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

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

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

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

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

T. K.

Greetings T. K.,

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

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

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

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

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

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

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

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

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

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Would a penis extender help my curved penis?

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

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

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

Thanks
Harold Bridges

Greetings Harold,

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

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

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

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

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

If you have additional questions please let me know.  TRH

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

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

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Greetings,

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

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

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

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

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

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

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

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

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

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

Still taking all but the Potaba

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

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

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

Thanks

Jim

Greetings Jim,

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

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

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

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

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

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

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

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

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

Greetings,

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

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

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

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

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

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

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

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Good luck to you, sir.

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

Dr. Herazy,

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

Thanks,

Lou

Greetings Lou,

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Greetings,

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Hello,

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

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

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

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

Thank you.

Greetings,

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

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

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

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

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

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

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

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

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

Greetings young man,

I will be happy to help you.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Hi doctor,

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

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

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

Bill

Greetings Bill,

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

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

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

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TRH

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

Hello Dr Herazy,

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

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

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

Thank You,

Johnny J

Greetings Johnny J,

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

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

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

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

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

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

Dr. Herazy,

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

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

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

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

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

Sincerely,

C. A. H. DDS MS

Greetings Doctor,

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

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

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

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

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

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

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

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

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

John

Greetings John,

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

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

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

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

 

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

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

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

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

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

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

 

Greetings, 

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

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

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

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

 

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

Hi Dr Herazy,

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

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

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

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

Thanks

Paul Craig

 

Greetings Paul, 

Sorry to hear of your problem.

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

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

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

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

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

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

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

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

My husband will not see a doctor about his curved penis (we think it is Peyronie’s disease), what should I do?

Avoiding medical care for Peyronie’s disease is common  

Refusal to see a doctor about a bent penis is an unwise but common reaction among men who find themselves dealing with the long-term negative prospects of Peyronie’s disease. The male tendency to be slow about seeking medical attention in general is compounded by the shock and utter disbelief of learning that there is actually a urological medical condition called Peyronie’s disease that undermines the ability to function as a sexual human being.

In Peyronie’s disease the development of fibrous plaque tissue below the surface of the shaft results in a curved penis or some other deformity that reduces or eliminates the ability to engage in sexual intercourse.  Making matters worse it frequently reduces the length and girth of the shaft, as well as weakens the quality of erection.

Take advantage of the fact the body cures Peyronies disease half the time

When a woman looks for helpful information about Peyronie’s disease she can turn to the Peyronie’s Disease Institute woman-to-woman program for a telephone discussion during which our nurse will answer any questions about PD treatment, sexual dysfunction problems or anything that is of interest to a woman when her husband will not help himself.

The proposal that a man can move his status from someone who was not able to eliminate his own Peyronie’s disease to become a member of the 50% group who rid themselves of this affliction is a simple and easy one to understand.  It is based on the observation that about half of the men naturally and spontaneously heal or correct their Peyronie’s disease within the first 12-18 months after onset.

When a man finds that he has not self-corrected or eliminated his Peyronies plaque he still has the option to promote his own recovery.  This can be attempted by an aggressive plan to actively support or increase his natural healing ability using several different natural therapies identified by medical research to assist the removal of the offending fibrous plaque material. To find out more about this process go to “Start Peyronie’s treatment.”

Alternative Medicine offers natural treatment options to Peyronie’s surgery and drugs

Since 2002 the Peyronie’s Disease Institute has developed the concepts, as well as nutritional and external techniques, that proposes any man can follow a program of self-administered Alternative Medicine care in an effort to increase his ability to heal and repair the Peyronie’s plaque.  By focusing multiple therapies to enhance healing potential many men find they can increase their immune response against the soft tissue changes that cause all the outward signs and symptoms that are so deeply disturbing and disruptive to normal male function.

This is good news for any man who realizes that there is indeed a cure for Peyronies disease; half of the time the body will naturally rid – or cure – itself of the internal scar or plaque material that causes all the problems of altered sexual structure and reduced sexual ability without any outside help or intervention. In other words many men just get rid of their own PD without any help.  Using well placed and logical assistance that is guided by research done in this area for the last 40 years, the Peyronie’s Disease Institute finds that it is often worthwhile for a man to simply support his immune system to reduce the foreign fibrous material of Peyronie’s disease in order to support his tendency to eliminate his PD fibrous plaque as happens half of the time.

A woman can help her man in many ways   

Probably as the two of you were going through information on the Internet your husband got stuck on the idea that there is nothing that can be done for PD except Peyronie’s surgery, which the Internet information also reports will be followed by recurrence of the same problem in a few years and the possibility of side effects that are sometimes worse than before the surgery (loss of all sensation, constant pain, impotence).  With the negative atmosphere and bleak prospects for medical care associated with Peyronie’s disease many men feel a natural hesitancy to get started moving in that direction.

A great paradox commonly develops for a couple when they struggle to understand what is happening to them when they are first learn about Peyronie’s disease.  The contradiction is that after getting the diagnosis and learning about the disease that neither of them knew existed, the man is typically motivated by embarrassment and fear of the future to be quiet and introspective while the woman instinctively wants to discuss the problem and explore her feelings with others.   As time goes on and Peyronies exerts its negative influence on their lives, each will be driven deeper into their opposite direction, and each will not understand why their partner is behaving that way.  This makes for increasing tension between the couple while they should be coming closer together to deal with their mutual problem.

