How does your Peyronies treatment idea work?

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

Thank you,

Jose T.

Greetings Jose,

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Greetings,

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

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

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

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

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Questions about taking Neprinol in a Peyronie's treatment plan

Hello Dr Herazy,

I have a question regarding the intake of Neprinol and the absorption of proteolytic enzymes. I understand that they need to be taken away from meals. My understanding is that on an empty stomach they act/are absorbed in one way, and with food they act in another way. On your site somewhere you say they they should be taken 90 minutes before or 90 minutes after eating. 90 minutes before eating sounds extreme. Surely they are out of the stomach and on the way to the intestines in a lot less time than that. And by the same reasoning, taking them 90 minutes after eating … wouldn't there still be food in my stomach at that time? 90 minutes before suggests REALLY away from food; but 90 minutes after suggests that mixing it with food then is OK. Can you clarify this a little further. I just want to be sure what I take can be as efficacious as possible. My practice has been to take it 15 to 30 minutes before eating. (At which time I also take other herbs (for other non-PD concerns) that also need to be taken on an empty stomach.  Thanks.

Walter

Greetings Walter,

What you are asking about is called “gut transit time,” or the amount of time it takes for food to pas through the digestive tract, as well as absorption rates for different molecules that pass through the stomach wall. As you can imagine, this is a variable factor from one person to the next. The 90 minute stipulation is a good average for most men following a Peyronie's treatment plan,  but it might far shorter or far longer than it should be for some people; yet, it is a good average.

If you feel that you need to increase or decrease these times for taking Neprinol based on your personal digestion physiology, by all means please do so. Having said that, I would caution you that you should err on the side of assuming there is food in your stomach longer than what you think. Please give yourself a bit more additional time when taking the enzymes before a meal, and give yourself a bit more additional time before you eat after taking the enzymes. The world will not come to an end if you take your enzymes to close to the time you are going to eat, or you eat too soon after taking enzymes, but your therapy will be diminished and Peyronie’s treatment is too important to make this kind of error.

You write that you take your systemic enzymes 15-30 minutes before a meal. That might be perfect for you, but it might not be enough time for the next person. Further, that might not be enough time for your stomach to get the enzymes into your blood stream and into the fibrous tissues. How would you know?

You write that taking Neprinol 90 minutes before a meal sounds extreme to you, but I must wonder what you base that on. All I propose is that you give your gut ample time to get all the systemic enzymes through the gut wall, into the blood stream, and disbursed to start working on the excess foreign protein that is in the Peyronie’s scar. Maybe this can take place in 17 minutes, or 59 minutes, or 90 minutes, no one knows for sure because these particular digestive enzymes have never been studied for absorption times or delivery times. So why not make sure you allow enough time to allow it to happen so you get the best results from each and every dose you take?

If all you are doing is using that “full stomach” sensation to judge if food is still in your stomach you might be incorrect. Many people have food still being digested for hours after a meal – they might be exceptions, but it does happen. Further, gut transit time – the time food stays in the stomach – changes in the same person from one meal to the next depending what kinds of fats, carbohydrates and proteins are in each meal, and changes based on your emotional state, how well or poorly you chewed your food, how physically active or rested you might be at that time, how warm/cold you are, and other factors.

Lastly, let me guess that your question is not based on the usual situation in which you can control your food and enzymes schedule perfectly. I will guess you are asking this question really based on those days when your schedule for eating, working, and taking a handful of different therapy items is totally out of your control. We all have too many of those days when we forget to take Neprinol 90 minutes before we eat, or we absolutely will not be able to take the Neprinol 90 minutes after we eat. What do we do then? When we cannot allow ample time to take systemic enzymes on a good schedule because of forgetting or something we cannot control, what should we do? Do the best you can. Then promise yourself that the next dose will be taken at a better time to allow for better absorption and delivery. That is all you can do.

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Give your gut ample time to empty food, and to absorb Neprinol, so as to maximize the ability of Neprinol and other proteolytic enzymes to the target Peyronie’s disease fibrous scar material.

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My severely bent penis is almost back to normal, but how can I get my size back?

Hi Dr. Herazy,

I've been following your instructions and using your products now for about two years. My progress has been slow, but thanks to you, I HAVE made progress and almost back to normal…..as far as the severe bending and curvature. There is now only a small knot remaining at the upper right on top, near the head of the shaft and appears to be all that is remaining. I will continue your Peyronie's treatment procedures. My question is, and it's VERY important to me is : Can I get my size back ??? Since this issue began, I've lost at LEAST an inch in both length and girth even though my erections are “near” normal. Is it possible to use a pump with care and restraint to gradually build back up ?? This is driving me crazy with worry.

Thanks,

David V

Greetings David V,

First of all, congratulations in getting your bent penis under control and eliminating all but a small knot of scar tissue. 

However, in spite of all the reading and instruction I know you have read, it seems to me you are making a huge mistake to only gauge your treatment success based on reduction of your severe penis curvature.  You must have read a hundred times it is necessary to use the size, shape, density and surface features of your scar to guide your treatment.  Once you begin to do that your treatment will be a lot more effective and you can expect to see more changes in your curved penis and lost size.

I suggest avoiding a penis pump, or VED.  With those devices it is not possible to know that you are not injuring yourself until it is too late.  There is a better way to get back lost penis size.  

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In regard to getting back your lost penis size, let me give you some advice.  I have reviewed your file of past purchases and see that you have not used the gentle manual penis stretching technique.  This would be a very logical addition to your current plan as I understand it.   Please continue with your current treatment plan, but add in the gentle manual penis stretching to see if you cannot possibly reduce the last of that small remaining scar as well as coax back some of your lost dimensions.   TRH  

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

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

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

R Venkat

Greetings R,

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

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

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

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Another Peyronie's disease treatment success story

Hi Dr Herazy

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

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

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

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

Best regards

Greg Woodford

Greetings and thank you Greg,

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

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

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

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

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

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

Again, nice work and congratulations, sir.

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Cortisone injections and Peyronie's disease

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

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

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

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

Hi,

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

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

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

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

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

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

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

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

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

Many thanks,

Steve

Greetings Steve,

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

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

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

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

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

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

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

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

Dr. Herazy,

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

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

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

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

Thanks for your help.

Michael

 

Greetings Michael,

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

Vitamin E is not enough therapy for effective Peyronies treatment

Dear Doctor,

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

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

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

Thank you,

Deni


Greetings Deni,

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

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

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

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 

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

Hi Dr. Herazy,

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

Thanks!

 

Greetings,

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

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

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

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

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

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

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

Dr Herazy,

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

I eagerly await your reply.

-Thom

 

Greetings Thom,

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

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

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

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

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

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

Should I continue with pentoxifylline as a Peyronies treatment?

Hi Dr. Herazy,

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

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

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

Should I continue with this?

 

Greetings,

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

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

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

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

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

Hi Dr.

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

Thanks R


Greetings R,

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

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

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

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

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

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

Hello Dr. H,

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

Wendell from Ohio


Greetings Wendell,

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

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

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

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

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

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

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

HI Doc,

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

Scared 50 year old

Greetings Scared,

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

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

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

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

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

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

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

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

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Am I using my Peyronie's treatment plan properly?

I recently started treating my Peyronies. I currently take 3 Neprinol 3x a day. In the morning I take 4 Unique E, 3000mg of vitamin C and 1 Bromelain 5000. I also use DMSO and Super CP Serum. Am I taking the supplements properly and am I on the right track? There has been little or no change in the 2 weeks since I started treatment.

Greetings,

First of all, you did not give me a lot of detail about how you are using your plan. For example, you did not mention if you are taking the Neprinol with your meals or between meals. And you did not mention if you are taking the vitamin E and vitamin C with your meals or between meals. Saying that you “use” DMSO and Super CP Serum does not give me any idea how you are applying it. Lastly, you did not mention if are taking the Bromelain 5000 with your meals or between meals. All of these details are very important to know if you are actually using your therapies correctly and what kind of results you will earn as a consequence.

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Also, when you write that in two weeks “(t)here has been little to no change” I would like to know what it is that you are basing that statement on. No change in curvature of your penis, or no change in the size, shape, density and surface features of your PD plaque? What you are using to gauge your success and the effectiveness of your treatment plan is of critical importance. Please let me know the answers to the above questions and I will be able to reply with a much more helpful response to you. TRH

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

Hi Doctor.

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

My penis hurts me and it almost 30 degrees upward.

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

I am waiting your response.

Greetings Abduallah,

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

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

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

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

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

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What should be the natural Peyronie's disease treatment?

Dear Dr. Herazy,

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

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

What should be the natural treatment?

Best regards,

ARBIND


Greetings Arbind,

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

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

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Another case of Propecia and Peyronie's disease

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

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

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

Greetings,

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

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

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

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

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


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Does Scar-X contain alcohol?

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

Thanks.

Andrew

Greetings Andrew,

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

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

Sincerely,

Martin Carroll, Jr.

Greetings Martin,

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

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

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

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

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

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How should I do penis stretching with two different deformities?

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

Greetings,

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

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

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

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

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

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

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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

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

Dr. Herazy

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

Greetings,

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

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

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How can I fix my curved penis when I get erect?

Good day,

I have curve to the left and is causing me serious trouble when I got erected.

How do I fix my curved penis?

Regards

Pongo

Greetings Pongo,

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You can spend a little time and effort reading and learning about Alternative Medicine treatment of Peyronie's disease. I suggest you go to “Start Peyronies Treatment” found at the top of the PDI home page and get busy. You can also read any of the hundreds of answers I have already given to this same question that appears in this Question/Answer section. TRH

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

Hi Dr Herazy,

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

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

Gary

Greetings Gary,

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

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

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

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

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

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

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

Greetings,

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Thanks

Ken

Greetings Ken,

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

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

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

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

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

What about these other systemic enzyme products for Peyronie's treatment?

What do you think of the products Serracor-NK and Serra RX? I have been taking them as well in my Peyronie's treatment plan. They are very expensive and I am wondering if I should reorder or not.

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Thanks so much for your feed back

Nick

Greetings Nick,

I have never used or had experience with anyone who was successful in using these products as a Peyronie's treatment. I just do not have any experience with them so I cannot speak with authority about them.

What I can comment on is that several years ago there were some terrible lawsuits that were initiated because of aggressive business practices by the manufacturer of Serracor and Serra RX, and they attempted to destroy the manufacturer of Neprinol. Eventually, the Neprinol folks won out, and I have always felt that this history did not speak well of the people who make Serracor and Serra RX. I just do not have confidence in them. It might be a great product, but I would just as well continue to use the older, larger and more experienced company that makes Neprinol.

I cannot work with you to answer any questions about using these two enzyme products since I have no practical experience with either of them; you are on your own if you have a question about them. TRH

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Which enzyme preparation is most effective for Peyronie's disease treatment?

What enzyme preparation do you feel is the most effective, and has the highest quality control in its manufacture, Neprinol, Fibrozym or Nattokinase?

What is the reason you don't recommend Serracor or Serra RX?

