but I can't climax. I don't actually have pain during intercourse but erections are getting harder.

My personal hypothesis is that Peyronie's is caused by a chemical that is released through damage. In my case it is a nerve at the tip of the penis. This chemical went everywhere due to the great trauma and now the scar tissue is just finding where the chemical is. If I can find the inhibitor, I might get my life back.

What are your thoughts? I may be barking up the wrong tree but I need hope. In short, forget my hypothesis, is there anything I should do.  Should I change my treatment because I am younger? Should I take more of one thing and less of another? I am completely open to ideas. Like I say, I think it is beatable at any stage, you just have to find what works for you. I think there are many types of Peyronies caused by many types of things (which is why drug treatments are inconsistent).

Let me know what you think. I really appreciate your approach and thoughts.

Many thanks,

Steve

Greetings Steve,

Welcome to the large body of men who do not understand Peyronie's disease.  PD is a mass of contradictions and irregularities and this accounts for the ongoing difficulty not only in making a diagnosis, but also treatment.

You ask for my thoughts.  To begin with, several aspects of your story makes it sound like you have an extremely atypical, or not standard, case of Peyronie's disease.

Your 2nd and 3rd paragraphs are very interesting.  Bear with me, but based upon the scenario of the development and progression of your problem as you present it, I can make a different interpretation of your problem.  From a slightly different vantage point I interpret your report differently.  I can see it is possible that your penile problem was not originally Peyronies.  It is possible that you only developed later into Peyronies after the rigors of “a few operations on the skin, plus a circumcision. Starting a penis problem by pulling the foreskin tightly down tightly during masturbation, a superficial and circular pattern of fibrosis at the tip of penis, and constant severe pain for 18 months are not at all typical of PD; fundamentally, Peyronies is a problem of the tunica albuginea located in the shaft, not in the tip of the penis. Your problem is not even in the usual location for it to be Peyronie's disease.  Furthermore, you do not mention a deep nodule in the shaft and you do not mention penile distortion.  Very little of your initial complaints during the first 18 months of your ordeal sound at all like Peyronie's disease.  It is only later, after you were under medical care and had several penis surgeries for these unusual complaints, when you were probably catheterized several times or used Cialis several times, or were traumatized while using a mechanical penis stretcher, that you started to have complaints more consistent with Peyronies. 

I mention this observation because it is important for you to explore the possibility that you are dealing with a complex problem that could actually be two or more different problems that are superimposed on top of each other.  Perhaps I am incorrect in this regard, but based on what you have reported in your statement I think the case could be made that you initially had a superficial tissue abrasion or tearing that later developed into fibrosis, and only after receiving drug injections into the shaft during surgery or from catheterization after surgery did you develop PD.  Something to think about. 

You ask if you should change your plan because you are in your thirties, which you apparently consider to be younger than average to develop PD.  Based on many years of experience, you are not young to have PD; many men I would with are in their 30s, and 20s; I deal with many sad cases of teenage boys with PD.

Regardless, whatever your age might be, age is not the reason to change your plan. You should change your plan because whatever you are doing is not working; if your current Peyronies treatment plan is not providing benefit or improvement, and you have not changed it by now, then you definitely should change what you are doing.  You did not mention how you are using your medium size plan, or what your individual dosages are, so there is no way for me to suggest how to best modify your plan since I do not know what you are currently doing for yourself.   

The best way to handle this is by working together in direct discussion during a telephone call.  We can get a lot done in just 30 minutes or so if we put our heads together.   Please go to the PDI website to arrange for a telephone call together so you and I can directly discuss your situation in detail.  TRH

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Is the urologist I am seeing for Peyronie’ disease smoking something?

Have had PD for two years; mostly on the part of the penis below the outer wall of my abdomen and on the right hand side. Can feel a 3-5 inch long fibroid maybe 1/8 to 1/4 inch wide, again most of it inside my body.  Penis bends to the right at about a 90 angle, but right at the base so I just “straighten it out” and still can have sex, albeit that I have lost maybe 1.5 inches in length. Urologist says every one of his PD patients cured by themselves in a “3-5” year time frame??

1.Is he smoking something??
2. Have tired the “fibroid dissolving” Neprinol/Serracor/Senacor and Varapamil cream for months, kind of early on (8-18 months) ; all to no avail
3. What do you recommend?
4. What do you think of the European “needle puncture” technique to break up the plaque?

 

Greetings,

1.  I cannot comment on the recreational smoking habits of your urologist.  Perhaps the urologist is laboring under some old concepts and information that states most cases of Peyronie’s disease will eventually get better, or he has some very unusual patients.   However, more recent studies indicate it is not true that all cases of PD eventually get better on their own.  Current investigation states that at 5-10 years after onset of PD, approximately 10-15% of men with Peyronie’s disease will experience a variation of symptoms and even gradual resolution, while 40-45% will have continued progression or worsening, and about 50% will be stable or have no further worsening of their symptoms.  Perhaps your urologist was simply trying to make you feel better since he has nothing to offer you in the way of treatment and just wanted you out of the office.

Actually, if you think about it, it is interesting to note that your urologist’s comment that “every one of his PD patients cured by themselves” goes right along with the PDI treatment concept that I have constantly preached since 2002.  Your urologist confirms that it is his/her experience that men cure their own Peyronie’s disease in a certain number of cases. Even the current concept of 10-15% of men recovering spontaneously support the PDI treatment idea.  All that the PDI concept of treatment of Peyronie’s disease attempts to do is to support, promote and increase that very same tendency to recover naturally from PD that your urologist told you about.  This is really a simple and natural thing that PDI is attempting to do:  make sure  a man who wants to get rid of his Peyronie’s disease is equipped with everything he needs to function to the best of his ability to get eliminate his  Peyronie’s scar. If all men – or 10-15% of men – get over their PD without any problem, what do you think you can do to get over yours?  Well, PDI has worked on this problem for a long time and has some very good answers to that question.  Read about it here.

 2.  Your use of systemic enzymes and Verapamil cream, in my opinion, and based on over 10 years of experience in working with men who have this problem,  is not likely to be successful in eliminating your Peyronie’s disease. This narrow-base approach is far too limited to be successful against a problem as stubborn and complex as PD.  Of course I am committed to the ideas and concept of treating Peyronie’s disease you find on the PDI website.  In my experience it is far more effective to aggressively and faithfully use a wide variety of different Alternative Medicine therapies delivered all at the same time, over a long period of time, to increase and support your natural immune response to the foreign fibrous tissue in your penis.

3.  I recommend that you use the largest and most aggressive PDI treatment plan you can sustain for 3-4 months while you attempt to support your natural ability to heal and eliminate the foreign fibrous tissue from the shaft of your penis.  The PDI large plan tends to get the best results, while the PDI medium plan is the most popular; of course you can modify any of these plans any way that appeals to your understanding of your situation.  Any of the model plans you see on the PDI website can be modified to be smaller or larger, or contain a therapy you prefer, based on your knowledge of your particular situation. If you need help in this area please let me know.

4.The European “needle puncture” technique to break up Peyronie’s plaque is called the Leriche technique or needle plication.  Please see “Leriche Technique for Peyronie’s Surgery,” and “Does any Urologist Perform a Needle Aponeurotomy for Peyronie’s Disease?”

Lastly, your method of forcefully straightening a 90 degree bend so you can have intercourse should not be used.  There is a good chance you are injuring yourself and causing the developing of additional scar formation by stretching your tissue in this way.  I strongly suggest that you do not do this.  Perhaps you could get some good information and helpful ideas from my book, “Peyronie’s Disease and Sex.”    TRH

Do you have a suggested protocol for ultrasound treatment of Peyronie’s disease?

I ran across comments on your site regarding the use of ultrasound therapy. Do you have a suggested protocol for intensity, frequency (1 vs 3.3) duration, etc?

Greetings,

There seems to be a rash of great interest lately in using ultrasound treatment for not only Peyronie’s disease but also Dupuytren’s contracture.  I suppose this is the way the internet works.

Yes, I have a detailed protocol for using the ultrasound machine for the particular problems of Peyronie’s disease and Dupuytren’s contracture that is being sold on the PDI and DCI websites.  This protocol is specific for this particular machine, and would not necessarily apply to other ultrasound units.   Further, this set of treatment guidelines will probably change over time as our research with ultrasound continues.  For these reasons I hesitate to share the specific ideas with others who do not have such a unit.  They might not know how to adapt my protocol to their machine, and they would be outside of the loop when later changes are made to improve these treatment instructions.

I can tell you, however, that I strongly advise against the use of the 1MHz frequency ultrasound machines for treating PD and DC; the 3MHz is preferred. 

There is a great difference of effects from ultrasound on living tissue when delivered at higher (3MHz) and lower (1MHz) frequencies.   The reader might need to be reminded that 1MHz and 3MHz are not brand names or model numbers an ultrasound machine.   Many companies make a 1MHz US machine, and a few that make a 3MHz US machine.  These two terms, 1MHz and 3MHz, refer to frequency or rate of sound vibration that a particular US machine will produce.   The terms mean that at 1 MHz, the sound is being produced at 1 million cycles or sound waves a second, and at 3MHz the sound is being produced at 3 million cycles or sound waves a second. 

There is three times the amount of sound waves created in a 3MHz machine compared to a 1MHz machine.  The higher number of sound waves get “jammed” as they enter living tissue.  Thus, the higher rate of sound does not  penetrate very deeply into the tissue, so they remain near the surface where they create heat, since they tend  to be unable to penetrate deeper down.   The greater the number of sounds waves of a 3MHz US machine is more powerful and faster, but this greater amount of sound also prevents the sound from going down into the tissue -which is exactly what we want to treat Peyronie’s disease or Dupuytren’s contracture.

Ultrasound therapy is just sound that is directed into the body to shake the cells at extremely fast speed that will heat them up.  The sound produced at this high frequency cannot be heard, and it cannot travel through air; it can only travel through solids and liquids. Most therapeutic US machines are made to generate sound at 1MHz.  These one million sound waves are created each second and can be driven deeply into the tissue (several inches) where they bounce around and create heat by producing friction between the cells the sound waves strike against. In addition to producing heat, this cellular vibration also increases metabolism of the cells, especially the healing process. That is how and why US therapy works.

For information about the unit we sell, see ultrasound treatment of Peyronie’s disease  and  ultrasound treatment of Dupuytren’s contracture.   TRH

What have been the results of ultrasound therapy for Peyronie’s disease?

So, what have been the results of the ultrasound therapy for Peyronie’s disease?  Any breakdown in tissue?  What is the protocol — daily, weekly?  Does improvement happen over a certain period of time or “therapy” sessions? How long is each session?

Greetings,

Ultrasound has been heavily researched in the general area of how it affects living tissue.    See these internet discussions  http://cnx.org/content/m16192/latest/  and http://en.wikipedia.org/wiki/Therapeutic_ultrasound and http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1265028759369  (go down to page 34) to name just a few. 

Since the initial research in the early 1940s there has been a growing body of good science that proves ultrasound has definite therapeutic tissue effects, especially the effect of tissue cavitation.  But it is necessary to extrapolate this information to the problem of Peyronie’s disease, because no one has taken the time or spent the money to see if it applies to Peyronie’s disease.   Having written that, I have had perhaps over the years had 6-8 people report to me at different times that they used US for their PD or DC and that they thought it was helpful.  This is certainly not scientific, for sure.  But if you and I waited for something truly scientific to be conducted by a drug company or the medical research department of a university concerning non-traditional treatment being used for Peyronie’s disease or Dupuytren’s contracture, we would spend a lot of time sitting on our hands while our conditions worsened.  Because I have explored and rationalized so many of these different concepts through, especially the basic concept of synergy and applied it to PD and DC therapy, there are perhaps well over a thousand men and women whose problems have been eliminated or improved in various degrees.  By being proactive and using common sense many people have been helped.

 I am working now with an idea that the men and women who will be using ultrasound therapy for the PD and DC problems can be used to assemble raw data about the therapeutic effects they experience.  Not exactly sure how I will eventually go about doing this, but perhaps I can make it happen.

The therapeutic effect of ultrasound is not to break any tissue down, but simply to increase metabolic activity of the tissue being treated so that natural healing and repair is accelerated.  In so doing this, the net effect is often a breakdown of foreign and abnormal cells, and their eventual removal as part of the desired healing process. 

Treatment with ultrasound at this time is advised to be done three times weekly, for ten minutes each session; this might change over time as our research and comparison of results gets started.  The exact protocol we propose is provided with each ultrasound machine we sell on the PDI and DCI websites, so that each person is doing the therapy the same and in a safe and effective manner.For information about the unit we sell, see ultrasound treatment of Peyronie’s disease  and  ultrasound treatment of Dupuytren’s contracture

Ultrasound treatment, following the standard PDI and DCI guidelines that directs all 14 therapies  that we suggest,  is not proposed as a stand-alone or solo therapy; ultrasound therapy is only one part of a large, diverse and balanced treatment protocol.  Anyone who uses only ultrasound therapy to treat these two problems is not following the DCI and PDI concept. As such, when applied correctly the therapeutic benefits will typically develop gradually over time.  TRH

Is a rubbery ring after masturbation an early case of Peyronie’s disease?