The special relationship between a woman and a man is always tested greatly when Peyronies enters the scene.  While not absolutely true, it has been my observation that most couples will find that the many trials and tribulations of Peyronie’s disease and women will cause whatever is good and strong in their relationship to increase and become better, and whatever is troubled and weak in their relationship to deteriorate further.  Peyronie’s disease does not actually create new conflict within a relationship, but only increases and intensifies whatever strength or weakness was present before it arrived on the scene; it acts as a great reference point that amplifies whatever was going on between the couple before its arrival.  It does not have to be that way, but it happens because people are not prepared for what lies ahead.  They are caught so unprepared for the drama that becomes their lives together that the truth of their relationship is not only exposed but it is exaggerated by the emotions that emerge.

During countless talks with PD couples since 2002 it has been observed many times that either a couple is a naturally good problem-solving team, or it is not.   When it is not, and the man and woman do not work together well, it is very difficult for them to develop and practice whatever new personal skills of good communication, tolerance, compassion, forgiveness or whatever assistance might be needed to help their situation.  It takes extra effort and great patience to acquire the skills and ability needed to come together as a team, while at the same time dealing with the harsh realities of Peyronie’s disease.  Just as it might be difficult to learn to swim while being swept away in a flood, it is just as difficult to develop those skills that lead to becoming a solid team if at the same time they are being tossed about while dealing with PD.  Having presented that observation, it should bring comfort to know it is still possible to minimize and perhaps even overcome the negative and destructive forces that develop as a result of Peyronies disease if exceptional effort and honesty are applied.

You can begin to help your husband with his Peyronie’s disease by encouraging him with information that it might be possible to help himself correct his own PD problem as those 50% of men whose internal plaque are naturally eliminated.  Offer this information to him, showing him that there are more options available to him than Peyronie’s surgery.

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

Thoughts on using pentoxifylline in conjunction with your program?

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Greetings,

Thanks for the interesting question.

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

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

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

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

Good luck to your. 

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

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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

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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Is it really possible to cure Peyronie's disease?

Hi. My name is Laurynas .  i'm 49 years old from country named croatia in eastern europe, now living in the U.S.A

i have crooked penis, i've slept with four women so far, with first i felt discomfort( soft pain )

and with the last two i even couldn't put my penis into their vagina s( because of curvature).

this desease touched my self esteem , and my potency, too. i have neuroses called anhedonia( unability to feel pleasure).

my questions are – is it really possible to cure Peyronies disease or somehow reduce it and are these non traditional treatments work?

and what is your opinion about penis extenders?

thanks for answers in advance.

Greetings Laurynas,

First, while you have mentioned your bent penis, you did not say that you know you have Peyronie's disease.  Just because your penis is curved does not mean you have Peyronies.  Has your penis, more specifically your erection, always been crooked?  Some men are born with a penis that is not straight when erect.   If this is your situation then you need to approach your distortion from a different direction.

Assuming you know you have Peyronie's disease, I will give you my thoughts and experiences.  When I developed Peyronie's disease at age 54, in 2002, I was confronted by the same problems and fears as you, as well as every other man who has this problem. I had no good direction to take, and so I used the most common and logical medical treatment used at that time.  I knew it did not have a good record of success to cure Peyronie's disease but there was not much else that was available that made sense to me.  This was a topical Verapamil cream that I used faithfully for six months during which time my condition worsened and it caused a multitude of side effects that affected my health.  I quit using Verapamil and decided to seek the assistance of three MDs I was working with at that time.  We put our heads together (don't you just love American idioms?) while I did all of the research on any current Peyronie's information I could find. 

Over time we developed the treatment protocol that is now found on the Peyronie's Disease Institute website.  Our thinking was directed by the fact that in about 50% of cases, within the first 12-18 months of developing Peyronie's disease the condition will self-heal or you can say that the body will cure the problem on its own.  In this sense there is a very real and very obvious method to cure Peyronie's disease, and the body does it pretty well in about half of the cases. Please read an article I wrote about this, Spontaneous remission and natural cure for Peyronie's disease.

Peyronie's disease is not incurable; it is just incurable using the current medical knowledge and drugs available.  The body does a fairly good job of eliminating PD about half of the time, but the medical profession seems to ignore this. When your medical doctor tells you there is no cure for PD, what he means is that he has no drug to give to you. 

What I did under the watchful eyes of my medical colleagues was to provide to myself a wide group of natural therapies that are helpful to support and supply the nutritional needs of the body so it can do a better job of healing and eliminating the Peyronie's plaque tissue that is at the heart of the curved penis that is so disturbing you right now.   I was able to eliminate my internal PD fibrous scar and reverse the curvature it caused.  I now have no Peyronie's disease because i worked to help my body eliminate it like it should have in the first place.  It is really not a very complicated idea. 

Getting back to a few things you mentioned in your email, I would like to remind you that all men have a problem with Peyronie's disease reducing their self-esteem.  I did.  Then I realized that I am more than a penis.  If lost my right arm, would I still be a man?  If I was blind, would I still be a man?  What makes a man a man?  It is much more than his penis – it is part of it for sure, but it is still only a part of the whole man.  

If you have a woman who thinks less of you because your penis is curved, find another woman.  Find a woman who appreciates the fact that unique.  Find a woman whose vagina perfectly fits your curved penis because when you do you will find that you will be able to give her sexual pleasure that no other man can do.  Find a woman who does not judge you like you are a dog in a dog show who must be perfect according to a set of rules that someone else has written.  Find a woman who loves you and appreciates you because you are one great Lithuanian guy.

Your potency was bothered because you allowed yourself to become embarrassed.  That problem occurred because of how you felt about yourself at that moment, and was for the most part your fault for not judging yourself correctly.   You were being immature and too rough on yourself.  Stop it.

Penis extenders are dangerous, they do not make sense, and I can find no evidence that they actually work.  Many men come to me after they use a penis extender to get larger, and only injure themselves so badly that they develop PD after using the device.  There are many articles I have written about these mechanical penis stretchers on the PDI website; look them up, please.

