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

Dr.

 

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

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

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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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 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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Is it better to divide or not divide dosage in a Peyronie’s treatment plan?

Dr. H.,

Is it better to take the pills that say 1-2 per day (PABA, Acetyl, Vitamin C and E) 1 in the morning and 1 at night or better to take 2 at one time?

Thanks,

Eli

 

Greetings Eli,

Most people take all dosages in a Peyronie’s treatment plan divided equally throughout the day, so a two/day dosage would be one in AM and PM.

However, taking a two/day dosage all at the same time could be a variation to experiment with to determine if your body responds differently to it than taking the same therapy product in a divided dosage. Experiment.

No matter what you and I think and can rationalize about what to take and how to take it, all aspects of your Peyronies treatment should be evaluated against actual response of your internal scar. No one knows what will work best for you; you must figure it out based on early changes in the size, shape, density and surface features of the Peyronie’s plaque. Even something that many people would take for granted like dividing or not dividing dosages can have an influence on your body’s ability to change the scar structure. I always advise to evaluate every change in your treatment plan by looking for small changes in the scar – after all, that is what your treatment is supposed to do.   TRH

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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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 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

How long should I follow my large Peyronie's treatment plan before making a change in it?

Dr Herazy,

I purchased your Peyronies Large Treatment Plan late last year and recently purchased your two books.

My first question is – When looking for Natural ED treatments that have a similar effect as Viagra – which supplements or combination would you recommend trying first?

The second question is – I have been using the DMSO/Topical Vitamin E since the beginning of April but have not noticed any change. Is that long enough or should I continue for a while longer?

Thank you in advance for your answers

Lee

Greetings Lee,

First, all the male sex booster and enhancer products are located near the bottom of the PDI shopping cart where are treatment products are found.

Start your ED treatment plan by taking Stimulin by itself. Take four per day, meaning two in the AM and two in the PM (closer to bedtime) Once in the blood, Stimulin helps increase the production of nitric oxide that stimulates blood flow in all parts of the body, especially the penis. More blood flow means improved libido and more powerful, long-lasting erections. Stimulin is superior to other herbal remedies for sexual vitality because it stimulates blood flow naturally. Nothing is forced, so the erections more like your previous ability.

You see, Stimulin provides nitric oxide (NO) a chemical messenger that is used in and a part of many normal body functions. For this reason, Stimulin is not taken right before sexual activity. Stimulin is taken like a supplement to assure your body works better in many areas – only one of which is the sexual function you are presently having trouble with. Stimulin is especially helpful for heart, blood pressure and gastrointestinal function – plus sexual function.

If you are satisfied with the way Stimulin helps you sexually, there is no need to go further. However, we are all different. Your results might not be all that you had hoped for; if that is so, then we recommend the use of one of several herbal products PDI has available that are useful to increase sexual ability. While continuing to take Stimulin© daily, we suggest you consider Step 2. This group of products is related to direct sexual stimulation and stamina, and these are used only right before sexual activity.

If after using Stimulin for several weeks you find you need a further boost with an an herbal sexual stimulant you should look at the products available in the PDI store. Unlike your daily dose of Stimulin, these herbal stimulants are taken only when sexual activity will take place.

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I suggest you experiment a but with the product lineup in this sequence, since this is the order of popularity of these products and I assume reflects the effectiveness of them, although you might easily respond differently:

Male X Booster
ITI Man
Libido-M
BetterMAN
Herbal V

Any of these products, when taken with Stimulin©, should provide sufficient diversification for sexual support and stimulus. Once again, it comes down to synergy and approaching your problem (along with 3 out of 5 other men in America) with a broad based ED therapeutic approach.

Begin taking the product you select according to label directions. The big advantage with the herbal sexual products is that they are far less overpowering than a drug. This is critical for you because of your PD. To knock you off your feet I can either hit you with a baseball bat (Viagra) or gently tap you at a strategic point (herbal product). Either way the job is done, but one is more preferable; herbal products do not run the risk of damaging the tunica by out-of-control and powerful erections that erection drugs can cause.

Second, I recommend that you should demand of yourself change in the size, shape, density and surface features of your scars after you find you correct variety and dosage of Peyronies treatment. This means that if you have followed whatever plan of care you committed to you do not see a structural change in your Peyronie's plaque NOT a change in your penis curvature – you should change your plan until such time that your scar changes. Keep checking and revising your plan every 10-14 days until your scar begins to make structural changes. At that point when internal Peyronies scar begins to get reabsorbed and starts reducing, do not make any additional changes in your plan; just ride it out until the scar either is gone or changes stop occurring. If your scar reduction plateaus out, you will then need to increase your plan again in some way to re-stimulate absorption of the fibrous plaque.

You have followed a static plan for approximately three months, so if your scar is no different it is time to increase some element of the plan to boost the intensity of care. If you need help with the specifics of this process I will need to know the details of your plan and then I can make suggestions to you. Please advise. TRH

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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

Question about a mistaken idea about the Peyronie’s plaque

Dr Herazy,

As I'm sure you're aware, the Copenhagen City Heart Study suggested that patients who drank wine had half the risk of coronary heart disease or stroke, primarily due to the reduction of plaque.

Has any of your research indicated that drinking alcohol in moderation, 1-2 drinks a day, can have a positive effect on removing the plaque that causes PD?

Regards,

Ken Francois

 

Greetings Ken,

Your question is based on a misunderstanding about the nature of the Peyronie's plaque which is not remotely related or associated with a blood vessel plaque formation; they are two different animals.    

I invite you to read the post I wrote some time ago, Peyronie's plaque or scar that will explain this subject better.  Part of the post will tell you that this plaque is not a vascular problem of blood vessels, but is a problem of the tunica albuginea of the penis.  Besides that its cellular structure is vastly different.  TRH

Easy treatment for Peyronie's disease?

hi doc plz tell me the correct and easy way to make it straight i m soo worried doc plz help me!!! guide me with natural and easy exercise in treatment thank you…


Greetings,

Sorry to disappoint you but there is no easy or fast treatment for Peyronie's disease. PD is not that kind of problem.

You seem to be a young fellow who might be inclined to believe the nonsense of some of the bogus websites that promise fast and easy Peyronies cures when nothing like that exists. Mystery herbs from Pakistan or mechanical penis stretchers will not correct the curved penis that is worrying you. Everyone believes that penis stretching will work until they learn it is a painful process that many men cannot do for more than a few minutes and is not effective because having Peyronies is not like having a bent paperclip.

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You will have to do some work, maybe even a lot of work, to help and support your body's ability to recover and reabsorb the Peyronie's plaque. It can be done and it is being done daily, but always with effort and time. All you have to do is go to Start Peyronie's Treatment and start learning and reading.

If none of this sounds appealing to you, you can always come back to the Peyronie's Disease Institute website when the easy methods have failed and you might be a bit worse.

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

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What can I do about a "waist" or narrow part of the penis that comes and goes?

Dr. Herazy,

I have a waist in my penis that comes and goes. It shows up at different times more than others. I can't figure out why it won't stay consistent. It make me uncertain how to treat it. But, at the point of the waist it tends to “slinky” or hinge left. I guess that's the weak circumference making it do that. Is there a remedy or stretch that can build that back up? please help.

Thanks

Greetings,

It sounds like you are describing what is called an hourglass deformity often associated with Peyronie's disease. I suggest you go to a urologist who has experience with this problem for a complete examination so you can know for sure what you are dealing with. Please do this for yourself.

The rest of this reply will assume you have been diagnosed with Peyronies disease.

Peyronie;s disease is not a static condition; it changes from time to time, sometimes it seems like the condition of the Peyronie's plaque or scar changes daily. I am not positive this is true, but I am convinced that the internal Peyronie's plaque that causes all distortion in this condition, including an hourglass deformity such as you are describing, is caused by the presence of the fibrous scar within the penis shaft.

It is my theory based on a great amount of communication daily with men who have Peyronie's disease that to change frequently the scar responds to minute changes in the blood chemistry, specifically the pH of the blood (the acid-base balance of the blood). Many things influence the pH, but probably nothing as much as our diet. For this reason I have devised a special Peyronie's disease diet that is described in detail in chapter 5 of “Peyronie's Disease Handbook.” If you follow this diet you will likely be able to control this frequent change in the condition of your bottleneck deformity.

To eliminate the hourglass deformity entirely, and to make your penis straighter and more stable during intercourse, you need to support your body's ability to reabsorb and eliminate the Peyronie's plaque that is causing all your problem. To do that please go to Start Peyronie's Treatment on the PDI website.

An important part of that protocol to treat Peyronie's disease is to use a safe and effective gentle manual penis stretching technique that was developed in a research project conducted by PDI in 2006; it is very effective. Mechanical penis stretchers are proven unsafe and practically impossible to use for most men.

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

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Are your treatments effective for Peyronie's disease with an hourglass deformtiy?

I have the hourglass form of Peyronie's disease. The hour glasses is right at the base of my penis. In 15 months I have lost more than an inch in length. The specialist I saw indicated my scarring was severe. He also used the word very thick. He recommended injections to the penis. Although he sounded more skeptical then confident. My scarring is on both sides and the top of my penis. Like I said all scarring started at the very base.

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Are your treatments effective for this type. I am at a total loss as to what to do. My wife of 32 years And I have gone from sex 4 X a week to almost not at all.

I cannot believe how this has affected me emotionally.

Greetings,

There is much you can do to help yourself; do not lose hope and confidence in your body's ability to remove this problem. The treatment outlined by the Peyronie's Disease Institute is intended to restore and support your natural ability to remove the Peyronie's plaque like the 50% of men whose PD goes away naturally.

Many MDs will not consider delivering injections into the Peyronie's plaque because repeated injections into such a small area, usually over a series of 12 office visits, represents another form of injury. Usually 8-20 injections are given at a single office visit to a small area where the scar is located, and this is done at 12 different office visits. This represents a lot of pin holes created in a very small area of delicate tissue. For this reason injections can cause Peyronie's disease, regardless of the drug being used, simply because of what the needle does to the delicate penile tissue.

There does not seem to be any difference in response to Peyronie's disease that causes an hourglass deformity, or an bottleneck deformity or a curve or dent or twist or combination of any of these. Regardless of how the Peyronie's plaque affects the appearance of the penis, it all comes down to helping the body remove the foreign fibrous material. Please look at use of any of the suggested therapy plans to see which one makes most sense to you.

Many men are wracked by the emotional aspects of Peyronie's disease. I suggest you read “Peyronie's Disease and Sex.” TRH

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What assurance is there this Peyronies disease treatment works?

What ass

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

Greetings,

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

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

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

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

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

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

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

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

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Can you help with my confusion and frustration with the information about Peyronie’s disease I see on the internet?

Hi,

I am a 43 years old noticed signs of Peyroine's Disease about six months ago at the base of the penis with out any pain or other complications. Since then I have notice three new nodules in the middle with a slight discomfort, curvature, and shortening.  I am thoroughly confused on what to do since there seems to be no modern medicine cures. The more I search the internet the more confused and frustrated I get.  Any suggestions and advise would be appreciated.

Greetings,

Medical information tends to be a repetition of promotion of a few types of surgery and injections that can actually cause or aggravate Peyronie's disease.  You will find the PD sites filled with contradictions about medical treatment.

Perhaps if you tell me specifically what you are confused and frustrated about I can address a particular issue to help you along.   At this point I have no idea what information you are looking for.

All you have to do is read the home page of the Peyronie's Disease Institute to learn about this condition and how to use Alternative Medicine to increase your ability to heal and repair the Peyronie's plaque that is causing your pain, penile curvature and loss of length.  With probably close to 1000 pages of information about natural treatment of Peyronie's disease available to you I do not know what I can add.  A good entry point is "Start Peyronie's treatment."   TRH

Does Peyronie's disease go away like it came or is this for the rest of my life?

Dr. Herazy,

I have been married for 10 years.. 46 years old.. had sex the other night it seemed like my penis had a leather strap around the lower bottom.. and was not stable.. it has a indention all the way around the lower part and it also has a lump or bump in it and with this comes pain.. ALL OF THIS HAPPENED OVER NIGHT! I am shocked and scared.. My wife and I have always had a healthy sexual relationship and this is frightening to think that this has happened out of thin air. It has cut down on the size of my penis and the sensation is not there that was before!

I have had issues with my testicles, especially the left.. swelling at times and after having back surgery in 2009 NO DOCTORS could figure out what was making my left testicle swell. Felt like someone had kicked me down in the groin for 6 weeks and finally went to a pain management Doctor and they did a Caudal Block Injection… right above the crack of my rear end. He said that during the back surgery they may have got into those nerves but all I know is with in 5 minutes of the injection I felt relief after 6 weeks of feeling like someone had kicked me.. the nausea, stomach pain, and testicle pain.. the whole works finally subsided.

Does this go away like it came or is this for the rest of my life?

Thanks,

Robert

Greetings Robert,

Your description makes it sound like you have Peyronie's disease, although it is not possible to know for certain without a direct physical examination and more information from you. You should go to an experienced and compassionate urologist in your area for an examination and diagnosis to confirm my suspicion.

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If it turns out that you do have Peyronie's disease you need to know that in about 50% of cases it will resolve itself with no residual problem or side effects afterward. If spontaneous reversal or recovery happens it will typically occur within 12-18 months after onset of the problem.

The medical community says that there is no way to change the damage done by Peyronie's disease for the unlucky 50% whose problem does not go away on its own. I happen to disagree with this statement, since I and many hundreds of men who have used the PDI treatment protocol have been able to increase our ability to either greatly reduce or eliminate the foreign Peyronie's plaque fibrous material. This is good to keep in mind since the only current medical treatment for Peyronies disease is penis surgery. However, Peyronie's surgery can develop some very nasty side effects and bad results. Please do all that you can to avoid Peyronie's surgery.

The PDI concept of Peyronies treatment is that the 50% of cases in which this penis problem goes away on its own represents natural healing, as the body should be able to do for anyone. The natural Peyronie's treatment protocol you see in this website is an attempt to increase or support the innate ability of the body to heal. I maintain that anyone with this problem should first attempt to see if his body is capable of natural recovery (as happens in half of the men who develop PD) before using more extreme and irreversible methods.

To review helpful information, see “Start Peyronie's treatment.” TRH

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How do you treat a penis "waist" or hourglass deformity?

Dr. Herazy,

Are you familiar with what Urologists call a “waste” in the penis? If so, how do go about treating it?

Greetings,

I believe you are mistaken. There is no urological term “waste” that refers to the penis. I am not aware of any; all medical text I reviewed did not contain that term; a Google search of the Internet for variations of “penis waste” did not bring up anything.

You are probably referring to a “waist” formation around the penile shaft that is just another way of describing an hourglass deformity. This penis “waist” occurs in Peyronie's disease as an indentation around part or all of the circumference of the shaft that resembles a narrow waist formation.

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Like any other penile deformity, an hourglass formation is treated by attempting to eliminate the cause of it – the Peyronie's plaque. The hourglass form is created when the plaque either pulls from inside the shaft causing a depression on the surface, or if it keeps the local veins of the area open and thus prevents blood from being trapped in the penis and the local area does not fill with blood. Treatment is to eliminate the plaque as described in the PDI website. TRH

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How to work for the best chance of recovery from Peyronie’s disease?

Dear Dr. Herazy,

Six months after undergoing a double nephrectomy in July 2009 I discovered that I had symptoms of Peyronie disease.   My kidney diagnosis was papillary renal cell carcinoma and I have been receiving hemodialysis since surgery. I purchased your PD manual in 2010 and have studied it. My self care emphasis has been mostly just tracking the scar closely. I have a 45 degree up curvature; rt side shaft base indent of 1/2 inch when hard from a plaque scarring that feels the size of a postage stamp; a left side shaft base lump the size of a large oval tablet located adjacent  to the urethra. Together these scars produce a severe hourglass just above the shaft base during erection. My Dr. also has identified plaque buildup on the top of the "T" along the whole shaft.  I tried one bottle of neprinol, taking 6 tabs twice a day and did not detect a change.

My request is that I would like to work with you on a structured therapy with the goal of healing these scars and symptoms and hope fully the PD cause. I would like to give myself the best chance for recovery.

Sincerely,

Tim Kay

 

Greetings Tim,

Sorry to hear of your recent health problems.  

Fairly often I am told stories similar to yours in which Peyronie's disease starts after having serious surgery that requires catheterization, as probably happened in your case.  Injury to the penis typically occurs while the patient is unconscious and unaware of the forceful entry of the catheter into the urethra.  

Taking Neprinol by itself is seldom able to reduce the Peyronie's plaque material; a large and diverse program of care must be used to support the body to heal the plaque formation.  I suggest you consider following the largest and most aggressive therapy plan you can to get started in the right direction.  

I would be happy to work with you to answer your questions and provide options along the way.  Please let me know how I can assist you.   TRH 

I have Peyronie’s disease and cannot develop an erection, what can I do?