After some vigorous masturbation I felt like my penis had puffed up around the circumference so I stopped. That very day I noticed this had made a very soft and rubbery circle (and another half circle as well), encircling my penis, (prominent mostly on the sides) almost like I squeezed it too hard.

I’ve had no pain except for the discomfort that one time masturbating, all seems well now. And I have no curvature etc..

It is not noticeable when completely flaccid. but during a semi erection (when the penis is soft but still somewhat engorged) I can see a “ring” under the skin around the shaft. It is not movable with the veins

Anyways, I have had this for 2 weeks… I have no pain or erect curvature. Great erections… Just this thin soft/rubbery thin stringy thing that isn’t hard or obstructive.

Do I have Peyronies disease? Does it ever present this way early on?

 

Greetings, 

No, not much of what you describe sounds to me like early Peyronies disease.   It sounds like not much more than some inflamed and swollen tissue that should clear up in a short while.  If it does not start clearing up soon, say in another two weeks, I suggest you have it looked at by a urologist.  

However, let me put you  on notice, my friend, that any masturbation technique that is aggressive enough to cause that kind of tissue swelling and inflammation two weeks later might just as easily have caused Peyronie’s disease. In this sense I think you were lucky this time.  But, you might not be so lucky next time.  I have a feeling that you masturbate with some frequency, and perhaps even with some degree of aggressiveness.  This might be the reason your rubbery ring has persisted; I suspect you are continuing to masturbate  even though you have this bruised tissue ring problem.  While it is not my intention to tell you to stop masturbating, I definitely do want to caution you that you should reconsider how you are masturbating (and how often, since this gets back to the issue of being abusive to the delicate tissue of the penis shaft. 

Please lighten up and enjoy a slower and more gentle experience.  Peyronie’s disease is a terrible thing to happen to a guy.  You do not want to be the man who brought it on himself in this way.   

For additional information please see Is there a connection between masturbation and Peyronie’s disease? and Can masturbation cause Peyronie’s disease?  and  Is it beneficial to achieve erection and masturbate in the early stages of Peyronies disease?   TRH

 

Could you recommend the best way to buy a range of Peyronie’s therapy products?

Hi Dr Herazy,

I have had Peyronies for 2 or 3 years now and visited a GP who said if does not interfere then leave it but things have changed lately

I have an upwards curvature and can have sex but the penis is not hard enough and I am not able to ejaculate easily – I have no pain

I am in Australia and want to order products.  Because of freight I should get a sufficient supply- I notice you have packages but they do not contain Neprinol.  I read about and would like to order Neprinol – could you recommend the best way to buy a range of products

Also can you give me your thoughts on the use of penis extenders to correct the curvature

Thanks

Paul Craig

 

Greetings Paul, 

Sorry to hear of your problem.

You were given the stock medical information:  “If you have Peyronie’s disease and have a curved penis that does not interfere with sex, leave it alone until it is bad enough to bother you and we can talk about penis surgery.”  In my opinion, this is bad advice because you have lost time and opportunity to do something to help yourself recover from PD.  Your Peyronies problem has slowly worsened during that time so you will now have more work to do in order to recover. 

The softness of your erection is due to the Peyronie’s scar preventing the valves in the penile veins from closing completely.   When this happens the veins cannot trap blood in the penis to engorge it with blood, and insufficient hydraulic pressure is created to develop the usual hard erection to which you have been accustomed.   The problem is not ED (please do not take ED drugs like Cialis and Viagra because they can make your Peyronie’s disease worse), but the problem is the presence of the PD scar.  The scar is acting like a foot being put in the door way and preventing the door from closing.  You need to reduce the size and density of the scar so your penile veins will be able to close once again.  

Neprinol is a wonderful product.   It contains serrapeptase, nattokinase, bromelain, co-enzyme Q and papain in a good ratio at a high concentration. By far, it is most popular systemic enzyme product we offer as part of any Peyronie’s disease treatment plan.

Most, if not all, of the information you will need to use Neprinol to reduce or eliminate the fibrous Peyronie’s plaque can be found at the Peyronie’s Disease Institute website. Please visit our website for additional information not only about Neprinol but diverse and synergistic group of valuable Peyronie’s therapies.

There are two reasons Neprinol has not been included in any of the three standard PDI therapy plans we offer.  It was omitted from these entry level plans due to the rather the practical consideration of not starting treatment with a potent enzyme product like Neprinol. Some men cannot handle the dumping of tissue toxins that such a concentrated enzyme product sometimes produces.   Also, there is the economic consideration.   Neprinol comes in such a large bottle (300 capsules, compared to 100 capsules of Nattokinase or Fibrozym), and the ingredients in Neprinol has 6-8 times more concentrated “functional units” of enzymes.  Therefore, it costs more initially but this is actually a better deal because of better results and the fact you would be taking fewer of them.   If Neprinol was included in any of the standard Peyronie’s disease treatment plans the higher price might discourage some men from starting treatment.  For these reasons the smaller and less concentrated Nattokinase and Fibrozym are included in the small, medium and large Peyronie’s treatment plans, to allow a man to acclimate his body to the changes these enzymes can create. 

The best way to get a diverse range of  products at the best price is to purchase any of plans you find on the PDI site.  The most popular plan is the  medium Peyronie’s treatment plan, but the one that gets best results is the large plan.   You can modify any of the plans you see, either making them smaller or larger as you choose to do so, based on your current thinking.  In your case you can also follow the basic format of the small, medium or large plan, but remove the Nattokinase and Fibrozym and replace both of them with a single bottle of Neprinol.   Your choice.

Penis extenders can hurt you, as they have injured many men to whom I have spoken.  Please read Penis Extender Claims and Peyronie’s Disease or Penis Stretchers:  Big Problem as Peyronie’s Treatment.    TRH

Do you think acupuncture can help Peyronie’s disease?

Hi,

Do you think that acupuncture could help Peyronie’s disease?  Did you ever hear about this?

Many thanks,

John

 

Greetings John,

If you go to the PDI at Acupuncture for Peyronies treatment you will see that I have always promoted the use of valuable treatment for this purpose. 

When I started to advise people about Peyronie’s disease treatment I suggested that they go to an acupuncturist for treatment.  Many could not afford the ongoing costs of treatment.

For this reason I searched for and found an economical option, the Genesen Acutouch pointer pens that allows a person to provide a sophisticated and affordable acupuncture treatment at home.

To read about this option go to Genesen Acutouch treatment.

Please let me know if I can help you in any other way.

TRH

I am 19 years old and I need your help with a curved penis after rough masturbation

From the time when I was 11, I used to masturbate, and several times after masturbation, I pulled my penis so hard that I heard a kind of sound from end of my penis.

Another bad habit I had was the wrong way of masturbation. I used to bring my legs closed to each other and then moving or inserting the erected penis between the two legs. After a short time I saw that my penis is curved, narrowing form its end where a kind of line like rupture and weakness is seen.

Now when I get erection, I lose it and get back soon, it can’t stand erect which makes me unable to achieve penetration. Although, I have erection, but it can not be maintained.  While having intercourse it curves down from its end I mean the place where it is weak and narrowing. And also I think I ejaculate very quickly.

What should I do? I need your help!

In our area we don’t have experienced doctors, so please help me. Now I am 19 years old, the age when I lost self-confidence and seeking for help.  I need your help, Please! Help me !!!!!!!!!

I am looking forward to hearing from you.

 

Greetings,

Yes, you do need help.  You need more help than I can offer here to sort out what has happened to you over the years due to your rough masturbation practices.  It is fairly common for Peyronie’s disease and masturbation to be related to each other simply due to repeated injury. 

In your case, the first thing you need to do is to get a complete urological examination even if you have to go outside your area, so you and I can both be certain you have Peyronies.   If you have not told your parents, or an adult in your family, about your problem you should do so now if you can do so comfortably and without concern for reprisal.

If you feel embarrassed talking to a family member about what is going on with you, then simply tell them, “I have pain in my private parts and I do not know why.”  That story will protect your privacy, make you feel comfortable that you are not saying more than you want to say, yet it will also let an adult know you re in trouble and need medical care.   If that adult wants to go into the exam room just tell them that you feel embarrassed and that you would prefer to go in alone. Once you get to the doctors office you can get a lot more specific and accurate so the doctor will know what to do with you.

There are very strict HIPPA laws in place today that will protect your privacy as an adult. This way no one from the family needs to know what is going on, but you can get the diagnosis you need.

You may or may not have Peyronie’s disease.  I cannot tell you what is going on from the limited information you provided.

If it turns out that you do have Peyronie’s disease you must keep in mind that many boys and men have made the same mistake you have made by masturbating too aggressively; you are not alone in this problem.  You need to learn how to achieve orgasm while using gentle and pleasant self stimulation. If you need help along this line, please let me know and I will guide you to appropriate resources.

Let me know how it goes for you.  If your parents want to use Alternative Medicine to treat your problem, contact me again and we can work together.  TRH

My husband has a curved penis, is this normal?

 Bent penis usually means Peyronie’s disease later in life

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

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

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

When did the bent penis begin?

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

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

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

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

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

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

Diagnosis of Peyronie’s disease and the curved penis 

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

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

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

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

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

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

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

Can weight lifting or masturbation cause Peyronie’s disease?

Dr. Herazy,

A few months ago I noticed a slight curve/tilt in my penis to the left side. I figured it was due to the way I lay when I sleep, and I thought it would go away soon. But, now, it's months later and it hasn't gone away, and I'd say it's gotten a little worse. I'm thinking it's Peyronies Disease, but I'm not sure. I seem to have most of the symptoms: one part of my penis looks like it's pinched, there's an area of inflamed skin on the underside of it, and there's the curvature I mentioned. However, there's no pain (except lately I feel a very minor, dull pain near the inflamed area after ejaculating which lasts for a few minutes, and the curvature also gets worse for a few hours after ejaculating), and the curvature is only maybe 30 degrees to the left at its worst.

Considering there's no significant pain, and considering the curved penis isn't too major and my penis still works just as fine as it did before, is there a chance that it's maybe not Peyronie's Disease? Or maybe a mild form of it? I'm convinced it's from rough masturbation, and if it is, is it possible I can cure it naturally by maybe stopping masturbation and being more careful from now on?

The curvature seemed to show up overnight, but I recently remembered that I noticed the "pinched" area maybe a few months before the curve showed up. So, it seems that this happened gradually (if that makes a difference at all). I also realized that I started lifting weights around the time I noticed the pinch effect, and as I've continued to lift weights it seems like I'm seeing more and more symptoms of Peyronie's Disease. (I haven't physically damaged my penis with weight equipment at all, but I'm wondering if maybe the strain from lifting is stressing my tissue? Could that be a cause?)

Thank you very much, Dr. Herazy, and I'm really hoping I can fix this problem with your advice.


Greetings, 

My first advice is to stop guessing and wondering, and make an appointment with a local urologist to have your problem formally diagnosed.  The tissue inflammation and pain after ejaculation are not typical of Peyronie's disease and could indicate other problems. 

Lastly, the strain of weight lifting would not cause Peyronie's disease; if you have it, rough masturbation is much more likely a cause.  Please review the article in the PDI website, Peyronie's disease and masturbation.

If your condition is diagnosed as Peyronies then I suggest you consider putting yourself on a treatment plan to increase your natural ability to reduce and eliminate the foreign fibrous tissue of the PD plaque. Let me know if I can help you in any way.  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

Is it possibile for Viagra, or any other medication, to cause Peyronie disease?

Is anyone doing research on the possibility of Viagra causing Peyronie disease or any other type of medication causing this disease?  Mine seems to have started after I took Viagra . Thank you,  Floyd Mathis

 

Greetings Floyd,

Sorry to hear of your problem with Peyronie's disease.

Yes, there is growing evidence that Viagra, Cialis and Levitra (all the PDE5 inhibitor drugs) can cause Peyronie's disease in some men.  I have reported this and written about this observation for many years now.  You can read more about this topic in these posts from the PDI website:  Viagra Peyronie's disease connection and Viagra, Cialis and Levitra Use with Peyronie’s Disease and Peyronie’s Disease Plaque, Viagra, Cialis, Levitra, and Blood Supply .  There are more articles that are available but I think you will get the idea from these. 

The basic way the injury happens that leads to the start of Peyronie's disease is from "over inflation" that damages the internal tissue of the penis called the tunica albuginea.

I was talking to a man the other day from Australia whose PD started from just a single use of one of these PDE5 drugs. He told me that he developed an erection that was so hard and large that he was scared what might happen to him.  He said he thought he might explode.  Obviously that was the last and only time he took any drug like that.  About two months later he had three internal Peyronie's plaques and a curved penis of 45 degrees.  Because he did not have any sexual activity for months before that event or after it he is positive it was the drug that injured him. 

He went to his medical doctor who told him that this sometimes happens to men.  You will notice that there is a caution on inside drug product information that warns that men with PD should not use these PDE5 drugs.  