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I suggest that you spend a little time reading some of ideas and information about natural Peyronie's treatment found on this website.  Let me know if I can help you in any way.   TRH

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

How women can help men deal with Peyronies disease

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

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

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

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

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

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

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

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

Hi Dr. Herazy,

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

Thanks,

Alan

Greetings Alan,

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

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


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

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

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

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

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

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

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

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

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

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

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

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

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

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

Thanks.

Tony

Greetings Tony,

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

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

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

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

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

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

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

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

Dr. Herazy,

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

Thanks

 

Greetings,

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

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

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

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

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

How do I find the Peyronie’s scar?

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

Thank you so much,

Phil

Greetings Phil,

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

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

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

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

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
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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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Geting help for Peyronie’s disease and mild penis curvature in South Africa

Hi Dr Herazy,

We live in South Africa and my hubby has Peyronies. It is all very new to us and would like to know if there is a treatment or any equivalent medications here in South Africa. At the moment he is taking 1000mg of Vitamin E as prescribed from the urologist. His penis curvature is not all that bad and he has some exercises that he does.

Many thanks.

Belinda

 

Greetings Belinda,

PDI ships to South Africa several often, because I am not aware of anything available in your country like what is offered here.

Taking vitamin E by itself is seldom effect; it has to be combined with a broad supply of other nutrients and enzymes to really do any good.

Please make sure he stays as diligent with his treatment as possible even though his curvature is not currently presenting a problem since it is common for even mild cases of Peyronie's disease that are a few years to suddenly worsen for little apparent reason.  

Good luck to you both.  TRH

Easy treatment for Peyronie's disease?

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


Greetings,

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

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

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

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

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

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Does this sound like Peyronie's disease to you?

Hi Dr. Herazy,

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I’m glad to have found your site. I recently was diagnosed with Peyronie’s disease after having gone through numerous urologists who were stumped as to what the issue was. My initial symptoms were pain and swelling of the glans specifically the coronal ridge. This ridge now appears more pronounced than before and although I no longer feel soreness I have the sensation of the glans feeling separate from the shaft. Soon after I noticed a dent on the underside of the shaft right below my glans which is only noticeable when erect. This area also feels somewhat numb to touch. My glans also do not get as hard as before I had this dent. My urologist mentioned a “distal neurovascular bundle” which is obstructing and preventing blood staying in the head.

Have you come across such a dent accompanied by soft glans and what is the likelihood of this being permanent damage?

Suffice to say this has caused tremendous stress however I am optimistic that the body given the right conditions and support can heal almost anything.

I appreciate any comments or advice you may have regarding this matter,

Chris

Greetings Chris,

From the limited information I would say you have at best a Peyronie's-like condition. Peyronie's disease is not associated with a neurovascular bundle, but a formation of collagen and other cellular components within the tunica albuginea tissue layer of the shaft. Numbness, glans swelling, glans softness and ridge formation are not part of the Peyronie's picture. While an indentation does sometimes occur with Peyronies I think this is perhaps more of a coincidence of a similar phenomenon and does not offer sufficient support for the diagnosis you say you were given. Perhaps you misunderstood?

Keep in mind I did not examine you, and the others did see your problem, so my opinion is of limited value. But still this diagnosis does not add up to me. Further, you say that several urologists were at a loss to determine the nature of your problem. Perhaps this is just what you were told so that they were off the hook to give you a diagnosis.

From my experience it is common that when several specialists get involved in a problem like yours, it is common for them all to be more concerned about not offending each other or being guilty of contradicting anyone that the patient is often forgotten. I say see another specialist and do not tell him anything about the other doctors so that this next opinion is more honest. 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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Is treating penile scar tissue similar to treating Peyronie's disease?

Hi. Dr. Herazy

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My question is regarding the differences and similarities between Peyronie disease and that of scar tissue without a plague, and whether or not treating scar tissue is similar to treating PD. I've been told by 3 urologists that I do not have Peyronie's disease, merely scarring as a result of an injury.

Almost two years ago I suffered the injury to my erect penis during intercourse. It bent awkwardly, causing pain, but I did not show any signs of having suffered a fracture. My original urologist told me I might have bruised it, told me it should clear up in 3 to 6 months, then shuffled me out of the office before I could ask any questions.

Now two years later the pain and curve has progressed to the point of impotency. I believe partly because I suffered subsequent injuries when my wife and I were trying to get pregnant this past winter. Around this time I also woke up abruptly in the night after feeling a tear in my erect penis, causing it to now bend downward with considerable pain without support during erection.

I waited almost a year to see a specialist in my area who is considered one of the best. He is the most recent of the 3 urologist I've seen. I was almost certain he was going to diagnose me with peyronies, but after his examination and an ultrasound he said it is a large scar and not a PD plaque. He gave me Cialis and told me it should clear up in 3 months. I'm really tired of uro's telling me it will clear up in 3 months when it has only become worse.

I hope you can provide your general insights on my condition. I appreciate all you do.

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Regards,

Andrew

Greetings Andrew,

Part of the difficulty of answering emails such as yours is that I cannot get a full sense of all the necessary information I need to offer a reply I can feel comfortable with. You did not indicate why the MDs who have examined you thought you did not fulfill their criteria for making a diagnosis of Peyronie's disease. What symptoms or signs of PD do you not present that would have enabled that diagnosis?

I would like to assist you more, but at best all I can do is to suggest that you consider trying a brief therapeutic trial of care to determine if and how much improvement you might be able to make to assist your effort. Treating penile scar tissue can be similar to treating Peyronie's disease since the concept involves helping the body remove foreign fibrous tissue cells. The PDI treatment protocol could assist the removal of scar tissue in some cases; in your case you could simply give yourself a few months of treatment to determine how you respond.