Greetings,

Effectiveness of Neprinol, Fibrozym or Nattokinase is never evaluated in a vacuum. Since I have never used them alone or recommended any of the PDI therapies to be used as a solo treatment, I cannot speculate in that way for you. Each product undergoes rigorous laboratory testing to prove each is effective in its ability to degrade and catabolyze fibrous protein molecules, so we know each is effective in that regard. The question you are asking has never been investigated because it is contradictory to the way these products are used and the philosophy of synergistic Peyronies treatment I promote on the PDI website.

The quality control issue is equal for the manufacturers of Neprinol, Fibrozym and Nattokinase since each fulfills the government standards for laboratory testing and manufacturing practices.

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I do not recommend Serracor or Serra RX because I was around before these products existed and I know some of the nasty history behind them, and the lawsuits that did not go in favor of the manufacturer of Serracor and Serra RX. Given that, I think it is more prudent to stay with an older, larger and more stable company. TRH

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How can you help my Peyronie's disease situation?

Hello,

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

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

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

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

How can you help in this situation?

Thank you.

Greetings,

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

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

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

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

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

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

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

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

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

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

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

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

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

 

Greetings,

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

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

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

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

Greetings, 

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

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

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

 

 

Unique urinary symptoms during Peyronies treatment

Is it possible that serraptease or the nattokinase of yours I just began using yesterday could cause some discomfort urinating? I do know that in trying to be more healthy I experimented for 3 months adding a forkful of natural unprocessed sauerkraut to my evening salad which seemed to have caused me to urinate frequently at night. When I stopped eating the fermented sauerkraut, I slept thru the night.

Do you think either of these products mights be causing me the same problem?Also, I just installed a new sink top water filter so I'm still trying to sort out the source of the problem. I don't have a prostate issue. Any thoughts?

Thanks,  Dr Herazy
Jim

 

Greetings Jim,

I do not see a clinical connection between intake of serrapeptase or nattokinase and urinary frequency or discomfort.  Having mentioned that, anything is possible since we are learning things daily about Peyronies treatment.  If there is such a connection, you are the first person in over 10 years to report it.  For this reason, I suggest you experiment a bit by stopping all intake of serrapeptase and nattokinase to see how your body responds.  We can create a theory to explain such a unique response if it happens it is associated with the systemic enzymes.  Let me know how you respond, please.  I would like to know.  TRH

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

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

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

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

John

Greetings John,

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

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

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

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

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

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

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

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

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

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

 

 

 

 


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

Hi Dr Herazy,

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

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

Looking forward to hear from you

Cheers

Marcus

 

Greetings Marcus,

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

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

Questions abouty protein intake in a Peyronie’s treatment plan

Dr. Herazy,

I bought and have been reading your "Peyronies Disease Handbook" (which I think is excellent!) and am focused right now on modifying my diet per your advice in Chapter 5—-Diet and PD.

I have two questions:
1. When you make the suggestion to eliminate or reduce the intake of "meat", are you talking mostly about red meat or are you saying to also eat less chicken, fish, lean pork, other types of seafood, etc.?

2. I notice that most of the foods to eliminate are high protein types and the ones to add hardly have any protein at all. It looks like the same can be said about bad fats, which makes a lot of sense to me and will make my cardiologist happy with these changes in my diet. But in your opinion is it OK to add or keep additional sources of high protein foods not on the list that are low in bad fats and have mostly good fats, such as salmon, tuna, chicken without the skin, etc.?

The protein question is especially interesting to me because I developed my PD when I started doing a lot of protein shakes with muscle builder and fat burner type additives at my gym and also used protein shakes as meal substitutes at home. Your thoughts on these two questions asap would be greatly appreciated as I want to move forward as quickly to get accustomed to my diet before starting the enzymes and rest of my treatment plan.

Thanks for all that you are doing to help people like me and giving us hope!

Regards,

Scott

 

Greetings Scott,

Thanks for the kind words about PD Handbook; I get a lot of compliments about both books. 

I appreciate you trying to do this correctly.  The more disciplined and exact you are the better the PDI treatment plan will work for you.

Red meat is especially important to be reduced in your diet if you can manage it.  Some people so suffer physically when they eat a low protein diet that they give up entirely to treat Peyronie's disease.  I find most people have a better tolerance of fish and chicken protein sources.  So do your very best to greatly reduce red meat, and cut back moderately on chicken and fish, as a general rule.  The world will not come to an end if you eat either red or white meat protein but you are going to get better results the stricter you can be, OK?   TRH 

Can I substitute Neprinol of the nattokinase and Fibrzym in my Peyronies treatment plan?

Hello Dr. Herazy,

I am currently on the first phase of my Peyronie's treatment using the PDI medium plan and need to re-order my Fibrozym, Nattokinase, and Fundamental Sulfur. I noticed that Neprinol has multiple enzymes. Can I order just Neprinol to replace all three items I am currently getting ready to order?

Chris


Greetings Chris,

Sure, you can do it that way especially if you have not noticed any problem with diarrhea while taking the Fibrozym and Nattokinase. Mild diarrhea sometimes happens as a result of the systemic enzymes causing so much breakdown of fibrous matter that it irritates the gut lining.

We do not put Neprinol in the primary plans because for many men it is better to start with Fibrozym and Nattokinase as the enzyme source since they are easier to take initially. If you really want to use Neprinol it can help even better than the lower dosage products that are in the initial plans. TRH

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Now that my Peyronie's disease is gone should I continue taking the supplements?

I have had Peyronie's for approximately two years. I had about a 45 degree bend upwards and about a a 15-20 degree bend to the right. I noticed that I had a large scar along the top of the shaft about 2″ and a small nodule about 1/4 inch in diameter on the right side. I obtained your gentle manual penis stretching video and started with the exercises and took PABA, Vitamin E, Nattokinase as you suggested in the instructions PDI provides. I continued with this stretching exercise and the vitamins and enzymes and have now straightened out the shaft. I do not feel any more scar tissue. I was wondering if I am going to have to continue on with the PABA? I will continue to take the other natural vitamins and supplements as I was taking before i developed the Peyronie's, but I did not ever before take PABA so i wonder if I should continue with that. Thanks for your help.

Greetings,

First of all, congratulations on your successful treatment of Peyronie's disease. Many people doubt that they can do what you did. I get this kind of report from people around the world several times a week telling me that they have recovered from their terrible Peyronie's problem by following the simple directions and ideas found on the PDI website. Good for you.

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I doubt you will have to continue with the PABA or continue doing the gentle manual penis stretching technique now that your Peyronie's plaque is gone. Since 2002 I have been consulting with men about Peyronie's disease and in that time we have had some really great results. In all these years I have never had anyone come back to me a year or two or five years later to report that their PD has come back when they stopped taking the PDI Peyronies treatment plan they used to recover from their problem.

However, I would say that half of the men who get over their Peyronie's disease say they will continue with certain parts of it because they believe they get general health benefits from certain products (Neprinol, nattokinase, vitamin E, acetyl-L-carnitine, etc.) I have recovered from my own Peyronie's disease now for about ten years and still take Neprinol, Omega T, and vitamin E because I am convinced of their broad health benefits.

Again congratulations on your great Peyronie's treatment story. TRH

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Are my excess keloids the same thing as Peyronie's disease plaque?

Last year I had some minor surgery to remove some moles.  When they healed, they healed with massive keloids which I understand to be excess collagen. Earlier this year, one day I looked down and saw that my penis was bent about mid-shaft at a 40-45 degree angle to the left.  I then later noticed there was a long lump on the left side and a couple of smaller ones elsewhere, one of which causes a depression when erect on the bottom mid shaft.  I also understand Peyronie's disease to be the result of excess collagen?  Is it just a coincidence that in a period of less than a year my body is producing excess collagen all over my body?  What should I do? I don't want it to get any worse.  If it does, its going to start affecting my sex life.

Greetings,

There is a cellular difference between keloid formation and Peyronie's plaque formation; they are not exactly the same.  While both problems involve an excess of collagen protein, there are cellular and other differences between the two conditions that differentiate them.  A keloid forms within a scar on the surface of the skin and is actually an overgrowth of type 3 collagen, known as granulation tissue; it is composed not only of collagen but other types of cellular elements.  A Peyronie's plaque has a similar but not identical cellular formation found only within the tunica albuginea of the penile shaft.  What is most confusing about this whole issue is that the Peyronie's plaque is often called a scar, although it is not technically a scar.  

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Pointing out the difference between the two problems:

1. People who have an abundance of validly diagnosed keloid scars on their body tend to statistically not develop Peyronie's disease.

2. Verapamil, which is a drug that sometimes affects Peyronie's disease, does not affect a keloid at all.

I suppose you could explain the development of these two problems at about the same time as just a coincidence.   What is most important is that you do something about the development of  what you say is Peyronies disease.  I suggest that you look at “Start Peyronie's treatment.”   TRH

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Lack of progress with his Peyronie’s treatment plan

My Peyronie's disease  symptoms began approximately 3 years ago. I noticed a slight indentation on one side of my penis. I noticed no curvature but did experience a loss of length and girth. I immediately sought the advice of my doctor who referred me to an urologist. Over the next few months I visited three urologists; one being a reported specialist in the area of pd. All three urologist had nothing to offer. The specialist was only interested in me as a surgical candidate. Not being such a candidate, he gave me erectile dysfunction meds (which I didn't take) and sent me on my way.

I discovered your site approximately 2 1/2 years ago and first purchased your PDI handbook and Neprinol. I very soon expanded my treatment with the medium plan; adding the genesen Acutouch Pointers shortly after that. For over two years I have been taking:
Neprinol AFD 3-5 per day.
Omega "Lovaza" 4 day
PABA 500mg 1-2 day
Acetly-L-Carnitine 500mg 1-day
Vit E 400/400 1 day
Vit E Maxi Gamma 1-day
Fund. Sulfur 2-day
Quercetin Bromelain Complex 1-day (this was added within last year)
Vit C 1000 2-day
And using Pointers (daily)
PDM, DMSO Vit E castillo oil 1-2 times day

I regretfully report that I have not seen any appreciable positive change during my treatment. From your handbook, I know you say that in such a situation, I should increase dosages. You don't give specifics about increased dosages and I've been hesitant to increase the amounts of many of these treatments without guidance. I would appreciate any suggestions your may have.

I have read your handbook many times. I must admit the one difficult area of compliance is with your dietary suggestions. Could you please explain the reasons why I should never consume "cold" beverages and foods. I have not been able to find any information regarding this.

Otherwise I am very good with compliance. I have taken a few treatment breaks during my treatment; mainly to see if I noticed anything different. I did not.

Thank you for your assistance.

 

Greetings, 

Shame on you for following your PDI plan for this long without asking for help until now.  You have made a great mistake to go so long without results and not contact me.  I can tell a lot of things from the way you describe your Peyronie's treatment plan, and it suggests you have not been aggressive enough with your problem.  This is your fundamental error.

Every day I communicate with men who think they are following the PDI protocol and they are not.  The one great mistake you have made for over two years that I have repeatedly warned you about is that you have blindly followed the same therapy plan over and over again without checking for changes in the size, shape, density and surface features of your PD scar. 

You say you have read my book many times, and yet you ask about the cold restriction in the suggested diet.  If you would look up this concept in any acupuncture text as I have suggested you would have the answer.  It is not my interest to teach acupuncture to people.     