What strikes me as especially careless and inappropriate is that there are medical doctors who actually prescribe Viagra, Cialis and Levitra to men who already have Peyronie's disease to help them have an erection when they show signs of erectile dysfunction.

Yes, there are other drugs that are said to be associated with or to cause Peyronie's disease.  The common list includes beta blockers used for heart problems and all of the statin drugs used to lower cholesterol.    

I suggest that you review some of the Alternative Medicine treatment ideas on the PDI website to learn how you can use Peyronie's natural treatment to help yourself correct this problem.  Please let me know if there is anything I can do to help you.  TRH 

Vitamin E is not enough therapy for effective Peyronies treatment

Dear Doctor,

I’m 31 and I have been diagnosed with Peyronie’s disease this year. I had trauma during sex in January and after about a month the scar appeared and I started to have pain in the beginning of the erection, and since that time pain varies. During sex I don’t have any pain.

I have changed 3 urologists because they have very very poor knowledge about Peyronies and they said there is no cure for it. One of them said that my body reacts to trauma by making an excessive amount of scar tissue. I mentioned to him that 5 years ago I had trauma on my ear and I had a keloid develop which was removed with an operation. They all want me to wait and see what will happen with the pain and penis curvature. In other words, no treatment until the scar stops growing and pain disappears. When that happens their solution is injection of Verapamil or operation, but I don’t want that especially now when I discovered your website. You already help me a lot in understanding Peyronie’s and I’m continuing reading everything I can on your site.

The scar is on the upward right side and its size was like the bean when I discovered it and after few month it was bigger, and last month my penis bend towards up for about 20 degree (I can send you pictures too). I started taking vitamine E 400mg per day from April, and last month I’m taking 600mg. Now I know that only Vitamin E isn’t enough (and it didn’t help me) and I want to buy some products from your PDI website. Can you help me to decide which program to buy? I’m from Croatia and I would like to order supplies for a few months including CDs and books too, so I don’t have to order every month and wait for it. I’m worry when I order something that I have problems on customs and I don’t get your products. Do you have some experience with that?

Thank you,

Deni


Greetings Deni,

Based on what you have described I suggest that you consider getting the PDI medium size plan.

There is indeed a cure for Peyronie’s disease.  The body cures and eliminates the Peyronie’s plaque in about half the men who develop this problem.  That is a rather good success rate.  What the MDs mean is that they do not have any method to help you, although it is obvious that the body generally does a good job of eliminating this problem when given the opportunity. 

We have had some problems with Croatia customs.  I suggest that if you have a friend in the U.S. or the UK that you have your friend receive your plan from PDI.  Your friend could then send these products to you as a gift.  I cannot send an order to you as a gift. This I believe is a legal thing to do and might help you receive what you want.  TRH

Does Unique-E oil have the tocotrienol portion of the vitamin E family in it?

Hello Dr Herazy. My peyronies is very mild it was done in a sex accident around 7 months ago. My penis is still straight when erect and hasn't really changed. I just noticed a little more bend in my penis when I went to urinate in the morning. My condition is stable and isn't really changing. My urologist said it was a traumatic form of peyronies. There is no real scaring but noticed when I did it a small line on the side of my penis more noticeable when erect. I was thinking of using your Unique vitamin E oil. Does it have the tocotrienol parts of vitamin E in it? Thanks for reading my question.

Greetings, 

Yes, Unique-E oil has both all four members of the tocotrienol part of the vitamin E family, as well as all four members of the tocopherol part of the vitamin E family.   I trust you need to know that in addition to using the topical vitamin E you should use PMD DMSO after the vitamin E is applied to the area so that the vitamin E can be taken deeply into the involved tissue. 

Further, you should not assume that your Peyronie's disease will stay the way it is now. Peyronie's disease is not a static problem; it changes over time, sometimes slowly and sometimes rapidly, but it seldom stays the same for very long. Most people take the position that it is far better to use Alternative Medicine to treat the Peyronie's problem while it is still small and manageable to keep it that way.   TRH 

Can I cause more damage to my Peyronie’s disease due to difficult penetration during sex because of a partial erection?

Hi Dr. Herazy,

I started having some pain with erections about March 2012, seen family doctor, asked if penis was bent and when I self examined, and yes it was. He then told me I had Peyronie's Disease. I had about 30 degree bend to left and could still enjoy sex. Most pain has subsided, but about 2 weeks ago, found I could not make penetration with my wife. Upon self exam, I see I am not getting full erection, top of penis is soft while base is erect. I gather there must now be full blockage to the end of penis? I am thinking of trying your medium treatment plan. Also, can I do more damage if I try again with my wife? I was also thinking of trying CyberSkin Transformer, would that help? Like every other guy, this is a huge blow to me.

Thanks!

 

Greetings,

Your assumption that your poor erection quality is due to a "full blockage to the end of the penis" is not correct.  Actually, the opposite is probably true.

In Peyronie's disease the reduction of erection strength is typically due to the Peyronie plaque preventing the closure of valves in the penis veins.  When these valves cannot close the blood that is normally circulating within the penis simply is not trapped and collected to create the hydraulic effect known as a erection.  Imagine what would happen if you attempted to blow up a balloon that had the other end cut off.  Any amount of air you would blow into the balloon would not be trapped inside and the balloon would not swell and become firm with increased internal pressure caused by air being collected in an enclosed space.  To say it another way, if you try to warm up your bathroom in the winter you must close the door so the heated air can collect inside the enclosed space.  Opening the door allows the heated air to escape.  In the soft area of your penis the blood is not being trapped because the scar prevents closure of the valves that trap blood.  Your blood circulation in the penis is probably as good and uninterrupted as it has ever been, it is just not being collected to create the hydraulic pressure a good erection requires. 

What is probably happening in your situation is that the fibrous material related to your Peyronie's disease has advanced now to the point that the internal Peyronie's scar or plaque material is getting larger and reducing the ability of the valves to close to trap blood and create a complete and normal erection.  The solution involves reducing the size of scar, or even eliminating it.  That is where the PDI treatment plans come in to help you heal them as they normally are healed in about half of the cases.  The medium plan is a popular way to get started with Peyronies treatment.     

Sexual penetration with a partial erection can be difficult and dangerous.  It is dangerous in the sense that a partial erection can suddenly bend and buckle during intercourse and this can result in further damage to the tunica albuginea and make your PD worse than it is now.  I suggest that you get the 2nd book I wrote, "Peyronie's Disease and Sex" that will explain in great detail how you can maintain your sexual activity in spite of having PD.  It is a great book that has helped many couples in this vital area of life.  

The Cyberskin Transformer series of products are effective in providing additional support to the penis to reduce – but not totally eliminate – the possibility of sudden bending during sexual activity that can further injure the penis.  There are other products as well that PDI has available for this purpose like the Girth Prosthetic Rings, Invisi-rider Enhancer and the Reversible Sleeve.  All of these can be found at the sex supports/aids section of the PDI store front.

Peyronie's disease can be a tremendous personal stress to everyone who is in a relationship who has to deal with the outlandish physical changes that can happen to a penis.   The important thing is that you work to do all you can to reduce those changes by increasing and supporting the natural ability of your body to eliminate the internal fibrous scar tissue that causes the curved penis and weak erections of Peyronie's disease. Please let me know if I can help you in any way to correct your problem to the greatest extent possible.   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

Should I continue with pentoxifylline as a Peyronies treatment?

Hi Dr. Herazy,

I have been told by two urologists that I have Peyronie and told to come back in 4 or 6 months. I originally felt a tighter than usual erection and latter felt a lump inside my penis. I can feel this with my thumb and another finger, like a small ball inside the shaft close to the base. I am not sure how long I have has this for. I am not sure for how long a have had the curve upwards. It’s not big and I have asked my wife and she is not sure either. Looking closer I can feel where the bent is. I have had no major trauma etc.

I don’t have pain on erections but have been feeling some itchiness type pain when flaccid. And if I have been sitting for long time, I have felt really uncomfortable tightness beginning from under my scrotum to the top of the base of my penis. I get the sense that it’s where I felt the lump.

I have read that TRENTAL/PENTOX/OXPENTIFYLLINE has helped some people in combination with CoQ10 and have got a script from my GP.  I took a test run today of TRENTAL 400 to check for side effects — none so far.

Should I continue with this?

 

Greetings,

I cannot comment whether you should take pentoxifylline (pentox) or not.  That is a decision you must make for yourself in consideration with the advice offered by your treating doctor.   Ultimately you have to feel confident with your treatment and know that it is right for you, and not just simply do what you are told to do.

To give you some perspective, you might want to consider reading Pentoxifylline, niacin and Peyronie’s disease and Pentoxifylline and Peyronie’s disease treatment.

It is good that you have not experienced any side effects to pentoxifylline, but the real question is if it will help your Peyronie’s disease or not. 

I suggest that you consider using Alternative Medicine in the way that is described on the PDI website.  Let me know if you have any questions in this regard.  TRH

Is it a good idea to use pentoxifylline along with a PDI Peyronies treatment plan?

Thoughts on using pentoxifylline in conjunction with your program?

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Greetings,

Thanks for the interesting question.

In several places on the PDI website I have laid out my thoughts about using pentoxifylline to treat Peyronie's disease, such as Pentoxifylline, Niacin and Peyronie’s Disease and Pentoxifylline and Peyronie's disease.

I have never taken a position to say that any person should not take a medication that has been prescribed by a treating physician.  If that pentoxifylline has been prescribed to you, then by all means listen to your doctor and take what he or she has ordered.

However, it just happens to be my personal opinion that what pentoxifylline is supposed to do to help Peyronie's disease recovery is not indicated or especially helpful for the correction of the Peyronies scar.  The purported benefit of pentoxy is that it increases blood flow in the lower half of the body.  With this in mind, please know that no one has ever reported or suggested that the cause of Peyronie's disease is reduced blood flow.  What pentoxifylline does is not related to what is wrong with the penis that has PD.  On top of that also know that there are fewer MDs using pentoxifylline than several years ago; it seems to be losing its popularity for lack of clinical success.    

Some men do take prescribed drugs in addition to following some type of Peyronie's disease therapy that comes from PDI.  I cannot report how that usually works out for them because the results have never been shared with me.

Good luck to your. 

If you want to work to increase and support the natural healing of your body, that has about a 50% success rate, please let me know how I can help you.  TRH  

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I think I have Peyronie’s disease from jelqing. What should I do?

Dr. Herazy,

My name is DJ and I am positive I have Peyronie’s disease. I have always had a slight curve downward and to the left but very slight. I did some jelqing to try to fix this on and off over the last two years. This was a terrible mistake as I was not careful and did it too hard. It ended up giving myself Peyronies and now my curve is much worse. I noticed big changes about 4 months ago where I started to get pain and the curve was getting worse. Now my curve is probably about 50 degrees to the left and downward. It is very painful and I every day I can feel the scar tissue on the bottom of my penis get harder.

This is destroying my life and as many people with this disease, I feel hopeless. I have been taking vitamin E for about a month as well as rubbing vitamin E oil on the scars but this has not done anything. I have decided that I need to take action immediately to stop this from getting worse. What do you suggest? Should I get your large plan and start doing that? I would greatly appreciate some suggestions as I am overwhelmed and do not know what I should do.

Thanks

 

Greetings DJ,

The first thing I suggest is that you have a urologist examine your problem to verify what you suspect about this being Peyronie’s disease.  However, it is possible that by excessive jelqing you only traumatized the blood vessels of your penis shaft and it is not PD. Based on the information your provided it does make sense that your problem is Peyronie’s disease, but you should really get this examination done anyway so there is no doubt about it.

By no means are you alone. About once or twice a month I hear from someone who caused his Peyronie’s disease by jelqing.  By its very nature when a man does jelqing he will create an excessive and often brutal amount of internal pressure within the penile shaft that it is not built to take. For this reason when you jelq you take the risk that you can easily injure the delicate deep tissue layers of the penis, especially when repeated over a two year span of time as you did.

Using a large PDI treatment plan is a good idea in a situation like this.  The more aggressive and faithful your effort to support positive tissue changes the more likely you will be able to naturally reduce the Peyronie’s plaque that may be present.  I always suggest that anyone thinking about using a PDI treatment plan should first read my book “Peyronie’s Disease Handbook” because there is a lot of good self-help treatment information that is not found anywhere else.