MDs, even specialists, sometimes make mistakes. This could be substantiated by the fact that all three have been wrong about your problem clearing up in three months. Further, sometimes when one MD makes a diagnosis it happens that a 2nd or 3rd MD that is seen for another opinion will only “rubber stamp” what the 1st one said for reasons of not wanting to make trouble within a tight medical fraternity. It happens. TRH

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

Dear Dr. Herazy:

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

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

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

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

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

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

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

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

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

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

Best regards,

M. C.
Havana, Cuba

 

Greetings M.C.,

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

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

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

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

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

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

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

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

 

Peyronie’s disease caused my divorce and makes me ashamed to get intimate; who can I go to for help?

I have had Peyronies for two years now. I live in Charlotte NC and being in the middle of the Bible belt have been ashamed and have not sought treatment for this reason.  It has been a major contributor to my recent divorce.  I am now trying to date but again am ashamed to get intimate could you refer me to doctor in Charlotte NC as I am now ready to address this.

Sincerely

Marc

 

Greetings Marc,

Sorry to hear of your Peyronie's disease and how it affected your marriage.

I do not know of anyone in the  Charlotte area in whom I have confidence.   Sorry.   However, there is another issue that is perhaps even greater than your Peyronie's disease, and that is your attitude about yourself and your Peyronie's disease.

Whatever doctor you eventually decide to consult for your health problem, if he is like 99% of those I hear about he will likely rush into the room, do a very brief history and examination, confirm your suspicion of having PD, tell you there is not much he can do and he will suggest that you come back in six months to see if you have gotten bad enough to do Peyronies surgery on you.  Unless you are the world's luckiest guy, he will not actually talk to you in any meaningful way or discuss your personal situation.  That is just how it is in the real world of medical practice these days.

You should get a diagnosis and make sure you know what your problem is exactly.  After that, you should carefully consider your treatment options.   You can use the standard drugs and surgery, or you can use Alternative Medicine to see if you can avoid the medical approach.   One of the things about the inevitable use of Peyronie's surgery is that there is always at least an inch or two lost of length and the possibility of continued penis curvature, possibility of erectile dysfunction as a result of surgery, to say noting of the external scars that are visible from surgery.  All of these can contribute to the shame and embarrassment you feel now.   Do not think that just because you submit to medical care that your days of reduced penile function and altered penile appearance are over; far from it.   Some men's  PD problems are worse after surgery than before it.   This is why PDI suggests more conservative measures that can reduce your penile curvature without risk of surgery and drugs. 

Regardless of what route you decide to take you must improve your self-opinion and how you view life as someone with Peyronies.  This is a huge subject and something that I cannot undertake in a response to the Q/Q section.   I suggest that you get my book "Peyronie's Disease and Sex" because it will help you in all the ways that I mention and it will offer useful advice about getting back into the dating pool again.   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

Starting to lose hope about Peyronie’s disease

Hello Dr. I'm inspired to read through these posts that your actually spend time with the people on this site. I'm wondering how I go about getting a phone consult with you? I am 46 years old and have experienced a curved penis and diagnosed with Peyronies about 2 years ago. It seems to be getting worse by adding pain and trouble keeping hard during sex. Orgasms are not nearly as intense and I'm not able to 'adapt' for my wife like i could even 6 months ago.

I'm skeptical like many of the men on this forum, but they seem very satisfied that you take the time and attention, and I'm starting to lose hope so i thought i'd reach out.

Thank you

Don
Franklin, TN

 

Greetings Don,

I remember what it was like when I had Peyronie's disease, so it is easy for me to want to help. 

Your skepticism is related to the medical sites who do not know anything about natural Peyronie's disease treatment, have never used it, have never tried to learn anything about it, and yet say it cannot be done.  All we are attempting to do is to increase the odds for natural  healing of PD as it occurs in half of the men who develop this problem.  We are not trying to make pigs fly.  It happens for half of the men who get PD, with a little help why not you?

If you want to schedule some time on the phone to discuss your situation, just scroll down a short distance to look for the picture of me holding a telephone and purchase a small block of telephone time.  I will email you to arrange for a time to discuss your situation.   TRH

How many units of vitamin E should I take for my Peyronies?

Hi,

After reading much of the literature on Vitamin E treatment I find it hard to conclude how many IU’s of the vitamin one needs to take on daily basis ??

Thanks
Dave

 

Greetings Dave,

With the naturally occurring and full spectrum vitamin E that is available on the PDI website there is much less cause for concern than when the synthetic forms of vitamin E are used.  All the nasty reports of bad reactions to vitamin E involved the use of synthetic vitamin E.

It is best to keep your daily dosage down to around 1200 IU of vitamin E when used in conjunction with a larger plan of diversified therapies.   When you place your order with PDI for any therapy products you will be given complete and detailed information how to use whatever you order.  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 can I tell the difference between Peyronie’s disease and a congenitally curved penis?

Dr Herazy,

I do not know if I my curvature is PD related or congenital. What are some of the signs that point to a congenital curve versus a PD distortion? It's frustrating because my condition seems to exhibit signs of both congenital and PD. I'm sure seeing a urologist is required to say for sure but even then apparently some will misdiagnose simply because they can't find the scar tissue present in PD. So, even that avenue doesn't seem to be a sure fire way of knowing 100%.

We know that PD is caused by an excess of scar tissue buildup in the tunica albuginea due to physical trauma to that area. But what causes the distortion in the congenital curvature? Is it an excess of scar tissue one is "born with"? If not, what would cause a penis to curve in dramatic fashion (35º- 45º downward) w/o scar buildup? To me that would seem to be an exceedingly rare condition to be born with. I could see a 5º, even 10º curve but 45º is a heck of a curve to be born with. If a congenital curve has no scar tissue, how do the PDI therapies treat it in that case since there would be no scar tissue to heal?