Hi Dr, I have been to a GP and was told i have Peyronies. My penis curves to the left but I cannot have a erection and feeling in my penis is just about null. What do i do to get an erection so at least intercourse is possible ?

Regards…D

 

Greetings D,

There are many reasons a man might not be able to develop an erection.  Penis erection is a complicated process and many things can affect it.  To keep this discussion from being a three hour email, I will limit my response only to the single issue of Peyronie's disease as it relates to ED (erectile dysfunction) or the inability to develop an erection.

During the cold winter months I like to warm up the bathroom before taking a shower.  To warm the room I will turn on a small portable electric heater in the bathroom 30  minutes before showering to bring the temperature up to a toasty temperature.  Sometimes I forget to completely close the door to the bathroom, and this prevents the heat from being trapped in the room.  If I leave the door open just a little, only a little heat collects in the room; if I leave the door wide open, no heat collects in the room.  Most of the time when I make this mistake my wife will close the door for me (after reminding me I made that mistake again), and I will give her a big hug.  But when she does not notice the heater running with the door open I will have take a shower in a room that is cooler than I like.

That little heater does a great job of heating the room if the door is closed.  Closing the door is part of the process of trapping the heat that is created.   In a way, the door is more important to the room warming up than is the heater because the heater could run all day long with the door open and it never would warm the room.

A similar mechanism happens in the penis to develop an erection.  Blood is continually being pumped to all parts of the body, sometimes more and sometimes less depending on activity and needs of the body, but all parts of the body have a continual supply of fresh blood.  The penis has a much different kind of blood vessel arrangement than other parts of the body because it can almost immediately trap the blood that is being pumped into it.  When this happens it is like the bathroom with the door closed, or like a balloon that has been tied off.   

When Peyronie's disease happens, a mass of fibrous tissue called a plaque or scar develops within the layer of the penis known as the tunica albuginea.  This scar is not supposed to be there; it is not a normal thing, and the fact that it is there within the tunica albuginea very often makes it difficult or impossible for the veins of the penis to trap blood.  You might say that the veins have valves within them, and the fibrous plaque prevents those valves from closing.   When the valves do not close, the blood is not trapped and no internal pressure is built up that is associated with an erection.   This inability to close the valves of the veins might affect just a small part, or a large part, or all of the penis, causing a small, large or the entire penis to be soft or not erect.

The solution for this problem is not to pump your body full of drugs to make an artificial and temporary erection, because this does nothing for what is really wrong with you (plaque in the tunica albuginea) and it might cause other health problems as a side effect.  The solution is to eliminate, if possible and as much as possible, the plaque that prevents the valves from closing that causes the penis to be soft or flaccid (not erect). 

To learn how to help your body eliminate the Peyronie's plaque or scar please review the information at "Start Peyronies treatment."   TRH

What evidence do you have that this Peyronie’s treatment concept is effective?

If as you say 50% of men self heal from peyronies disease, what empirical evidence do you have that any of your treatments are actually effective? Testimonials of cures are to be expected in any group of men whether they take your medication or a placebo. What evidence do you have that your medication is better than a placebo?

 

Greetings,

Thank you for your valuable and interesting question.

Empirical evidence is taken from or by way of naturalistic experience or observation, as well direct experimental procedures.  It serves to defy or support a scientific theory or a working hypothesis that is under study.

For those who have spent any time reading the PDI website, you know that I have repeatedly reported that at this time it is not possible for me to conduct research or scientific investigation as is conducted by the government, large universities, medical research hospitals or pharmaceutical companies. I do the best I can under the circumstances I work under.  I am limited to the reports and communication about success and failure I receive from men who choose to follow the PDI concept of Peyronie's treatment.  This information is provided to me on a volunteer basis by men during their self-directed treatment, so it is understood that I do not have any way to control how each plan is conducted or to verify the accuracy of the information that is received.  

When early medical research was done with natural therapies like vitamin E, or acetyl-L-carnitine, or PABA, or quercetin, on Peyronie's disease the effects were often positive.   You can read these early reports in which all of these were found to have positive effects to reduce the Peyronies plaque or reduce advancement of penile distortion.  They all seem to end with the comment that would go something like, "Further investigation should be done based on these positive outcomes to verify these results."   Of course, since there is no profit or advantage in a drug company testing a common nutrient, no further testing is ever done.  No one is interested in the results of combining natural enzymes, vitamins, minerals, and performing gentle manual stretching because these ideas represent no business opportunity.

From the information I have gathered over the last 10 years while working with men who have Peyronies, I estimate that about half of these men have had their Peyronie's disease for 18 months or less, and the other half have had their Peyronie's disease for more than 18 months (many start their PDI-based treatment with a history of Peyronie's disease of five years duration, and a few have had their problem for 10 years or more).   Based on my feedback from these men, there does not seem to be much difference in the rate or degree of improvement between these two groups, or in the types of problems or difficulties they encounter while under care.   It seems that the body is able to heal or correct a newer (18 months or less) case of PD about as easily as an older (18 months or more) case of PD.   This 18-month time reference point is important because it is rather commonly maintained that any case of PD that will spontaneously heal or self-correct will do so before the 18th month; after 18 months the PD is considered permanent.  This is the reason so many surgeons will wait until a case of Peyronie's disease has reached the 18 month mark, since at this time the condition is thought to be stable and permanent.  

When I worked to develop the treatment plan that eventually became the PDI concept of Peyronies treatment I had my PD for about 18 months.  Many men who report back to me their positive results have had their problem for 2-4-6 years or more.  All of these cases are considered permanent and stable by medical standards.  Any change or reversal of the size, shape, density or surface features of  their PD scar mass or change in their deformed or curved penis would have to be considered clinically significant.  

At this time I am not interested in conducting blind studies with placebos with men who have Peyronies.   After 10 years of work I am at a point where I still improving and expanding the PDI treatment protocol.  It would be wrong for me to conduct research in this way that would deny every man the opportunity to reverse his problem.  Keep in mind that I am not attempting to make pigs fly; the PDI concept is really not all that extraordinary or extreme.  All we are attempting to do is to increase or support the natural ability of the body to heal and repair PD that tends to occur in about 50% of the men who develop this condition.  For many men who take the time to read the information on this website the idea of natural healing makes sense.   I suppose it all comes down to the question of, "Do you think it is possible to help the body heal if you improve your nutrition and do a few common sense things that assist the process of recovery like tissue detoxification, simple stretching and increase of blood flow?"  

You are viewing this work while it is its early stages, as the men are told when they read the PDI website.   Testimonials and personal communication is what many medical ideas have developed from in the past.  You are seeing this idea at that stage of development.  I do not know if that should be a reason for condemnation of this work.  Many men who need treatment for Peyronies disease understand the basic concept of supporting the ability to heal and repair and give the process a try.  Many who do it well find good results.

I completely understand your concern and interest in evidence of treatment efficacy, and comparison to placebo response.   However, keep in mind that all the glowing praise and approval for a drug that passes through government, university, medical research hospital, or pharmaceutical company research is no guarantee of effectiveness or safety of those same drugs or procedures.  So much of the kind of proof that you ask about seems to make very little difference to the people who use those approved drugs in the real world.  So many of the drugs that pass through rigorous research tests, and perform so much better than placebos, only come to fail to get results with actual patients or are found to be dangerous because of the side-effects and dangerous complications they cause. 

Again, thank you for the opportunity to explore and discuss this question.  Perhaps in time this idea will be taken up by a large research group when I have gathered more evidence and weight of public opinion.   TRH

How should I change my penis stretching technique if my curved penis changes from day to day?

Dr. Herazy,

My curvature is downward at about 35º – 45º and in an arcing, banana like shape where the curvature becomes more severe closer to the head. I started the manual stretching in full force about two weeks ago. I do it for 30 minutes a day. I use one finger, my index, fold the penis over it in the opposite direction of the bend at the bend's most severe point, holding it in this position with my thumb. I generally feel a "cold" sensation and slight tingle on the left, underside of the shaft.

I do not know if my condition is congenital or Peyronie's disease.  I've had the curvature as long as I can recall but at the same time as a child I was very active with many falls. I was kicked squarely in the groin at about age 6 or so and around this time had an odd habit of resting my penis against my stomach with the aid of an underwear band because it felt more "comfortable" to me than simply letting it hang naturally. About 6 years ago I saw a prominent urologist who didn't say whether it was Peyronies or congenital. He took a brief look at me and suggested the "solution" was to operate. Made no mention of cause. Drive through care. So, I do not know if if my curvature is congenital or the result of an injury during childhood.

With that said…my question falls back on the manual stretching. I've noticed some change. The first is a more firm erection. That I'm thankful for. The second is more perplexing. The curvature seems to, for lack of a better word, "morph" seemingly every day or two. When I began the stretching, though my curvature is in a general arcing, banana like shape that does not have an incredibly "sharp", direct deviation, it does indeed have a visibly discernible, tangible point where the curve begins in full effect. When I began the stretching this point was about 1/3 of the way down from the head. As I've continued with the stretching the curve seems to change it's "starting point", so to speak. Some days the curve seems to begin in earnest midway down the shaft. Other days almost near the base of the shaft. Other days back toward the top, near the head. Is this normal when stretching and if so, should I continue to stretch at the original point of most deviation? Or should I adapt my stretch to where the curve seems to be on that particular day? Or should I stretch multiple areas of the penis during each individual stretching period to target all areas at the same time?

Currently the manual stretching is my only therapy. I will be adding a med or large plan soon.

Thank you for your response and all you're doing for men with this condition.

– A

 

Greetings A,

Congratulations on seeing good changes in your curved penis after just two weeks. 

I suggest that you use more than one finger to increase or broaden the size of the fulcrum over which you are gently stretching the shaft; you might even use your thumb as a broader base.  I am concerned that you did not mention that you experience the familiar and desirable deep dull ache that is associated with effective penis stretching while applying a very gentle and variable fulcrum of traction to the involved tissue.  For this reason I suspect there might be something you are doing incorrectly with the technique.  I suggest that you again carefully watch the penis stretching technique CD and pay special attention to the instructions how to design and apply the various stretches. 

Strange that the urologist would not give you a diagnosis, but would discuss surgery as your only option and do it so early in your relationship.  My unsolicited opinion is that this kind of conduct and focus on cutting would not bode well for you.  Not to say you might not need surgery – that could be, and who am I to say since I did not examine you? – but I would be at least a little suspect of such an overly eager and thoughtless surgeon. From my experience in this regard, good surgeons are very selective and tend to be reluctant to operate, but are gifted when they do; eager surgeons are that way because their lack of skill and experience makes them hungry.  Too bad for the patients who encounter them.  

Based on feedback I receive from the field of men I work with, I know that the PDI gentle manual penis stretching technique definitely assists the process of Peyronies disease reversal and does help to some degree those men with a congenital curve.  In this latter case, persistence is needed and a light touch as well to make the tissue changes that are required.

Many men I work with who have Peyronie's disease after a month or two following a PDI treatment plan will notice improvement of the quality and duration of their erections.  This makes sense based on the improved vein closing that should take place when the scar material becomes smaller as a result of Peyronie's treatment.   So this particular comment you make in your report in some way suggestions you might have PD;  I do not know if this improved erection response would occur if your problem was purely congenital.

The variability of the curvature you report is interesting.  I hear back many stories like yours about slow but variable curve improvement over time, but not with as much detail as you have given me.  Thank you for that.  A even more common finding that is parallel to what you are reporting is the variability of the size, shape, density and surface features of the Peyronies plaque while undergoing PDI treatment.   I hear a lot of these reports, and this is always encouraging.  I suspect that certain common and mundane changes in your diet or activities of daily living cause your penis to display an increase or decrease of curvature.  By this I mean that there are many factors at play that influence the penis tissue as it is changing; it is not only the gentle manual stretching that affects these tissues of the body.  You probably should read chapter 5 of "Peyronie's Disease Handbook" to learn more about this.   Additionally, I suspect as your tissue responds to your stretching technique you will gradually notice that the curve pattern will smooth out into a flatter shape as you continue this work.  I suggest that you do a tracing of your curve every few days (and date each one) to see if you can detect a pattern of improvement.  Curves and angles are next to impossible to remember over time; having a tracing will document your progress and make it easy for you to note what you are working to accomplish when you might otherwise become discouraged.

I suggest that you use a fulcrum point based on the condition of curved penis each particular day; stretch as you find the curve each day, not how it was two weeks ago.

You are incorrect to use only the stretching work by itself.  You will get much better results when you incorporate other supporting therapies into a cohesive plan that supports healing and repair.   TRH

Questions about penile injury due to drug injections

Dr. Herazy,

Thank you for your quick response. I believe I do not have a congenital curvature because my scar is located in the head of the penis. The new scar due to the injections forms a collar around the place where the head meets the shaft. If i start with these treatments (Neprinol) I am worried that it can move down the shaft and cause a curvature. I know that sounds paranoid but I have not had much luck with these type of things. My scars do seem very rigid and only seem to soften not change shape. I would like to speak with you if possible about some of these concerns. I really want to be committed to a plan but am nervous that I can make it worse.(also i have had it so long)

Thank you again,

Alex

P. S. I really appreciate the care you have put into this book and website and would really like to try something.

 

Greetings Alex,

Your situation with a collar-like scar that is so near the head or glans of the penis is very unusual.  If indeed your injection series was delivered into this area near the point of attachment of the head to the shaft of penis (anatomically known as the corona) then I suppose this could make sense.   Typically, this is not where penis injury, and Peyronie's plaque or scars develop, so near the penile head.  Your situation seems to be different than most since your injury came about from the drug injections you were given to this particular area.

Your concern about the curvature moving down the shaft is not anatomically or physiologically possible.  There is nothing to "move down."  The process of repair will simply remove the excess fibrous tissue from its current location on a cell-by-cell basis.

Any type of change, such as softening of your scar material, is encouraging and indicates that your tissue should be capable of the further change to eliminate the fibrous material.  My idea is that softening is in fact indicative of cellular activity in which you experience partial cellular removal during those times when your diet and other factors favor healing, and partial cellular reversal and rebuilding during those times when your diet and other factors favor increased scar formation.  I and many men have noticed this slow and gradual increase/decrease/increase pattern that I theorize occurs in response to many things we all do during the course of time. 

During the 10 years  have done this work i have never had anyone worsen while under self-care using Alternative Medicine.

If you wish to talk about your issues, please go to the website and arrange for purchasing a block of time to discuss what is on your mind.  TRH

Would a Peyronie’s scar on the surface have the same affect as if it were underneath?

I have curvature to the left side and don't feel any bump or Peyronies plaque. I know this means the Peyronies scar can be too small or too large and flat and I've also read that it won't be on the surface of the skin. However, I do see a few little things that appear to be surface scars where my curve starts. Why wouldn't a scar on the surface of the skin have the same effect as if it were underneath?  Don't all scars share the same characteristic of not being flexible?

 

Greetings,

No, a Peyronie's scar on the surface would not have the same affect as if it were underneath.

Yes, all scar formation within the body shares the fact that a greater amount of collagen and fibrin fibers is present that is not as elastic and pliable as normal skin.

Even so, the location of the scar or plaque material does make a difference.  It is the hydraulic tension or over-filling with blood within the two corpora cavernosae of the shaft that creates the hardness and expansion of an erection.  Each corpora cavernosum is covered by the tunica albuginea (which is normally also elastic)  but will not expand as it should when the Peyronie's plaque is present within the tunica. The external skin layer does not participate in that response of creating the erection, even though it does to a degree also expand; even when erect the external layer of skin of the shaft is not especially tight or overly stretched. Only if these were extremely large in comparison to the overall size of the shaft would an external scar cause a distortion  of an erection.

I cannot comment on what you refer to as the few little things that appear to be scars on the surface of the shaft.   A scar on the surface of the shaft skin not have the same effect as if it were underneath because no blood is trapped in the skin; there is no anatomical mechanism for it to happen.  It is the trapping of blood that creates the hydraulic effect, and this takes place only in the corpora cavernosae and nowhere else.

It might be helpful to you to review some basic penile anatomy on the PDI website at "Peyronie's anatomy of the penis and related areas"  and  "Tunica albuginea and Peyronie's disease."

If you are unable to find the Peyronie's plaque that is causing your distortion, I suggest that you arrange for a telephone discussion and I will work with you to help you locate it.  It is essential to good treatment results that you know about the size, location, density and surface features of the scar that is causing your bent penis.   TRH

Dilemma: I can’t find anyone who is skilled and has successfully performed Peyronies surgery

Hi Dr Herazy,

I have Peyronies disease, I have tried all sorts of oral medications to no affect. It has been over 2 years and I know psychologically I buried my head in the sand. It has caused major problems with my wife. The curvature is nearly at right angles making it nearly impossible to have sex. I still have sexual desire but that is about it.