Wants advice about extreme pain in penis

Dear Doctor Herazy
Almost 5 months ago i felt a slight pain at the base of my penis (on the underside), i was shocked and i ran to emergency and family doctor and they did all sorts of tests to rule out infection and prostate problems.  everything came back negative.  during all this time my anxiety has driven me crazy. i started rotating my penis once to the left and once to the right every day and night and taking pictures for whatever i see (which was actually nothing).  for five months i have been abusing my penis by twisting and rotating to check it, besides the spot of pain which is much like a bulge at the base i developed more spots, one just close to the glans and the other on the shaft, it is like thickened areas underneath the skin. i have a history of dorsal vein thrombosis which has been there for years without causing any pain, and now those spots are so painful that i cannot even walk.  walking is just terrible.   i am not sure if those areas are plaque or they are swollen branches of the vein due to thrombosis, i have the hourglass shape at but only after masturbation, and i cannot see any curvature during erection.  the pain is really bad and i wake up everyday with it, it is worse with walking.  the pain is in flaccid as well as erected penis however erection worsens it.  my penis is hard and very stiff at the flaccid state and the pain is changing its patterns from sensation of wound in the erectile tissue to a sensation of burning in the spots which i developed. but the best to describe it is a disabling pain as i cannot walk. i will have to wait for 3 more months to see a Urologist, knowing that i had an ultrasound on my penis which was non-specific (pretty much looking for cysts or anything unusual as the nurse said) and the nurse couldn’t see anything……anxiety is about to ruin my life…i appreciate your advice and support.

 

Greetings,

Based on the information you provided, it is my educated guess that your problem does not sound like Peyronie’s disease.   Typically, the pain of Peyronies disease is not as intense nor of a burning nature.  Also, the only penile distortion you report only occurs after masturbation, and this is not at all like what Peyronie’s disease would do to a man.

My advice for you is to attempt to get in soon for another evaluation since I suspect that you could be having an aggravation of your deep vein thrombosis.  TRH

Will sexual activity aggravate my Peyronie’s disease?

hi doctor,

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

forgive me for my tedious question.

abduallah, 20 years

 

Greetings Abdullah,

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

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

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

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




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

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

 

Greetings,

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

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

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

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

Hi Dr.

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

Thanks R


Greetings R,

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

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

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

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

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

Will this surgery work to correct my Peyronie’s disease?

I have peyronies a year and a half now with a 45 degree bend when erect.i have consulted my doctor.i have seen a surgeon and I am not satisfied with his straightening method.he just wants to put a slit in it and sew it back.i don't believe this would would work.i need a second opinion.i am on medical card and live in county roscommon in the west region of Ireland. i need a surgeon who is prepared to carry out the full and proper treatment I would be very thankful for your assistance doctor and advice.i am only 39 and this is ruining my relationships and I am depressed. please help me.


Greetings,

Are you sure you heard and understood everything that was told to you about this penis surgery?

I cannot directly comment about what your surgeon explained about the Peyronie's surgery he or she proposed because I was not there to hear the explanation you were given, and you were. However, as I understand penis surgery to correct a penile curvature caused by PD, the typical procedure is much more complex than simply putting a slit in the shaft and closing it up.  

If you are positive you were given this exact explanation, I suggest you contact another urology surgeon who will take your case more seriously for a second opinion.  Using the information that follows I propose that this next time around you be prepared to ask many questions and demand answers.  You should fully understand what is being proposed to you so you can make an intelligent and informed decision.  I also suggest that you spend some time on the Peyronie's Disease Institute website to learn about the possibility of using non-drug and non-surgical treatment to increase your ability to eliminate the Peyronie's plaque naturally.

I am sensitive to what you are asking and I understand your concern about penis surgery.  However, I have no way to know what is the full and proper surgical treatment for your particular problem, and frankly neither do you.  Something as vitally important and final as surgery requires a great deal of trust in the skill and competence of the surgeon in an area that a layperson does not have enough knowledge or skill to judge what needs to be done. Having said that, I think you might be correct to want to talk to another surgeon if only because it is not correct or proper that you were allowed to leave that office without a better understanding of the proposed surgery.  In my opinion, a half-hearted explanation is no explanation, and does not bode well for the kind of surgery that a doctor like that would provide.

There is always the possibility you misunderstood what was explained to you, but it is still the responsibility of the doctor to make sure you do fully understand so you can give informed consent to a surgical procedure.  There is also the possibility the doctor did not want to give you all the (somewhat gruesome) details of the surgery, since it might scare off someone with a squeamish stomach. Another possibility is that the doctor simply did not want to take the time from a busy office schedule to explain what would happen in the proposed surgery.  It has been my observation that many times a surgeon will greatly limit or modify the truth about some aspect of a proposed surgery (risks, chances for recurrence, changes for failure, degree or frequency of complications or side effects) so that the patient is more inclined to accept the idea of the surgery, and agree to have the surgery done.  It is somewhat of a "selling job" that is done.  It is not appropriate, it is not correct, and it is not legal, but it is done.  Perhaps something like this happened in your case.  Whatever was the reason that you thought the doctor was going to "put a slit in it and sew it back," it is the fault of the doctor for that notion and possible misunderstanding to remain.

More than likely, and I could be completely wrong since I was not there, the doctor proposed to do a Nesbit procedure for your curved penis.

For the most men the Nesbit procedure is the most common, easiest and most direct way that a surgeon can address the penile curvature of  Peyronie’s disease. However, it causes shortening of the erect penis by 2.5 to 6 cm (one to two and a half inches), and this is the greatest drawback of it.  The operation is performed under a general anesthetic and takes 40 to 60 minutes.  Men usually go home the day after surgery, or even the same day.

Basically, in the Nesbit operation the main idea is to make an elliptical incision to remove some of the shaft tissue and tunica albuginea from the long side of the bent penis (on the side opposite the inner curve of the bend), in an effort to straighten the curvature.  This tissue removal is responsible for the overall effect of penis shortening when the long side is reduced. The rule of thumb is that for every 25-30 degree of curvature that is present, a loss of approximately 1 to 1.5cm penis (about half to one inch) length at erection will occur.

An incision is made all the way around the shaft, a few millimeters behind the edge of the head (glans) of the penis.  The cut skin of the penis is rolled back down (like rolling or peeling your socks down off your leg), exposing the two corpora cavernosae so the one corpora cavernosa that is opposite the bend and the Peyronie's plaque can be shortened.  This is done by either removing tissue of the corpora with removal using an elliptical incision or simply by drawing it tighter with internal stitches.  After this is done the foreskin usually has to be shortened also so that it matches the new shorter length of the penis.  As in any operation, infection of the incision lines can be a problem and the foreskin, if left behind, sometimes becomes swollen after surgery; for this reason many surgeons will also perform a complete circumcision to prevent this complication. Otherwise direct surgical complications are not common, but occasional to infrequent side effects after surgery of erectile dysfunction, permanent numbness and penile pain can occur.

Hopefully, this explanation of the Nesbit procedure is helpful.  Keep in mind that this is the simplest Peyronie's surgery.  You can see Peyronie's surgery is a lot more complex than what you thought.  TRH

I am wondering can my erectile dysfunction be fixed?

I have an erectile dysfunction that I have since teenager and now I am 46 years old. year of 2001 and I went to see the urologist in Framingham, Mass when I used to work in Framingham, Massachusetts and he got me on x-ray and ultrasounds he found that I have a very good blood flows in my penis, good blood vessels but the blood vessels do not hold the blood in and that is why i have problem of getting of erection, and that is why I have an impotence. also I noticed I have an inability keep an erection premature.

I am very healthy I do not smoke, good heart beat, and that does not make any difference. during that time the doctor suggest me to take Viagra. but it causes me headaches and it works. then years later to use Calais that is even better and no headaches. But they cost me lot of money. I am wondering can my erectile dysfunction can be fixed? I am tired of this problem. I am not in depression or anything so I hope you could make some suggestion of what I shall do to fix my an impotence problem.

I am frustrated because many women left me due of this problems and wondering if you could help me with this?
Now I live in Ontario, Canada. I am a Canadian. I worked in USA with NAFTA Visa at that time. Many thanks for your help.

 

Greetings,

Since this website is focused on Peyronie's disease, I only get involved in the erectile dysfunction that is related to Peyronie's disease; it is a very special and unusual kind of ED because of the way that the Peyronie's plaque or scar interferes with how an erection occurs.    It would appear that your erectile dysfunction is related to a blood vessel problem.  What I do would not help your kind of ED.

I suggest you contact a urologist either in Canada or the US who works specifically in this area as a specialty.  You would call the office you are interested in visiting, and ask to speak to the doctor's nurse.  Explain to her what you mentioned in your email about the blood vessels not holding the blood in to create an erection.  She will know if that doctor works with men with this kind of problem.  Don't be satisfied talking only to the receptionist who answers the phone; you want to talk to the nurse who works directly with the doctor.   If she says her doctor does not do this kind of work, then ask her for the name of someone who does do this kind of work, so you can get the kind of help you need.    

However, if I missed something and you also have Peyronies, we can discuss how you might want to try to help both problems.

Please let me know how it goes for you.  TRH

Can I get relief from fibrosis of the corpus spongiosum with Super CP Serum?

I've been diagnosed with fibrosis of the Corpus spongiosum. Have you heard of any relief of this with the topical Super CP Serum and/or Vitamin E spray? Any other possibilities?

Thanks,

Spencer G.

Greetings Spenser,

The corpus spongiosum is cylindrical mass of tissue in the penis through which the urethra passes, located in the bottom half of the penis below the two corpora cavernosae. There are irregular cases of Peyronie's disease that start as fibrosis in the corpus spongiosum and later extend toward and into the tunica albuginea layer that surrounds the corpora cavernosae. At this point the fibrosis becomes Peyronie's disease.

When you ask about using topical Super CP Serum and Vitamin E oil you are forgetting about the most important component of the topical applications, and that is PMD DMSO. Using Super CP Serum and Vitamin E oil by themselves is fairly useless since they lack the ability to penetrate the tissue to get down to where the fibrosis problem is located. So please be sure to include DMSO in this topical treatment, always applying the DMSO last. When you order from PDI you will be instructed how to use all of these products for greatest effectiveness.

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What is the best way to get rid of Peyronie’s disease?

Hello Dr. H,

What is the best way to get rid of Peyronie's disease?

Wendell from Ohio


Greetings Wendell,

The very best way to eliminate your Peyronie's disease is to do it exactly the way that half the men with PD get over theirs.  It goes away by itself.  With the PDI method we attempt to increase your natural ability to heal and correct PD like it should have happened in the first place. Peyronies heals naturally and spontaneously in about half the cases, the same way that a broken bone or a throat infection heals. 

We tend to forget that the body can and does correct the problem of Peyronie's disease in a high percent of cases.   There is a very good reason that the standard medical approach to managing a case of Peyronie's disease is to do nothing for the first 12-18 months after the condition starts.  The idea to initially do nothing is based on the absence of any actual medical treatment that works to correct PD.  During this  waiting period the body is given time to heal or eliminate the problem naturally.  In this way the medical profession admits that a natural healing process for recovery from PD does exist and that it actively happens in a high percent of cases. 

When I developed Peyronie's disease in 2001 I immediately understood the great potential for my body to cure itself of this problem if I could determine what therapies might support or improve my natural healing ability. After doing considerable research I found a large group of natural therapy items (vitamin E, acetyl-L-carnitine, etc.) that were abandoned after initial getting positive research findings as a potential Peyronies treatment. I have always assumed that they were not subjected to additional research because the large pharmaceutical companies did not want to advance the idea that inexpensive and readily available nutritional products might be helpful against PD.  Regardless, I started to use all the vitamins, minerals and enzymes I read good things about, and started to take them together and in slowly greater and greater dosages. Eventually over time I began to see my four PD scars slowly get smaller, softer and more difficult to find.

There is much that medical science knows about the healing process of the body in general what cells are involved, what hormones and chemical messengers are produced, the different chemical equations that must happen,  the minerals and enzymes that must be present for certain reactions to occur.  However, there there is still much that remains unknown about what the body does to recover from illness and disease.   This is especially true in the case of Peyronie's disease where far more remains unknown than known. However, it is still possible to work to improve the odds for recovery from Peyronie's disease.  All that must be done is to present to the body a wide list of known vitamins, minerals and enzymes that

Promoting the natural healing of Peyronie's disease is not a simple or even easy thing to do, but by taking this route to recovery it is possible to eliminate the Peyronie's plaque and the curved penis it causes without exposing yourself to the risk of drug side effects or surgical failure.

I suggest that anyone with Peyronie's disease should go to the Peyronie's Disease Institute website to learn more about what needs to be done to stimulate and support the natural healing process against Peyronie's disease.  TRH

Is my curved penis since 10 years of age a congenital curved penis?

Good Day! I really don't what to do with my problem I have a curved penis and it really embarrass me for myself. My penis started to curved when I was in grade 5(10 yrs old) and years passes by my penis curved so badly, it curved to the left side about 35 degrees. This causes me big problems. I lost my confidence to continue my life. I always think about it how am i suppose to do to solve this problem. I've read lots of comments from different blog sites about curved penis but not like them, the curve of their penis are upward and downward. I always exercise my penis hoping to make it straight but sadly nothing change.

Our family are not fortune to give me money for a checkup. They don't know about this. I really don't want them to know, no one knows that I have a curved penis except my 2 ex-girlfriend. It's so embarrassing. I don't want to be like this forever. I send this message to this website hoping for a help. I am dying for help if there someone could help me please I'm begging.

Thank you. I apologize for my English grammar, I'm not that good in English.

God bless.


Greetings,

You use very good English. You should be proud of your ability.