Secondly, if one does have a congenital curve, does the treatment for it change in any way from that of a PD distortion? How successful are your PD therapies at treating congenital curvature and do you even intend on doing a full study on this?

As you can tell, not knowing for certain whether my curvature is PD or congenital, I have quite a few questions regarding the both of them. Please help me make sense of the differences and their subsequent treatment.

Thank you.

 

Greetings,

Thank you for the great question. 

Probably the answer to your question is found with the easiest and most fundamental observation that you can make.   The basic difference between a penis that is bent due to Peyronie's disease and one that is congenitally curved penis is time.  When did you first notice that your penis is not straight?  

If you have always noticed, even as a young boy, that your erect penis is bent then you probably have a congenital curvature of the penis

If you have only recently noticed that your previously straight (or almost straight) erect penis is suddenly curved or distorted in some way, then you probably have a bent penis due to Peyronie's plaque that has altered the ability of penis to expand fully.

Usually, a congenital penis curvature is not accompanied by pain, while a recent case of Peyronie's disease can be painful.   Further, a congenital penis curvature is not accompanied by a palpable nodule or mass of fibrous tissue, while a recent case of Peyronie's disease will demonstrate plaque formation.  This plaque formation is not always easily located, so it can be deceptive to make a diagnosis of PD based solely on the ability to locate this foreign tissue.

In congenital curvature there is no scar material in the shaft.  The curvature in this case is simply due to corpora cavernosa chambers that are not of equal size or dimensions.   Just like you might have ears that are not the same size or shape, or large toes, or thumbs, the body is not always symmetrical.   

I do not have a lot of information about congenital curvature responding to the PDI treatment protocol because men simply do not report this kind of information back to me.  I can tell you that over the years I have a number of men say that the gentle manual penis stretching technique coupled with a good dose of systemic enzymes like Neprinol made a difference with their congenitally bent penis.  TRH

Location of Peyronies scar in relation to prepuce, and circumcision

Dr. Herazy,
I have received my first shipment of treatment supplies and am beginning my treatment, thank you. My wife had an observation about my scar that prompted us to ask you this question. I was circumcised as a baby (it was common practice in the 40’s) and have always thought they did a lousy job of it. I have always had an excess of skin on one side if my penis, and thought it looked gross. It just so happens that my Peyronies scar is in the same area. Also my herpes out breaks would take place in this same area. The question is: have all men with PD been circumcised, and could this be a possible cause of this terrible disease?
Thank you for your insight on this question.
Sincerely,
Lou

Greetings Lou, 

There is no statistical differentiation or predetermining factor for location of the Peyronie’s disease scar in regard to circumcision.   Men with an intact prepuce or foreskin  (uncircumcised) are just as likely to develop PD as those who have the prepuce removed (circumcised).  

Actually, on a purely theoretical and philosophical level, I would suppose that men who are uncircumcised (with a foreskin) have a slight advantage to not develop Peyronie’s disease.  I conjecture that an uncircumcised man is slightly less likely to develop PD because he has a certain level of protection against injury working for him during intercourse that his circumcised counterpart does not have.  The presence of the foreskin acts during intercourse to prevent evaporation and “leakage” of normal sexual lubricating fluids that are produced by both the man and woman.  In this way the uncircumcised man is more likely on a theoretically level to not have a “sex accident” in which the penis is suddenly bent when it rubs or presses against an area where the vagina is dry.   In actual practice I have no idea if this would actually show up as a statistically significant factor, but who knows? 

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

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

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

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

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

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

Greetings,

Thank you for your question.

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

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

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

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

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

Will reduction of masturbation help Peyronie’s disease?

Hello Dr. Herazy,

I am 32 and very recently developed Peyronie's disease.  I noticed the pain in early November. The pain then resolved itself by late December, around the same time two plaques appeared and a curvature of 5-10 degrees. At the time I developed it, I was under more stress than I can remember experiencing. I'm seeing a urologist next week. So that is my status but I was wondering if I currently masturbate daily do you think that reducing my masturbation by 50-75% would help. Also, in situations such as mine (young, early development, changed lifestyle (much stress now – except for the Peyronies concern)) and with the proper treatment plan the chances of recovery are high? Very very much appreciated….  J

Greetings J,

I have to smile.  Here you think that masturbation might be aggravating your Peyronie's disease, yet your solution is not to stop masturbating but only to reduce it by 50-75%.   I hope women appreciate this kind of thinking we men have when it comes to sex.

Masturbation, per se, did not cause and cannot aggravate your Peyronie's disease.   But it could have been the injury and repeated tissue strain that you sustained during masturbation that could have caused or aggravated your Peyronie's disease.   Do you get the point?   Gentle and easy masturbation that does not injure the tunica albuginea of the penis will not cause Peyronie's disease.   But the aggressive and sometimes violent masturbation practices and techniques that some men use can injure this deep tissue, causing or aggravating Peyronies disease.  It all depends on how you do it. 

The cause of Peyronie's disease is complex and not fully understood.   In my opinion your best chance for recovery is found in doing all those things that enable the body to heal as it does in 50% of men who develop PD.  This is what you will find explained in great detail on the PDI website. 