We have a lot of work to do to get you going in the right direction.  But it can be done.  You have previously not been using the PDI concept correctly. First things first:  What is the size, shape, density and surface features of each of your scars?   With this information I will have an idea in which direction to increase your current plan.  It is currently very weak and needs to be increased.  TRH

What can I do get back on track from the ED of Peyronie’s disease?

I was prescribed Cialis from my urologist at was he believed was ED or at least my brain made me think. This came about after having sex with my girlfriend in the shower and something hurt real bad so we had to stop. Then symptoms started which I guess mirror ED where I could not get an erection and of course she thinks I'm not attracted to her then this makes the problem worse. I have been on Cialis one a day for the past month and a half.  Sure, I now get erections but lately I have noticed I have an hourglass shape to my penis that even seems to happen when flaccid.  Just recently I feel a slight burning near the head of the penis, definitely inside the penis. After going through your site I for sure believe that I was misdiagnosed and believe I have Peyronie's and the Cialis has made matters worse.

What can I get from your store that will hopefully get me back on track?

Thanks, Daryl

 

Greetings Daryl,

First o fall, yes, you are correct that many men with Peyronie's disease develop several symptoms similar to erectile dysfunction (ED), and sometimes exactly like ED.  Many of the physical problems and symptoms of Peyronies can create stress and misunderstanding between a sexual couple so that eventually their are also emotional reasons to cause ED in addition to those from PD.   Sexual ability and sexual activity can go downhill very fast.

Since you report your pain as a burning sensation in the head of the penis (glans) I suggest you have a different doctor check you out to assure you do not have a problem with your prostate or your urethra (urinary passage tube) since burning pain is not associated with Peyronie's disease.    Additionally, since you did not mention any penile curvature, you should not assume that you have PD.  This would be a smart move since you could be having two different problems at the same time, or you might not have Peyronie's at all.   You will not know for sure until you go to someone to be sure.

I have written many times about PDE5 drugs causing Peyronie's disease and aggravating an existing condition.   Please refer to "Viagra, Cialis, Levitra use with Peyronie's disease" and "Peyronie's treatment and Cialis.'

Once you are confident you have PD I suggest you do some good things for yourself to increase your ability to reduce the internal scar tissue.  I suggest you look at an aggressive PD treatment plan to get you back on track.  A good place is "Start Peyronie's treatment."   TRH

Is it true nothing can be done for penis shrinkage caused by Peyronie’s disease?

I hurt my penis during sex. At first it had a curve but that went away and instead the penis has shortened drastically.  Sex is no longer achievable and a simple act like urinating into a toilet bowl is a problem because the penis has shrunk so much that I cannot point it at the bowl.  I either have to drop my pants or sit on the toilet and push the penis down to prevent it from urinating at 90 degrees.

I live in South Africa and the urologist has said there is nothing that can be done.  Is this true?

Regards,

Wally

 

Greetings Wally,

The statistics found in medical journals and the internet about penis shrinkage related to Peyronie's disease are variable and of questionable accuracy due to the natural of the problem.  As I remember, the published rate of reduction of Peyronies men who experience penile length and/or girth is said to be 25-50%.  However, based on my conversations and email from men with PD I would put that number easily in excess of 75%.   What you report is not at all uncommon.  It is  a consequence of the excess fibrous tissue build up that causes contraction of the deep soft tissue of the penile shaft, and also can cause distortion, such as a curved penis or an hourglass, bottle neck or dent deformity.

When your urologist told you noting can be done for this problem, he/she should have more accurately said there is nothing that medical practice can do to help you.   There is a lot you can do to help yourself.  If about half of the men who develop Peyronie's disease experience a spontaneous remission or self-cure of this problem, then it is obvious that these men are capable of curing their own problem.   PD is cured half of the time without any outside help by the natural healing process of the body.   The PDI concept for treatment of Peyronie's disease is simply to assist or support that same natural healing process by using a combination of vitamins, minerals, herbs and enzymes and other techniques that allow the body to heal better – to increase the odds that you too can care your PD like you should have in the first place.   Your urologist only says there is nothing that can be done to help you, only because he/she does not have a drug to use for that purpose.  "We do it my way, or no way."  What arrogance. 

Probably the best place for you to start looking for information about Peyronie's treatment using Alternative Medicine is from this link from the Peyronie's Disease Institute, "Start Peyronie's treatment."  

Believe me, you would be shocked to learn the number of MDs who contact me from around the world about using Alternative Medicine and the PDI approach to Peyronies treatment when one of them develops PD.    Drugs and surgery are for patients, and when one of them has a bent penis they they suddenly want to be very conservative with what they do.  TRH

Any advice about my Peyronie’s disease?

Dar Dr. Herazy,

I am a 46 year old man and 6 years ago I noticed a curve in my penis when erect and a loss of significant size- width and length.   I do not have pain though and went to a urologist (hard to do, embarrassing) and the guy was not cool.  He grabbed my flaccid penis for a second and told me to take l-lysine or something.   I am really at wit's end and have basically given up a life of intimacy because of this.  I don't want a weird operation, but feel my case is not super severe.  It certainly hasn't worsened over the years.  Any advice?

 

Greetings,

I am not sure about your reference to l-lysine, an essential amino acid, being prescribed by your doctor as a Peyronies treatment.   I suppose it is possible, but the connection between the two is not direct. Further, although you did not come out directly and say so, I will assume that your urologist gave you a diagnosis of Peyronie's disease.

There are three forms of carnitine: L-carnitine, acetyl-L-carnitine and proprionyl-L-carnitine.  Acetyl-L-carnitine (ALC) is the principal form used in most research and treatment of Peyronie’s disease (PD).   The two primary building blocks of carnitine are the essential amino acids lysine and methionine.   While this might be the basis for the thinking behind prescribing l-lysine to you, it seems more direct to simply prescribe that you take acetyl-L-carnitine.  Perhaps you were overwhelmed, as most men are when they first learn that they have Peyronies disease, and you misunderstood.

Peyronie's surgery is the most common medical option that is presented to a patient, even suggesting surgery before more conservative options are tried.  PDI is not against surgery as a treatment of Peyronie's disease, but it is best considered as a last resort, not as a first measure as some doctors are inclined to do. Please be very careful about considering any Peyronie''s operation since the negative consequences can be devastating. 

The fact that the curvature of your penis has not worsened over the years does not mean it cannot do so at any time.  It is always wise to be cautious and aggressive in treating yourself to eliminate the Peyronie's plaque even if the distortion is slight and stable, because any case of untreated PD can worsen suddenly. 

My advice is to spend some time on the PDI website learning about the Alternative Medicine treatment of Peyronie's disease, and how you can do simple things to increase your body's ability to heal the Peyronie's plaque like the 50% of men whose PD just goes away naturally.  Our approach is not radical; we area only attempting to increase  or support a natural healing process that happens in half of the cases of PD.   It is not like we attempt to get you to grow a 6th finger on your hand or to jump over the moon.  This is all basic stuff about natural repair and attempting to promote normal body function.   A good place to begin looking is "Start Peyronies treatment."    TRH

How long will take for shipping of the Peyronies treatment products?

How long will shipping take for you to send any Peyronies treatment products I might order. I am traveling.

Greetings,

For orders that are received before 2PM in the central time zone, 99% are shipped the same day the order is received. We get thanks and compliments all the time for our speedy shipping.

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How long it takes to actually receive your order will depend on where you are located. If you live in the Midwest where we are located, you will probably receive your order in 1-2 days; if you are on the east coast, probably two days; if you are on the west coast or in some small remote mountain town probably 2-3 days. TRH

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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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Do I need the Peyronie's Disease Handbook if the only treatment method left to try is the penis stretching?

Hi there, so i came across your site a while back and have been reading into it

I appreciate the work that has been put into the project as a whole but im sure there is a lot of skepticism out there still.
My question to you is regarding options.

If i may say so, i already take vitamin E, acetyl-L-carnitine, glucosamine, fish oils, and other supplements for my body building.
I saw that you sell a book “Peyronie’s Disease Handbook” and then have “Manual Penis Stretching Method” CD

My PD developed about 5 years ago but is only gradual but enough to cause discomfort !

do i need the handbook if the only treatment method left to try is the stretching?

some clarification would be greatly appreciated

Kind Regards

Colin

Greetings Colin,

Your basic question, as shown in the title, indicates you do not understand what the PDI protocol is about. You are not remotely correct that the only other method left to try is the PDI gentle manual penis stretching technique. It seems to me you are seeing only a part of the process, but assume you see the whole.

As a body builder I am sure you are keenly aware that technique is of utmost importance. Your question would be similar if I asked you, “I already do a lot of heavy lifting. I work delivering refrigerators all day long, so I think I am doing all that I should for a body like Arnold Schwarzenegger. Do you think I really need to lift weights the way that Arnold Schwarzenegger did to get the kind of body he had? Why I can't I just do it my way, and not do all the other stuff? By the way, I will judge your ideas and methods based on the results I get, but I will not follow your methods.”

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While you may have been reading the PDI site for some time, it seems that you may have missed a key point related to how this process works to assist the recovery from Peyronie's disease. It is not enough to “take” some of the various nutritional supplements, but they must be taken in the correct dosage and combination while assessing for changes in the size, shape, density and surface features of your PD plaque fibrous material. If the dosage you are following is not causing the desired changes, then you must increase the intake until you notice reduction of the plaque beginning to occur. Popping a few pills is not what this natural Peyronies treatment process is about.

Further, we do not advocate using only internal therapies, meaning supplements taken orally intended for internal systemic distribution as the sole method of treatment for Peyronie's disease. Diverse external therapies, of which manual penis stretching is only a small part, are also needed to support recovery from PD. There is far more to the PDI treatment protocol than the use of the stretching method that was developed by PDI.

I think the reason you need this clarification is that you have not looked around the site sufficiently or considered all the information it has to offer. TRH

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Would taking all these vitamins and mineral in a Peyronies treatment plan increase risk of kidney stone formation?

I developed a kidney stone a few years back and am wondering if taking all these vitamins and minerals would increase the risk of getting another?

Greetings,

There has never been a report made of an adverse kidney or bladder reaction while following a Peyronies treatment plan. Kidney stones do not form as a result of high intake of nutrients, but rather due to disease and malfunction of the urinary system. TRH

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Can you help me with my Peyronies treatment and my heavy nutritional intake?

Dr. Herazy:

We spoke a couple of years ago when I was changing careers from being a long-time financial adviser to becoming a physician (either a holistic MD, Emergency Room Doctor, or possibly now a nutritionist or orthomolecular medicine practitioner). I am now in pre-med classes at age 60, and other than the Peyronie’s Disease and a small left-side inguinal hernia, in stellar health. In the past two years, my physical workouts stopped due to a rigorous study and work schedule, then the hernia appeared. Due to the cautionary advice of my trainer, I now work out carefully 3 times a week, have excellent labs, and do Qi Gong (ancient Chinese healing martial art) and Myofascial Release and other stretches every morning. I look and feel much younger than my age. The small, left side inguinal hernia appeared in November 2011 from working as an EMT on a transport ambulance, and I took a leave of absence in December 2011 pending surgery, which is currently pending with my employer’s workers compensation insurer. I was advised that it should be resolved by October. I currently take 71 different natural supplements daily in pill, tincture, liquid and powder form to the tune of 150 doses each day and have since 2006. This was carefully designed by a medical practitioner under an anti-aging and naturally detoxification protocol from the work of Dr. Gary Null, PhD.