There is a good possibility that your penis curvature is how you were born, meaning it is normal and natural for you to have a curved penis. It could be the way you were made. The term for this natural development is that the problem is a congenital penis curvature, meaning it is from birth. I suggest that you should go to a doctor to learn if you have Peyronie's disease in case this is what is wrong with you. It is your decision. If it is a natural curve you were born with there could be limited ability to make any change. I have no way to know ahead of time how you might respond.
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However, I have heard from men who also had a congenital curve of the penis and were able to make small to medium changes in it using the PDI gentle manual penis stretching technique. This method was designed and researched as a way to assist reversal of different penis deformities associated with Peyronie's disease, and was not intended to be used to correct natural penis variations. Even so, it seems to work in some cases, depending on how it is done and if supporting therapy is used to stretch the soft tissue of the shaft.

The men how have used the PDI gentle manual penis stretching technique, also used Neprinol three times a day to assist this process. I would suggest you consider a brief trial of treatment for three months to see if you might respond. If you are interested in experimenting a bit in this way I can assist you. Please contact me again and I can give you the necessary information to get started. TRH

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Should I take Neprinol instead of Fibrozym, or with it, for my Peyronie's disease?

I ordered the medium package and in it was a sample for Neprinol. I noticed it has a lot of the same things Fibrozym has. Is this something that would be used instead of other products, or on top of? If in place of do you like it better and which products would it replace.

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Thanks a million.


Greetings,

Neprinol has many of the same ingredients as the Fibrozym and Nattokinase 1500 therapy products PDI sells, but Neprinol also has additional ingredients and all ingredients are in higher concentration.

Some men use Neprinol as a substitute for Fibrozym and Nattokinase 1500, meaning once they start taking Neprinol they do not use the other two enzymes products. And other men use all three enzyme therapy products, but they use more of the Neprinol and only lesser amounts of the Fibrozym or Nattokinase. Using these different combinations, and all the possible different dosages of each, provides a wide variety of treatment options to get the best possible response from your PD treatment plan.

The changes and modifications in how you take these different enzymes should be done while experimenting and watching for changes in the size, shape, density and as surface features of your Peyronie's scar. Taking Neprinol as the only enzyme or taking with the other two is not just a whim or something you THINK would be good to do, but it is something that you actively experiment with to see how the therapy change affects your scar structure. Any change in your therapy plan like this must be evaluated to determine if it causes a desirable and beneficial change in the scar you are monitoring. So you can ask me what I think you should do, but I will only answer, “Try doing several different combinations with the enzymes and see what happens to the scars. That is the best way to know exactly what needs to be done to get rid of your Peyronie's disease.” You will see that your scar will show you exactly what needs to be done to get the best response.

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How much total loss of size can happen as a result of Peyronie's disease?

HI Doc,

I think my injury was about 2 years ago. I did not notice anything right away except for black and blue on the lower part of my shaft. After about 1 and 1/2 years i noticed i was having a harder time getting and maintaining erections. I thought it was because i was a diabetic. About a month ago i noticed that i had a dent on the lower left side of my penis causing it to bend slightly to the left. I also have pain while erect and soft. my urologist appointment is not for 2 more months. I was wondering if this was early stages or later? I have also lost some length and girth. I am very scared and nervous. I want to start your best plan as soon as possible, i don't want to waist 2 months of your treatments if i don't have to. Do you know what the total loss of size could happen as a result of having Peyronie's disease? When i order your large plan should i add anything else to it to get the best results? Thank you in advance.

Scared 50 year old

Greetings Scared,

We are all scared when we first come to realize how bad Peyronie's disease can be. Try to take some of that energy you now waste on feeling scared and put it to positive use by reading and learning how to help yourself with this problem so you can instead feel confident and in control of yourself.

A dent (also called a ding, nick, divot or hinge deformity) such as you describe is common. Sometimes there is only one, and other times they are numerous. Sometimes these persist, and other times they slowly or rapidly evolve into other deformities such as a bottleneck, hourglass or simple curve or bend.

Pain can and does occur in Peyronie's disease while both erect and flaccid; however, some men experience pain only while erect, or only during sexual activity; I only had pain while flaccid. As you will soon learn there are very few things about Peyronies that are not variable.

A common and consistent finding of PD is loss of penis size. It seems that the larger the penis, the more size that can be lost. While most men speak in general terms of getting smaller, not too often will actual numbers be mentioned; just like you most men do not give a number. It seems like admitting to the actual reduced size is too embarrassing or uncomfortable to reveal that kind of detail. When the actual size loss is mentioned it seems that 1 to 1 3/4 inches of lost length, and about the same for lost girth or circumference is what I am told commonly. Occasionally I am told the loss will go up to 2 inches or more. One poor devil told me that his 8 inch erection was now just slightly more than 4 inches. I have never heard of anyone losing only length or only girth, but always both; I suppose it could happen, but I have not heard of it.

I always encourage men to start Peyronies treatment proactively when there is strong evidence of the diagnosis, as in your case. It seems logical that treatment should start the sooner the better, while the fibrous tissue changes are less well developed.

The large plan is a smart way to start. Do not add anything to it initially although you could if you feel compelled to do so. A good therapy to consider adding, if that is your intention, is the gentle manual penis stretching program since it is so unique compared to the rest of the items in that plan. It is also comparatively inexpensive and it never has to be replenished, making it a good buy for a whole new range of treatment that you are able to use.

The best results come from two separate factors: 1. Being faithful and aggressively applying whatever plan you select to start with. 2. Spending the time and effort to learn the exact size, shape, density and surface features of each of the internal scars that are present in the shaft. This information is critical to use as a valuable referencer point to determine if your plan is or is not working. If you cannot accurately and in detail the physical structure of your internal scars you will not know if and when change occurs. Without this valuable knowledge you are forced to guess about your plan, and this is obviously to be avoided. Go to different parts of the PDI website to learn more about how to do this. You can also read about it in chapter 4 of the “Peyronie's Disease Handbook.”

Let me know if I can help you in any way as you work toward your eventual recovery. TRH

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Am I using my Peyronie’s treatment plan properly? – Continued

Hi.  This is a continuation and answer to an earlier I sent when I asked if I was using the things I using to build me up so I can get rid of my Peyronie's disease.

I take the Neprinol when I first get up and between meals. I take the vitamin E and C and Bromelain supplements just before or just after a light meal. As instructed I put a few.drops of Co serum,then a few drops of the DMSO to the scar area right after showering(morning and night).

The scar is approximately 3/8 in. wide and 1in long. Its on top and I have about a 35 degree bend to the left and down. It seems to have a substantial 'dent's on the bottom. at times the scar seems smaller and not as hard but then seems to get harder again. I hope this helps as I really want this therapy to work and need to know if I am doing it properly.

 

Greetings again,

OK, now we are getting somewhere.

You are doing alright with everything you are doing in your Peyronies treatment except the Bromelain 5000 which should be taken with the Neprinol, on an empty stomach, not with meals.  You are doing alright with the DMSO and Super CP Serum.

Overall I think your plan might be a little small and restricted.  The real test if your plan is being done correctly and effectively is when you begin to see positive changes in your PD scar.  What you or I think is a good plan or a plan large enough to help you will only be known for sure when you can definitely see desirable scar changes that are permanent.   Anything before that point is speculation and testing to see what your scar requires to respond in a way that is favorable.

You must define your scar better.   When you write your scar is approximately 3/8 X 1 inch and that it is sometimes hard and sometimes small you show you do not have a good idea of the scar structure.

  1. When it is soft, it is soft like what?
  2. When it is hard, it is hard like what?
  3. What is the shape of your scar?
  4. How does it feel when you slide your finger along the 1 inch length of it?  What does it remind you of when you slide your finger back and forth over it?

You must know how to answer these questions so that when the day comes that you think there is a difference in one or more of the structural qualities you will know it for sure, and not be guessing.  

Every 10-14 days you should increase some element of your current plan by either taking a greater quantity of what you are now taking or adding a new therapy item.  You should consider doing this until you notice a definite change (smaller, softer, weaker, more ragged feeling when you slide your finger along the scar) in your scar and at that time you maintain your plan unchanged until either the scar is gone or the positive changes stop.

You see, you need to know your scar better than you do right now so that you will be positive how to respond to your scar behavior.  If your scar is a stranger to you, you will never have confidence to know how to manage your self-directed treatment. 

By the way, you have one or more scars than you are aware, located on the bottom of shaft.  You need to examine yourself and isolate them, identify their characteristics and monitor them like you do the others. Watch them all. 

Please keep me informed of your progress.  TRH    

Can Peyronie's disease have a psychological cause?

I'm young (20) and last week i was diagnosed Peyronie. It's at the really early phases. It's possible to stop right now?
Another question; the cause of my Peyronie's is unknown. no trauma, no hit. I'm healthy, i do sport, no problem of circulation or what else. It's possible that my Peyronie's have a psychological cause? I've already heard about this before now, and i have some psychological disease. It can be psychosomatic?
Thank you
E


Greetings E,

I have never heard of Peyronie's disease happening from a completely psychological cause. Peyronie's disease can greatly affect men in a psychological way, and can add more psychological stress onto someone who already has an emotional problem. I suggest you go back to the doctor who diagnosed your condition and talk to this doctor about your concerns. TRH

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Are changes in sexual performance related to age or Peyronie's disease?

hi doctor, i am from india, aged 40+. the problem with my penis is that its tip (glan) is thick and the base is thin, the ratio between the ends is about 60:40, i noticed the problem develop since age 15 when i started and resorted to masturbation and unnatural sex .back then it caused me no considerable problem having sexual penetration and ejaculation but after 35 i have been experiencing poor erection(my foreskin used to fully unfold when the penis got rock hard which is not the case presently)and labored insertion problem like the penis getting curved upward or downward at the base when thrust for penetrating vagina.my ejaculation volume also got moderated or poor sometime which was very good previously,this also goes for climax feeling; i do not experience the thrill of climax during ejaculation the way i used to years ago.can suggest some cure if any?


Greetings,

Your description does not at all sound like you have Peyronie's disease.

Several of the changes you mention in your sexual performance could be related to the reduction of the hormone testosterone. This change, among many others, occurs as a part of the aging process. Since you mention you are over 40 years of age I would first suspect this as the reason for the things that concern you now. I suggest you go to a doctor, preferably a urologist, for a complete examination to diagnose what your problem might be. TRH

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What is the starting dosage for the therapies in the medium Peyronies treatment plan?

Hi Doc,

I just ordered the medium plan, however I am trying to lay things out ahead. Is there a place (perhaps that I have not found yet) on the website that lists a good starting point for the dosages for the medium plan? Perhaps its in the ordered package, but I wasn't sure. I obviously want to be as aggressive as possible. I even ordered the supplemental E-Book, but again nothing I have seen yet tells me, as an example, how much Vitamin E to start with. Is there a maximum? Same goes for Fibrozym, etc. I know its a unique thing to each person, however a starting dosage and maximum (IE this could kill you) dosage would be helpful. If its on the site and I didn't see it can you just post the link to the page? If you post this to the site maybe it will help others too.

Also – Everything I read says increasing blood flow is a good idea (massage, supplements, etc)… I know you warn about Cialis and Viagra as causes, however if you already have PD would starting one of them help increase the blood flow and help heal it? Just a thought. I do not have any other ED issue.

Thank for maintaining such a great site. Wish I didn't have to be on it!

Ryan

Greetings Ryan,

Your order will arrive with all the information you need for the medium Peyronies treatment plan, meaning when and how much to take of each product in your plan. No one complains that they do not know what to do or how to use the products they receive from PDI.

There is no great need to do extraordinary things to increase penile blood flow if there is no evidence that you actually have a problem with circulation in that area. Peyronie's disease is not typically associated with reduced circulation. For this reason the purpose of adding a moist heat pack to your therapy routine makes sense only if you are doing Genesen Acutouch therapy or applying DMSO to the shaft, since it makes those therapies work better, not because of an assumed circulatory problem. For this reason it seems that men who take Viagra, Cialis or Levitra are taking an unnecessary risk for no good reason. TRH
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What can I do to get over my Peyronie's disease?

I am 59 years old male and suffering from diabetes for the last 26 years now. When I was healthy and young I had 8″ inches long penis with quite good girth. My penis was in very much in demand among ladies. Some 10 years ago my penis started to change. The appearance and my knob tilted to the right with a slight pain in the middle when pressed by hand. I went to a doctor who did not help me at this stage. I still remember that doctor said that my pain would go away in 6/7 weeks. It did not go away at all, and I noticed it became thin in middle. During that time I lost my size and girth and now it is only 3 to 4 inches long. When fully erect I can feel hard tissues or blood vessels and some kind of hard tissue (ring) in the middle. Its not any more like it was in the past. I know that it is Peyronie's disease. What can I do? I am on Insulin, Simvastatin and Lisinopril tablets. Is there any cure without operation? Please guide me.
Thanks

Greetings,

Our entire Peyronie's Disease Institute website is designed to guide you. If by guiding you, you actually mean you want me to tell you what to do, I cannot do that. I can only make suggestions and offer opinions and ideas, but it us you who must decide what you want to do to try to get over your Peyronie's disease.