The earlier treatment starts and the more correctly, faithfully and aggressively the treatment is employed, will tend to favor tissue response and eventual recovery.  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  

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

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

 

Greetings, 

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

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

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

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

 

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 

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

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

Did my Dupuytrens and Peyronies start from hand trauma?

hello –

at 43 yrs old, i had no Peyronies symptoms. i injured my hand, and it required surgery to insert a couple of screws. when the cast was removed, i noticed a bump in the palm of my hand. about a month later, i noticed Peyronies plaques/scarring.

my primary care physician diagnosed me with Dupuytrens and Peyronies.  have you ever heard of this being triggered this way? i don't think it was a coincidence – not sexually active – no trauma occurred in that area. i had extensive swelling in my arm immediately after surgery from a nerve block that was used, and i can't help but think that might have played a role. my primary care doctor thinks the surgery triggered some sort of systemic fibromatosis condition.

wondering what your thoughts are on this. this occurred 3+ yrs ago, and there really has been no change.

thank you

 

Greetings,

Yes, I have heard of this sudden and widespread type of onset in which both Dupuytren contracture and Peyronies disease start at the same time from trauma.  In a few cases the trauma was to the upper extremity and once to the penis.  You might also have developed these two problems due to drug side-effects.  Since you did not mention your drug intake history I can only speculate, but there are certain medications that are know to cause both DC and PD; certain blood pressure, tranquilizer and a few other categories of medication can trigger a similar systemic fibromatosis.

If you have not noticed any change in three years with either problem you probably will within a short time since both conditions are progressive, although the rate might be slow.

Your real concern at this time should be directed toward elimination of these problems.  Please review the DCI and PDI sites for Alternative Medicine treatment options to increase your  ability to heal and repair these tissue changes.   TRH 

Follow up: Is it possible to urinate the Peyronie’s plaque out of the body?

Dr. Herazy,

Phil F. here, in reply to your response to my
recently posted question: Is it possible to urinate the Peyronie's plaque out of the body.

I want to thank you for your prompt, direct and most helpful reply.

FYI, it turned out that a second, follow-up urine
culture indeed revealed an infection … enterococ-
cus faecalis. A 5-day regimen of Cephalexin seems to have taken care of it, fortunately.

As for the Peyronie’s Disease, well, I continue to weigh my options ….

Thanks again!

Phil

 

Greetings Phil,

Glad that you got that 2nd urinalysis and that it led to you getting the right kind of help.   

From what I can see from my vantage point of hearing from men from around the world. there are basically three options:  wait to see if your Peyronies gets worse enough to warrant surgery; try an unapproved drug in an off-label application that does not have FDA approval; try to increase your body's ability to heal and repair the PD scar.

Let me know if you have any questions about using the PDI therapy concept for reversing the scar formation.  TRH 

 

Corpora cavernosa and the tunica albugnea in relation to Peyronie’s disease

This is an anatomy question based on the two illustrations from your website.The first illustration of the inside view of the penis is one of the best I've seen. I particularly like the picture in the left corpus cavernosum showing a lattice like structure.

The second illustration has three parts (a,b, and c. Part c shows a penis curving upwards. When looking at the left corpus cavernosum in Part c, there is what appears to be a series of almost parallel squiggly lines. I've seen these lines in numerous anatomy illustrations, but have never (ever)seen anyone actually label what these lines are.

As the tunica albuginea is supposed to be smooth, I find these lines confusing. Do these lines represent the lattice like structure underneath the tunic. Or do they represent veins? Just what are these squiggly lines trying to represent?

Thanks
Rob

 

Greetings Rob,

Great question; thanks for asking.  I always enjoyed the study of anatomy when I was a student; a fascinating and exacting subject that is the basis of understanding disease and our effort to return to health.

For those who do not know the picture Rob is  referring to, go to "Peyronies Penis Anatomy," to see the layer of tissue known as the tunica albuginea and the corpora cavernosa.

The wavy or wiggly lines that Rob is referring to are simply what the artist drew to represent the walls that make up the caverns or chambers or cavities of the spongy tissue of the corpora cavernosa.  You are just seeing the cut ends of those chambers represents shown in Box B that are shown as wavy lines in Box C because those same structures are shown from a different perspective.  These wavy lines are similar to a blueprint of a house where the architect draws a series of straight lines to represent the various walls that make up rooms, hallways, closets and outside periphery of the structure.  TRH

Is it possible to urinate the Peyronie’s plaque out of the body?

Hello Dr. Herazy,

I have had Peyronie's Disease for the past 18 months, with a penile curvature that is quite severe.

From 9/15 to 11/8/11, my urologist had me on a regimen of twice daily applications of Verapamil 30 ml Transdermal in PLO gel,80 mg/ml. As there was no discernible change in the curvature over the course of almost two months, it was decided to discontinue the Verapamil regimen.

However, since stopping, my recent urinations have contained a variable degree of light colored tissue-like particulate matter. Thus far, urinalyses have yielded nothing pathological, and thus the cause remains unknown.

My question is therefore: Is it possible that what I may be expelling in my urine are pieces of loosened plaque that have made their way into the urethra and out through the penis? My urologist thinks not, but the pharmacist does not rule out the possibility … despite believing it to be unlikely.

I might also add that the more such particulate matter being discharged during urination, the more discomfort I experience in the tip of the penis …. along with the occasional sensation of not having fully emptied my bladder.

Any answers, thoughts or recommendations would be very much appreciated.

Thank you,

Phil F.

 

Greetings Phil,

There is no anatomical connection between the opening of the urethra and the tunica albuginea of the shaft where your Peyronie's plaque is located.   Your pharmacist might be a great pharmacist, but knows noting of anatomy. If you actually did have a direct connection between the two you would be in the middle of a massively painful and bloody medical emergency, and you are not.

My guess from this end, with the limitation of knowing only what you have told me, is that you have an infection in the urethra – in spite of the negative urinalysis tests.  There are always false positives and false negatives in this kind of testing, and it is my guess that this is the case with you.  I suggest you go back to tell your urologist that your symptoms persist and that you would like another urinalysis done ASAP. 