According to my former urologist, whom I first consulted since he performed a vasectomy on me in 1994(?), the popping sound I heard during intercourse several years ago (2008 or 2009) was the beginning of the Peyronies issue, though for about seven years prior I had noticed a slight weakening of my erection. Now, my penis curves downward almost 90 degrees during engorgement, and it appears as if there is an invisible ring at the base of my penis constricting it. During intercourse there is no pain (there was some initial burning sensation inside my penis as I recall after the incident), and I am still able to have somewhat satisfactory intercourse, reaching ejaculation, with my female partner. My penis does become flaccid at times during intercourse and it certainly is not as pleasurable as before the incident. According to my former urologist’s caution, I keep in mind that intercourse could cause further damage so my partner and I are careful.

I want to return to having a healthy erection and intercourse experience, which I did throughout my entire sex life since late teenage-hood. I take 800 mg of pharmaceutical grade natural Vitamin E daily as part of my supplements protocol above. For reasons other than Peyronie’s, to move away from allopathic medicine, I changed doctors to a highly recommended holistic MD, board certified in many specialties, who just happened to have experience with a severe Peyronie’s patient (this was a plus though not my primary reason for choosing him). He had me take a highly concentrated form of pharmaceutical grade PABA (Potaba) because he said it would help eliminate scar tissue anywhere in my body. Only with a prescription I ordered it from a top pharmacy in Canada and over several months, built up to a course of 8 Grams (I believe) a day with little resulting correction, though the change was not scientifically measured. Before reordering a third time in August 2011, I let my doctor know that it did not resolve the issue, though it may have helped, and gave him your information. He then told me to follow through with you.

Before calling you a couple of years ago I read the book of the nutritionist with whom you treated. I contacted him several times but he did not respond. I then called you and you said your body of work went greatly beyond his, but with all of my occupation change and education activities, I am just now getting back to you for a plan of action.

How do I start on a definitive course of action to reverse this structural condition? I would be glad to share with you my entire supplement protocol so you may see what I am taking and how it may be supplemented.

With appreciation,

Peter A. Lindsley

Greetings Peter,

Good to hear from you again.  I was wondering what you might be doing.  Thank you for the interesting and detailed Peyronie’s disease history.

You are not the first man who reports to me that he is in exemplary physical condition, yet Peyronies develops after injury.   The only way I can explain it is that someone who is in perfect health, following a perfect dietary and nutritional program, would still be subject to injury by falling down the stairs, hitting his thumb with a hammer, an automobile accident – or injury to the penis during intercourse.  Being healthy and well nourished does not make you bullet-proof to trauma.      

Many MDs approve of the PDI concept of treatment for this problem.  It makes sense and it is based on documented research results.   I find that when MDs develop Peyronie’s disease they eventually come to PDI for treatment since there is nothing for them in their own medical camp to use with confidence.  I work with MDs for their personal recovery.

A pharmaceutical grade of PABA is not POTABA; they are two different things.   PABA is considered a B vitamin.  POTABA is PABA with a potassium molecule attached to it and is considered a drug, no longer a B vitamin.  They are similar but not the same thing.   The early Peyronie’s research work that was done with PABA got good clinical results, so naturally the MDs  assumed that POTABA (the drug that they can control because it is a prescription item) would work better.   POTABA causes many side effects and few men can take it long enough to complete the intense dosage of three months.  You are far better off using PABA the way we recommend it.

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Because of your high supplement intake I suggest that you contact me for a telephone consultation about treatment.   For the most part I suggest you at least start by reading the information found at Start Peyronie’s Treatment.   TRH

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What Peyronie's treatment options or products are currently available from PDI?

Hello,

I'm 35 and about 2 months ago, I noticed a slight deviation on my erect penis (right side) and when I mentioned it to my urologist he said I may be developing Peyronie's Disease. I am concerned it will get worse. I'm wondering what treatment option(s)/products you currently have available on your website you think I should consider to correct this.

Thanks,
Joe

Greetings Joe,

There are well over 500 pages of information about using Alternative Medicine for treatment of Peyronie's disease on this website. It seems like you have not looked around the site very much or you could not have asked this question.

I suggest you go to Peyronie's treatment products page to see the list of things you can use to improve your ability to heal and eliminate the Peyronie's plaque. With just a little effort on your part you can get an idea about putting a plan together for yourself if the large, medium and small plans do not suit you. You can get lost in this site for a few days reviewing all the information that is readily available to you. Just click on a few links and see what you can learn. TRH

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What therapy plan should I use while doing manual penis stretching technique?

Hello Dr. Herazy,

I was reading on the PDI website about the manual penis stretching technique for men with PD. What is the nutrition therapy plan that should be used with the stretching technique? If you remembered I had ordered Neprinol but I am unable to take it. So I would be very concerned about this nutrition therapy plan.

 

Greetings,

There is no specific nutritional therapy plan to be used while conducting the gentle manual stretching method.  All PDI therapy is intended to be used as part of a wide and diverse group of therapies.  The larger and well balanced your Peyronies treatment, the more synergy you will develop to support healing to occur; your stretching is just part of this effort and should not be seen as the major component of your recovery effort.   You might wish to review the contents of a PDI large plan as a good example of what you might consider doing to help yourself recover from your PD.   TRH

How long does it normally take for the body to heal Peyronie’s disease if it happens natually?

Doctor,

You mentioned, as well as others in articles I've researched elsewhere, that sometimes 50% of cases of Peyronies will go away by themselves. If this occurs what is the time table in which this will happen after you first get signs of Peyronies.  Thanks.

 

Greetings,

It is estimated that about half of the cases of Peyronie's disease that begin will self-heal or spontaneously resolve by the body healing the injury and removing the plaque within the first 12-18 months after the condition starts.   After 18 months the Peyronie's plaque tends to be permanent unless you undergo special and deliberate efforts to support healing to occur.  Since there is no way to document this number by the nature of self-healing that occurs outside of formal treatment, the number is at best an approximation.  

The fact that Peyronie's heals at all without active medical treatment means that the condition is not as hopeless as the average medical doctor will tell his or her patient.  The fact that about half of cases resolve on their own suggests the problem is correctable with minimal intervention and without drugs.  For additional information about supporting and encouraging natural healing with Alternative Medicine see  "Start Peyronie's treatment."   TRH      


What can I do if my Peyronies was caused by Tri-Mix ED injections?

Hi Doc… I have been using tri-mix injections for the past 12 years for erection problems.  The injections have been a perfect solution for the ED however about a year ago I realized I had hourglass Peyronie’s at the base of my penis near the injection sites.

I’m not sure if the injections caused they Peyronie’s disease but I have stopped using the injections and have been using a mechanical penis stretcher for the past 4 months but it hasn’t helped much if at all… Right now my penis is severely dented at the base on the left side.. It is about as half as thick there as it used to be at the worst part and looks like someone took a huge bite out of it there.

If my Peyronies was caused by ED injections would that be reversible and what would be the best course of action to address my Peyronies?

Thanks in advance for your time.

 

Greetings,

Twelve years of injections into the penis is a lot of injections.  I do not know how you can say that the Tri-Mix injections were a “perfect solution” for your ED if they might have caused your Peyronie’s disease.   That is a terribly high price to pay when there are so many other less dangerous and less offensive options to use for ED. 

Now you have been using for four months a mechanical penis stretcher that can also cause Peyronies.   You are really beating up this tissue that you wish to be healthy.  The penis stretcher will not work to eliminate the fibrous tissue because only the normal and healthy tissue will stretch while the dense fibrous tissue will resist the stretching force.  Simple physics says it cannot work.

You should be doing all you can to assist your body to heal the damage you have done to yourself.  I suggest you read “Start Peyronies Treatment.”

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

What is your recommendation for a Peyronie’s disease treatment?

I have had Peyronies for about 1 1/2 years. It has now progressed to the point where my penis bends down from the base at a 60 degree angle when erect. My sex life has essentially come to a screeching halt.  I would like a recommendation of treatments that I should incorporate.

Best,
Bruce

Greetings Bruce,

The PDI website is loaded with information about how you can go about using Alternative Medicine to increase your ability to heal and repair your Peyronie's disease; all you have to do is look and read.  I suggest you begin reading at Start Peyronies Disease Treatment.

I also suggest that start with the largest and most aggressive plan you can sustain for about three months to determine if your Peyronie's problem will respond to this form of treatment.  Sample plans are shown on the Peyronie's Disease Institute storefront. 

Sex problems are common when a curved penis prevents entry.   You should look at this book for help, "Peyronie's Disease and Sex."   TRH

How do I get Peyronies treatment products in India?

I read about the peyronie treatment plan on your website. Now the fact is that i am living in india. how can i get those medicine from here? please help me. 5p

 

Greetings 5p,

You can order whatever Peyronies treatment products you want from the PDI website and it will be shipped to you in India.   Follow this link to the Peyronie's Disease Institute store.  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

My Peyronies disease is worse after a series of Verapamil injections, what can I do?

Dr. Herazy,

I spoke with you some time ago about a treatment for Peyronie's disease. I have had my problem for 15 years. Until a few years ago I never even heard of PD. Doctors simply told me to give it time and see if it would go away. They didn't even tell me what it was.  When I finally was told of PD I tried verapamil injections and it made the problem worse (another large scar along the injection areas).  I do not have a curvature just two large scars and it causes pain and lack of elasticity. I would like to start a program(vitamins and Neprinol), plus the diet mentioned in the book.  Can you please recommend a starting course of action?

I am also very large(6'8" about 260 lbs) not heavy just tall. Regarding the diet, does the lack of meat intake include fish? I am not sure how my body will take such dietary restrictions.

One last thing, my scars never seem to change shape or texture like you mention in the book.  They are very solid.  Due to the length of time I have had this problem and the non changing scars, does this mean I need to manage my expectations?

Thank you!

Alex

 

Greetings Alex,

While the medical profession is supposed to discuss and explain everything about the diagnosis, treatment and prognosis of the condition for which treatment is being given, many doctors do not offer this basic level of care.   They rush in and rush out, don't they?  The kind of poor care you received for your Peyronie's disease is all too common.  

Your response to your verapamil injection series is not uncommon. Most often verapamil is injected in 5-10 different areas of the penis each time, over 8-12 different office visits; if this is true a man can receive up to 120 different injections into a rather small area of the shaft.  Repeated injections of any kind of drug when delivered into a small area of the shaft is traumatic to the tissue and can easily cause a scar response because it is just like any other injury that happens to the penis.  I have counseled with many MDs who wanted help when they developed Peyronies disease; as a group they all reject the idea of any kind of injections into the penis because they know it is traumatic to tissue, regardless of what drug might be injected.

There is no approved drug treatment of Peyronie's disease, so any time a doctor prescribes a drug it is an experiment.  Thus, many doctors have given up using drugs that do nothing, and resort to the old "give it some time while you do nothing and let's see what happens" treatment.  In the meantime a man gets worse and wastes valuable time and opportunity during which he could do many different things to try to increase his natural ability to heal and repair like the 50% of men whose PD just goes away on its own.  This is where the PDI treatment concept comes in.  All we suggest is that a man with PD attempts to increase his natural ability to eliminate his PD by using a wide variety of different natural therapies.  To start I suggest you review the information at "Start Peyronie's treatment," found toward the the top of the PDI home page.  