I know the only way forward is surgery. My dilemma is finding someone who is not only skilled but has successfully performed this surgery.

I live in Sydney Australia if you can refer me to someone that I can see I would be greatly appreciated

Warm wishes,

David

 

Greetings David,

It appears to me you have not read much information available to you from the Peyronie's Disease Institute.

Why do you assume the  only option available to you for your Peyronie's disease is surgery?    If 50% of men who develop PD experience a spontaneous or natural  healing of their PD ("it goes away on its own"), why do you believe that your body would not be able to heal if you were to give yourself the best opportunity to recover by really concentrating your effort in that direction?   Many men have done just that.  Many men who I work with have had their Peyronies  problem for longer than just two years.  Many have had PD for 5-10 years, or more.  some get great recovery and reversal of their curved penis and reduction of the Peyronie's plaque, and others have only slight improvement.  The results are variable because each man conducts his plan a little differently and some do it better than others.

It should tell you something – it should ring out loud and clear – why are you having trouble finding anyone in your country who is skilled and successful in performing Peyronie's surgery.   When Peyronie's surgery goes bad, it can be a real catastrophe.   Since you have PD you already demonstrate the tendency and ability to create too much scar when you penis is injured.    Surgical work on this very same tissue can result in an even greater amount of scar formation.   This is the reason why I have so many MDs who contact me when they develop PD; they want nothing to do with surgery when it is their penis on the line.  Once you have been operated on, there is no way to truly reverse the effects of the first surgery.   Please be very careful who talk to about this kind of surgery and get a clear understanding of the kind of results they say you should expect. 

This is an article I wrote you might find helpful:  Peyronies surgery:  Finding a surgeon.

I suggest you spend time reading some of the ideas about working with Alternative Medicine to support your natural healing potential.  TRH

How is your gentle manual penis stretching method used for Peyronie’s treatment?

If I am successful in dissolving or removing my plaque, does the penis straighten out on its own?. Do you recommend gentle traction at this point to assist with the straightening since the plaque would be gone?

Greetings,

Great question.  Thank you.

The only reason your penis is now curved since you developed the  bent penis of Peyronies disease is because there is an internal mass of dense fibrous "scar like" tissue, or Peyronie's plaque,  within the tunica albuginea of the shaft.  This plaque interferes  with the normal filling and expansion of the shaft during an erection.  If you did not have the plaque, you would not have the curved penis.   If your Peyronie's plaque is eliminated by your therapeutic efforts there will be no reason for your penis to be curved.  

The gentle traction technique that was developed during a one year research project through PDI was never intended to be a solo therapy. It was not tested as a solo therapy, only as an adjunct to existing therapy that was not advancing very well.  It made a great difference to those cases who were not responding well.   This gentle stretching protocol is not done after the plaque is removed; it is done while there is still plaque present in the shaft.  The intent of the gentle stretching is to stimulate the degradation or undermining of the Peyronie's plaque so that it is reabsorbed and removed more rapidly better while under the influence of all the other Alternative Medicine therapy you should  also be using.   

You really need to read more about the technique to understand it better.  Go to  PEYRONIE’S  DISEASE  INSTITUTE – MANUAL PENIS STRETCHING METHOD CD©      Be sure to watch the video that demonstrates the actual method.    TRH

Any comments why my curved penis went away but I still have lost 3 inches?

Hello.  I am a 59 yo male who had a Peyronies episode 2 years ago…. curved penis… pain followed with erection.   The curve went to the left…but all of that has gone away.  BUT lost about 3 in in length.  Any thoughts on this?  Still can get erection, not a problem.  But miss the lost 3 in….BTW my name is John…and i live just over here in Elgin IL,  not to far from you in Palatine.  If you can help please let me know…Thanks

Greetings John,

Lost length is a very common part of having Peyronie's disease, perhaps even more common than curvature and distortion. 

You ask for my comments on your current situation.  You still have Peyronies disease, but more than likely your arrangement of internal Peyronies plaque is balanced and does cause incomplete filling of the penis chambers during erection, hence no curved penis.  It is also my opinion that you could develop curvature again if your internal scar changes so that it pulls in a different way.  Many men can go for years with a particular pattern of penile distortion, assuming that it is how their PD will be and then suddenly find themselves with a worsened distortion.  This is why you cannot assume  your straight erection will always be straight.  For this reason you would be wise to start treatment to correct as much of your problem as you can while you are straight.  I probably should also comment that lost length can and does return when men work to correct their Peyronie's disease.  Some men get it all back, and others only part of what was lost; it varies from man to man.   The return of lost length occurs when the fibrous tissue build up of the contracted scar material is reabsorbed by the body.  TRH

Doubts he has Peyronie’s disease because he does not have a curved penis

Dear Dr. Herazy,

I have done a lot of reading on your website and am really confused, as to whether I am or I am not a patient of PD.

About a fortnight back, I have felt hardening of a vein, about 1-2 inch of it, below the penis skin, near its root.  However, as on date, I have not felt any curvature of Penis, neither in normal penis, nor while erect.  However, I do feel that I have lost Libido and do feel a little pain, at the point of hardened portion.   Moreover, I do feel that I am not able to maintain Erection, once the intercourse starts and unable to continue strokes.

My Urologist have diagnosed me with Peyronie's plaque and have recommended a daily dose of Vitamine-E cap. 400 mg plus Inj. Kenacort 40 mg +Inj.  Hyalase 1 amp (IV) – weekly for 6 wks.

After going through your website, I assume there could be some side effects of IV injections and would request you to suggest some alternate medicines, to address this issue of "Peyronie's Plaque".

I am a Govt. servant of 50 yrs, 5.5 Ft. height and about 72 Kg weight.

Anil Jain

Greetings Anil,

I must ask why you are confident what you find is actually a hardened vein, and not a Peyronie's plaque since your urologist has already diagnosed you have Peyronies disease.  Many plaques are long and narrow, like a vein. You can certainly have PD and not have a penile curvature at this time; it might develop in the near or distant future; some men never develop a curved penis because the plaques they have are balanced and do not pull the penis excessively to one side or the other. Reduced libido and reduced sexual performance are common to PD. 

Penile injections sometimes cause Peyronie's disease due to injury to the delicate tunica tissue of the shaft.  Having drug injections to treat Peyronies carries a certain level of risk; many MDs who come to me when they develop their own cases of Peyronies refuse to have drug injections into the penis for this reason.  You should talk to your doctor about this. 

Taking solo treatment of synthetic vitamin E is probably not going to help you.  You must use a combination of various therapies as outlined in the PDI website if you hope to impact your ability to treat your problem successfully.  TRH 

Which PDI treatment plan would be beneficial to my Peyronie’s disease?

I had been having problems with pain upon erection and lumps along the shaft of my penis for several months and then I started having a lot more pain.

I went to a urologist who initially told me he couldn't find anything abnormal but during a subsequent follow-up visit he told me that I have Peyronies Disease and that the lumps were plaque formation and there wasn't much I could do about it. He advised oral Vitamin E (which I take religiously) and waiting to see if it got better without injections or Peyronie's surgery.

I had never heard of this disease so I have been researching it. I do not have any obvious outward sign like scars or any curvature but I can feel the plaque deposits and have very painful erections.  Sometimes there is pain even without erections. I don't remember having any specific injury or trauma to my penis during sex but sex definitely makes the pain worse. I am really worried that although there is no curvature now, there will be if I follow the doctor's "wait and see" plan.

I already feel a "pulling upward" sensation with erections. I would like to know which of your treatment plans would likely be most beneficial to me. The biggest problem is the pain and the lumps that seem to produce this "tugging or pulling" feeling. My first thought is to jump in with both feet into the most aggressive treatment you have but maybe that is not the correct thing to do. I would really appreciate any guidance you can give me.

Greetings,

Thank you for your question.

You must stop doing anything that causes your Peyronie's disease to be more painful.  Pain indicates that you are again stressing the deep plaque or scar tissue of your Peyronies, and this is harmful and will delay your recovery.  This does not specifically mean stopping sexual intercourse; it only implies you must determine what you  are doing during intercourse, or how you engage in intercourse, that causes physical stress upon the penile tissue and change that aspect of your technique.   This is a huge, diverse and important subject, and for this reason I suggest you should consult a book I wrote, "Peyronie's Disease and Sex."    

Taking vitamin E by itself, or taking the wrong kind of vitamin E, no matter how religiously you take it will not help your PD.  You must use the right type of vitamin E, take it at the right time and in combination with other important therapies for it to help your problem.  Please refer to the section in the PDI website about vitamin E that covers this important subject. 

Penile distortion can occur immediately in Peyronie's disease, but it can also take months or years to develop.  Further,  I have communicated with many men whose PD distortion suddenly worsened after being static for a few years.  For this reason you must not assume your problem will always look the way it looks at this time; they usually worsen over time.    

No one can tell you ahead of time which PD plan will work best for you.   Please read "Do you simply recommend the same treatment products to all Peyronies cases?"   You will then understand that all treatment must be unique and driven by specific response of your Peyronie's plaque or scar.  Lastly, it would appear that you think that the Peyronie's scar is located on surface of the shaft; it is not.     The Peyronies plaque and scar are terms for the same fibrous material that is found deep within the penis below the skin surface; in the world of PD the scar and plaque mean the same thing.  The scar or plaque are not visible from the exterior since they are internal.

 Let me know if I can help you in any way with eliminating your PD scar with Alternative Medicine.  TRH    

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

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

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

Thanks.

Greetings,

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

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

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

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

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

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

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

I need real complete information on what Peyronies treatment to use

I have a minor nodule on the forward 1/3rd of my penile shaft. It causes a twist up and mostly to the left when erect. I have been taking two 400 vitamin E caps a day and essential oil application once a day.  My Dr. suggested using the vacuum cup but I'm not convinced that this product is affecting the source of the problem. After reading some of the blogs here, I'm seeing that there's more meds or supplements involved that may or may not have real effects on my condition.  I need real, complete info on what peyronies treatment regimen I need to adopt to affect a positive result. Your opinions/suggestions please.

Ralph
age 67

Greetings Ralph,

You need to spend some time reading the PDI website to educate yourself in this method of using Alternative Medicine to increase your ability to remove the Peyronie's  plaque or scar from your shaft.  We have literally over 500 of pages of information telling you how to help your Peyronie's disease.  I suggest you start at least with these few pages from the PDI website:   "Start Peyronie's Treatment" and "Dosage for Treatment of Peyronies Disease."  There are many others that you can use to get grounded in Alternative Medicine treatment, but these two are a good start. 

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

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

Greetings,

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

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

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

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

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

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

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

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

Will a combination of Neprinol and vitamin E be effective for my Peyronie’s disease?

Do you think that a combination of Neprinol and vitamin E will be effective in helping my Peyronie's disease?

Greetings,

There is no way to tell ahead of time if any Peyronie's treatment plan will be effective.   No matter what plan you start with, it is always a guess to know at the start of care if it will help.   The eventual treatment plan a man uses to eliminate his PD is determined by its ability to influence the PD scar.  Each person has different needs, and this prevents one treatment idea from being the solution for everyone.    It is necessary to evaluate the effectiveness of any plan by looking for changes in the size, shape, density and surface features of your scars while you following your treatment.   You can start with any type of plan you believe might help you, but it is the response of the  scar tissue that guides and determines type of therapy that is used and at what dosage.

Your question tells me you have not spent much time on the PDI website.   You really should go over the PDI home page and follow the links you will find there.  If you are interested in recovering from your PD it is a great way to get an education how Alternative Medicine can be used to increase your ability to heal and repair the Peyronie's plaque that is causing your bent penis.

Using Neprinol and vitamin E is a small combination that is far too limited to reach into the problem of Peyronie's disease.  I have never heard of anyone who used this combination and got results.   As an example, if you look at the PDI small plan you will see there are seven different ingredients in that plan – and it is called small.   I am fully aware that many men can have financial problems that limit the amount of therapy they use, yet these same men also want a Peyronie's treatment plan that gets results.

You see, it is not really what I think about using Neprinol and vitamin E that is important.   All I can tell you is that no one has ever told me that taking only these two therapies has helped his PD.    Usually, the plan must be larger to be effective.   How large does your plan have to be?   I don't know.   You have to figure that out for yourself while you are working with your problem.  I suggest you start here reading this website of the Peyronie's Disease Institute to  learn how this is done.   TRH

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

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

Greetings,

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

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

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

What is the best Peyronie’s treatment?

Hello,

I am from Dubai.  My problem is like this:   Peyronie's disease with left lateral (side) penile curvature and constrictive ring deformity causing hourglass close to body. No pain up to now during sex.  I find that my penis  is now shorter by more than one inch.   I took vitamin A & E but it did not help.  What is the best Peyronie's treatment?   Thank you.

Greetings to you in Dubai,

I am sorry to learn about your problem.   

Taking only vitamin A and E is seldom effective because it is much too limited or narrow in its attempt to help you heal the PD scar.  The best Peyronie's treatment is not any one therapy, but a combination of several – sometimes many therapies that work to assist your ability to remove the foreign Peyronie's plaque or  scar tissue from your body.

Please do not think my answer is silly or insensitive.  Allow me to give you an answer that will tell you exactly what you need to do create the most effective therapy plan for your condition:  The best plan to treat your Peyronie's disease is the one that you create that causes your body to break down and absorb the foreign scar material.   The best Peyronie's treatment plan appears to be different for each man.   I do not know what you need to do to make this happen, but I can tell you how to figure this out for yourself. 

If you follow these steps you will do as much as you possibly can to be successful over your Peyronie's problem:

1. Learn as much as you can about the natural treatment of Peyronie's disease from the PDI website.  The more you understand the better your treatment and your results will be.

2.  Go to "Start Peyronie's treatment" to see the basic outline of getting started with care.  Follow those instructions your read about.  

3.  Determine the size, shape, density and surface features of each PD scar you can find.  If you do not know how to locate your PD scar(s) send me an email and I will give you special help to determine where it is located and how to evaluate it.  This information is critical since you will use it to measure the progress and effectiveness of your Peyronie's treatment plan.  Without this information you are only guessing about your treatment. 

4.   Monitor your PD plaque for changes as you follow your treatment plan.   If your scar or plaque changes size, shape, density or surface features while you are using your treatment plan, there is no need to change it; you simply continue to use that plan for as long as your scars continue to reduce. If your  scar DOES NOT CHANGE size, shape, density or surface features while you are using your treatment plan, you must increase the plan by either increasing your dosage of therapy products or increasing the variety of treatments you are using.  When you get to that point I will offer you ideas and information so you will know how you wish to proceed. 

Please let me know if you have an questions about how you wish to proceed.   TRH

Is there a treatment to improve my Peyronie’s curved penis?

My pain and scar are gone.   However the curvature remains.  Is there a treatment to improve the curvature?  Thanks.

Greetings,

I am happy for your apparent progress over Peyronie's disease, although I think you are assuming too much. 

When you ask this kind of question it tells me that you think of your scar and curved penis as two separate things.  That is not the case.  The scar and curvature are directly related; the scar is causing the curvature, and without the scar you would not be bent.    The very best treatment, and the one that makes most sense to improve your curvature is to get rid of the cause.  In this case, the treatment to improve the curvature is to get rid of your Peyronie's scar.  

While I am sure you are correct that you have noticed reduction of your scar, and perhaps you are not even able to find your PD scar any longer, in order for your shaft to still display a curvature there still must be some remaining scar material present within the tunica albuginea.   Sometimes the scar that remains is so greatly reduced or perhaps deeper than you can easily locate, but something must be causing the penile deformity that you still exhibit.   If you did not have some Peyronie's plaque or scar still in the penis, there would be no explanation for the curvature. 

I suggest you stay on your treatment plan to get rid of your bent penis.  Perhaps vary your treatment a bit while still following the basic outline that brought you the significant reduction of the scar, so that you can totally eliminate the remainder of it and completely reverse your curvature. 

If you need help modifying your current plan to clean up the last part of your scar please send me the complete details of your current Peyronie's treatment plan and i will be happy to make a few suggestions to improve what you are doing.  TRH

Is it possible to have a penile curvature without having a Peyronie’s scar?

Dr. Herazy,

Is it possible to have an extreme curvature in one or both of the blood-filled columns in the inside of the penis without having a scar? I can't find a scar at all. Also, I only have pain (a slight twinge) in the base of the penis and in the curvature?

 

Greetings,

The only way you could have an extreme penile curvature without having a scar would be to have a congenital curvature (born with a normal curvature) or to develop some other health problem that would cause additional penile symptoms. 

If you have been diagnosed with Peyronie's disease and you have a bent penis you must realize the penile curvature is being caused by something that was not present before you developed PD.  There must be a reason for the distortion, correct?  In your case, the distortion is being caused by extra fibrous buildup that is very difficult to locate.  This is common in Peyronie's disease; I guess that at least half of men with PD have difficulty finding their scar(s).   In fact, it is so common that I wrote a blog post titled, "Can't find Peyronie's plaque or scar."   You could also read another question and answer, "How do I find my Peyronie's scar?" 