After you get that situation cleared up I suggest you go to the PDI website to start some Alternative Medicine Peyronies disease treatment.   TRH

What can I do for my penis pain and hourglass deformity?

Dr. Herazy,

About 5 years ago, i was 20 years old. I had a healthy penis and a healthy sex life. I had some hair follicles/ bumps on the under side of the shaft that i would occasionally ( for some odd reason ) pick at. I had no problem with them aestetically. You could barely notice them even if you were looking for them. I just would pick at them like someone picks at blackheads or pimples on their face. I picked at one bad enough to where it scabbed up, which i had never done before. When this happened, before it had a chance to heal ( maybe 3 or 4 days later) i was picking at the spot again, and a little white nodule appeared and i scraped at it thinking it was a hard secretion of some kind. Instantly i lost feeling in my penis, and i panicked. There was not really any pain, but i didnt feel anything, and i could not get an erection. I could touch my penis with my finger and in some spots could not feel the touch at all and in other spots it was just dull. I went to the emergency room worried that i did something serious even though everything that happened was pretty superficial and just below skin level. After talking with a doctor, he couldnt explain why i lost feeling, but he assured me that i could not have damaged any nerves that shallow, and to relax and soon enough i would be able to get an erection. So, i did just that, and what do you know, the next day i relaxed and was able to get an erection. The problem was i still couldnt feel things as well as i use too. I figured that would pass as well. For the next few months i dealt with this minor nuisance. The amount of feeling i had in my penis would fluctuate day by day, nothing to serious, but something wasnt right. Also, the wound never seemed to close up correctly. To this day, 5 years later, it looks like an open hair follicle where the skin did not heal correctly and i can still see the little white nodule that i once picked at. One day a few months after the initial incident me and my girlfriend, now my wife, had sex three times. The next day i woke up, and my problem had gotten worse. The feeling of numbness was now worse, and now the head of my penis had a lot of numbness, which i forgot to mention was not the case previous to this. Also the head of my penis became discolored suddenly, overnight. It was just a slight discoloration around the sides and back of the head. The middle top part about the same size area as my finger tip was still the same color. This one area had normal feeling, whereas the slightly discolored area had much less feeling. There was a definite correlation. The day after that when it did not go away i scheduled an appointment with a urologist, and i went to see him that week. He basically told me nothing was wrong, and it was in my head. He told there is no way i damaged my penis from what i described, and there was nothing wrong with the color of the head of my penis. I understood that it was within a normal color range, but what i tried to explain to him is that my penis head was usually just a solid pink same normal color. Overnight, this tinted darker discoloration appeared, and it correlated with less feeling in these areas. He completely dismissed the notion. To ease my worries he sent me to a neurologist. All this guy did was have me do some standard normal tests someone would test for normally with a neurological injury and tell me i was fine and collect like 250 bucks of my money. No help at all. I gave up for the time being, and just lived with the difference in feeling. Sex was still good at times, but not so good at other times, and now after sex there was a recover process. I use to be able to have sex every day or two times a day or masturbate early in the day and then have sex at night. I couldnt do this anymore. There was never any pain during sex, but after sex there was irritation and soreness, and it usually took a day or so to recover. So i would just have sex once or twice a week. The sex itself would not hurt me. Ejaculation is what seemed to cause the pain and irritation inside of my penis. For maybe a year it stayed around the same. Then all of a sudden again, there was a new change. I masturbated earlier in the day, and then had sex at night and all of a sudden it got worse the next day. The feeling on the surface was worse, and now i would have weird feelings throughout the day where i would feel like i was on the verge of ejaculating just riding in my car, or walking around. There was something going on inside, possibly with my erectile tissue, causing these feelings. Also, i stopped masturbating for a long period of time after this because it appeared to make it worse at the time. I would ejaculate by becoming aroused and just touching my penis when very aroused due to my new feeling i was able to achieve this because i could now ejaculate easier and faster, with no movement of my hand on my penis. In the past, before my "injury", i could sit around all day and try this if i wanted to and nothing would happen. This was not a good thing. When i would have this feeling on a regular basis at work or in a car, it become extremely annoying, like an itch. Also, the pain and irritation was worse now and become a nuisance, and now all of a sudden there was a new symptom more then a year in. The area right under the head of my penis seemed to be more hardened. Especially after sex. I could squeeze the bottom half of my penis with my thumbs with it soft and it was really soft and spongy. Above that from an inch below the head up to the head it was much harder all the way around. Especially shortly after ejaculating when it was the most irritated. For a while it seemed to just get gradual worse with the hardness, and the sensitivity and feeling varied day to day, and occasionally it would get much better which gave me hope that it was recovering. I would abstain from sex or masturbation during this time period, but a few days later it would revert back to how it felt before with the lack of sensitivity and irritation. Also, each time my symptoms got worse, i lasted shorter in bed. I would not have much feeling and my girlfriends vagina did not feel great anymore, but because i had that weird tingle that i walked around with all day i would sometimes ejaculate after a few hard thrusts, or i would have to cut it back and switch positions. The sex just was not comparable anymore to how it use to be. Over the last couple years it has been pretty much sustained with no significant change. One this i forgot to mention is i do have two benefits up until now that some others i am reading about do not. number one, i always can get a full erection. Number two, my erection is not curved. Still, the hardness got worse, and there seems to be a few little bumps or nodules under the skin in my upper shaft. Also when my penis is completely hard it looks straight, the only difference is on the right side of my upper shaft even though my penis does not bend, it is abnormal in the sense that it seems that the line is not smooth and straight up to my head any longer. It is ridid and dips in and back out slightly, not even really visible without pointing it out. Also when i am getting erect but not fully erect the penis will be bent to the right in a way that it never use to, but when i am fully erect there is no bend. Also, when it is in between flaccid and full erect, i can see the hourglass shape and a slight dip on the right side of my shaft in the middle right at the beginning of where the plaque seems to be. I think that i dont have a bend because the plaque is on all sides, thus the hourglass shape. My most recent development that is scaring me more then any of the other is there is now constant pain just on one side of my penis. It is after, during, and before sex. My problem would never bother me during sex previously, it would just shorten the length of time we could have sex and afterwards be irritated and require a day or two of recovery. It effected my sex life, but there was no pain during sex. Now, all of a sudden, 5 years later, this disease still continues to every once in a while get worse. The upper half of the shaft seems to get harder, the bend seems to be more when flaccid and in between flaccid and erect, although there is still no bend while erect. Worst of all this pain now is scaring the shit out of me. I forgot to mention that i went to that same urologist twice, and then finally went to another urologist, and they all blew me off. The one saw me, and then gave me my money back and told me i did not have Peyronies, because i came to him with this diagnosis after my penis started to get hard spots and develop and hour glass shape. Also, it seems my penis has shortened slightly but this does not bother me so much. What does bother me is this new pain inside my penis on the left side that hurts during sex. After 5 years of this disease progressing it really has taken its toll, and for the first time it is now severely affecting sex. Will this keep progressing?  Is there anything i can do?  Does my disease continuing to progress have anything to do with that original wound that seemed to heal weird and remain slightly open? I look down at my penis when it is in pain and i cant fathom what has happened to me. I am 25, and i feel like i have a penis full of damage and scar tissue. Until now, i would have some days where my penis felt pretty good once in a while which gave me hope that this may be reversible some day. Now that hope is gone because this pain and irritation in the left side of my penis deep inside never goes away and its very constant. It just gets worse after sexual activity, and recovers slightly over the next few days. Is it possible the inflammation has caused penile cancer? Should i go back to the doctors again just to have them too me there is nothing wrong with my severely damaged penis? I still hold out hope because i still get full hard erections and there is no bend when fully erect, but all of this numbness, pain, and hardening among many other things is depressing me so badly. After 5 years i thought i learned to live with it, but this no pain i cant take? My main concern is there a possibility that i have penile cancer, since the pain on the left side seems to be worse right at the top of the shaft by one of these small bumps. It is not localized to the spot though, and when i press on the bump, the bump itself doesnt hurt. I wish i could do something to make all of this better, or just take a few steps back to where it was maybe halfway through this process. Any help is appreciated, thanks.