I speculate that your penis is straight because your two scars are balanced and causing equal stresses within the shaft, preventing you from having a curved penis when erect.   Still they cause after all these years pain and lack of elasticity, which is associated with the dense fibrous tissue irritating the soft tissue of the shaft. 

Yes, you can use fish as a protein source as suggested in the PDI diet.

I cannot comment with certainty about your scars not changing shape or density because I have not examined you.  However, you admit you have not formally determined the exact size, shape, density or surface features of your scars;  you are relying on your memory to judge if your scar has changed, and this is never as accurate as it needs to be when dealing with Peyronie's treatment.  For these reasons I take the position that you do not know with certainty if your scar is actually static or not.  Since so many men, and myself, have personally noted that their PD scars do change size, shape, density and surface features in response to changes in body chemistry, that you could be mistaken in regard to your scars.  This is exactly the reason it is critical that each man with Peyronie's disease clearly knows these various physical features of this scars so he can use this information to determine his immediate response to the self-administered treatment we suggest.  

Please let me know how I can be of help to you.  TRH 

Should I be concerned about storing my DMSO?

Hi Ted,

I just ordered the DMSO. I've been concerned about storing this product in its plastic container, since it's a solvent and might pick up some of the plastic. I transferred my last batch to a glass jar. Do you think there's any basis for concern?

Thanks.
Bob

Greetings Bob,

The very special type of plastic used for the last 40 years by Jacob Labs as the primary container to store and deliver their various DMSO products is a laboratory grade of polyethylene; this is not your garden variety plastic.   As you correctly point out, DMSO will leach and transport many polymers and chemical elements if it is kept in the wrong kind of plastic container.  This is a subject I covered with the Jacob Lab people over 10 years ago when we first started to work together to develop a Peyronies treatment protocol.   Dr. Stanley Jacobs is a medical doctor, as well as a teaching and research professor at Washington State University, and he gave me his complete assurance that this more costly container is completely safe to transport and store DMSO.

Personally, I would be more worried about the DMSO picking up the residue of what used to be in your glass jar (mayonnaise, spices, even the soap you washed the jar with, etc.) and getting into your tissue, than anything from the original polyethylene container the DMSO comes in.

TRH

Should I get my hopes up about Xiaflex for Peyronies and Dupuytrens?

I've been reading that Xiaflex (used for Dupuytren's contracture) was tested for Peyronie's disease with pretty successful results and could be on the market as early as this year.  Should i get my hopes up?  Is this worth being excited about?

Greetings,

I am hearing more and more about nasty side effects and bad reactions from Xiaflex injections for Dupuytren contracture.  I think this is – or should be – the reason that Xiaflex has not been given fast approval for Peyronie's treatment.  I hate to think of what might happen if Xiaflex begins dissolving normal soft tissue structures in the penis as it sometimes does in the hand. 

From the tone of your email I get the sense that you are genuinely hopeful about Xiaflex might do for you, because you feel so helpless against Peyronie's disease.  Most men feel this way. You can get your hopes up, and you can get excited about it, if you wish.  Many people are sitting around waiting for a medical miracle cure while their lives slip away with a curved penis or useless hands.  They have the attitude that if there is no drug to save them, there is nothing to help them because the body cannot do anything against Peyronies disease or Dupuytren contracture.  Personally, I do not accept that line of thought.  I have seen too many people injured by drugs, like Xiaflex, and helped by Alternative Medicine. 

I believe a far more rational and safe approach to treating these two problems, and many others, is to first attempt more conservative treatment using a wide variety of simultaneous Alternative Medicine treatment methods.   Only after exhausting all possible conservative options would I remotely consider taking the calculated risk of a drug like Xiaflex.   The tone of your question suggests to me that you are not aware of, or even considering, the possible harm that can be done with a drug like Xiaflex.  

Many new drugs come on the market each year because of glowing reports and spectacular enthusiasm for the wonderful research results.  The new drug is highly advertised and heavily used for a while.  Then slowly and quietly new information comes out that bad things are happening to those who take this new wonder drug.  Even more quietly the drug is removed from the market a year or two later.  How many times have you heard that same story played out over and over?  High hopes based on questionable research, people hurt, drug withdrawal, many lawsuits. 

Why do we see so many TV commercials from lawyers who are trying to sue the pants off these drug makers?  The legal profession has created this large industry for themselves because there are so many bad drugs on the market and so many people who are injured, that lawyers can profit from this misfortune.  What should that tell you?  The lawyers are not making this stuff up.  They are just taking advantage of the huge opportunity they are given by bad drugs and injured people. 

Fact:  The U.S. is the heaviest user of drugs and surgery.  Fact: The U.S. is ranked about the 16th healthiest nation in the world, and we die at an earlier age, behind 15 other countries that take fewer drugs and use less surgery than we do.  If the use of drugs and surgery leads to health and long life, we should live the longest and be the healthiest country and we are not.  What does that tell you?

Sure, there are good drugs and not all drugs are bad.  But you must be extremely careful how you go about using them.  Xiaflex might help you, I cannot say one way or the other.  In my opinion, if you are going to use Xiaflex it should be the last thing you do, not the first thing.  You should certainly talk to your doctor about your decision and educate yourself to the best level you can.How you approach the treatment of your problem is your decision.  TRH 

Would you advise against “hanging weights” from the penis as a way to treat Peyronies?

Sorry if you've answered this in the past but I didn't see it on here…would you advise against "hanging weights" from the penis? I'm not sure if this is can be as damaging as extenders but I'd just like to get a consensus before I spend any more money on this penis of mine.

I can see why penis stretchers/extenders might not work but with weights, it is gravity after all.

-Just around the bend

Greetings Just around the bend,

Yes, it is only gravity.  Try telling that to the fellow who has a brick fall on his head. 

Gravity is a universal force of attraction that increases with the mass or weight of an object.   The effect of hanging a grain of rice from your penis is far different from hanging a brick from that same sensitive organ. 

In regard to the idea of hanging something from the penis, this is the essential problem with this strategy of penis elongation:  How do you attach the hanging weight to the penis in order to stretch it?   Unless your penis is vastly different than those I have seen, your penis does not come with a handle or other point of easy attachment for this weight.  There is no good safe way to attach a weight in order to traction the penis.  For this reason the usual strategy is to tighten some type of clamp to hold onto the head (glans) of the penis to produce a traction force. And this is where the trouble starts.  The tightened clamp that is applied to the glans can easily cause blisters or tissue erosion, as well as problem related to decreased blood flow as a result of the prolonged pressure. 

Even if your penis does come with a handle to which you can safely and conveniently hang a weight, what good is that in relation to Peyronie's disease?  When you stretch the penis forcefully you can only stretch the elastic and normal tissue, not the dense and fibrous scar material.   The normal stretchy soft tissue of the penile shaft will stretch long before the fibrous scar, and so all traction force will be absorbed by the normal tissue.  Nothing will happen to the scar material using this strategy.

It seems that most men are naturally interested and want to believe that making their penis larger is beneficial to treat Peyronie's disease.  I have seen too many cases of Peyronie's disease start with the use of hanging weights and penis stretchers to know that this is not a good idea.  Sorry.  TRH

Not sure what to do next for Peyronie’s treatment

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

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

Looking forward to hear from you.

Your help is greatly appreciated.    Thank you.

E. Garcia

 

Greetings E. Garcia,

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

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

Please go to the PDI website and click on the link Start Peyronie’s treatment.    This is a good starting point to begin to put a plan of action together for your recovery.  Keep in mind that an important element of a good treatment strategy is to do a variety of Peyronies disease exercises along with using vitamins, minerals, enzymes and herbs to support your natural recovery.

 

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

What is the best way to take Male X Booster sex stimulant?

When taking the Male X  Booster sexual stimulant every other day do you need to add vitamin E to your diet?   Can you take Male X Booster once daily?   Thank you.

Greetings,

No, as far as improving sexual function is concerned, you do not need to take vitamin E if you are taking Male X Booster.  But you would want to take vitamin E as an important part of your Peyronie's treatment plan.   Yes, you can take Male X Booster once daily. 

There are many reasons why someone with Peyronie’s disease will develop some level of a sex problem, sooner or later.  The pain and distortion associated with Peyronies disease are not the only factors that can start sexual problems.  Reduced rigidity caused by the presence of the Peyronies plaque, feeling self-conscious about the loss of length and circumference that come with PD, fear of re-injury during intercourse, frustration of attempting intercourse with a bent or hinged penis – all these can and do cause real sexual challenges for the couple who deals with Peyronie's disease.  

For those men who simply need a little assistance with the quality of their erection, PDI has a collected a great selection of herbal formulas that can do the job nicely. Each has been found over time to work better than most on the market.  Not all of them work for everyone – that would be asking too much.  Based on many years of experience working with PD couples, this group of sex enhancers has proven to address the needs of almost all men.  Male X Booster is one of those great sex stimulants we work with.

For Male X Booster you begin by taking the dosage as provided on the label.   If you can develop good improvement with your sexual performance by taking daily, then by all means take it that way.  Some men take slightly more than that in order to see good results.  You want to experiment a bit to learn with any of these sex stimulants to see what works best for you.   Not everyone will respond the same way as you do, so learn what works best based on your needs.  

All you have to do is be patient with yourself and your partner, experiment to discover which herbal formula works best for you, and follow the instructions given below

  1. Use Stimulin as the first step in developing your sex enhancement plan.  This is a source of nitric oxide and is essential in developing and improving sexual performance.
    1. Use it, as instructed, for about 2-3 weeks, and see how much it helps.  It might not be necessary to use any other product to help your situation.
    2. If you are not satisfied after using Stimulin by itself, then continue with Stimulin and add an herbal sex enhancer (Male X Booster, ITI Man, etc.) you will find on the PDI website.
  2. If possible, get a few different products.  Experiment to discover the one that works best for you.
  3. Use each herbal sex enhancer as instructed.  Each has different instructions, because each has a different purpose, a different formula, and different strengths.
  4. Give up your anger, embarrassment and feelings of inferiority related to PD.  If you cannot do this, get Dr. Herazy’s book, “Peyronie’s Disease and Sex.”  If you still have a problem, call him for assistance; he is an expert in this area.  
  5. Be patient with her, and be patient with yourself.  This is a big problem to work through, and you should not make it worse for each other by being insensitive or unreasonable.

                       

Did waiting a long time before starting Peyronie’s disease treatment allow my problem to get worse?

Dear Doctor,

I am a customer of your site! thanks you for your site and your information to help us! I purchased your manual stretching cd before but to i am confuse still and had not really began seriously of any stretching routine. I am not sure if my distortion is ( downward curve) a peyronies decease. I do not feel pain today from my penis. This distortion happened i believe when i was much younger ( i am 27 now) i stimulated my penis then felt a pain afterwards. I didnt touch it anymore for a long period of time (traumatized because i was much younger back then). Could it be doctor than the cause of my downward curvature is because i believe i prolonged the time when i did not do anything to my penis while staying erect inside my briefs in a downward position? plus the pain i felt long long ago? if yes would the manual stretching method help improve the curvature (moderate) plus the vitamins and minerals you are supplying us? please enlighten me doctor because it affects my over all self-esteem. thanks .:)

Jose

Greetings Jose,

I suggest you go to a urologist for an examination and diagnosis of your current problem.  