It is typical for someone who has been medically diagnosed with PD to still feel uncertain if this diagnosis is accurate and correct.   It is part of a denial response.  If this is true, you must either make up your mind you will either accept the diagnosis or go to another urologist for another opinion to either confirm or deny your Peyronie's disease diagnosis.  I sense that you are beating yourself up with doubts and endless questions.  At some point you must stop fighting the idea you have PD. You need to eventually take that energy you are wasting on endless worry and use it to do something about your problem.  Some men have a difficult time dealing emotionally with severe penile curvature.  If that is true for you, please contact me for a few EFT sessions and I think I can do something to help you in this way, as I have done for so many other men.   

The pain of Peyronie's disease is quite variable in terms of degree and location. Having a slight twinge at the base of the penis, and within the curvature, is consistent with this problem.  But then, having a great amount of pain at the base or toward the top of the penis would also be consistent since the pain of PD is wildly variable. TRH  


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

Hello,

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

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

Can you give us your thoughts about this please.

Best regards,

Leo

 

Greetings Leo, 

Thank you for the excellent question.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Spontaneous Remission and Natural Cure for Peyronie’s Disease

Helping nature to remove the Peyronie’s plaque 

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

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

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

 

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

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

Is it possible my Peyronies plaque or scar is like a piano wire?

Dr. Herazy, I wrote you last month and you really helped my confidence with what I am doing. Is it possible that my PD scar is like a piano wire from the base to the head? That is the only irregularity I can find. Thanks Dick R.

Greetings Dick,

Yes, it is certainly possible that your scar feels like a piano wire. The Peyronies plaque or scar material presents in a wide variety of ways, just as most everything about PD seems to be variable. 

Although you did not say so, I will guess the long ridge of scar material tissue you say feels like a piano wire is located on the top or dorsal surface of the shaft.  This is a very common location for long narrow PD scars.  It is the anatomical structure, called a septum, where the tunica albuginea of the two chambers meet in the mid-line, and it runs from the base of the penis to the head (glans).   This septum is especially susceptible to separation during trauma, and can consequently develop a long thin scar.  

You can assume this is your only, or your primary, Peyronie's scar if your curved penis is directed upward.  

While you might be correct that it is only as thin as a piano wire, I suggest that you examine this thin ridge again to determine if you can detect that it tapers down to a flat band.  Almost like the gable roof of a house, your piano wire structure might just be like the uppermost ridge of the roof that gets thinner as it slopes down laterally.  I mention this speculation because it is always beneficial to have a clear and accurate visualization of each scar so you can closely monitor it  for changes as you continue to treat your PD. 

You might find, if I am correct, that this flat tapered surface on either side of the piano wire will undergo changes in size, shape, density and surface features as your scar deteriorates as your treatment progresses. 

If you do not know it is there, you will not have this useful information available to you to guide your treatment.  You must try to know everything there is to know about each of your Peyronies scars.

TRH

Do you think this is a bad idea?

Can you tell me what you think of using DMSO and possibly vinegar since it contains acetic acid, i used it and it didn't hurt but the mixture got very warm to almost hot, and it wrinkles the skin, i got this on a website… Wikipedia and other sources say….Diluted acetic acid is also used in physical therapy to break up nodules of scar tissue via iontophoresis. So can't you use dmso to deliver the acetic acid in vinegar similar to iontophoresis to break up peyronie's plaque? Do you think this is a bad idea to try?

 

Greetings,

Yes, I think this is a bad idea.  You got lucky that you only felt a hot sensation and that it just wrinkled your tissue.  I suppose had you left the vinegar on longer, or used it a second time, or in some other way increased your exposure to it, you would have probably developed a deep and serious burn of the penile tissue.  Do you know what would have been the likely result of a burn-injury to the deeper tissue of the penis for someone who already has Peyronie's disease?  More Peyronie's disease. 

Acetic acid of vinegar is a dangerous acid that will affect different tissues of the body in a variety of ways. The thin tissue of the entire genital region is unusually vulnerable to a burn injury caused by acetic acid.  When it is combined with DMSO the damage can be even more severe. 

Please do not do use vinegar again this way for your Peyronie's disease.  TRH  

Do you suggest SSKI (potassium iodide) as a Peyronies treatment?

Do you suggest using Potassium Iodide (SSKI) as a Peyronies treatment online shows good results from using iodine for scars?


Greetings,

Yes, there is information online about using SSKI (potassium iodide) for treatment of Peyronie’s disease.  That information comes from the website of Jonathan V. Wright, MD of the Tohoma Clinic. He has some interesting things to say about it.  He is an intelligent and provocative author. I like Dr. Wright's work. 

However, concerning the work of PDI, there is a problem with the idea of using SSKI for PD:  Dr. Wright is the only one saying it. 

His concepts and opinions might very well be correct, and SSKI might be the best therapy imaginable for PD.  But I doubt it.  Why?  Because, from what I can determine, there has been absolutely no research or study of SSKI for treatment of PD or DC by anyone at any time.  It is all conjecture and theory, even if it is interesting and might make sense, it is still unfounded at this time.  It is a far more unfounded idea than anything you will find on the PDI website.  

The intent of PDI is not to present all Alternative Medicine therapies for your review simply because they are non-medicinal in nature.  We do not advocate Peyronie's therapies simply because they are “natural” or easy to acquire without a prescription.  Those therapies you find on the PDI website are there because of research (often a lot of it) that supports the use of that particular Alternative  Medicine therapy for PD, in spite of the contradictory research.  We take the position to only use those therapies that have satisfied an adequate percent of researchers to suggest the possibility of therapeutic efficacy.  If taken as a group, in aggressive doses and high combinations, these therapies stand a good chance of creating sufficient synergy to initiate a healing response to correct the Peyronie's plaque. 

SSKI does not fall into that description.  It has not been studied.  When it is studied and receives a positive review from several independent sources we will likely consider adding it to the lineup. 

Keep reading Dr. Wright’s articles, he has a lot of good information for all of us.  TRH

       

Does this mean I have Peyronies?

In previous questions someone asked below "how do I find my PD scar?"

In your answer you stated: "…….it is important to know your scar is not located on the surface; it is located below the surface and cannot be seen……"

I have been informed that I have Peyronie's disease, however my erections are 100% straight.  They are just less flexible and half the top surface of my penis feels very hard, because of the scar tissue.  When my penis is flaccid and erect I can easily always see the scar tissue.

Does this mean I have peyronies, also does this mean the scar tissue is just below the external skin and not on the actual erectile tissue? Is this possible? I have spoken to you previously but I am not sure if I mentioned this.

 

Greetings,

If you have been medically diagnosed with Peyronie's disease, what you say does not give me reason to doubt that diagnosis.  

After reading your entire question several times I am unsure what you mean when you say "I can easily always see the scar."   If I were to try to hide a ball under the blanket on my bed, it would still be "seen" because of the way the ball would push up and distort and wrinkle the blanket.  I would not be able to see the ball directly, only able to see the effects of the ball on the blanket that is above it.  Is this what you mean when you say you can see your PD scar?

By definition the Peyronie's plaque or scar is not located on the top surface of the skin.  It is located within the layer of tissue called the tunica albuginea that is located well below the surface of the skin, by many millimeters.     The tunica albuginea is sitting right on top of and is in contact with the actual erectile tissue, making it anatomically impossible to directly see the Peyronie's scar.  

I have communicated with many men whose PD scars are so thick and dense that they distort the skin above, and thus they can see the outline of scar that lies below.  TRH

If I can’t find the Peyroinie’s plaque where is DMSO gel applied?

Dr. Herazy,

My order arrived last week, and today I started the treatment.  I’m very upbeat that I made the right decision. I have carefully reviewed all the documentation and explanations that came with my order.  It is very impressive how well you prepare your customers to work with their Peyronie’s treatment products.

The one item that I’m most confused about is the PMD DMSO gel.  Exactly where is this gel applied?  My instructions say that the topical therapies should be applied over or on top of the location of the Peyronie’s plaque or scar. I do not have any scar. I don’t have a problem shaving as described but I do not have a scar either on the part to be shaved or the penis. Or, when they mention scar, do they mean the part of the penis that is abnormally hard?  Please advise.  Randy

 

Greetings Randy,

Actually, if you have Peyronie’s disease you do have a plaque or scar.   However, the scar is not external or superficial, it is internal and below the surface. It is located under the skin surface and within the tissue of penis called the tunica albuginea.  The scar or plaque is not visible from the surface; you cannot see it.  The closest you can come to actually seeing it is if the scar is so large and thick that it raises or elevates the penile skin above it and you can see the raised lump of tissue because of the large scar below the surface.  

In order to be successful you really want to get to the point that you know the size, shape, density, and surface quality of your scar(s). If this is a new concept to you, I suggest you get the 1st book I wrote “Peyronie’s Disease Handbook.” It will help you immensely.

Scar location is sometimes a complicated topic, especially in the case of multiple scars or plaques. You can expect to find at least one scar at the point of greatest concavity of your distortion. Again, this is a topic of such concern and importance that you really should get at least that one book so that you know what you are doing in regard to monitoring your scar. The physical change in your scar is going to guide your therapy; it will direct you to the best use of your therapy plan. to assist you with this subject, please go to Difficulty Finding the Peyronie’s Plaque.

To answer your question about where to apply the DMSO gel and related external therapies, they should be applied directly over the area of Peyronie’s plaque or scar.  You do not need to apply these external therapies to the entire shaft, unless, of course, you have a wide spread pattern of scars over most of the penis.  TRH

Does anyone know the best treatment for Peyronie’s disease?

Does anyone know the best treatment for Peyronie's disease? I want to know how do I cure myself in the fastest way I can before this problem ruins my life and pushes me over the edge.  My doctor does not seem to care at all how this problem is affecting me.  He actually told me to do nothing for six months, and then he would decide if I needed surgery. I really need to know how to get back to feeling like a normal man again.

Greetings,

Before I give you the best and most honest answer I can, I want you to know that I had Peyronie's disease and cured myself of it in 2002.   That is how this website got started and how all of this information was put together.  When I first developed Peyronies I felt really terrible inside just like all men do when they lose this part of their lives.  I know how rotten and scared you are feeling because I felt that way and so did hundreds of men I have worked with over the years.  Many of us, just like I did, were thinking the same terrible black thoughts you are thinking right now.  You cannot let yourself lose control of who you really are and what is really important in life.  You must not let PD win over you because you are more than just a penis, and you are stronger and more important than this problem.

Every week I get emails and phone calls from men from around the world who are making improvement with their PD scars and their curvatures.  Some get a little help, some get a tremendous amount of help, but almost everyone who works hard and follows a few simple ideas about Peyronie's treatment earns some level of improvement of this PD. 

You will not know if you can help yourself until you decide to try.  Right now you are letting PD control your thoughts and feelings, and this is not good.  You are making the mistake of allowing yourself feel like a PD victim.  Just because your MD did not spend time talking with you and did not have answers for you does not mean you cannot take care of yourself.  You can be in control of your situation if you make that decision.  It all comes down to deciding to be bigger, stronger, tougher and more determined than your PD.  Once you do that you will be in control of your feelings and you will get busy helping your body eliminate your Peyronie's plaque to the best of your ability.   TRH

How do I find my Peyronies scar?

Hi, I'm twenty four and I think I got Peyronie's disease from an accident when I was in my early teens. It is naturally the most annoying thing I have to deal with. How do I find my Peyronies scar? Also, the medications and vitamins you are selling, how often would one need to replenish the stock?

 

Greetings, 

Knowing where your scar is located – although not always easy or obvious – is essential to Peyronie's treatment.  Knowing your scar location and how to accurately describe it is not a matter of curiosity; you MUST know about the scar in as great detail as possible in order to know if you are making actual progress or not with your Alternative Medicine treatment.   If you do not know this, then you are guessing.

Before I go into this subject in some detail, I must remind you that the PD scar is best located while the penis is soft or flaccid – meaning not erect.  This will be true 99% of the time, so don’t bother to look unless you are flaccid. Also, it is important to know your scar is not located on the surface; it is located below the surface and cannot be seen.  Lastly, as a general statement the major scar you have that is causing a penile distortion will be found on the concave side of that distortion, usually at the lowest point of that concavity.

This problem of being unable to locate the PD scar is so common I wrote a blog post titled, "Can't find Peyronie's plaque or scar."  Check it out for more help.

PD “scars” or plaques are quiet variable.  Some men have an obvious scar and others could not find one if their life depended on it.   Often, when a scar is not found, but there is still pain and bending or any kind of recent penile distortion, a diagnosis of PD can still be made.  This is so, because the scar that is causing the pain or bending is either:

1. So small – it cannot be found

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

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

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

5. So greatly different than what you think it is going to feel like that you miss it only because it does not meet your image of what it will be like

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

Usually, when a scar is NEVER found it is because of a combination of two or more of these factors – deep and small, or soft, large and flat, or deep, soft and doctor error, and so on.  From my experience with those who have an extremely difficult time locating their scar, it seems that #4 (so large and flat) or #5 (so different than what you expect) are the reasons for failure to locate the scar.  Keep this in mind when you search your landscape trying to locate the scar. 

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

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

It seems that lately I have many men reporting that their scars are as large as the length of the shaft, and some are narrow while others are wider.  Image that your scar is that large.  If you are looking for a pea-sized scar it will prevent you from easily finding something much larger like a postage stamp.     

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

I have worked with well over a thousand men with PD, some mild and some severe cases, some just a few months and several that were more than 10 years old.  I had a pretty bad PD problem until I cured my condition using the procedures found in the book I wrote and the same Alternative Medicine ideas as on the website.  You will not feel like a victim once you start working to improve your health and immune response against the presence of this foreign tissue.

There is no clear answer to your question about how often one would need to replenish the therapy that is being used.  Some therapies need to be resupplied every month or so, some every three months or so, and some never need to be replenish.   As a general idea about replenishing your therapy supply, the average man spends about $90-110/month replenishing his medium size PDI treatment plan.   TRH

What is the daily dose recommended for Neprinol?

What is the daily dose recommended for Neprinol? Thank you.

Bill C.


Greetings Bill C.,

There are several things to say about dosage in general for Peyronie treatment, that applies to Neprinol dosage in particular

1.  The starting dosage for any therapy is often the one that is listed on the label for that product.  This standard starting point is used to see if the dosage recommended by the product manufacturer can bring about a favorable change in the size, shape, density and surface features of your scar.  Often it cannot.

2.  The ongoing treatment dosage that eventually proves to reduce the original size and shape of the scar, or soften the density, or alter the surface features of a Peyronies plaque will very often be higher than what is suggested on the label of each product. 

3.  No matter which therapy product you use, it must be taken in a safe and reasonable dosage.  All of this information is available to you in the treatment section of the PDI website.  Please read that information and adhere to it.  

4.  Dosage for any ONE therapy product that is actually going to help your Peyronie's disease is not easy to determine because you will be taking MANY therapy products at the same time.  You are juggling many balls at once and this requires some patience and the ability to keep good notes about what you are doing. 

Of course, if you are taking five different internal therapies (vitamin E, vitamin C, Neprinol, Acetyl-L-carnitine and PABA) each one must be individually determined.  An important part of your therapy plan are the external therapies you are using (Genesen Acutouch pens, gentle manual stretching, DMSO, etc.) While you do all the internal and external therapies that make up your total therapy plan you must monitor the size, shape, density and surface quality of your scar(s) to note at what dosage level changes begin in the scar material.  It is as simple – and difficult – as that.

5. No clear and specific treatment dosage numbers are offered to you since everyone uses different internal and external therapies, in addition to doing them in different ways.  In this sense, since each man is different, and each man follows a different plan, each man must determine what he must do to improve his scar behavior.

The procedure to determine scar size, shape, density and surface quality is explained in great detail in “Peyronie’s Disease Handbook.” The correct dosage of any therapy product is not determined from a chart. The chart that you receive with your first order only tells you the average range of what most men are doing. Your dosage should be what you need to take daily to cause changes in your PD scar. The dosage for you is what you learn works for you. I cannot tell you what you need to take. You have to determine that by your observation of the dose that makes the scar size, shape, density, and surface quality change. This vital information will guide your use of all the therapy products; it is the measurement that tells you if your plan is working or not. All of this is explained in great detail in “Peyronie’s Disease Handbook.”

What is the best combination of products for treatment of Peyronies?

You may not be the one to ask but what is the best combination for treatment of Peyronies?  I have read and seen so much, my head is spinning. Thank you. Sonny

Greetings Sonny,

Probably a good place to start is by looking at the structure and diversity of the three Peyronies treatment plans (small, medium and large) that are shown and described at the top of the page of the treatment page on the PDI website. 

These different plans were put together so you can see how a balanced and diversified plan looks, and to make it easy for men to purchase a plan as a simple starting point for natural Peyronie's treatment.