The PDI website is full of information that will help you to understand how to go about the process of increasing and supporting your ability to eliminate and heal the internal scar tissue that in your case is shaped like a ring of dense fibrous tissue. In your case it is causing a problem called an hourglass deformity. Your entire problem of lost size and the hourglass deformity is caused by the fibrous ring of tissue in the middle of your shaft. If you can help your body remove that Peyronie's scar after all these years you should notice an improvement of your lost size and hourglass shape. I do not know if it can be done in your case, but I do know that other men whose problems are just as old as yours have made improvement in their conditions. It requires hard work, persistence, determination and enough time to get the job done; you will not know if you can make it happen unless you try. If you do not try you will be stuck right where you are right now feeling like a defeated and frustrated victim.

I suggest you begin at “Start Peyronie's Treatment' found near the top of the PDI home page. Do some reading and see what you think about increasing your ability to recover from Peyronie's disease. Let me know if you have any questions. TRH


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

How women can help men deal with Peyronies disease

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

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

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

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

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

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

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

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Do I start with the penis stretching CD to treat my Peyronie's disease?

Hi Doctor.

I am Abduallah Adi from Palestine, I am 20 yrs old. Six months ago I had Peyronie’s disease because I was wearing a very tight underwear and I went to a urologist and told me it is PD. He gave me vitamin E and Antibiotic only.

My penis hurts me and it almost 30 degrees upward.

Now I visit your site and I don't know what to buy. Do I start with the stretching or what please help me.

I am waiting your response.

Greetings Abduallah,

Over the years I have encountered several men whose Peyronie's disease started with the prolonged compression caused by wearing tight clothes of any type. It is not the most common way to get injured and develop Peyronies disease, but it does happen.

Vitamin E is an important Peyronie's treatment but it must be a very high quality natural vitamin E product; you cannot use just any kind of vitamin E. Also, when used by itself vitamin E tends to not have enough affect on the body to promote tissue repair; it must be combined with other therapies for greatest effectiveness.

The gentle PDI Manual Penis Stretching Method CD is not intended to be used by itself; all PDI products are intended to be used together for greatest benefit. You cannot play the piano and call yourself an orchestra – you need violins, drums, trumpets and many other instruments to complete the sound of an orchestra. It is the same with PD treatment. It is necessary to supply everything needed for tissue repair and healing – delivered to the body all at the same time – to provide the boost and support needed for successful recovery from Peyronie's disease. The gentle PDI Manual Penis Stretching technique is only one part of what you might need to eliminate the Peyronie's plaque and reverse your curved penis. Some men who try using only the PDI stretching method have made small changes in their bent penis problem, but only after adding in the necessary other elements do they begin to get the large improvement they need.

Instead of using only the manual penis stretching technique, I suggest you use the largest Peyronies treatment plan you can afford to stay on for 2-3 months. During this time you will work to give your body the opportunity to heal and repair the Peyronie's plaque that is causing your bent penis.

Please go to the Peyronies treatment ordering page, found by clicking on the blue button at the top of the right sidebar. Any of the treatment plans you will find on this page can be effective, but we find that the larger and more aggressively applied plans work better than those that are smaller and only casually used. TRH

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What should be the natural Peyronie's disease treatment?

Dear Dr. Herazy,

This is Arbind from India. I am 65 year old.

My penis bends about 30 degree lowered and lean towards left, may be 10 degree. It happens during erection or sex. I am still sexually active. No other problem.

What should be the natural treatment?

Best regards,

ARBIND


Greetings Arbind,

Assuming you have been to a doctor and you were formally diagnosed with Peyronie's disease, I suggest you attempt to use the largest Peyronies treatment plan you can afford to stay on for 2-3 months. During this time you will work to give your body the opportunity to heal and repair the Peyronie's plaque that is causing your bent penis.

Please go to the Peyronies treatment ordering page found by clicking on the large blue button that says “Click here for store” found at the top of the right sidebar. Any of the treatment plans you will find on this page can be effective, but we find that the larger and more aggressively applied plans work better than those that are smaller and only casually used. TRH

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Another case of Propecia and Peyronie's disease

Hello. I recently was diagnosed with Peyronies. I'm a 33 year old and if i had to guess i acquired my Peyronies from taking Propecia since i was 17. I am pretty sure my only ED issue is that the scar tissue is on both sides and as such i do not have any curvature yet, however it does appear to make a bottle shaped erection with very little blood to the glands. Freakish to look at.

I have three questions.
1.My urologist said don't do anything. Just wait and see. In the meantime take aspirin and Cialis. Is this really a treatment plan? I have a second opinion in October with someone who is supposed to be more of an expert at the Cleveland Clinic, but i am worried following the first protocol could make things worse. Should i stop this treatment until then?
2. The Propecia also caused lower testosterone, per my primary care doctor. They have put me on testosterone and a substance called sermorelin, a growth hormone booster. Will either of these impact Peyronies negatively or positively?
3. Should i avoid intercourse and masturbation to help things heal? Does massage make sense?

Thank you.Turns out Propecia's side effects are nastier and more permanent than expected.

Greetings,

You are right: Propecia is nasty stuff. It seems that every week I discover a few more men whose Peyronie's disease seems to have started with use of Propecia. If you would take the time to research this topic you would see that Propecia is the focus of many lawsuits, several of which involve Peyronie's disease.

For many years it was maintained that Peyronie's disease is a condition that starts in the mid-50s for most men. Sadly, I am seeing a trend that PD affects men much earlier in life because of things like Propecia and Viagra, Cialis and Levitra, as well as many of the statin cholesterol lowering drugs, as well as the insane use of mechanical penis stretching devices that abuse the delicate penis tissues.

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You do not ask any questions about Peyronie's treatment, perhaps because you mention that you do not have a curved penis. Many men take the short-sighted view that if their PD does not cause a bent penis and intercourse is still possible, no treatment is necessary since they assume their problem will stay that way. They do not realize that Peyronies is not a static problem; that it can and often does change, sometimes dramatically. I caution you to take your problem seriously even though you are not currently curved.

Your urologist is giving you the standard wait and see line about Peyronies treatment. Basically he wants to see if your problem will clear up on its own, or if he can convince you to have surgery. In my opinion it is a waste of valuable time and opportunity to not treat Peyronie's disease as early as possible. All we are doing with the treatment approach you see on this website is to promote and support the natural healing process that your urologist acknowledges takes place in half of the cases of PD. I predict that the second opinion you will receive from the Cleveland Clinic will not differ greatly, present a better treatment option or offer deeper insight than what you learned locally.

There is nothing wrong with engaging in sexual activity even though you have Peyronie's disease if you are careful to not re-injure yourself. I have written extensively on this subject elsewhere on this website. Massage is not a viable treatment option in the way I think you have in mind; I have not seen standard massage to assist this problem except where applied to increase lymphatic drainage of the pelvic area. The technique for this is described in the PDI CD, “Peyronie's Disease Massage and Exercise.” TRH


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Is the PDI Manual Penis Stretching Method CD available in electronic format?

Dear Dr Herazy,

My name is Greg and I live in Melbourne, Australia.

Thank you for your informative web site.

I was diagnosed with Peyronie's disease by a urologist earlier this year. As neither he nor my GP or family (friend) doctor were able to offer anything other than a "wait and see" approach leading to possible surgery I decided to look further afield.

Since then I have studied your web site and many others. I have spoken at length to my aunt who is an experienced naturopath and dietician and who has provided me with advice and a number of dietary supplements.

I am consequently slowly achieving a realistic understanding of what my Peyronies disease actually is and the various options that I have to manage and treat it.

I am emailing you to acknowledge your excellent web site and also to ask if your Manual Penis Stretching Method CD is available in electronic format – whilst I am very happy to attend to payment for it, the postage costs to Australia effectively double the cost which seems unnecessarily wasteful. I would like the opportunity to use the CD method as part of my (ever evolving) PD fight back strategy.

Thank you again for providing a valuable resource.

Greg


Greetings Greg,

Our gentle manual penis stretching method is only available as a disc, not in electronic format.

Good luck with your effort to increase your ability to heal and eliminate your Peyronie's disease.  I caution you about following the advice of people with good nutrition knowledge but no direct experience working with PD.  This is not the time to be experimenting with what might or might not work to eliminate your Peyronie's plaque.   TRH  

Does Scar-X contain alcohol?

Does Scar X contain alcohol? I would like to use it as a Peyronies treatment, but I no longer consume alcohol and I know from experience many homeopathic remedies in drop form do contain alcohol.

Thanks.

Andrew

Greetings Andrew,

Yes, all homeopathic liquid formulations contain alcohol. A one ounce bottle of Scar-X, which is an important element in all Peyronie's disease treatment plans, contains 20% alcohol by volume. TRH
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Does any Urologist perform a needle aponeurotomy for Peyronies disease?

Needle aponeurotomy for the hand is all I see online. I am a Kaiser Permanente subscriber and even at that, I don't see anywhere online where needle aponeurotomy is performed on a penis…Got any suggestions? Do you know of any Urologist in my medical plan who does needle aponeurotomy for Peyronie?

Sincerely,

Martin Carroll, Jr.

Greetings Martin,

Well, you are certainly an adventurous person. Here you are a layperson and you are thinking outside the box about your Peyronie's treatment, but you are in a risky area. The problem is that this idea of using a needle to tear up the fibrous Peyronie's plaque without having to cut the penis shaft open has already been explored.

As you know, needle aponeurotomy is a type of surgery done on the palm of the hand to surgically reduce the cords that develop in Dupuytren's contracture. It is a less invasive hand surgery performed by inserting a needle under the skin of the palm, and then blindly slashing and tearing at the cords and contracted fascial tissue since the skin is never opened by the surgeon so he/she never actually sees the tissue that is being cut and torn. The purpose of this procedure is an attempt to weaken and reduce the cords that develop under the skin in Dupuytren contracture to the point that the surgeon can eventually break or snap the weakened Dupuytren cords. The recurrence rate of the Dupuytren nodules and cords returning after needle aponeurotomy is fairly high, about a year or two faster than conventional hand surgery. Even though they return after this kind of hand surgery, the real caution and reason many people do not get this surgery is that when the Dupuytrens comes back in that year or two it will come back worse than the first time around. This is common for many of these Dupuytren hand surgeries and a good reason to think long and hard about getting started with the first one.

There are many hand surgeons who are proponents of this technique, and others who are not. No surgical technique is perfect, and they all carry risks. You might want to read more about these drawbacks and apply that thinking to what might happen if that same kind of technique was done for Peyronie's disease.

This same technique in which the tip of a large gauge needle is used as a cutting tool to reduce the Peyronie's plaque while the actual slashing and tearing of the tissue is not directly observed by the doctor who is doing the penis surgery is called the Leriche technique for Peyronie's disease. But it is not called an aponeurotomy because there is no aponeurosis in the shaft of the penis; that is why you were not able to find any information using the terms you were searching. If this surgery for the penis was to be named in a way similar to what is being done in the hand, it might a name like Needle Tunicotomy. This term would be applicable because it is the tunica albuginea of the penis that would be surgically cut by the needle tip and left in place, just as it is the aponeurosis of the palm that is cut with the needle in Dupuytren's contracture. You will not find this term anywhere but here because I coined it. to read more about this procedure, click on “Leriche technique for Peyronie's surgery.”

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There are many more conservative ways of trying to correct your Peyronie's disease than having the internal scar blindly being cut to shreds. I suggest you consider avoiding that kind of risk and look at some of the less risky non-invasive Alternative Medicine options that are on the PDI website. TRH

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If I can't find a scar is it possible I have a condition other than Peyronie's disease?

Hi Dr. Herazy,

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I developed an upward curvature about 10 months ago, and upon recent self examination I cannot find any lumps or scars at all. Is it possible that I have a condition other than Peyronie's disease? Also could I benefit from the treatments available from your website to reduce the curvature since I cannot find the scar and if so which treatment plan do you suggest?

Thanks,

Alan

Greetings Alan,

It is rare for a man to have a recently acquired curved penis and for it to be caused by something other than Peyronie's disease. Even so, you should go to a urologist with some interest and experience with PD for a complete examination and diagnosis of your problem.

It would not be at all unusual for a layperson who has Peyronies to be unable to identify the characteristic Peyronie's plaque or scar that often but not always can be detected as a lump below the surface of the skin. Many times no Peyronie's scar or plaque is found, or found with great difficulty and uncertainty; many times the scar is very flat and thin and is missed simply because the shape and size does not fulfill expectations. TRH


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How should I do penis stretching with two different deformities?

I have Peyronie's disease with a downward curvature when erect. I have watched the PDI gentle massage video and it states that you should attack the biggest curvature first, ok. But here is a problem, when the penis is flaccid, ie not erect, I also have an hour-glass deformity figure. The hourglass figure is not there when fully erect at all, but it does make it harder to apply gentle massage technique when flaccid. So should I try to attack the hour-glass figure first or not?