Yes, waiting to start Peyronie's disease treatment allowed additional fibrous tissue to develop.  

If you have Peyronie's disease you can use all the methods found on the PDI website to increase your ability to heal and repair this problem.  You already know we do not advise using only the gentle manual penis stretching technique to correct your problem.   You must also use at the same time a wide variety of enzymes, vitamins and minerals to strengthen your tissue response to eliminate the foreign fibrous tissue.  TRH 

Do the medium and large Peyronie’s treatment kits come with instructions?

Product Question- do the medium and large kits come with instructions?

They do not seem to include a book. Would the book give instructions on what supplements to take?

thanks,

bh

Greetings BH,

All products you order from PDI come with full detailed instructions how to use what you ordered.  No one ever complains about the lack of information and instruction how to use what you order.   By my estimation the PDI Large Plan for Peyronie's disease comes with 17 pages of information, the Medium with a few less.   

To know what is in the "Peyronie's Disease Handbook" you only have to scroll down a bit and read the information that we have presented to you.   TRH  

Best Peyronie’s disease treatment, Neprinol 300 or Neprinol AFD?

Neprinol reduces inflammation and tissue damage

Neprinol is a completely vegetarian blend of several different enzymes that have tested to have over six time’s stronger activity to break down fibrin than the leading animal based enzyme blend product.  The enzymes in Neprinol have been shown to be clinically effective in supporting C-reactive protein (CRP) levels when taken as directed.  In this way Neprinol promotes normal levels of anti-inflammatory markers in the blood stream that are part of the physiologic response of the body while  dealing with acute (sprain, strain, overwork) and chronic (arthritis, most soft tissue disease, stroke, blood vessel disease) injury.  As a result Neprinol enzymes will assist the body in its effort to eliminate from the blood stream damaged red and white blood cells, fibrin, any protein material that is part of the inflammation process, as well as other cellular debris and foreign protein that can accumulate in the blood.

Neprinol AFD important in treatment of Peyronie’s disease because it affects fibrin

Fibrin deposition in Peyronie’s disease plaque

Immediately after injury occurs in the body, a protein called fibrin is deposited at the site of injury to act as a meshwork to trap and collect important blood cells and helpful components that create a clot that stops bleeding and promotes healing and repair of the recent injury.  This is normal.  After a period of time this mass of fibrin with it cellular collection changes so that the fibrin is removed and another protein called collagen fills in the spaces and changes the area of repair so that it resembles a fresh scar.  This is normal.  However, in Peyronie’s disease two abnormal things occur, for reasons that are not understood:  the fibrin does not leave the clot, and an excessive amount of collagen forms in the young scar so that it takes on a different name, a Peyronie’s plaque.  The way this fibrin and collagen collect and remain at the site of injury is consistent with repetitive injury to the small blood vessels of the penis.

The benefit of Neprinol AFD to Peyronies treatment is that it can break down and assist the removal of the fibrin that remains in the Peyronie’s plaque or scar.

Neprinol 300 most popular systemic enzyme sold by PDI

The ability to break down fibrin with enzymes, and to do it as economically as possible because it is a larger size bottle, is the reason some people call it Neprinol 300.  The high potency of two key enzyme ingredients, nattokinase and serrapeptase, address the concern about aggressively placing a systemic enzyme product as the foundation of treatment. Start by taking only four Neprinol 300 capsules daily, then slowly increase dosage while monitoring the size, shape, density and surface features of each Peyronie’s scar.  This is a great way to use this Alternative Medicine therapy for treatment of Peyronie’s disease. Neprinol 300 is recommended for both clinical use and therapeutic applications.

No difference between Neprinol 300 and Neprinol AFD

Whether you choose to call it Neprinol 300 or Neprinol AFD, these two terms are simply different names for the same potent enzyme therapy supplement that most people simply call Neprinol.

Neprinol continues to be by far the commonly used Peyronie’s disease therapy product.  Many times I have seen men who are following a particular plan that does not include Neprinol, and they experience slow or totally stalled results.  After adding Neprinol to that same plan it is common to learn that their recovery greatly improved from that point forward.

The name Neprinol 300 refers to the fact that Neprinol is bottled in either a 300 or 90 count bottle, for your benefit.  With the larger Neprinol 300 size bottle it is possible to take advantage of the reduced price of a greater supply and to purchase it fewer times; this is especially helpful for those who use Neprinol for chronic health problems that require prolonged treatment.  With the smaller Neprinol 90 count bottle it is possible to keep a smaller amount on hand for relief from occasional and mild overwork injuries or to simply get acquainted with the Neprinol product by taking a small amount of it.  By far, Neprinol 300 is a much more popular product.

The name Neprinol AFD refers to the primary purpose of Neprinol, as an Advanced Fibrin Defense therapy product.  Neprinol AFD is a name that tells the story that reduction and elimination of fibrin from the blood stream and tissue is what this product is all about.

Neprinol is safe

In over 10 years of use through the Peyronie’s Disease Institute there has been no report of any serious complication or adverse side effect associated with taking any systemic enzyme product like Neprinol, when it is taken in the way that we suggest.  Worldwide experience during this time has revealed, as well as clinical studies have demonstrated, that taking extremely large doses of this product does not result in a toxicity reaction.  Anyone taking a prescription for blood-thinning medication should consult with his treating physician prior to taking Neprinol.

Neprinol for Peyronie’s treatment

As good as Neprinol is when used to reduce Peyronie’s plaque material, it is almost always necessary to use several other in addition to the Neprinol to support and sustain the desired tissue changes.  Neprinol is best taken as part of an already good therapy plan, often used as a substitute for low dose nattokinase and serrapeptase supplements, although some men use all three products with very good results.

Neprinol AFD contains primarily serrapeptase, nattokinase, bromelain, and co-enzyme Q, plus a few other lesser ingredients. Other products also contain serrapeptase and nattokinase, individually, but few put these two in combination and none in the concentration of Neprinol AFD.  It is a more potent form of nattokinase and serrapeptase than if you would buy each in individual bottles, and the Neprinol 300 bottle itself is three times larger than most others that contain 100, to say nothing of smaller bottles with 60 or even 30 capsules.

However, in regard the idea of successful PD treatment is to not focus on any one particular therapy, even if it is a great one like Neprinol because the goal is to attempt to create a synergistic effect with several therapies taken at once for maximum therapeutic effect.  For this reason the Peyronie’s Disease Institute has always maintained that even if someone believes Neprinol (or any other) is a key PD treatment it should not be taken alone but combined for greatest therapeutic benefit.

No one knows how any one will respond to any or all of the 13 Alternative Medicine therapies found on the PDI website.  Some men report some positive results with just one therapy, but more men report better results when they take multiple therapies.  That is what the whole therapy concept of synergy is all about:  the more you do, the larger your plan, the greater the likelihood of promoting a favorable metabolic change to support and encourage scar reduction.  The PDI idea is not to “treat the scar” as a medical doctor would do, but to “treat the man who has the scar” so that his body can heal what is wrong with it.  This is a major concept shift for most medically indoctrinated people.  For this reason, as good a single therapy as Neprinol is, it is not recommended that anyone who is interested in earning good results in treatment of his PD scar should use just Neprinol – or just any one product – but several to create synergy.

Peyronies disease is a tough and terrible thing to happen to a man.  It takes dedication and persistence to overcome it.  Call it Neprinol 300 or Neprinol AFD, but definitely use it in a well diversified plan to break down the fibrin network of your Peyronie’s plaque material.  Success over this problem is never an easy victory, but always worthwhile.

 

What are your thoughts about Peyronie’s disease after second prostate biopsy?

I never had a problem with my penis til the last year. I am 63 yo, WM who has had two prostate biopsies over the last 6 yrs…each biopsy came back negative. After this second biopsy I notice my cock bends towards my tummy when erect and that it has lost about 3/4 of a inch…this is substantiated by my wife. Also, I have trouble obtaining and maintaining a erection even with the use of ED drugs.  Please help with your thoughts.

Thank you,

Peter Martin

Greetings Peter,

Your upward distortion and lost of penile length suggest the possibility of Peyronie's disease.  I suggest you have yourself examined to see if that is true or not.  I also suggest you go to a urologist different than the one who did the biopsies to assure a more non-biased and straightforward discussion.

Many men with Peyronie's disease develop it as a result of repeated catheterization associated with prostate surgery and biopsy.  Please refer to "Possible Peyronie's Cause:  Catheter and Cystoscopic Trauma."   Much abuse to the shaft and urethra can and does take place during these procedures and this could lead to Peyronies disease developing; since this traumatic effects tend to accumulate, all the more so.  

Further, repeated use of ED drugs (PDE5 inhibitors like Viagra, Cialis and Levitra) can also lead to a curved penis.  For more information you should read "Peyronies and Viagra" and "Peyronie's Disease Plaque, Viagra, Cialis, Levitra and Blood Supply."

There are some good things that Alternative Medicine can offer you in the way of Peyronie's treatment.  Please read the PDI website for information on a way out of using more drugs and procedures that can make your problem worse than it is now.   TRH  

Information about using DMSO for Peyronie’s treatment

Does wiping off the DMSO and other topicals after the first five minutes reduce the effectiveness of the treatment?

Greetings,

When you received your order of DMSO you were given detailed instructions about application and cleaning up afterward.  The instructions told you that after the first 5-7 minutes all DMSO would be absorbed into the tissue along with the other topical therapy you are using to treat Peyronie's disease.  After this time you can safely wipe it off since all DMSO is gone.  Any oily film that remains is simply the gel that is used as a carrier for the DMSO solution.  TRH

Can I take these other vitamins with my Peyronies treatment plan?

My husband has just started the medium plan and is working on the diet modifications. I am joining him on taking the Vitamins A and C for the health benefits. We want to know if you know of any adverse interactions that are likely to happen with our current additional use of Magnesium Citrate, Krill Oil, CoQ10, and Niacin along with the products in the medium Peyronies treatment plan.

We have been pouring over the Peyronies Disease Handbook and really appreciate all the detail there.

 

Greetings,

As long as you take the PDI directed plan as suggested there should be no adverse reaction wit the various nutrients that you list here. 

Thank you for the kind comments about "Peyronies Disease Handbook."    People always find the book extremely helpful and are surprised at the depth of information, especially after being told by most people that there is little that can be done to help this condition.   TRH

Used PDI treatment to cure his Peyronies disease, now wants to do the same for a topical scar.

Hi,
I was a customer a few years ago and cured mostly my Peyronies scar through your plans. My penis is mostly back to its normal form now and painless, and that is good. My question today is concerning a topical scar, not a scar on my penis. I have a long rubbery keloid scar on my forearm which keeps slowly snaking it's way down my arm year by year. And before trying to have it frozen off I'd like to try your enzymes and CP Serum and such.