Ultimately the best plan is the one that reduces the size, shape and density of your Peyronie's plaque.  This is determined over time by monitoring your PD scars while you are self-administering any plan you put together for yourself or have selected from the three PDI offers you.

To get to the point of your question about the "best": there is no best for everyone. You must search it out based on what works for you.

I think people come to the PDI looking for the "best" PD treatment in the same way they go to their doctor looking for the best drug to reduce their high blood pressure or the best salve for their rash.  In the PDI method of treatment we realize their is no one single Peyronie's treatment; we realize a combination of treatments are used at the same time to encourage and support the body to heal the PD plaque.  Further, we realize that this combination is different for everyone.   So each man starts out using the plan that he thinks might help him, and is prepared to modify it later if it does not make the necessary changes in his scar tissue.  This is why it is so difficult to answer the question "What is the best Peyronie's treatment?"   Each person must work that out individually.  I can help you with that process.  TRH      

Should I continue penile injections for Peyronies treatment?

I have Peyronie's disease causing a bend to the left and downwards and it's closer to the tip then the base. I have seen a urologist who has injected it twice now. I haven't seen any improvement. both my doctor and myself have trouble finding any plaque. I'm 50 and in good shape….this just showed up a couple of months ago…there was no trauma…should I continue with the injections?  .

Greetings,

It is not my intention or desire to interfere between you and your urologist concerning your treatment or any other aspect of your relationship.  Nor will I answer your question directly if you should or should not continue with the penile injections you are receiving – I have no direct opinion or advice for your question.  That is a subject for discussion between you are your treating doctor.  My only interest and purpose in making this reply is to offer ideas, and pose questions to you, to broaden your discussion with the urologist about the progression of your care.

My opinion and ideas for you to consider are these:

    1. Any time you make a simple injection into the penis with anything, even sterile water,  you are physically traumatizing the thin tunica albuginea membrane where the Peyronie's plaque is located.  Many times when these injections are given at multiple sites of the tunica albuginea at one office visit, causing multiple trauma.  Yes, these are small needle holes, but they are holes none the less.  When given at multiple sites within a small area, and done on multiple occasions, that is still a lot of trauma (think of a shot gun blast which is just a lot of small holes). Your body has already demonstrated the tendency and ability to lay down excess collagen in the form of Peyronies plaque without any trauma or trauma so small that you do not remember it, so what will be its reaction when actually traumatized?  It is my opinion that any injection is a direct injury that could possibly cause more plaque or scar tissue to develop or worsen plaque already present. 

Avoidance of the trauma of needle injection is the reason that since 2002 I have counseled perhaps 20 or so MDs (of whom 2 were urologists) who had PD and wanted to avoid surgery, injections and drugs. 

    2.  The needle injection points are not the only potential trauma to the tunica.  Since you did not mention what drug was being injected by your doctor, I cannot comment specifically on that issue, but it is my opinion any drug has a potential to cause chemical trauma in the form of an allergic reaction, side effect or perhaps just a chemical irritation to the tunica in certain individuals.  If this is the case with you, this could result in additional irritation internally and further trauma to tissue that has already created Peyronies plaque for no apparent reason you recall.  It is my opinion that any drug reaction or unexpected side effect could possibly result in additional  plaque or scar tissue or further aggravate plaque already present.  

Unexpected drug reactions and unexplained side effects are a fact of life in medical practice.  This is such a large problem that there is a medical term for it, "Adverse Drug Reactions" or ADR.  In fact, a 1999 report in JAMA of a meta-analysis entitled "Incidence of Adverse Drug Reactions in Hospitalized Patients" by J. Lazarou concluded that

             "The overall incidence of serious ADRs was 6.7% (95% confidence interval [CI], 5.2%-8.2%) and of fatal ADRs was 0.32% (95% CI, 0.23%-0.41%)
             of hospitalized patients. We estimated that in 1994 overall 2216000 (1721000-2711000) hospitalized patients had serious ADRs and 106000
             (76000-137000) had fatal ADRs, making these reactions between the fourth and sixth leading cause of death.

 

 

             Conclusions.— The incidence of serious and fatal ADRs in US hospitals was found to be extremely high."

I am not at all suggesting that any penile injection could cause a fatal reaction, but I am suggesting that if in hospitals serious and fatal ADRs occur at the rate of 6.7%, the rate of less serious ADRs must be even higher.  All of this means that drug reactions occur at a seriously high rate, you are taking drugs directly into the penis, and you are already in a position in which you should be extremely careful because your penis will probably overreact if it is further injured.   

    3.  If you say that you and your doctor have trouble finding any plaque, then where are these injections being given?  If the exact location cannot be confidently identified by your doctor, then how accurate is the placement of these injections you are receiving?

    4. It is estimated that 50% of men who begin Peyronie's disease will self-limit or cure their own problem without any outside help or medical care.  The  Alternative Medicine treatment concepts of PDI is simply to do all that you can with natural methods to increase the natural healing ability of your own immune system to eliminate your Peyronie's plaque.  How to go about doing this is the subject of the large PDI website.  I suggest that you, and everyone else with Peyronie's disease, consider attempting conservative measures before undertaking more aggressive Peyronie's treatment that has potential for side effects and drug reactions.     

Good luck in discussing this subject with your urologist.   TRH    

Do I need your book or a doctor?

Thanks Doctor, I'm 64 and do a lot of heavy exercise. Yesterday I got a hard-on ….and for the first time time there was a break (left bend in the bottom third of my penis). Do I need your book or a doctor? Thanks. Mike Adler

Greetings Mike,

What you really need is to know for sure what is going on with that bent penis. The best way to do that should be to go to a doctor for an examination and diagnosis. The problem is often that the doctor does not know, does not want to take the time, or does not seem to care about dealing with Peyronie's disease. Even after a medical examination it is common for a man to still be unsure if he has a correct diagnosis.

I suggest that you get a very good medical examination or at least in some way come to a point where you are confident with the condition going on below your belt. It is not always easy, however, so be prepared.

If you wish to learn more about treating PD I urge that you start with the book I wrote, “Peyronie's Disease Handbook.” It will ground you so you know how to deal with PD from a physical and mental standpoint, treatment concepts, how to develop the essential skill of determining the size, shape, density and surface features of your Peyronie's plaque, and how to avoid doing things that can cause additional injury to yourself.

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

Change Peyronies Treatment Dosage

How to change Peyronie’s treatment

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

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

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

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

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

Peyronies dosage determined by scar response

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

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

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

Does peyronies last forever, or is their an estimate to how long it lasts? Thanks.

Greetings,

Here are your short answers: Peyronie’s disease can last forever, but in a large percent of cases it does not have to if the man actively and aggressively works to increase his healing ability against PD. And, PD can last a life time in those men who do nothing about it.

In about half of the cases of Peyronie’s disease, the disease will be self-corrected or eliminated without doing anything about it. The body heals and eliminates the PD problem naturally like it heals and eliminates thousands of other health problems.  In the other half of persistent cases, the problem tends to continue indefinitely unless it is treated with Alternative Medicine methods that increases the body’s ability to self-correct and heal the Peyronie’s plaque.

For those men whose Peyronie’s disease does not go away on its own, they tend to be very active and motivated to get help for their problem. But after talking to a few MDs, reading a few online websites or asking a few questions on Peyronie’s forums, they eventually learn the standard medical answer that there is nothing that can be done for Peyronie’s disease – that there is no cure for PD. After learning this from multiple sources they tend to get depressed and discouraged and stop looking for help. Since they accept defeat, and never start to assist their natural recuperative abilities, their PD tends to either stay the same or slowly worsen over time. Some men report slow gradual improvement of their PD while other men report slow gradual worsening, the opposite. These contradictory reports of long term outcome of what eventually happens in Peyronie’s disease is consistent with the extremely variable and contradictory nature of this problem.

So in this sense, I suppose you could find different opinions about how long Peyronies lasts. Given the variable and contradictory nature of PD, most men agree that they do not want to risk that their PD will get better in 10 or 20 years. They get active and they get started working a PD treatment plan as we discuss throughout the PDI website. A good place to start learning about Peyronie’s treatment is on the Peyronie’s Disease Institute website.

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When and how do I make changes to my Peyronie's treatment plan?

Hi again Dr. Herazy,

Just one more question. I am beginning to see changes in my scar, like softening and reduction of the scar. . What I want to know is, when and how do I make changes to my Peyronie's treatment plan?

Jeffery C.

Greetings Jeffery,

Progress or lack of progress with your Peyronie's plaque is what determines when you change your plan and what changes you make to it. As I have said so many time before, “The scar dictates treatment.”

If you are currently making satisfactory changes in your scar, do not change anything. If you are not making satisfactory changes in your scar, you should think about making a positive change to your plan.

Do you have the 1st book I wrote, “Peyronie’s Disease Handbook”? If you do not have it, then you will not know about monitoring your current condition. If you have it, then you can use this information to guide you to increase or decrease your plan as your PD dictates.

For you to know for sure that a recent treatment plan modification is effective you will have to notice some positive change in your scar (softening, fragmentation, smoother edges, etc.) within 10-14 days of the change in your plan, perhaps faster. I would make some logical change (usually an increase of an existing therapy item or a new therapy item if your plan is small) and then wait at least 14 days before looking for a change to occur in the size, shape, density or surface qualities of your scars, before considering another change.

In the beginning of care it might be necessary to only add or increase one therapy if you are at a lower level of therapy (just starting to take the medium plan). In the early stages of therapy modification you will likely keep slowly adding to your plan, one therapy (only PABA or only MSM or only Neprinol only or whatever single item you decide to increase) at a time, by adding 1-2 pills per day. It is not wise to go too quickly from one level to another (like taking Neprinol at 6/day, and then jumping to 14/day; this is too fast and you might not need to take so many for good changes to occur). After a while, when your total number of pills is getting to a point where you might think you simply do not want to take more pills/spend more money, then at that point you might consider this a good strategy: modify your plan by decreasing one therapy slightly as you increase another therapy slightly. This way you are not overwhelming your system with unreasonable loads of pills and you are not spending an extreme amount of money.

Be gradual with your changes. Keeps good notes about your scars. Let me know if this did not answer your question. TRH

Encuestas Para Latinos
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What can I do to reduce the PD plaque?

i am 48 years old, and have had peyronie’s for approximately 5-6 years from unknown origin (but most likely from a crush injury). my condition has progressed to the point where i have a very significant plague that runs almost the entire length of my penis; the plague quite literally feels like bone, and is located more near the top of my penis (between the outer skin and urethra). my penis is not curved, but rather has shortened (fairly substantially) and has lost significant girth; while my erections are reasonably hard (though not as hard as previous to the condition), the overall size of my penis has reduced quite significantly. in addition, i seem to have lost nearly, if not all feeling in my penis, so much so that when i do have sex w/ my wife, i feel virtually nothing, where it takes me a very long time to reach orgasm, if at all. sadly, i most often fail to reach such; only very rarely am i able to achieve orgasm now. in fact, it is somewhat difficult for me to even know precisely how full/ hard my erection is unless i actually palpate such. i have recently returned to the united states (from living in china), and will now be able to resume taking a fairly substantial series of supplements recommended by you and provided from your company. what can i do to reduce the plaque, and to hopefully regain feeling in my penis? can i ever regain feeling? your assistance is greatly appreciated … eric

Greetings Eric,

Thank you for your detailed description and questions.

I am a bit confused by your description of the location of your Peyronie’s scar or plaque (part of your description sounds like your plaque is on the bottom/under side of the shaft and another part sounds like your Peyronie’s plaque is on the top/upper surface).

In my reply I will assume it is on the upper/top surface of the shaft as you are looking down at your erection, since this is by far the most common presentation of plaque that runs the length of the shaft. This plaque location is most often responsible for lost length and girth, such as you describe, and for generalized erectile dysfunction. Many men with PD experience localized reduction of erectile ability, resulting in soft spots, or nicks or dents or dings in various areas of the shaft. Yours sounds like the entire shaft is soft, often the result of plaque development within the septum of the penis (the point where the tunica albuginea that is around one corpora cavernosa touches or combines with the tunica albuginea of the other corpora cavernosa).

Your loss of feeling is not common; most men with Peyronie’s disease with have little trouble with loss of sensation. While lost penile sensation could be due to other factors unrelated to PD, I will assume it is related to the central location of your plaque compromising your nerve supply. If this is true, and I have no way of knowing for a fact that it is since I have not examined you, I assume that your penile sensation should return once your plaque is reduced. Besides reduced reduction of sexual sensation, do you also notice general loss of sensation to light touch or pain (as when you pinch the skin of penis)?

You ask what you can do to reduce the plaque. I saw in today’s list of orders that you purchased a large assortment of internal therapies (Acetyl-L-carnitine, MSM, Neprinol, Omega T, Quercetin-Bromelain, Factor 400/400 and Maxi-Gamma). However, you did not order any internal therapies (PMD DMSO, Unique-E oil, Super CP Serum, or Genesen Acutouch pointers). Both internal and external therapies are necessary for effective treatment. It is also necessary that you follow the dietary modifications outlined in “Peyronie’s Disease Handbook” to keep your blood pH toward the alkaline side. The stretching video contains detailed information how to address plaque formation found within the septum, such as you have. All of these therapies must be applied at the same time to achieve best results.

You will probably have to modify your plan to achieve favorable changes to the size, shape, density and surface features of your plaque. Do not be slow in making those changes to your plan when you see that after 10-14 days of treatment the plaque is not responding. For this reason it is absolutely critical that you clearly can identify the size, shape, density and surface features of your plaque. I know I might sound like a broken record when I continue to repeat this, but if you do not know these four aspects of your plaque description, you are only guessing at your treatment. Please, do not guess. Know what is going on down there below your belt and you will have an excellent way to direct and guide your therapy toward the greatest degree of success of which you are capable.

Please stay in close contact with me as you begin your self-directed therapies. Let me know of any problem or questions that arise, and I will be happy to offer you information and ideas for your consideration. TRH

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Can’t Find Peyronie’s Plaque or Scar

Help to locate the Peyronies plaque

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

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

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

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

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

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When Peyronie’s Plaque or Scar Not Easily Located

Peyronie's plaque

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

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

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

1. So small – it cannot be found

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

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

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

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

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

Finding your Peyronie's plaque

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

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

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

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

Different way to approach Peyronie's scar

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

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

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

Fix Penis Curvature

How to straighten curvature of penis

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

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

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

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

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

Fix penis distortion by treating the Peyronie’s plaque

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

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

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

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

Peyronie’s Treatment and a Crying Baby

Peyronie’s disease treatment requires a variable approach

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

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

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

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

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

Peyronie’s disease treatment

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

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

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

Monitor Peyronie’s plaque to guide treatment

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

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

Improving Peyronie’s Disease Treatment Results

One small skill makes Peyronie’s treatment more effective

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

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

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

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

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

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

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

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

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

Pentoxifylline and Peyronie’s Disease

Pentox not researched Peyronie’s disease treatment

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

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

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

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

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

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

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

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

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

Why is My Penis Curved?

Might not need to straighten your penile curvature

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

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

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

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

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

Straighten your penis sometimes unnecessary

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

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

Curved Penis Facts and Humor

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

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

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

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

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

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

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

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

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

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

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

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

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

Channel Blockers and Peyronie’s Disease

Peyronie’s disease and Verapamil

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

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

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

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

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

Peyronie’s treatment with verapamil

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

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

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

Danger of Verapamil injections into the Peyronie’s plaque

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

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

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

Help Peyronie’s Disease Treatment with One Simple Idea

Early Peyronie's treatment experimentation

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

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

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

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

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

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

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

Help Peyronie’s treatment: compare to scar

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

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

Guide for Peyronie’s Disease Treatment

How to know if your Peyronie’s treatment is working

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

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

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

Specific Peyronie’s treatment information

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

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

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

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

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

Peyronie’s Disease Handbook

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

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

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

My Penis is Curved

How to straighten a penis

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

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

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

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

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

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

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

How to Increase Peyronie’s Natural Recovery

Peyronie’s natural treatment is not like using drugs

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

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

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

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

How to increase Peyronie’s disease natural healing

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

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

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

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

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

What is Peyronie’s Disease?

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

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

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

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

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

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

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

So, what is Peyronie’s disease?

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

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

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

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

Penis Surgery to Treat Peyronie’s Plaque

Peyronie’s surgery from correction to amputation

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

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

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

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

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

Peyronie’s surgery to the extreme

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

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

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

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

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

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

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

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

Peyronie’s and Verapamil

Verapamil and Peyronie's disease treatment

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

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

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

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

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

Peyronie’s Verapamil connection

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

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

Peyronie's disease and Verapamil side effects

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

Verapamil and Peyronie's disease warning

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

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

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

Personal experience with Verapamil and Peyronie's disease

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

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

Difficulty Finding the Peyronie’s Plaque

Peyronie’s disease plaque

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

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

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

The mystery of Peyronie’s disease

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

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

Location of Peyronie’s plaque suggested by penile curvature

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

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

Peyronies plaque is elusive

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

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

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

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

1. Small – it cannot be found

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

3. Deep – it cannot be reached easily

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

When plaque is never found it is because of a combination of two or more of these factors – deep and small, or soft, large and flat, or deep, soft and doctor error, and so on.