Greetings,

If you are correctly applying the gentle manual PDI penis stretching technique to a flaccid penis that demonstrates a hourglass deformity you should not have any trouble holding or maintaining the correct contact. You are doing something wrong.

In your question you used the word “attack” twice.

In the one-hour video I know I did not use that word once, because the emphasis is always about how light and gentle the contact and minimal the traction is when applying this special penis stretching technique. I hope you are not being too aggressive with this method of treating Peyronie's disease, and that you are carefully applying the specific instructions just as they were carefully presented to you. For you to be having a problem holding a contact for an hourglass deformity tells me you are not doing the work correctly.

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In the video spent a lot time explaining the method will not work if you are too aggressive and heavy-handed when you use it, so please be careful how you apply it. Actually, I encourage you to sit down and watch the CD again to be sure you are doing it correctly.

Regardless how you might be using unnecessary and counter-productive force, I can advise you that you should be applying traction not to correct the hourglass deformity since you report that it is only present when you are flaccid, or non-erect. Your gentle penis traction should be applied to correct the downward bent penis carefully following the instructions given in hour long video for this kind of deformity.

Also, you do not mention doing any other form of Peyronie's treatment, such as vitamin E and C, systemic enzymes, PABA, DMSO, etc. If you are only using the PDI gentle manual penis stretching technique by itself you are making another mistake. Please contact me if you have any questions or need something explained in greater detail. I am concerned how you are working to correct your Peyronie's disease and want to assist you in any way I can. TRH

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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.

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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

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

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

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

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

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

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

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

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

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

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

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

Will items in a Peyronie's treatment plan cause drug interactions?

Dr. Herazy

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I take metoprolol ( betablocker) , trilipix and simastatin for cholesterol and lansoprazole for reduction of stomache acid. Will taking Nattokinase or serrapeptase, neprinol or any of the other listed treatment plans be a cause for concern for any drug interactions . I also take krill oil.

Greetings,

In over 10 years of doing this work I have never been told about any adverse drug reaction with any of the Peyronie's treatment items that are used. I would suggest, however, that you pose this same question to the doctor who is prescribing all this medication to you. You always want to inform the doctor of your Alternative Medicine intake.

You might also want to discuss with this doctor the very real possibility that the beta blocker and the cholesterol lowering drugs you are taking are the cause of your Peyronie's disease. Taking any one of these carries a risk of starting a drug reaction of its own that can cause Peyronie's disease, but when you take two different drugs that both carry a risk you are creating a very unfavorable situation for yourself. This should have been explained to you when you first started to take these drugs. TRH

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After Nesbit Peyronie's surgery the curved penis came back – now what?

Hi Dr Herazy,

I was diagnosed with Peyronie's disease in Oct 2009. the urologist put me on potaba which did nothing. I then tried neprinol that did nothing. I saw the uro again and he put me oh high doses of oral Vitamin E and said I was to start VED therapy. My penis curve did not improve at all and in fact became worse. I was then also put on pentoxifylline which again did nothing. After no improvement and the curve to my penis being 40 degrees upward he told me the only solution was Nesbit surgery which I underwent out of desperation in May last year 2011. All was fine, my penis was very straight but shorter by about an inch but then in Sept.Oct the same year I began to notice my penis curving up again! Now in August 2012 it is really back to where I was in 2009 with an upward curve of 40 degrees. Very depressing as same curve just shorter penis!

What do you suggest in light of my previous drugs and treatment to try and cure this myself as I am beginning to give up on the uro's and certainly do not want more surgery after the first one failing me! What do you think about this if I order: DMSO, Super CD Serum, Vitamin E unique Oil, stretching video, Scar-X and Acetyl-L- Carnitine? I am in the UK. Hello, please help as I am now desperate and depressed.

Gary

Greetings Gary,

I commend you for your tenacity and strength to continue to work to help yourself in view of all that has happened to you.

It appears that you have now spent some time reading a few ideas presented on the PDI website about Alternative Medicine treatment of Peyronie's disease. It sounds like when you earlier used Neprinol by itself you did not receive any good advice and you wasted that opportunity to do something positive and helpful for your curved penis. That is always the problem when buying Neprinol from people who do not know how to use it correctly.

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Please do not evaluate Neprinol based on using it by itself. In my opinion that is not the best way to use Neprinol. It is a great therapy product but it must be combined within a well balanced Peyronies treatment plan that addresses other aspects of this complicated problem. You did the best you knew how to do, but you just did not receive good information. Neprinol cannot do it all by itself, but then again, no other therapy product can either; they all must be combined for greatest effectiveness.

If you read about the Nesbit Peyronie's surgery procedure and outcomes on the PDI website you will learn that it is not uncommon for Peyronie's disease to return within a few years; sometimes sooner and sometime later, but it will always return. The surgeons do not like to discuss this aspect of their work because it does not do a lot for their business prospects. In this regard I strongly suggest that you consider putting yourself on an aggressive support plan to minimize the potential of fibrous tissue return. The outline that you suggest is not a bad one and could be helpful in your situation. If it makes sense to you, as apparently it does, I suggest you put yourself of this plan you designed and try it for a month to see if it makes a difference in the size, shape, density and surface features of your scars – no plan can be evaluated on paper; it is only by applying it and evaluating how it affects your PD scars will you know if it is actually effective for you.

Please let me know if I can be of help to your effort. TRH

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What do you think is the best route for Peyronie's treatment?

I am a 39 year old male that developed peyronie's about 1 year ago. Much of the curvature has gone away, but my erection still bends slightly down (compared to having a natural upward curve previously), and it has a dimple on the underside of the shaft. Most of the pain has gone away. At the recommendation of my urologist, I was taking oral Vitamin E of about 400 IU daily, and added Wobezym (6 pills daily), Serrapeptase (120,000 IU/2 daily), and bromelain (1000mg daily of 2,000 GDU/g).

I was considering ordering the medium plan along with the stretching DVD. Do you think this would be the best route to go? How long do you think it would take to see results?

Thanks.

Tony

Greetings Tony,

Judging your progress simply by noting good or bad changes in the penis curvature is not a good strategy.  Naturally it is the bent penis that gets your attention and it is what you most want to see improved, but it is a poor way to evaluate what is going on with the Peyronie's disease treatment you are doing.

The fact is that the curved penis is not the primary problem of Peyronie's disease; the primary problem of Peyronie's disease is the internal scar or Peyronie's plaque that causes the penile distortion.  The size, shape, density and surface features of the internal Peyronie's plaque this is what you need to measure and evaluate to determine if your effort is being truly successful or not.

Another fact is that your Peyronie's plaque can be worsening and your curved penis can become straighter at the same time this is happening.  This happens when the growing PD scar tissue balances out the internal stresses and tissue pulling that takes place because of scar material.  This is not a good thing.  I f you have a large and complex interplay of PD scar material that is so arranged that your penis is straight, is this really desirable? Is it a good thing? If you say, “What do I care if the scars are getting worse?  Just as long as the curve is getting better and I can continue to have sex.”    The answer to that attitude is to understand that Peyronie's disease is not a static problem and over time it will worsen.  You might eventually have the currently balanced scars become imbalanced and they can begin to pull the penis in a weird and abnormal way resulting in a worse curve than you had at the beginning of your problem. 

Of course, I have no way to know the condition of your internal scar tissue.  But then again, neither do you unless you understand this concept and are paying attention to what is really important.  Your internal scar material could be totally reversed, it is possible, but you will never know and will remain at a distinct disadvantage for as long as you ignore what is going on inside. 

Only you will know the best treatment route to take by noting the response of your scar in terms of changes of the size, shape, density and surface features of your internal Peyronie's plaque.  The medium plan is a good one to work with.  Take it as you are given suggestions when you receive your order and every 7-10 days evaluate your shaft for changes in the scar size, shape, density and surface features.  Increase the dosage of your plan until you see definite and clear reduction of the size, shape, density and surface features of the plaque material.   This is the very best way to know you are following the best plan of action for your recovery. 

When a man follows a very aggressive Peyronies plan and does so faithfully, and finally reaches the correct dosage by slow incremental increase of dosage while evaluating the size, shape, density and surface features of his fibrous Peyronie's plaque, he can expect to see changes as quickly as 7-10 days after he has reached his correct dosage level.  Notice, I did not say his PD would be gone, just that his scar would begin to be reabsorbed and start to get smaller as determined by these various measures.   After that point it is usually 2-6 months of care to have all the tissue changes occur that will take place. 

By the way, you might be getting better results with Neprinol.  I also recommend that a good treatment strategy includes a variety of Peyronies disease exercises along with using vitamins, minerals, enzymes and herbs to support your natural recovery. TRH

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Can Peyronie's treatment pills be crushed and taken with water?

DR. HERAZY, CAN ANY OF PILLS OF YOUR TREATMENT BE CRUSHED AND TAKEN WITH A LITTLE WATER?

Greetings,

Sounds like you have a problem swallowing pills, my friend.

None of the vitamin E products can be crushed because they are soft gelatin capsules, but I do not see why you could not crush any of the others.

When you consider the small size of all these therapy capsules, I am confident that these pills are smaller than most of the food that you swallow with no problem after chewing it for a very short time. Most of us do not chew or food enough, and this represents a large digestion problem to a lot of people who do not realize that poorly chewed food is a major problem for their digestion. I mention this as a way of telling you that you are probably swallowing big pieces of food all the time, and you are making a bigger deal of pill swallowing than you need to do.

It seems a good thing that we are programed to not swallow things whole; that we need to chew them up and make them smaller and softer. It’s sometimes difficult to swallow a solid substance without first chewing it; you feel like you are working against a protective instinct. This is made worse when there are many such solids to swallow when you are taking a lot of different therapies in a Peyronie's treatment plan. Nonetheless, it is often necessary to swallow 4-18 pills several times a day to assist your recovery over PD.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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What do you think of a mechanical penis stretcher for treatment of Peyronie’s disease?

I'm so confused on what to do about my Peyronies.  On one site it says to use a stretcher, and on other web sites it says not to!

I was diagnosed with Peyronie's disease about about a year and a half ago I had a bend to the left and now about six months ago a bend about a inch away from the first bend I have a bend to the right and lost at least an inch of length to my penis.

Currently I'm taking PENTOXIFYLLIN  and using a vacuum device but not seeing much of a change. Not sure what to try or do next. What do you think of a mechanical stretcher? I would really appreciate any advice!!!!!!

Thanks

Ken

Greetings Ken,

I am sorry for the confusion you feel.  Maybe it will help you to know that you are not alone in that regard; everyone who first comes to the Internet is thrown around in different directions by the conflicting information and non-information about Peyronie's disease that abounds there.  

First, I suggest that you read as much as you can about all the different subjects and ideas about Peyronie's disease that you can.  But as you do, please try to make a deliberate effort to pick out the reasons that are offered and the explanations that are presented.  Do not just accept, "Do this…", but read with special interest those articles and discussions that say, "Do this because of these following reasons…"   Carefully read and try to see if the author makes any explanation why he says what he says.  Often many authors give no reason or rationale for what they say, or the reasons they offer just do not make sense.

Since  you mention your confusion about the use of mechanical penis stretchers, I will use that as an example.   You will notice that the discussions and promotions for these mechanical penis stretchers never explain how or why they work, they just say that they work.  That has always made me suspicious of all of them.  In my experience they do not work, and I have explained in great detail why I say they do not work; you can read it on the PDI website.

You should know that I think the mechanical penis stretchers are basically ineffective and often dangerous to the extent that many men have told me their Peyronie's disease started or got worse after using one of them.   I have written several posts on this subject.   Here are a few:  "Penis stretcher: Big problem as a Peyronie's treatment"  and  "Penis stretching for Peyronie's disease"  and   "Peyronies treatment and the penis stretcher."  

I suggest you spend some time on the PDI website to see if the ideas and explanations make sense to you.   TRH

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.

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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

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Can I use DMSO gel and Fibrozym together for my Peyronies disease?

Can I use DMSO gel and Fibrozym together for my Peyronies disease? what are the risks if there are any? I read on the internet that DMSO absorbs plastic and they recommend not to use DMSO that is in a plastic bottle… thanks

 

Greetings,

It is a rare man who treats his Peyronie's disease using the PDI concepts of natural treatment who does not combine PMD DMSO gel and Fibrozym – plus many other systemic enzymes as well as therapies like PABA, acetyl-L-carnitine, vitamin E, etc.  The use of topical DMSO while taking all other forms of our therapy lineup has never caused any complaints or problems in over 10 years of doing this work with Peyronies treatment.   I just do not get any complaints or notification of side effects or problems. 

The PDI DMSO products – PMD DMSO and Dusa Sal DMSO – are both made by the laboratory that is still owned and operated by the medical doctor who did the original  research and investigation of dimethyl sulfoxide (DMSO) for use on human tissue, Dr. Stanley Jacob.  He is in his mid-90s and still teaches at the University of Washington School of Medicine.   He has thoroughly researched the subject of storage containers for transporting and keeping DMSO and has found that only one form of plastic is safe, and that is a rather expensive laboratory grade polyethelene.  Otherwise, if not using this particular for of plastic then DMSO must be kept in a glass container.  Anyone who gave you the advice you mentioned does not know or understand the subject of DMSO.   TRH

What Peyronies treatment would you suggest for a “waist” in the penis?