I would like to know which enzymes of yours to try first? The Quercetin/Bromelain combo or just the new 5000 Bromelain? And the Copper solution with DMSO? Also, have you heard any research on Lugol's solution and iodine concerning topical scars?

Thank you for your time.

 

Greetings, 

Glad to hear your feedback on your successful results following the PDI concepts of Peyronie's treatment.  You really should write back to this same Q/A section and provide some insight and experience you gained while successfully treating your Peyronie's disease.

I have had many men tell me over the years that they have used a very similar scar treatment plan that follows their PD plan.  I do not have much feedback from these men about scar treatment but that idea makes sense to me.  Let me know what happens for you.  TRH

Can I follow a natural Peyronies treatment plan while being on several different medications?

Dear Dr. Herazy,
I have been diagnosed with Peyronie's disease, but I also have some other health issues that I am being treated for. I want to know if any of the substances used in your PD treatment will interact negatively with my current prescription medications. I am taking 1 Levothriod tab 88mcg on an empty stomach, for my thyroid; 1 Sulfamethoxazole/Trimethopr at bedtime ( I have an Atonic bladder and must self catheterize every time I urinate); I also take 1 Acyclovir tab 400mg twice daily for herpes prevention. I think my herpes outbreaks contributed to the development of my PD. I want to start treating my PD because, as per your website, my Urologist tried me on Verapomil ointment, but it irritated my skin, and he has't been fortcoming with any other treatment ( wait and see). I also have BHP, and he is watching my PSA levels, (I have had three biopsys, all negative. Thank you for any information on my question.

Sincerely,
Lou

Greetings Lou,

Sorry to hear of your current situation.

The best answer I can give you is in two parts. First, no one in over ten years of this work has reported a drug interaction occurrence as a result of taking any natural Peyronies treatment product.  These are all naturally occurring substances, for the most part nutritional in nature.  There would be little reason to think that any medication would have an adverse reaction with a nutritional product.  Second, I suggest you present the list of therapies that you decide to take as an Alternative Medicine treatment for Peyronie's disease to the medical doctor who prescribed these drugs to you.   He can offer his opinion about the appropriateness of combining these two different forms of treatment.    

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

Hello,

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

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

Thank you
Carl

 

Greetings Carl,

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

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

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

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

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

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

Tocopherol group

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

Tocotrienol group

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

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

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

Peyronie's and vitamin E connection

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

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

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

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

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

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

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

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

Thanks.

Greetings,

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

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

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

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

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

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

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

What kind of Peyronie’s treatment can I try?

dear dr herazy,
what can i do to be free of this horrible thing.I have had peyronies for about one year now its completely
ruined my life. can it be cured,how long does it take to go.what can i try.please help…..jim

Greetings Jim,

Your questions are so broad and basic that you make this reply difficult to help you.

You need to spend some time reading the PDI website to learn more what you can do to help yourself. There is not such thing as a Peyronie’s “cure,” although what we do on this website is help men heal their own Peyronies problem to the best extent possible.  

Many men each week report progress to me over their Peyronie’s disease.   Improvement is always work and it is never as fast as anyone would like it to be, but it can be done.  A good place to start is with this link  Start Peyronie’s treatment.  Please ask me what ever specific questions about Peyronies treatment you would like.  I just cannot answer a question so broad and basic as “What can I try?” because it would take hours to answer you.  You must do some digging and investigation on your own, my friend.

Good luck to you.   TRH  

Do you think I should try the enzyme supplement Neprinol for my Peyronies?

My question is really more confusion over the past year of having Peyronie's disease while using Topical Verapamil cream. My urologist wants me to keep using it and I have lost faith. I would ask your patience, and for you to read my experience because I do not know if the "new" curvature I have now is just due to active Peyronie's fibrosis or if it was somehow affected by the Verapamil.

If you envision what a moderate erection of a normal penis would look held down by clothing and "worn" to the left of the testicles, when my penis was erect it maintained a similar curvature. I assumed this was my "curse" for being aroused so often every day from the ages of 8 to 18. The curve never caused me pain or any sexual issues, and though would have wished it straight, it was nothing I would have sought treatment for. If not for pain that developed during erection under the left side of my glans, I would never have heard of Peyronie's Disease.

My Urologist is not a proponent of surgery except in extreme cases, so he prescribed me Topical Verapamil 15% (PD Labs). The confusion I have is that he wants me to keep using is and I think it is a waste of money.

During the first 90 days of use, my penis' curvature changed drastically. At first I thought that this was due to the Verapamil therapy, but now that it is clear that it was not becoming straight, but rather just curving even more drastically to the left from a different point. The downward curve is gone (a good thing I suppose) but replaced with this almost 90 degree curve to the left about 2.5 inches from the tip.

My Urologist wants me to keep using the Topical Verapamil, but I think that it is a waste of time and money and if it DID effect me, it only facilitated a worsening of the curve. I now have to have "help" to have intercourse with my wife of 27 years! By now we should know where things go and how to put them there, but this has messed that all up! I have minor to no pain, but it is emotionally screwing with me. She thinks it's no big deal, but I'm sorry. It is to me.

Do you think I should try the enzyme supplement Neprinol?

 

Greetings,

Sorry to hear of your problem, not only with having Peyronie's disease but for your experience of worsening while taking Verapamil. 

When I developed Peyronies back in 2002 I also used topical Verapamil.  I used it for six months and my condition slowly worsened,  just as you report.  I assumed then, just as I do now, that the Verapamil was not responsible for the worsening but was totally ineffective to reduce the scar structure and allowed my distortion to increase while taking it. 

I cannot comment on the appropriateness of topical Verapamil treatment in your case.  That is a discussion you should have with the treating doctor who prescribed it for you.   Perhaps his insistence in continuing this drug is more so based on his lack of having anything else he feels he can offer you in good conscience, rather than an overwhelming confidence and belief that it will eventually assist you. One of the articles about Verapamil from the PDI website that might give you helpful information is "Peyronie's Disease and Verapamil."

You ask if you should "try" Neprinol as a possible treatment for your Peyronies problem.  

Neprinol is definitely the most popular enzyme we sell in our  Alternative Medicine lineup, but we never – ever –  suggest it should be used alone to treat Peyronie's disease simply because the problem is too difficult and stubborn.   As good as Neprinol is as a systemic enzyme, from my experience it is almost always necessary to use a few other therapies in addition to Neprinol to create the desired tissue changes.   Neprinol works best used when it is an essential part of a good therapy plan.  When I was actively treating my Peyronie's disease many years ago I took Neprinol, along with Nattokinase and Fibrozym (but with greater emphasis on Neprinol) as the systemic enzyme part of my larger treatment plan.   I do not think you must do it this way to be successful, I did it just to cover my bases and to keep my tissue as saturated as possible with these enzymes.

I think Neprinol is so important for a successful Peyronie's treatment plan that I have a large and detailed discussion of this important subject in my book, "Peyronie's Disease Handbook".

While Neprinol might be a great systemic enzyme, the men I counsel about their PD who get the best results use more have many other things going for them than just Neprinol.   It is most important to approach your problem from as many different directions at the same time as possible to create synergy.

Some men report just OK results with just one therapy used against PD, but more men report better results when they take multiple therapies.  That is what the whole therapy concept of synergy is all about:  the more you do, the larger your plan, the greater the likelihood of promoting a favorable change in your metabolism that enables you to reduce the Peyronie's plaque that causes the cured penis that is at the heart of PD.    The idea is not to “treat the scar” as a medical doctor would do, but to “treat the man who has the scar” so that his body can heal what is wrong with it.   This is a basic idea that is fundamental to Alternative Medicine that presents a major shift in thinking for most medically indoctrinated people.   For this reason, as good a single therapy as Neprinol might be,  I do not recommend for  anyone who desires  good Peyronie's treatment results to use just Neprinol – or just any one product – but several therapies to create the desired synergistic effect. 

There are several special techniques I have worked out over the years for taking Neprinol to increase its potential benefit; it does not work to its maximum benefit if you take it like a vitamin.  After working with thousands of men about their Neprinol usage these special techniques for using systemic enzymes make them more available to you so they will do you the most good.   All of this information is provided when you receive you order from PDI.

PD is a tough and terrible thing to happen to a man.  It takes dedication and persistence to overcome it.   Good luck to you.  Let me know if I can help you in any way.  TRH

 

Can Neprinol be used in my Peyronie’s treatment plan if I am sensative to soy?

Hello Doctor,

I was reading about soy free Neprinol AFD on the PDI website.  The statement "soy free" caught my attention.  For some time I have been taking a soy-based energizing protein supplement.  Is there some connection between PD and soy?

About a year ago I began to mix the soy protein with a whey protein in a 1:2 ratio.

Thank you for a very informative web-site.

Sincerely,

Bill

 

Greetings Bill,

There is no statistical or clinical evidence to suggest that Peyronie's disease is related to soy intake. That information about Neprinol being soy-free is based on the need of many people to avoid soy in their diet; it is mentioned to let those know who are sensitive to soy that Neprinol can be used for their Peyronie's treatment.  TRH


Is Neprinol is a better Peyronie’s treatment option than Fibrozym and Nattokinase?

If I order Neprinol how much should I lower my present dose of Fibrozym and Nattokinase 1500 dosage to?    I am currently on 7 pills Fibrozym and 5 pills of Nattokinase 1500.  Also do I discontinue fundamental sulfur or continue while on Neprinol?   Do you believe that Neprinol is a better option than Fibrozym and Nattokinase 1500 overall?

Greetings,

Neprinol is a more concentrated form of the systemic enzymes that are found in Fibrozym (serrapeptase) and Nattokinase 1500 (nattokinase).   Neprinol has a higher enzyme activity rating than these two other products.   However, it is not always true that stronger is better or more effective Peyronies treatment.  

My suggestion is that you work with Neprinol to see how you will respond to it compared to Nattokinase and Fibrozym.   You could start taking a total of 4-5 Neprinol daily to determine if changes occur in the size, shape, density or surface features of your scar.   If you determine that there is a positive change in your scar, then you maintain that  same 4-5 Neprinol dosage until your scars disappear.   If at that dosage there are no positive changes in the scar, then you can increase your Neprinol intake until you see reduction of the scar size, shape, density or surface features.  It always comes down to what your tissue requires to make the changes you want.

Many men take all three enzyme products with Neprinol being the primary or lead therapy, but also keep a few Nattokinase 1500 and Fibrozym in their plans as secondary or minor sources of systemic enzymes.
    TRH

 

 

 

 

 

Why isn’t Neprinol included in the medium Peyronies treatment plan?

Dr.Herazy,

I have started using the medium plan.   I noticed, however, from your response to a question about Neprinol that you thought that Neprinol was more focused than Fibrozym and Nattokinase.  If this is so, why isn't Neprinol included in the medium plan?

Thank you for your response.

 

Greetings,

There always seems to be some question about Neprinol when used in Peyronie's treatment.   Here is something that I copied from the PDI website that you might have missed along the way that will explain my thinking about Neprinol in the initial plan usage:

 

"Hey, wait a minute!  I do not see NEPRINOL in any of these plans!  Why do you have Fibrozym and Nattokinase 1500 in these plans and not Neprinol?"   