It is common to have difficulty locating the plaque for the first time.  Sometimes it is best to forget about finding a “scar.” Instead just try to find something – anything – within the mass of erectile tissue that feels unlike the other tissue.  Finding something unlike the rest of the penis tissue will help define the problem tissue that can be difficult to locate. It might be you have an unreasonable expectation of what a “scar” or Peyronie’s plaque should feel like, making it easy to miss what is rather obvious to someone else with experience in this regard.

After an unusual tissue is found, mark its location on the penis with a marker pen or something that will stay on the skin for a few days.  Return to that location each day to re-evaluate it.  You want to determine if it becomes easier to make sense of it, so you can monitor it during your Peyronie’s treatment.

Peyronie’s Symptoms

Do I have Peyronie’s disease?

When someone asks about Peyronie’s disease symptoms they usually want to know if they have Peyronie’s disease.   This is a diagnosis that is not always easy to make, since the actual signs and symptoms of Peyronie’s disease can be tricky at times.

In order to answer this question it is first important to remember that a symptom is something a person feels or experiences inside, meaning it is subjective. A symptom is what someone experiences as a result or during an illness, injury or disease.  Symptoms can include chills, Peyronie’s pain, shaking, shivering, nausea, or dizziness.  Symptoms are reported by the patient to help a doctor diagnose a problem.

In the case of Peyronie’s symptoms the only subjective finding would be the penile pain that can be variable; pain can be felt constantly, only when erect, only when non-erect or only when flaccid.  In addition this pain can be extremely mild, very severe, or something between. Because the Peyronie’s pain is not always present – and is sometimes totally absent – it is not always a reliable way to make a diagnosis of PD.

You might say a sign is the opposite of a symptom.  A sign is an outward or obvious physical indicator or manifestation of illness, injury or disease.  In this way it is said that a sign is objective, since it is always something that another person can detect, measure in some way or see that helps to make a diagnosis.  Some common signs are rapid pulse, elevated body temperature, low blood pressure, bleeding, a rash or open wound, bruising, to name but a few.

In the case of Peyronie’s disease, there are only a few signs or outward findings that are used to make a diagnosis.  These signs can be just as variable as the Peyronie’s pain, such as the elusive Peyronie’s plaque or scar, a curved penis or some other distortion, and impotence or  reduced sexual ability.  Because each of these Peyronie’s signs are also not always present – and can be sometimes totally absent – it is not always a simple or easy thing to make this diagnosis.

Very often only a few Peyronie’s symptoms and signs are available to make a diagnosis, with perhaps the most common being some type of curved penis or distortion.

Click here for more information about Peyronie’s disease.

Medical Peyronie’s Cure is Lacking

Peyronie’s disease cure right under your nose

Everyone wants a medical Peyronie’s cure that is a fast, easy, economical – and, oh yes – guaranteed.  In short, the ideal cure for Peyronie's disease from the traditional medical viewpoint would be simply to pop a pill or two.  In this way everyone with a bent nail could go about with his life as before, with minimal inconvenience or effort.

Why would I say that this is the viewpoint of “everyone”?   Well, simply because we live in a medical society.  When people think of a “cure’ they think of medicine as it is currently being practiced.   All efforts on the medical industry drawing board are directed toward looking for a drug – oral or injectible – to be the great cure for Peyronie’s disease that has evaded us for over 425 years.   Currently, Peyronie’s disease surgery is the only treatment that organized medicine makes available to someone with this problem and it is beset by limitations and drawbacks.

Other than the Peyronie’s Disease Institute no other effort has been made to seriously investigate a treatment for Peyronie’s disease outside of the traditional medical model.

This limited viewpoint of looking only for a medication to treat Peyronie’s disease is typical of the medical and drug industries.   The business people who decide how to approach a particular health problem tend to look at these issues from a profit standpoint; they also only look in directions and for treatment approaches that are not only profitable, but which they can control so that their profit is protected.

Since the perfect Peyronie’s drug has eluded the medical establishment, they are quick to say there is no known cure for Peyronie’s disease.   What this statement really means is that there is no known cure for Peyronie’s disease using a drug or medical procedure they can profit from, control, and manipulate.

There is a Peyronie’s cure

What kind of medical quackery and heresy – nonsense – is it to say that there is a cure for Peyronie’s disease?  Actually none.  The body itself, in a fairly high percent of cases, will heal and correct – cure – the Peyronie’s plaque so that the problem does not advance.  Peyronie’s disease eventually leaves without a trace of deformity, pain, scar formation or limited sexual ability for about half of the men who get this problem.  It is said that about in half of the men who develop Peyronie’s disease, within the first 12-24 months the entire problem will just go away on its own.  Does that sound like a Peyronie’s cure to you?  It does to me.

How does the body go about doing this miraculous thing, to rid itself of the terrible curved penis that is the hallmark of Peyronie’s disease, and heal over the mass of fibrous material that is known as the Peyronie’s plaque?  I do not know; no one knows.  But then again, I do not know how my body does the thousands of miraculous and complex things it does every second of every day of my life.  I do not know, as a small example, how my body can take the breakfast I just ate and convert into living tissue.  We are all just wonderful that way, and part of this is demonstrated when a man heals his own Peyronie’s disease.

The Peyronie’s Disease Institute is involved with the use of a wide variety of nutritional and supplemental products that are intended to increase and improve the ability of the body to heal the Peyronie’s scar.  It is really not so complicated or more mysterious than that.

For those who say it is quackery or nonsense to think that a person can improve his ability to heal and function better in life, I ask, “Why it is that a person eats?”

What is the purpose of eating?  To satisfy the taste buds?  No, that is just a side benefit.  We eat, we put nutrients into our body so it can function; the food we take in is fuel to enable life and repair to take place.   By following the ideas of the Peyronie’s Disease Institute about PD treatment, all we are doing is trying to increase the odds and opportunity for the body to heal and repair in a way that is better than what is happening now.  Call this a Peyronie’s cure if you want, but it is no more miraculous than anything else that your body does during the course of an average day.

Peyronie’s Disease Vitamin E Therapy

Peyronie’s disease vitamin E treatment and other nutrients

There are many important nutrients – vitamin, mineral and amino acids – that should be used to improve and support the ability of the body to heal and repair the Peyronie’s plaque and help reverse the curved penis it causes.  However, since starting this work in 2002, I have never heard of a medical doctor prescribe any supplement other than vitamin E.  I think this says a lot about what MDs know about Peyronie’s disease vitamin therapy; their knowledge is limited, focused only to the obvious, and tends to not go beyond what everyone else is prescribing.

Vitamin E and Peyronie’s disease

The standard Peyronie’s disease vitamin E recommendation of the medical profession is to “get some vitamin E, and take no more than 400 IU a day.”  Occasionally the dosage will be doubled to 800 IU daily of vitamin E by some doctors who think outside the box a bit.  This is important to remember because vitamin E is essentially the only non-drug Peyronie’s disease vitamin E treatment that is suggested to a man with Peyronie’s disease.

Vitamin E is available in both a synthetic form and a naturally occurring organic form.  Which form you decide to use ultimately determines how much can be taken safely.  There are eight different members of the vitamin E family.  Four are known as tocopherols and the other four are tocotrienols.  The most widely found vitamin E member is gamma tocopherol, which assists the elimination of nitrogen free radicals, as well as being an effective anti-inflammatory agent.  Tocotrienols are primarily found in the skin and subdermis where they protect against UV and free radical damage. Tocopherols are found in the major organs.  A balanced diet – very difficult to achieve these days – contains all eight members of the vitamin E family.

Because of costs and chemical stability,  and because early research proposed it was the only member of the family to have biologic benefit to man, most vitamin E supplements contain only alpha tocopherol.  This means most men on Peyronie’s disease vitamin therapy as prescribed by their medical doctor will receive only one of the eight members of the vitamin E family.  Since the early days of vitamin E research (not so long ago in the 1950s) it has been proven repeatedly that the complete vitamin E family, stressing gamma tocopherol and tocotrienols in their natural and unesterified form, accelerate wound healing and minimize scar formation.   For this reason I am most insistent that men using Peyronie’s disease vitamin E treatment use a high quality vitamin E product that is heavily slanted toward gamma tocopherol and all the tocotrienols, like Yasoo Health’s Factor 400/400.

If you are concerned about vitamin E safety issues, please read Peyronie’s Disease Treatment and Vitamin E that answers all dosage and safety questions.

The body is like a house

In order to build a solid house and have it operate well, it is necessary to have a wide variety of components available during the construction phase and during the long maintenance phase when the house begins to need help in the form of repairs.

During the construction phase, many problems would develop if all the builder had to work with were roof shingles, or just windows, or just doors.  A wide variety of components are needed to make a good house – lumber of various widths, thicknesses and lengths, concrete, plywood, along with nails, dry wall, electric wire, and so many other hundreds of different things.

During the maintenance phase, many replacements and repair items are needed.  If the home owner only had nails, or furnace filters, or pale yellow paint to work with, it would not help a bit if the problem was a leaky roof, a squeaky door, or a leaky faucet.

It makes sense that a wide variety of replacement and repair parts are needed for all the parts of a house.  It also makes sense that a Peyronie’s disease vitamin therapy program has to also be broad and diverse.   How does it make sense that all the problems of Peyronie’s disease are solved with just vitamin E?

Peyronie’s disease vitamin, mineral, and amino acid treatment

Peyronie’s Disease Institute uses a variety of different nutrients to satisfy the many needs of the body to have all the needed supplies to heal and repair the scar tissue in the best way possible.

Look at the list of different products that are suggested for use in the large Peyronie’s treatment plan.  The list is long because the process is complicated.   Of course, even the large plan does not contain all the nutrients that could be recommended to heal and repair the Peyronie’s plaque; PABA, acetyl-L-carnitine, quercetin, bromelain and herbs to stimulate the process are just some of the additional therapies that can be used.

Your house is large and complicated, but it is nothing compared to the body. When the body develops Peyronie’s disease it just does not make sense to attempt to fix it with vitamin E only.  That would be like trying to fix a broken window with a screw driver.   The screw driver might be a useful to remove some glass from the window frame, but other tools – and glass – will be needed for the repair to be done correctly.

Peyronie’s Disease Treatment Via Direct Drug Injection

Injections can cause Peyronie’s disease

Peyronie’s disease treatment using drug injection into the delicate tunica albuginea of the penis is a medical therapy that is fast loosing favor for treatment of the Peyronie's penis.  One of the reasons is the lack of good results, the other is that it has been shown that injections can cause or aggravate Peyronie’s disease in many cases.

I have personally communicated with hundreds of men whose Peyronies started after a series of penile injections that were undertaken for a variety of reasons.  It appears the drug is not so much the issue that causes injury to the tunica membrane, but the repeated penetration and trauma that causes the scar material that eventually starts a Peyronies problem.   However, it has also been shown that the presence of certain drugs can cause a chemical irritation to the tunica albuginea.  So in this regard, drug injections could easily represent a double threat of injury to the tunica that results in Peyronie’s disease.

Peyronie's treatment – "First, do no harm"

This blog post about Peyronie’s disease treatment using direct drug injections (Verapamil, cortisone, etc.) should hit home for a large number of you.  Many men have undergone painful drug injections into the penis because their medical doctor thought it was worth the effort, and only found themselves with a new problem or worsening of their original Peyronie's disease.

First I will simply copy an article, “Extracorporeal shock-wave therapy in the treatment of Peyronie's disease.”  This research discussion is essentially about Extracorporeal Shock Wave Therapy, ESWT (or ESWLas they call it here).  

What is important to note in our particular discussion is the area I have highlighted for emphasis.  This form of therapy has been fairly well abandoned by a large percent of doctors who used it for many years since these injections seem to cause more problems than it helps. The reason this information about ESWT (or ESWL) is included in this article about penile injections is that these Russian physicians make a very interesting comment while discussing ESWT that underscores the damage created by injections (of any kind) into the tunica albuginea.

[Article in Russian]

Neĭmark AI, Astakhov IuI, Sidor MV.

The authors analyse the results of treatment of 28 patients with Peyronie's disease using extracorporeal shock-wave lithotripsy (ESWL) performed on Dornier U15 lithotriptor. A total of 2-6 sessions were made, maximal number–12. The efficacy was controlled by clinical indices and ultrasonic investigation (Doppler mapping of the blood flow). ESWL proved to be efficient in the treatment of Peyronie's disease (PD), primarily, in patients with early disease before appearance of severe fibroplastic alterations. Less plaque vascularization by energetic Doppler mapping due to ESWL is an important diagnostic criterion of PD treatment efficacy. Conservative treatment is not indicated in marked deformities and plaque calcification, erectile dysfunction. Moreover, any injection into the tunica albuginea, especially complicated by hematomas (deep tissue bruising) may be a damaging factor which triggers fibrous inflammation. Such patients should be treated surgically. If the patient is interested in immediate results or is not interested in continuation of sexual life, the treatment is ineffective. Thus, ESWL is an effective, safe method of PD treatment but requires further study and accumulation of clinical experience.

It seems that the problems penile injections can cause is not that necessarily about the drug that is injected into the tunica, but the needle itself that is used to deliver the drug. An injection to deliver any drug, or sterile water, can cause injury to this delicate membrane.  This sets off an inflammatory response that can result in significant Peyronie’s disease plaque or scar tissue formation for men who as so predisposed.   Doing this once can be risky.  Doing this up to a dozen times over a few months, as is often the recommended course of therapy, just multiples the opportunity for injury to mount on top of injury.

This Russian research team offers the opinion that the effects of such injection into the penile shaft causes such significant plaque development, that surgery is the best treatment option for the damage that it can cause.   Obviously, I do not agree with that, since surgery can also cause more scar development. Their conclusion is that they find men who receive these injections often eventually are rewarded with a disturbed and discontinued sexual life.

Growing concern about injections for Peyronie's disease treatment

This idea is brought to your attention to demonstrate there are many in the medical community who agree with the same position that I have taken for many years now.  These doctors and I contend it is inherently risky, in fact, dangerous, to stick needles repeatedly into the penis for Peyronie’s disease treatment. Their  logic concludes that any treatment that can start or aggravate the very problem it is attempting to treat, is not much of a treatment.

It is unfortunate that the medical community turns a blind eye to the direct observation of poor results, serious irritation of the tunica, and the solid logic that reputes injections as a form of Peyronie’s cure.  Those who continue to inject their Peyronie’s disease patients, and bring these men farther down the road toward greater plaque development, must be desperate to look useful or just ignorant of how Peyronie’s disease often develops.  It is so common for medical doctors to think only in terms of medicine and surgery, notwithstanding the tragedy that can often result from their limited thinking.

The Peyronie's treatment concept of using non-invasive methods to increase the healing response of the body is a safer and more trustworthy Peyronie’s disease treatment than some of the aggressive medial schemes being promoted today.

Peyronie’s Treatment Help Starts Here

Peyronie’s Treatment Right Now

Every day I talk to men who have taken control of their Peyronies disease situation and are helping their curved penis when nothing else has helped them. They do all of their Peyronie’s disease treatment with the information found only on this Alternative Medicine website and “Peyronie’s Disease Handbook.” If your Peyronie’s penis is causing sexual distress, you might be interested in the in-depth and detailed discussion and loads of helpful information found in Dr. Herazy’s second book, “Peyronie’s Disease and Sex.”

If you are interested in a direct, safe and effective Peyronie’s treatment technique for penile curvature that was researched and developed by PDI, click on stretching curved penis.

What we propose at PDI is not so earth shattering or extreme in concept. We simply try to help you figure out why your Peyronie’s plaque did not heal or self-correct like the 50% of men whose Peyronie’s disease goes away on its own.  If half of the men naturally “cured” their own Peyronie’s desease, why not you? That is all we are attempting to accomplish with our therapy concept. It is really not so far out as some of the other things you find on the Internet.

To read success stories, click on Peyronie’s disease treatment testimonials.

Why Buy from PDI? It’s all about getting the best Peyronie’s disease treatment possible:

  • Service PDI offers email support and assistance for the products and services we provide. Dr. Herazy is here to help you with questions about the products we sell. This is an extremely valuable service the others cannot possibly match.
  • Quality and Quantity Repairing the Peyronie’s scar is such an important mission. It is critical you use a high quality and quantity of nutrients. We have done the hard part of selecting good companies and products. Buy with confidence.
  • Value PDI has a competitive pricing structure of which we are proud. You cannot find better products that deliver the quality and quantity for the prices we have set.
  • Convenience Everything you need is here, right now, in one place.