Dr. Herazy,

What treatment plan would you suggest in treating a waist in the penis? And also, does the penis waist happen because of lack of blood flow to that area?

Thanks

 

Greetings,

When you mention a "waist in the penis" I assume you refer to what is commonly referred to as an hourglass deformity of the penis associated with Peyronie's disease in which there is a narrowed portion of the penis in a small or large part of the circumference of the shaft.   

Treatment for this type of distortion is not much different for this distortion or for any other distortion that is caused by the presence of the internal Peyronies plaque or scar tissue – except in one small aspect I will explain a bit further down.  The very important point I want to make now is that good Peyronies treatment is not directed to the distorted (bent, curved, hourglass, waisted, limp or shrunken) penis, but to the scar itself.   What is wrong with you is not that your penis has a waist formation, but that you have a Peyronie's plaque or internal scar in the shaft that is causing a waist formation.  Do you understand the critical point I am trying to make?  Your problem is not the waist, but what is causing the waist to form.  That is why it is pointless to try to stretch a curved penis with a mechanical penis stretcher because it cannot do anything to remove or reduce the Peyronies plaque.   A case of Peyronie's disease is not a curved penis that will be corrected by forced stretching, like a bent paperclip.  A case of Peyronies disease is one in which internal scar tissue can cause the penis to bend or distort in some way.  For this reason treatment is not so much directed to the kind of distortion but to the reason for the distortion. 

Having explained that, I will say that the gentle manual penis stretching technique developed in a PDI research project a few years back can be modified to suit the type of distortion displayed because with this particular local technique it is possible to focus subtle traction vectors into the specific location and direction of the plaque formation.  We developed unique techniques for bends, twists or rotation, hourglass, bottleneck and combinations of deformities to isolate the fibers that cause those patterns in an effort to stimulate their reabsorption.

This waist or hourglass type of distortion is caused by a circular or collar-like Peyronie's plaque formation that either prevents or restricts the full expansion of the shaft during an erection or allows blood to not collect in a particular area and therefore not expand completely.

My suggestion is that you do a bit of reading at start Peyronie's treatment to see if this makes sense to you, and to begin working to increase your ability to heal the Peyronies scar in the best way possible.  In my opinion the best Peyronie's treatment is the largest and most aggressive you can sustain for a few months to assist natural healing.  Read the PDI website to learn if you agree.  TRH

How should I improve my success of Peyronies treatment using vitamin E?

Sir i am 28 years old and i have bp from last 10 years taking olmat am (atagonist +amophline) tab sir my penis is bend towards left and upwards also for curing this i took vitamin e 400 capsule for 1 month yes results were OK means when i take my penis becomes straight and slight improvement as well but when i stopped taking vitamin e it started bending again for how long should i take vitamin e 400 and will it increase bp please guide sir as i will get married within 6 months please please please please

Greetings, 

From the limited information you provide I do not have a good idea how you should proceed since I do not know anything about the kind of vitamin E you used.   So I cannot comment on that element of what you have done to receive limited and temporary success. 

However, based on my 10 years of experience treating Peyronie’s disease I suggest that you expand and deepen your plan to include more therapy than using a solo therapy of just vitamin E.    My suggestion is to investigate how to improve your results by increasing your Peyronies treatment after reading how to start Peyronie’s treatment on the PDI website and using any of the plans you see available that make sense to you.

If you a specific question about treatment of Peyronie’s disease I would be pleased to assist you.  TRH

 

 

Why is Neprinol not incldued in the three PDI Peyronie’s treatment plans?

I have been taking Neprinol for the passed few months, mainly because of your endorsement on the Fibromedica Health Solutions website.

In looking over the products in the Treatment Plans on your peyronie's website, http://peyronies-disease-help.com/product/peyronies-disease-treatment-plan-large-best/, I was surprised to find that Neprinol was not even listed as one of the products included in the Large or Medium Plans. Why is that? If Neprinol is so good in treating Peyronie's Disease why wouldn't it be included.

I did see where you can purchase Neprinol from your website, but why isn't it part of the overall plan? What role does it play?

John

Greetings John,

Not including Neprinol in the three basic treatment plans for PD is not a reflection of effectiveness in treatment of Peyronie's disease, but a matter of timing and long term planning.  Using Neprinol effectively for maximum removal of fibrous tissue elements from the body, and especially the tunica albuginea of the penile shaft, is more than taking a lot of Neprinol.

Neprinol is not included in the PDI Small, Medium or Large Plans for two reasons:

     1.  Neprinol is considerably more potent and concentrated than our other systemic enzyme products, Fibrozym and Nattokinase 1500.   Neprinol contains the same enzymes as Fibrozym and Nattokinase 1500 – at perhaps 10-12 times greater bioactivity.  It also contains different kinds of enzymes that are not found in Fibrozym and Nattokinase 1500.  So, Neprinol is more concentrated and has a greater variety of enzymes than these other products.  Therefore, based on seven years experience with men who are treating their PD, we have learned it is better to start treatment with the less intense and concentrated enzymes of Fibrozym and Nattokinase 1500 to get accustomed to the action of these enzymes; it is easier on the body and men have less diarrhea this way.   When you re-order the 1st or 2nd time you can then slowly introduce Neprinol into your treatment plan.

     2.  Cost.  Because the bottle of Neprinol contains 300 capsules of more powerful and concentrated enzymes, as compared to 100 capsules in the other products, Neprinol costs more.  Therefore, after almost seven years experience working with men who are treating their PD, we have found that men feel more comfortable keeping costs down when getting started.  The first order is the most expensive, and this is appreciated by men just starting who want to see how the suggested PDI plans work.

I suggest after being on your plan perhaps for a few weeks or few months, or whenever you are comfortable adding Neprinol to your plan, that you do so.  Many men will later use Neprinol as the primary source of systemic enzymes in their plan, but also keep a few Nattokinase 1500 and Fibrozym in their plans as secondary or minor sources of systemic enzymes. 

Recently I created an Alternative Large plan that does contain Neprinol.  It is intended for those individuals who have had previous experience using this product and know how their body will react to it. 

When I was actively treating my PD I took all three products, but with a greater emphasis on the Neprinol.  I do not think you must necessarily do it this way for you to be successful; I did it just to cover my bases and to keep my tissue as saturated as possible with the enzymes.

PD is a tough and terrible thing to happen to a man.  It takes dedication and persistence to overcome it.   I have worked with men who have had their problem longer than yours, and have done quite well.  It is never easy to overcome, but always worthwhile.  

The biggest advantage in ordering your therapy products from PDI is that we provide a high level of service and background information specific to the problem of PD that you will not receive from anyone else.  Each product you order from PDI comes with all the information you will need to you it correctly to treat your PD. You cannot expect that kind of vital information from any other source.  

Let me know if I can help you with your Peyronies treatment plan in any way.  TRH

 

 

 

 


How do I find the Peyronie’s scar?

I was diagnosed with peyronies about 10 years ago. I had the classic lump and my penis had a bend to it. It isnt super bad but enough that I want it gone as much as possible. I took potaba and vitamin E for several months with no real progress. I cannot feel any scars or lumps at this time but it seems that my curve may be worsening all of the sudden. I do not have pain and can have intercourse but would really like to have as close to a normal penis as possible. Is there a way to treat my condition after so many years? How do I find the Peyronie's scar and what would be the best action to take on an extremely tight budget? I am now 41 years old and in good health other then some problems with my discs in my upper back.

Thank you so much,

Phil

Greetings Phil,

POTABA and vitamin E do not make much of impact on Peyronie's disease; what you were given was a desperation prescription just to give you something to do and get you out of the office.

It is not at all uncommon for an older case of Peyronie's disease to continue to deteriorate and develop an increased penis curvature.  I have worked over the years with many men whose PD is in the 5-15 year range and they are still able to make improvement based on the concept that the Peyronie's plaque is still capable of change – for bad and for good.

Order "Peyronie's Disease Handbook" to learn how to find and define the PD scar since it is essential that you know all the physical features of it since you will use that information to determine how to manage your treatment program.

On a limited budget I would suggest starting with the small plan and working it aggressively against frequently monitoring your condition for making changes in the size, shape, density and surface features of your scars.  TRH

Do I need to consider seeing a urologist after penile trauma?

Doctor,

I read the PDI article and i'm very sure i have Broken Penile Syndrome…or Penile Fracture. i had rough sex, she came down on top of me and hit the head of the penis hard. no problem initially. about 5 days later woke up early morning with an erection and head of my penis was throbbing slightly.

didn't think much, but when another week later was having sex with my girlfriend and when i got really hard my penis head hurt pretty good…i still had sex but it the pain was noticeable.

another night time erection a few days later and head of my penis hurts slight.

2 weeks after having sex with my girlfriend  we have sex again and when i was hard it ached but the worst part was as i was entering her, and she was wet….the head of my penis really hurt. it hurt to have sex so i stopped. now i'm really concerned.

i've been checked for std's 2 weeks ago…i'm clean…the only thing here is the trauma i had over a month ago. will this heal on it's own, if i leave it alone? how long will it take? or do i need to consider seeing a urologist?

thank you,

John

 

Greetings John,

You may or may not have a penile fracture, but you could be on your way to Peyronie's disease.  I suggest you go to a urologist to have a complete examination to know what is going on.  Please advise me of your diagnosis and the treatment you are advised.  TRH  

Can we discuss my Peyronie’s disease on the phone, as l live in Australia?

Hi Dr Herazy,

I have noticed you now have Peyronies consulting by phone on the web site.

Can this be done as l live in Australia?  As l would like to discuss my Peyronies with you before l make my next purchase.

Looking forward to hear from you

Cheers

Marcus

 

Greetings Marcus,

Yes, I take calls from all over the world about Peyronie's treatment.  All we have to do is coordinate our time so you do not wake me up in the middle of the night.  Looking forward to hearing from you.   TRH 

Is a larger single dosage better than smaller divided dosages for Peyronies treatment?

Dr Herazy,

Does taking the Peyronie's treatment at irregular intervals disrupt the efficacy of the supplements? I'm not referring to dosage.  I mean, still taking the recommended dosages per day, every single day (or whatever dosage the body needs to self correct) but, for example, instead of 2 Nattokinase twice a day, if someone took 4 of them all at once. Is this wrong? There are quite a few pills and given peoples' schedules and such, it seems unlikely they would be able to 100% of the time be able to take them right on schedule at regular intervals.

Also, when deciding to up the dosage of one of the therapies, how does one go about choosing which therapy to increase? Is it literally random, a best hunch? Or is there more of a science to choosing which one to increase?

Thanks for your time and information

A

 

Greetings A,

Thank you for the interesting question.

There are two ways of looking at what you propose in your example of taking four Nattokinase once a day instead of taking two Nattokinase twice a day.  The question is, since both methods deliver four Nattokinase to the body at the end of the day, is a larger single dosage more effective than a smaller divided dosage?

One of the methods that I suggest to men who wish to alter their Peyronies treatment dosage is to try to bundle up their dosages (especially the systemic enzymes like Neprinol, Nattokinase and Fibrozym) if the divided approach does not seem to be working as expected. 

The concept with the larger single dosage of systemic enzymes is that it would perhaps be more beneficial to flood the body with a large mass of enzymes all at once for maximum effect on fibrous scar material.  The concept of using smaller divided dosage of systemic enzymes is that it would perhaps be more beneficial to keep a relatively steady and constant application of the systemic enzymes working for maximum benefit.  Either approach could make a difference in treatment outcome and would only have to be used for a short time to determine the effectiveness. All treatment is judged by how it affects the size, shape, density and surface features of Peyronie's plaque – not what you or I think.

There is a third alternative approach that I often suggest that could be thought of as a combination of both approaches to dosage that you mentioned.   Let us say in the case of someone who is using nine Neprinol daily, it is often effective to alter the dosage during the course of the day by taking two Neprinol mid-AM, three Neprinol mid-afternoon, and four Neprinol before bedtime, since this will also flood the blood at a time when it will be most effective.  This altered approach totals to the same  nine Neprinol, but they are used so that there is a greater dosage available during the night hours when the blood is less likely to be carrying protein that might otherwise be attacked by the enzymes found in Neprinol, so they are more likely to do the good you hope for.  This strategy makes a lot of sense and often turns things around for a lot of people who are not getting the result s they want.   

Getting back to your example, I must admit that any serious Peyronie's plan usually involves use of much more than just four Nattokinase daily.  That is a relatively low dosage on the scheme of things.

Most increase of oral therapies involves working with Neprinol, Nattokinase, Fibrozym, PABA, Vitamin C, and Acetyl-L-carnitine, in that order.  

I cannot be more specific with information about what element(s) of our plan you might want to consider increasing since that is based on the specifics of the entire plan, not just looking at one small portion of it.  If you want help getting your plan in a more effective mode, contact me and we can work together.  TRH