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

     "1.  Neprinol is more powerful than Fibrozym and Nattokinase 1500.  It contains the same enzymes as Fibrozym and Nattokinase 1500 – at perhaps 10-12 times greater bioactive activity.  It also contains different kinds of enzymes that are not found in Fibrozym and Nattokinase 1500.  So, Neprinol is more concentrated and has a greater variety of enzymes than these other products.  Therefore, based on my experience since 2002 with men who are treating their Peyronie's bent penis, we have learned it is better to start treatment with the less intense and concentrated enzymes of Fibrozym and Nattokinase 1500 to get accustomed to the action of these enzymes; it is easier on the body and men have less diarrhea this way.   When you re-order the 1st or 2nd time you can then slowly introduce Neprinol into your treatment plan.

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

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

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

Peyronie's disease is a tough and terrible thing to happen to a man.  It takes dedication and persistence to overcome it.   It is never easy to overcome, but always worthwhile.  

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

 

 

 

 

 

 


Information about vitamin E and Peyronie’s treatment

Dear Dr Herazy,

I am a GP in the UK.   I have a patient with Peyronies, who has been following your advice (through your publications and web site) for some time. He is very happy with your advice and his results.  He asked if I could ask you some specific questions?

He has been using vitamin E for some time, and feels it does benefit him, however given the recent data from the SELECT trial, he is concerned if he should continue, he wondered what your advice might be.   Also, he wanted to know if you had any position on the use of fish oils ( omega 6-3) and activated vit D ( cholecalciferol) in the management of PD.

I have been trying to guide him through the available data. He would have contacted you directly but asked if I would do so, partly because I suspect he feels it is more 'official' through me and partly because I understand he does not have internet access at the moment.

I'd be grateful for any advice you can offer.

I would prefer that you do not use my name when you reply to this email, for confidentiality reasons.  

Best wishes.

Dr EXXX    SXXXXX
GP
Hurley Clinic

 

Greetings Dr. SXXXXX,

Of course.   Many people have been concerned about the findings of the SELECT trial of vitamin E, although if they knew a few details of that report they would be far less concerned.    They would understand that the conclusions they cite are misguided and based on several false premises that alter the conclusions that should be drawn.

Since this important topic bears a detailed explanation that I have already answered at length, allow me to direct you to my article, "Peyronie's Disease Treatment and Vitamin E." 

In regard to omega 3, 6 and 9 oils, we have always taken the stand that they are very helpful to Peyronie's treatment, especially in the early stages to reduce and control the inflammatory process that often causes pain.  Please refer to the discussion of Omega T and the essential fatty acids.   TRH 

Is it best to take Neprinol on an empty stomach?

Hi Dr. Is it best to take Neprinol on an empty stomach ?

 

Greetings,

Yes, it is best to take Neprinol at least 90 minutes before or 90 minutes after you eat.

If you are only taking Neprinol as a Peyronies treatment you are likely making a mistake.   Neprinol works best when taken as the primary component of a larger aggressive treatment plan.

You are also making a mistake by buying your Neprinol from people who do not know about Peyronie's disease and cannot guide you and give you advice for care.  When you purchase Neprinol form PDI you will be given a great amount of information that will tell you how to use this product – and all the other products you will need to take  –  correctly.   Our prices cannot be beat and out PD help is second to none.   TRH

Peyronie’s treatmet using compression

Greetings Again and Happy New Year, Dr. Herazy …

Thank you once again for your helpful reply.

While discussing further options to mitigate my Peyronie’s with my urologist today, he shared that a colleague had successfully treated a Peyronie’s patient with PRP (“Platelet-Rich Plasma”) injections …. which you may readily recognize as the treatment administered successfully to Tiger Woods about a year ago for a knee injury. My urologist, though, hastened to advise me that this procedure is clearly experimental, non-FDA approved, and not covered by health insurance. Anyway, I was wondering if you’ve heard of this procedure as a Peyronie’s treatment; and, if so, what are your thoughts, concerns, cautionary advisories, etc.?

Also, speaking of non-conventional Peyronie’s treatment regimens, I read something recently about the use of “compression”, whereby the penis is rubber-banded in the area of curvature with the intent of breaking up the plaque. I believe this procedure had been tried with some success in India or elsewhere in SE Asia. Have you heard of such a procedure?  Is there any basis for the possibility of plaque being mitigated by a compression technique …. be it rubber-banding or other like technique?

Thank you for weighing in on the above.

Phil

 

Greetings Phil,

Give me a little time to investigate PRP and I will get back to you.

Compression of the penis, because it is such a soft mass of tissue, would work like a tourniquet to greatly reduce blood circulation to the point that significant tissue injury could occur – leading to more Peyronie's disease.   In fact, many men who have used a device known as a "cock ring," that is designed to block blood flow in the penis, have reported that they developed PD afterward.  This is a dangerous idea when applied to the penis that i would advise against.  TRH

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

Hi, I just ordered your massage CD.

Have you any knowledge on the product serrapeptase or nattokinase?

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

Best to you,

Michael

 

Greetings Michael,

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

 

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

Would Neprinol work on my Peyronie’s disease?

Hi,

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

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

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

Thanks.  Any suggestions would be a great help.

Greetings,

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

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

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

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

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

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

Question about Whey Protein Supplement and Peyronie’s treatment

Hello Dr. Herazy,

I avoid mild and eggs and soy products so that I can further help my body heal my Peyronie's issue. However, I enjoyed the body building benefits of these foods and now I am in search of a body building product that will allow me to increase my protein intake. Most of these kinds of products include milk, egg, and soy. I used to use the Gold Standard 100% Whey Protein but, alas, it contains milk, egg, and soy (lechitin). Is this Whey Protein product as harmful to me as I think or can I go ahead and use it as a protein supplement?

 

Greetings,

I suggest you use a small amount of your Whey Supplement powder in your Peyronie's treatment plan to determine what effect, good or bad, it might have on the size, shape, density and surface features of your PD scar.  TRH

How high can I increase each product beyond the instructional use to see improvement?

I ordered your medium plan.. I was just wondering in relation to the sulfur, Fibrozym and Nattokinase is better to take each one of these separately at different times of the day or should I combine them for better results..I’m cautious to combine because one might negate another’s effectiveness. Also under the instructional dosage I have had limited results.   How high can I increase each product beyond the instructional use to see improvement?

 

Greetings,

Each therapy product should be started at the dosage recommended on the label, just as you were instructed by the various papers that came with your order.   If that dosage, when combined with the other therapy products in your plan, proves to cause your PD to improve you simply continue to stay on that dosage until your scar is absorbed by the body.  If that dosage, however, has no positive or beneficial effect on your Peyronie’s disease, then the dosage is slowly increased according to the directions sent to you when you placed your order.  Men usually do not have to go very high to see positive changes, and seldom near the upper end of safe dosages since they are combing other therapies.  The most common problem from taking a higher dosage following the PDI plan is that of nausea or diarrhea, that is usually mild and easily controlled.  

You can take your MSM (sulfur) product at the same time you also take your Nattokinase and Fibrozym.  No need to separate the time you take them.   TRH

Is it OK to have sex if I have Peyronie’s disease?

DR. HERAZY,

MY PEYRONIE’S PROBLEM STARTED A FEW MONTHS AGO AND I HAVE A 30 DEGREE UPWARD BEND. WE STOPPED HAVING SEX. MY WIFE IS AFRAID SHE WILL DAMAGE IT MORE. MY UROLOGIST PRESCRIBED VERAPAMIL CREAM WHICH IS NOT HAVING MUCH AFFECT.WHAT NATURAL TREATMENT I CAN APPLY TO CURE THE PROBLEM? AND SHOULD I DO ANYTHING TO PROTECT MY PENIS DURING DAYTIME FROM PRESSURE OF ANY KIND, OR APPLY A FIRM UNDERLINING support to keep it straight?

 

Greetings,

There is much to say here.

First, do not stop your sexual activity; it is important that you basically continue as you always have, with the exception that you must be much more careful and defensive with your technique.  This is a huge subject, so perhaps to really understand it best you should get my book, “Peyronie’s Disease and Sex.”  It will help both of you to understand how to have a full sex life in spite of Peyronies.

Fewer doctors are using verapamil because of limited results – and you have seen this to be true for yourself already.  For more information, see my article,  “Peyronie’s and Verapamil.”     

Next, when you ask what kind of Peyronies treatment you can use to help yourself with your PD it is obvious you have not spent any time looking at the PDI website; it is loaded with hundreds of pages of information to answer this question.   

You must protect your penis to prevent additional injury during sexual activity.  You do not have to worry about light contact or pressure during the day.   To protect the penis during sexual activity we have assembled a great list of effective penis supports that will reduce the chance of re-injury by sudden buckling or bending during intercourse.    Go to Sex Supports and Marital Aides.     You never want to force your bent penis to make it straight.  Once you start treating your PD and you begin to cause your internal scar tissue to get reabsorbed your penis will be able to naturally straighten out.   Before that happens do not apply pressure to reduce your curved penis to make it straight.         

You really need to spend some time educating yourself in this critically important subject so you will know how to protect and assist yourself.    Probably the best single thing you can do to understand how all of this operates and how to help yourself is to get my first book, “Peyronie’s Disease Handbook.”  TRH

Herbal products to help with ED sex problems associated with Peyronie’s disease?

I believe I got PD using ED drugs been married 30 yrs & need some erection help. Have stopped using the drugs, can you suggest something herbal I can use to replace them. Thanks Dave

Greetings Dave,

What you report is rather common.  I have communicated with hundreds of men who tell me their Peyronie's disease and sex started after using PDE5 inhibitor drugs (Viagra, Cialis, Levitra); this can happen after just one use or repeated uses.  For more information see Peyronie's disease and Viagra, Levitra and Cialis and Peyronie's treatment and Cialis.

If you go to the PDI shopping cart and scroll about 3/4 the way down until you see BetterMAN and about 5-6 other sex stimulant products. The most important of the group is a product called Stimulin. You would definitely want to include Stimulin with whatever else you use.  

All of these herbal products are much more gentle than your drugs and will not worsen your PD problem.   Many men use them while undergoing their natural Peyronie's treatment plan.  TRH

What is a good vitamin E for Peyronie’s treatment?

I was diagnosed with Peyronie's several years ago and my doc told me to take Vitamin E. In a few weeks, the symptoms cleared up. My problem is that I've developed PD again, have seen another urologist who also suggested Vitamin E. The PD seems much worse this time around. My question..if I choose to simply take Vitamin E, can you recommend the exact(and very best) brand, dosage, etc. I'm still sexually active, but it is affecting my sex life and is very stressful. Any help you might offer would be greatly appreciated. Also, I have read/researched at great lengths on your site and may return if you cannot offer a possible solution based upon the info I've provided. Thank you very much, Bobby

Greetings Bobby,

Sorry to hear of your Peyronie's problem.

Vitamin E is one of the cornerstone Alternative Medicine therapies recommended by PDI.  You can read about using vitamin E for Peyronie's treatment on the PDI website.  However, it is not all that is usually needed to recover from this problem.  So often it is required that a man assemble a group of therapies to take all at the same time to finally increase the immune response of the body against this problem.

PDI has a shopping cart from which you can order a great vitamin E product that we have used for over ten years.   Feel free to contact me if you have additional questions about helping yourself with natural therapy.   TRH