 

 

Three simple steps for Peyronie’s help:

1. Learn about your Peyronies problem. You were told  next to nothing about Peyronies disease by the doctor who gave you the diagnosis. You are on the internet right now looking for information about what you can do to help your Peyronie’s disease.   Get clear and concise information from a doctor who had Peyronie;s disease.  I put my personal experiences and how I recovered from PD in a book I wrote called “Peyronie’s Disease Handbook.” This book gives you all the information about day-to-day treating and living with Peyronie’s disease you will need. The information found in this book is different in many ways than the information on our website; there is no duplication of information between the book and the website. Another book that will help you tremendously is “Peyronie’s Disease & Sex” that covers all aspects of this complex subject. Get help through education.

2. Start the most aggressive therapy plan you are comfortable following so that you will get your best results. If you are interested in doing all that you can to help yourself, then perhaps you could consider using what is called the “Large (Best) Plan” for personal treatment. The “Medium (Better) Plan” is perhaps the most popular of the three plans. There is a “Small (Good) Plan” that is also well designed. It is very common for men to substitute Neprinol in place of the two smaller products, Nattokinase and Serrapeptase in any of the plans. These products and plans are found at Peyronie’s treatment products.   All plans can be modified, by subtracting or adding, to suit your personal Peyronie’s disease treatment philosophy.

Or, you can design your own therapy plan using the information found on this website. You do not have to use any of these model plans, they are only examples – but they make sense and they have helped hundreds of men improve their Peyronies plaque and reduce the bent penis of Peyronie’s disease.

3. Stop being discouraged. Sign up for the Peyronie’s Disease Treatment Forum blog and get motivated, inspired, educated and reminded that everyday men around the world are actually beating their Peyronies problem using the Alternative Medicine methods of the Peyronie’s Disease Institute.

As you will soon see, the PDI website is full of exciting and helpful research information about Peyronie’s disease treatment you have never seen before. You will also see this site is different because it gives you the answers you have been looking for. But you must work along with the PDI guidelines in order to get the kind of results you will read about.

We strongly suggest you get all of your Peyronie’s disease natural treatment products and supplements from PDI. The products we use have been selected after years of experimentation because they are special, and a prime reason for the results our customers receive. The PDI therapy concept and strategy are built around the therapy products available from PDI, and no others. Peyronie’s Disease Institute only uses what are called “pharmaceutical grade” products, which are of a higher quality and purity level, and pass rigorous tests to guarantee that what is on the label is contained in each capsule. Time and again we see that when men switch over to PDI products and follow our instructions, good things start to happen. Our therapy products have been used successfully in hundreds of treatment programs. Most people understand that it is a poor time to experiment and sample bargain products while they are attempting to repair a serious health problem like Peyronie’s disease.

With over 31,000 nutritional products available on the worldwide market, this subject is confusing. Many of them – more than you would believe – do not contain what they are supposed to contain. They have far fewer – or none – of the nutrients you need to do the big job in front of you.

Peyronie’s Disease Institute cannot answer your questions or help you with your therapy plan if we do not have knowledge, experience or confidence with any “foreign” therapies you might decide to use on your own. On the PDI website we clearly state, “Sorry, but due to the volume of emails PDI receives and with limited hours available in a day, we can only answer questions from PDI customers. Purchase your therapy products only from PDI so you have full access to the vast experience and careful assistance available to our customers. If you purchase inferior grade or questionable bargain products elsewhere, you will have to rely upon that source for whatever help you might need later.”

Please email me any questions you might have about treatment of PD with Alternative Medicine, like how to use vitamin E or the best advice about those mechanical penis stretchers.   I will be happy to help you in any way that I can.

PEYRONIE’S TREATMENT STARTS LIKE THIS

Peyronies Help To Use Right Now

Every day I talk to men who are have taken control of their Peyronies disease situation and are helping their PD when nothing else has helped them. They do it all of this with the information found only on this site.

What we propose at PDI is not so earth shattering or extreme in concept. We simply try to help you figure out why your Peyronie’s plaque did not heal or self-correct like the 50% of men whose Peyronie’s disease goes away on its own. If half of the men naturally “cured” their own Peyronie’s desease, why not you? That is all we are attempting to accomplish with our therapy concept. It is really not so far out as some of the other things you find on the Internet.

Do these three simple things to get started right now:

1. Learn about your Peyronies problem. You were told nothing, or next to nothing, about Peyronies disease by the doctor who gave you the diagnosis. You are on the internet right now looking for answers, so get them in a special book I wrote, called “Peyronie’s Disease Handbook.” This book gives you all the information about day-to-day treating and living with Peyronie’s disease you will need. The information found in this book is different in many ways than the information on our website; there is no duplication of information between the book and the website. Another book that will help you tremendously is “Peyronie’s Disease & Sex” that covers all aspects of this complex subject. Get help through education.

2. Start the most aggressive therapy plan you are comfortable following so that you will get your best results. If you are interested in doing all that you can to help yourself, then perhaps you could consider using what is called the “Large (Best) Plan” for personal treatment. The “Medium (Better) Plan” is perhaps the most popular of the three plans. There is a “Small (Good) Plan” that is also well designed. It is very common for men to substitute Neprinol in place of the two smaller products, Nattokinase and Serrapeptase in any of the plans. These products and plans are found at http://peyronies-disease-help.com/buy.html All can be modified, by subtracting or adding, to suit your personal thinking about Peyronie’s disease treatment.

Or, you can design your own therapy plan using the information found on this website. You do not have to use any of these model plans, they are only examples – but they make sense and they have helped hundreds of men improve their Peyronies plaque and reduce the bent penis of Peyronie’s disease.

3. Stop being discouraged. Sign up for the Peyronie’s Disease Treatment Forum blog and get motivated, inspired, educated and reminded that everyday men around the world are actually beating their Peyronies problem using the Alternative Medicine methods of the Peyronie’s Disease Institute.

As you will soon see, the PDI website is full of exciting and helpful research information about Peyronie’s disease treatment you have never seen before. You will also see this site is different because it gives you the answers you have been looking for. But you must work along with the PDI guidelines in order to get the kind of results you will read about.

We strongly suggest you get all of your therapy products and supplements from PDI. The products we use have been selected after years of experimentation because they are special, and a prime reason for the results our customers receive. The PDI therapy concept and strategy are built around the therapy products available from PDI, and no others. Peyronie’s Disease Institute only uses what are called “pharmaceutical grade” products, which are of a higher quality and purity level, and pass rigorous tests to guarantee that what is on the label is contained in each capsule. Time and again we see that when men switch over to PDI products and follow our instructions, good things start to happen. Our therapy products have been used successfully in hundreds of treatment programs. Most people understand that it is a poor time to experiment and sample bargain products while they are attempting to repair a serious health problem like Peyronie’s disease.

With over 31,000 nutritional products available on the worldwide market, this subject is confusing. Many of them – more than you would believe – do not contain what they are supposed to contain. They have far fewer – or none – of the nutrients you need to do the big job in front of you.

PDI cannot answer your questions or help you with your therapy plan if we do not have knowledge, experience or confidence with “foreign” therapies. On the PDI website we clearly state, “Sorry, but due to the volume of emails PDI receives and with limited hours available in a day, we can only answer questions from PDI customers. Purchase your therapy products only from PDI so you have full access to the vast experience and careful assistance available to our customers. If you purchase inferior grade or questionable bargain products elsewhere, you will have to rely upon that source for whatever help you might need later.”

Please email me any questions you might have about treatment of PD with Alternative Medicine, I will be happy to help you in any way that I can. info@peyronies-diseae-help.com.

PEYRONIE’S TREATMENT STARTS LIKE THIS

Peyronies Help To Use Right Now

Every day I talk to men who are have taken control of their Peyronies disease situation and are helping their PD when nothing else has helped them. They do it all of this with the information found only on this site.

What we propose at PDI is not so earth shattering or extreme in concept. We simply try to help you figure out why your Peyronie’s plaque did not heal or self-correct like the 50% of men whose Peyronie’s disease goes away on its own. If half of the men naturally “cured” their own Peyronie’s desease, why not you? That is all we are attempting to accomplish with our therapy concept. It is really not so far out as some of the other things you find on the Internet.

Do these three simple things to get started right now:

1. Learn about your Peyronies problem. You were told nothing, or next to nothing, about Peyronies disease by the doctor who gave you the diagnosis. You are on the internet right now looking for answers, so get them in a special book I wrote, called “Peyronie’s Disease Handbook.” This book gives you all the information about day-to-day treating and living with Peyronie’s disease you will need. The information found in this book is different in many ways than the information on our website; there is no duplication of information between the book and the website. Another book that will help you tremendously is “Peyronie’s Disease & Sex” that covers all aspects of this complex subject. Get help through education.

2. Start the most aggressive therapy plan you are comfortable following so that you will get your best results. If you are interested in doing all that you can to help yourself, then perhaps you could consider using what is called the “Large (Best) Plan” for personal treatment. The “Medium (Better) Plan” is perhaps the most popular of the three plans. There is a “Small (Good) Plan” that is also well designed. It is very common for men to substitute Neprinol in place of the two smaller products, Nattokinase and Serrapeptase in any of the plans. These products and plans are found at http://peyronies-disease-help.com/buy.html All can be modified, by subtracting or adding, to suit your personal thinking about Peyronie’s disease treatment.

Or, you can design your own therapy plan using the information found on this website. You do not have to use any of these model plans, they are only examples – but they make sense and they have helped hundreds of men improve their Peyronies plaque and reduce the bent penis of Peyronie’s disease.

3. Stop being discouraged. Sign up for the Peyronie’s Disease Treatment Forum blog and get motivated, inspired, educated and reminded that everyday men around the world are actually beating their Peyronies problem using the Alternative Medicine methods of the Peyronie’s Disease Institute.

As you will soon see, the PDI website is full of exciting and helpful research information about Peyronie’s disease treatment you have never seen before. You will also see this site is different because it gives you the answers you have been looking for. But you must work along with the PDI guidelines in order to get the kind of results you will read about.

We strongly suggest you get all of your therapy products and supplements from PDI. The products we use have been selected after years of experimentation because they are special, and a prime reason for the results our customers receive. The PDI therapy concept and strategy are built around the therapy products available from PDI, and no others. Peyronie’s Disease Institute only uses what are called “pharmaceutical grade” products, which are of a higher quality and purity level, and pass rigorous tests to guarantee that what is on the label is contained in each capsule. Time and again we see that when men switch over to PDI products and follow our instructions, good things start to happen. Our therapy products have been used successfully in hundreds of treatment programs. Most people understand that it is a poor time to experiment and sample bargain products while they are attempting to repair a serious health problem like Peyronie’s disease.

With over 31,000 nutritional products available on the worldwide market, this subject is confusing. Many of them – more than you would believe – do not contain what they are supposed to contain. They have far fewer – or none – of the nutrients you need to do the big job in front of you.

PDI cannot answer your questions or help you with your therapy plan if we do not have knowledge, experience or confidence with “foreign” therapies. On the PDI website we clearly state, “Sorry, but due to the volume of emails PDI receives and with limited hours available in a day, we can only answer questions from PDI customers. Purchase your therapy products only from PDI so you have full access to the vast experience and careful assistance available to our customers. If you purchase inferior grade or questionable bargain products elsewhere, you will have to rely upon that source for whatever help you might need later.”

Please email me any questions you might have about treatment of PD with Alternative Medicine, I will be happy to help you in any way that I can. info@peyronies-diseae-help.com.

Peyronie’s Disease and Baby Boomers

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

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

Definition of Peyronie’s disease

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

Peyronie’s disease signs and symptoms

Four common findings of Peyronie’s disease:

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

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

Treatment of Peyronie’s disease

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

Prevention of Peyronie’s disease

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

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Peyronie’s Plaque or Scar

Peyronie's plaque or scar central issue

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

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

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

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

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

Peyronie's plaque not easy to find sometimes

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

 

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


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

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

 

Best Peyronie's treatment

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

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

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

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

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

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

Penis Stretching for Peyronie’s Disease Treatment

Penis stretcher in Peyronie’s disease treatment

 

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

 

Greetings estep32002,

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

Peyronie's Plaque and Fibrin

Peyronie's disease plaque and fibrin

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

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

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

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

Materials and methods they used

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

Their results

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

Their conclusions

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

PDI therapy concept

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

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Peyronie's Disease Treatment with Neprinol

Peyronie's treatment – Neprinol for Peyronie

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Neprinol is a very well researched systemic enzyme therapy that is used for Peyronie’s disease treatment. Since the curved penis that is so common in Peyronies is such a common problem with no effective medical treatment, Neprinol is a much needed Alternative Medicine tool against this problem. Neprinol works to break down and eliminate the offending Peyronie’s plaque fibrous material that causes the bent penis for which Peyronies is so well known. Neprinol contains a high concentration of nattokinase, serrapeptase, bromelain and Coenzyme Q, and related co-enzyme factors. Confusion exists about Neprinol because it is actually a high potency combination of several different systemic enzymes, rather than just a single enzyme like so many other products.

These are the basic highlights about Neprinol as it relates to Peyronie’s disease treatment:

1. The nattokinase and serrapeptase in Neprinol are in much higher concentration than in the separate pills containing just nattokinase and serrapeptase. Therefore, a lower dose of Neprinol is needed to reach a higher level of these two enzymes, as when lower concentration enzymes are used separately.

2. Taking Neprinol makes taking separate doses of nattokinase and serrapeptase unnecessary, although some men still take Neprinol plus additional nattokinase and serrapeptase products to diversify the sources and varieties of these enzymes. PDI sells a separate nattokinase product call Nattokinase 1500 and a separate serrapeptase product called Fibrozym. Both of these great products can be used successfully in Peyronies treatment. But, Neprinol has more of these same enzymes in it than these separate enzyme products.

3. Dosage of Neprinol – like most other Peyronies treatment products – is based on ability of that product to make a positive change in the condition of the Peyronies plaque or scar. While the bottle of Neprinol might say to take six capsules daily, the effective dose for each man will be different. After working with PD treatment since 2002 I know that some men respond with a dose of four capsules of Neprinol daily, while others might take 20 for the same results. There is no magic dose of Neprinol. It is something than must be determined by continual trial until a favorable change is noted in the condition of the Peyronies scar material. Safety is always an issue, so it is necessary when anyone is taking more than six Neprinol daily to take a period rest from this therapy, by simply stopping usage for several days every few weeks.

4. A single bottle of Neprinol is comparatively expensive for a few reasons: the bottle is three times larger than the average enzyme product, (Neprinol comes in a bottle of 300 pills, while the separate Nattokinase and separate Fibrozym enzyme products often are sold in bottles of 100) and each Neprinol pill contains a more concentrated dose of nattokinase, serrapeptase, bromelain and coenzyme Q than are found in any other enzyme product. Besides, PDI sells Neprinol through our sister-site, Natural Complementary Medicine Products, for $135 a bottle of 300, the best price on the Internet. Neprinol represents a better value in the long run since you would need to take fewer or them, and the bottle is simply larger so you buy fewer of them.

5. For a $10 discount we offer for Neprinol, just type in the discount code word “Neprinol” in the appropriate discount offer area, bringing your cost down to $135 for the Neprinol 300 size.

To read more about the use of Neprinol and other systemic enzymes in Peyronie’s disease treatment, go to the Peyronie’s Disease Institute discussion about systemic enzymes at Peyronies treatment with Enzymes and Neprinol

Neprinol and Peyronie's treatment

Because Neprinol is heavily promoted for Peyronie's treatment, some men develop the mistaken idea to only use Neprinol in their Peyronies treatment plan. I advise against this. Not because Neprinol is not an effective way to reduce foreign fibrin from the Peyronies plaque and scar material, but because Peyronies disease is such a stubborn problem to treat successfully. PD almost always requires large and complex treatment for a considerable length of time. I rarely hear of cases in which Neprinol does more than reduce penis pain associated with Peyronie’s disease. But when it is combined with other effective forms of Peyronies treatment, the results can be dramatic.

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

Please send your questions about Neprinol and Peyronie’s disease to “Ask Dr. Herazy…”

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Peyronie’s treatment breakthrough

Non-drug Peyronie’s breakthrough

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

Peyronies breakthrough treatment concepts

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

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

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

Peyronie’s breakthrough research

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

1. Were 40 to 72 years of age,

2. Had PD four to eight years,

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

4. Stayed under medical supervision during the project,

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

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

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

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

New Peyronies Treatment

Many New Peyronie's Treatment Available

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

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

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

Synergy as a new Peyronie's treatment

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

Diet as a new Peyronie's treatment

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

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

Peyronies Treatment and the Penis Stretcher

Peyronie's Curved Penis and the Penis Stretcher

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

fasthomeworkk.com

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

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

Hi Dr. Herazy,

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

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

Thanks,

XXXXXXXXX

Greetings XXXXXX,

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

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

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


Regards,

Theodore Herazy, DC, LAc
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Valuable information about Peyronie's Disease
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www.natural-complementary-medicine.com/

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Peyronie’s Disease Plaque Fibrin Patterns

Peyronie’s plaque is the heart of the problem

Peyronie’s disease is an abnormal collection of fibrous pathological tissue in the deep tissue layers within the substance of the tunica albuginea and the Peyronies plaque; it is also characterized by excessive deposition of collagen within that same plaque material. Even thought the cause of Peyronie’s disease remains unknown, direct injury or repeated small trauma is most often thought to be the two most likely inciting events eventually resulting in Peyronie’s disease.

