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