Materials and Methods

To understand the onset and cause of the Peyronie’s disease plaque or scar tissue that is always present in every case of PD, it is necessary to follow a simple approach that examines for the presence of collagen, elastic fiber, and fibrin content within the PD plaque material and evaluate its distribution.

Peyronies plaque or scar tissue specimens were taken from 33 Peyronie’s disease patient volunteers, and control penile tissue samples and nodular tissue samples were taken from eight patients with Dupuytren’s contracture (a related and similar problem of the hand). These samples were analyzed to determine collagen staining characteristics, and patterns of elastic tissue distribution. In addition, plaque tissue from another 19 Peyronie’s disease patients, control tissue and nodular tissue from Dupuytren’s disease were also analyzed for fibrin in these same samples.

Results

Abnormally stained collagen was found in 32 of 33 plaque specimens (97%), disrupted elastic fibers in 31 of 33 plaque specimens (94%), and abnormal fibrin deposits were also found in plaque tissue from 18 of 19 patients (95%). None of these abnormalities were located in normal or scared tunica from control patients.

Conclusions

These findings of fibrin deposits in Peyronie’s plaque tissue is consistent with the concept that repetitive injury and disruption of the small blood vessels and capillaries of the area results in fibrin deposition in the tissue space and has served to provide insights into the pathophysiology of Peyronie’s disease.

Peyronie’s Disease Treatment Blog to Help You

Peyronie’s disease blog

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

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

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

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

Questions in these areas?  Fire away:

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

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

Peyronie’s Syndrome is more than a curved penis

Peyronie's disease defies classification

Technically, Peyronie’s syndrome is not the correct way to refer to Peyronie’s disease.  Actually, calling it Peyronie’s disease is not correct, either, but more on that later.

First, the term Peyronies syndrome.   A syndrome refers to a group of several essential and clearly recognizable clinical signs, symptoms and characteristics of a health problem that often occur in association or together.  In the situation in which a syndrome occurs, the presence of one feature, sign or symptom would alert a doctor to the possibility a particular syndrome was present, so he/she would automatically look for other features, signs and symptoms that normally occur with it.  If those additional findings are detected, then  a diagnosis of that syndrome could be made.

Peyronie’s syndrome is not a valid term because the characteristic Peyronies symptoms are actually too few, and they do not usually form a tightly bound set of features that suggest this particular health problem. The few symptoms and signs associated with PD are actually vague by usual medical standards. Since there are typically only three such standard features or clues associated with Peyronie’s disease  (penis pain, distorted or curved penis, and the common Peyronie’s plaque or scar), this set of presenting characteristics is not large enough or strongly suggestive of the condition, hence syndrome is not a good term to use.

Peyronie’s syndrome is not a disease, either

Then we come to the term Peyronie’s disease, which is not all that accurate either.  A disease refers to any condition that causes extreme pain, significant organ or system dysfunction, social problems, and even death, and is usually acquired through direct or indirect transmission or communication from one person to another.  Of course, there are many definitions and ways of looking at what constitutes a disease, but that is generally acceptable in most cases.

Since Peyronie’s disease seldom causes extreme pain, and sometimes no pain at all, it does not fulfill that requirement.   Since the genitourinary system of which the penis is only a part continues to function, and the penis continues to carry urine and oftentimes is still capable to function sexually, it does not fulfill the requirement of loss of function.  While having a bent penis plays havoc with the man who has it, and the woman or women he is sexually active, it does not affect society as a whole, the way actual diseases like the flu or measles, syphilis, tuberculosis or alcoholism do.  Peyronie’s disease is not fatal, except to some couple’s sex life, so it also does not fulfill that part of the requirement.  And lastly, this problem is not communicated or transmitted from one person to the next; you cannot catch Peyronies.

When referring to Peyronie’s disease it is more accurate and fair to use other terms like “condition,” or the more descriptive terms that follow in this list.  These are more clinically accurate names that have been collected and were taken from the PDI website:

  1. Indurato penis plastica
  2. Chronic cavernositis
  3. Fibrous sclerosis of the penis
  4. Fibrous cavernositis
  5. Fibrous plaques of the penis
  6. Penile fibrosis
  7. Penile fibromatosis
  8. Penile induration

This list of descriptive terms was taken from the PDI website where the basics of Peyronie’s disease are discussed at length.  If you wish to learn more about this condition, called Peyronie’s disease, please review this additional information.  But whatever you do, do not call it Peyronie’s syndrome, OK?

Peyronie’s disease treatment with Scar-X homeopathy

Homeopathic Scar-X used for Peyronie's disease treatment

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

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

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

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

Different way to use Scar-X

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

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

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

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

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

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

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

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

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

Peyronie’s Plaque

Peyronie's disease plaque or scar

There is much confusion and lack of information concerning Peyronie’s disease, especially the elusive Peyronie's plaque or scar .

It is truly amazing that for a male health problem that according to some surveys affects up to nine percent of the adult population, practically no man ever hears about this problem until the day he is given the diagnosis of Peyronie's disease.  It is no wonder that no one has ever heard of a Peyronies plaque until he has one.  It is this shock – that a “mystery” condition that comes out of the blue, a condition for which there is no known cause and no known Peyronie's cure can suddenly wreck a man’s life – that contributes to the lack of information about Peyronies.  While feeling totally confused and shocked upon first hearing about the Peyronie’s plaque or scar that accompanies it, prevents a man from asking all the standard questions and retaining the information he is told when he receives this diagnosis.

With such bad news pouring into his ears, and so many questions rolling around in this brain, it is no wonder that a man can leave his doctors office and not remember much of what he is told  about Peyronies.

In addition to this shock of learning he has Peyronies, most medical doctors do not like to manage cases of Peyronie’s disease, and therefore do a bad job of it, further adding to the common situation in which a man will not understand the basics of this problem – like the Peyronies plaque.

We all know Peyronies disease is called the “doctor’s nightmare” because of the problems associated with dealing with men who have this problem.  With no known cause or cure, the doctor comes off looking like a dummy for not having more clear information or help for his newly diagnosed Peyronies patient.  Adding to the negative atmosphere for the doctor in dealing with a Peyronies patient, the doctor also knows there will be hard feelings that will arise later when the PD patient develops additional penile curvature, reduced sexual performance, and frequent marital problems.  All of this happens while the doctor can only stand by as his Peyronies patient deteriorates over time. The doctor is often held responsible for these problems since he did not offer any help to his patient.  None of this is fair, but this is how it happens.   For these reasons many doctors try to get a man out of the office as quickly as possible, and often without sufficient time to ask questions or adequate explanations to prepare a man for the future.

In this atmosphere of minimum time and minimum information, the shocked Peyronies patient does not understand or recall basic facts about Peyronie’s disease.  For example, the fundamental problem of PD pivots around the presence of one or more masses of fibrous material located within the covering of the substance of the penile shaft, called a Peyronies plaque or scar. Many times a man who has had PD for many years will no absolutely nothing about his  Peyronie's plaque.

Peyronies Plaque is elusive

Another common situation exists in which the doctor cannot find a Peyronie's plaque, and neither can the man who owns it.  Each week I receive several emails asking me, “Since my doctor examined me and could not find anything, and I cannot see a scar, do you think I really have Peyronie’s disease?”

The fat is, there is never an EXTERNAL scar or plaque in Peyronie’s disease; it is always an internal mass that conveniently is known as a scar, but is not a scar in the usual sense.  PD “scars” or plaques are quite variable.  Some men have an obvious scar and others cannot find one if their life depended on it.   Ultimately, it is there and you should try as many different tactics as you can to find your scar(s) because having a good knowledge of your scar situation will help your treatment effort.  Hint:  Try to think in terms of your scar being much larger than you have previously imagined, so mentally expand the size of the scar that you are looking for.  Meaning, if you were looking for a “pea” before, start looking for a “postage stamp” or a “thumb nail” size structure.  This information should change your methods and what you can detect when trying to locate your Peyronies plaque.

A Peyronie’s plaque or scar can be quiet variable; some men have an obvious plaque and others cannot find one if their life depended on it.   Often, when a scar is not found, but there is still pain and bending or any kind of recent penile distortion, a diagnosis of PD is still made.  This is so, because it is the Peyronies plaque or scar that is causing the pain or bending is either:

1. So small – it cannot be found

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

3. So deep – it cannot be reached easily, especially during erection

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

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

Usually, when a scar is NEVER found it is because of a combination of two or more of these factors – deep and small, or soft, large and flat, or deep, soft and doctor error, and so on.

I often suggest that men try this:  forget about finding a “scar.”  Just try to find something – anything – within the mass of erectile tissue that does not feel like the other tissue pf the shaft.  Find something that is unlike the rest of the tissue.  When you find it, mark its location with a marker pen of something that will stay on the tissue for a day or two.  Go back each day to that area and re-think what you are feeling.  You are trying to determine 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.  Really, how could you know what a Peyronie's plaque feels like if you have never had to do this before?  It is a common problem.

Let me know your experiences and problems in locating your Peyronie’s plaque. Take this chance to tell others your experiences and problems with this elusive tissue.

Peyronie’s disease treatment with vacuum pump (VED)

Vacuum Erection Device (VED) and Peyronie's Disease

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

VED can cause Peyronie's disease

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

Peyronie’s desease

Peyronie's disease misspelled commonly – Peyronie's desease

Peyronies disease is commonly misspelled as Peyronie's desease. There is so much basic information that people lack concerning this problem that even the name is confusing to some. Other than Peyronies desease, the most common way I find people referring to this problem is to shorten the name and avoid the apostrophe and just call it peyronies, without even capitalizing the first letter, and peyronie, by dropping the final letter altogether.

Just as a basic review, it is important to know that Peyronie's disease is most well known for the Peyronie's plaque or deposit of fibrous tissue (also called a scar) that develops within the deeper layers of tissue of the penis.  This fibrous material often, but not always, will cause a Peyronie's curved penis and pain in the penis.

This Peyronie’s plaque or scar material itself is benign, meaning it is always non-cancerous. It is a common fear among men when first learning they have Peyronies desease to wonder if it could develop later to become something more serious.  This is not the case.  You can rest assured that Peyronie’s disease will not develop or progress into a worse or life-threatening condition – Peyronie’s disease is bad enough.  It does not need any help to make a person’s life miserable all on its own.

Peyronie's disease typically occurs in men around their mid-50s, however,  even teenagers can develop it.  The cause of Peyronie's disease and its natural progression or development are not well understood because the course of the disease is so variable.  In my experience while researching Peyronie’s desease and in discussion with hundred’s of men every years concerning all aspects of this problem, it is rare to find two cases that share a remotely similar history or course; each case is unique in small and large ways.  This great variability is what makes this condition so difficult to diagnose, treat, and live with.  While many researchers believe the Peyronie’s plaque often develops in response to some type of trauma, either minor or significant, that results in localized bleeding within the internal tissue of the penis.

Sexual problems associated with Peyronie’s desease can also be variable, since there are such physical and emotional differences among couples, to say nothing of the variability of sociological factors that also can disrupt a couple's physical and a stressful emotional relationship. The goal of Alternative Medicine Peyronie’s treatment is to keep a man and woman who deal with this problem as happy and whole as possible.   Peyronie's disease surely affects all the people whose life it enters, even if you happen to spell it Peyronie’s desease.

Peyronie’s treatment

Peyronie's disease treatment in detail

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

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

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

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

Peyronie’s disease treatment critical point

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

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

Peyronie's treatment is like a football game

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

You can do one of two basic things:

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

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

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

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

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

Peyronie’s Disease Treatment and Neprinol

Neprinol Used for Peyronie's Treatment

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

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

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

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

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

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

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

Peyronie’s treatment, vitamin E, PABA and U.S. government

Vitamin E and PABA Used for Peyronie's Treatment

Here is interesting vitamin E, PABA and Peyronie’s treatment information from the National Kidney and Urologic Diseases Information Clearinghouse, an important arm of the prestigious National Institute of Health.

This information about  Peyronie’s treatment and vitamin E is not exactly new, because frankly, there is not much that is  new in the search for a Peyronies cure.  Even so, what makes this section worth reading is that it is interesting and immensely informative in a different way.  What is important to know about Peyronies treatment from a medical standpoint is not what is revealed, but what is not  mentioned about Peyronie’s treatment – in this case concerning the use of vitamin E.

This following paragraph is copied under the NIH’s discussion of “Experimental Peyronie’s Treatments”:

“Some researchers have given vitamin E orally to men with Peyronie’s disease in small-scale studies and have reported improvements. Yet, no controlled studies have established the effectiveness of vitamin E therapy. Similar inconclusive success has been attributed to oral application of para-aminobenzoate [PABA], a substance belonging to the family of B-complex molecules.”

It is important to know that this is as far as the discussion concerning the use of vitamin E and PABA goes in this government article.  It reports that “small-scale studies…have reported improvements. Yet, no controlled studies have established the effectiveness of vitamin E therapy.”   So, if there was some improvement noted when vitamin E and PABA were used in Peyronie’s treatment, exactly why have there been no additional controlled studies conducted to prove or disprove that these early initial positive reports were factual?  If it looked like these two experimental, but natural, non-drug Peyronie’s treatments were helpful, how can it be that no further testing has been done in this direction?

Isn’t the drug industry, or the AMA, or the government, or some private research group out there supposed to be interested in finding a Peyronie’s cure?   If some natural Peyronie's therapy like PABA or vitamin E showed some initial promise, why has no one looked into it further?   If something comes along that is naturally occurring, easy and inexpensive to produce, safe to take compared to drugs, and readily available in the marketplace, and happens to look like it could help men with Peyronie’s disease, why has it not been investigated further?  Why, indeed!

Vitamin E as a Peyronie’s treatment, or not

The answer to this natural question is found in the second sentence, in which it is mentioned, “no controlled studies have established the effectiveness of vitamin E therapy.”  This means that without these additional higher-level controlled studies, the effectiveness of vitamin E and PABA remain conveniently unproven. Therefore, vitamin E and PABA remain only at the experimental forever.  Exactly where the drug industry wants them to remain.  So long as they continue to ignore vitamin E – to not give it a legitimate opportunity to prove or disprove it's value to assist in Peyronie's treatment – the medical community and the drug industry can correctly say it is “unproven.”   This keeps vitamin E, and PABA, and other Alternative Medicine therapies out in the cold, where they would like them to remain.

It appears that the drug industry does not want to know if Peyronie’s disease can be treated with vitamin E.  If it were known that vitamin E, or PABA, or the PDI treatment concept of synergistic use of multiple Alternative Medicine therapies, are actually effective Peyronie’s treatments, then the entire argument against their use would crumble.  No one has stepped forward to conduct controlled studies because of fear that vitamin E, or PABA, might actually help the body heal the Peyronies plaque.

So long as the necessary tests are withheld, it is perfectly honest and legitimate to say that these natural therapies are “not proven” by controlled research.  This is a great discussion stopper, isn’t it?  Yet, no one goes the next step to ask, “And, exactly why have these necessary controlled studies not been performed in view of the small-scale studies that indicated these simple measures were effective?  Why the delay?  Why the lack of interest?”

Well, I guess we all know, and it should not surprise anyone, that the answer is the importance of profit over humanitarian interests.  It is unfortunate but apparently true, since I have found no reasonable answer to explain why this testing has not been conducted.   You can assure that if small-scale testing of a new drug showed the same improvement, that vast sums of additional funding would be forthcoming for controlled studies.  In this way, once that new drug could be proved or disproved, its march to the marketplace and profitability would be hastened.

Lastly, if you think the use of vitamin E or PABA might not be a reasonable kind of therapy to use because they are “unproven,” now you understand that this state of being unproven is a convenient strategy of those who help themselves more than they want to help you.

Perhaps this will help you to understand, and feel differently about, the use of vitamin E, PABA, and the rest of the Peyronie's Disease Institute program to treat this male scourge.   For more information about the use of vitamin E in the treatment of Peyronie's disease, go to Vitamin E, and to learn about the use of PABA in the treatment of Peyronie's disease, go to PABA.

This is why it is necessary for each man to look out for himself and become the master of his own Peyronie’s treatment, since there is no one as interested in your welfare as you – and the Peyronie’s Disease Institute.