 

Greetings,

Several of your symptoms make your condition sound very much like Peyronie's disease (shortened penis, penis pain, hourglass deformity, presence of "hard spots," although you report one urologist said you have the condition and another said you do not.  I suggest you get a third opinion to break the tie.   One of these two is obviously wrong, but at this point you do not know which of the two it is.

What you describe does not sound like cancer.

If it turns out you do have PD I suggest you get yourself on an Alternative Medicine plan of self-treatment to increase your ability to heal and repair your Peyronie's scar – if that is what it turns out to be.

Lastly, if it turns out you do have Peyronie's disease I doubt it was caused by your picking five years ago at the superficial white spots.  These are known as Fordyce's spots, and they are common, normal and natural 1-3 mm structures that most men have on the penile shaft and scrotum, of unknown origin.    I speculate that you probably injured yourself during sexual activity and this is the origin of your current symptoms

Please let me know what you learn after your 3rd evaluation.  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

Peyronie’s disease and pain in the penis

Penis injury during sex common cause of Peyronie’s disease 

Nothing will get a man’s attention more than when his penis hurts.

There are typically two ways in which a painful penis can develop:  after direct penis injury, or as a result of some type of medical health problem or sickness affecting the urinary system.  When the penis hurts because of suspected disease of the prostate gland, bladder or urethra there are few clear cut answers to penis pain with the exact location, duration, and quality of penis pain different from case to case, without good explanation.   You will notice that some men with prostatitis have pain at the base of the penis, while other men with the same diagnosis have pain at the tip of the penis, and other men no penis pain at all.  Men who have a painful penis are often surprised that their condition is never given a definite diagnosis to explain its cause.

This discussion will focus primarily on a particular type of painful traumatic event peculiar to Peyronie’s disease that can either cause or worsen an existing penile problem, as with an injury during intercourse.

Peyronie’s treatment

Regardless of how Peyronie’s disease starts, surgery and drugs are not always needed to reduce the pain and penile distortion it causes. Since 2002 the Peyronie’s Disease Institute has worked with people from around the world to use natural Alternative Medicine methods to help their body reverse the Peyronie’s scar naturally. While surgery is always an option, most people prefer to first use non-surgical treatment to possibly avoid the inherent risks of surgery.

Learn more about Peyronie’s disease treatment with Alternative Medicine. Another good source of information is the Peyronie’s Disease Handbook.

Medical conditions that can cause penis pain

It is important to know that several common disease conditions not related to penile injury can also cause dull and sharp pain in the penis and should not be ignored, especially if you have other unexplained symptoms related to the pelvis or urinary system:

  • Peyronie's disease
  • Bladder stone
  • Cancer of the penis
  • Inflammation of the prostate gland (prostatitis)
  • Reiter syndrome
  • Sickle cell anemia
  • Erection that does not go away (priapism) after 4 hours – medical emergency
  • Genital herpes
  • Syphilis
  • Urethra inflammation caused by chlamydia or gonorrhea
  • Infected or defective penile prosthesis
  • Infection under the foreskin of uncircumcised men (balanitis)
  • Pimples or insect bites on the head or shaft of the penis

Because any of these conditions can cause a deeply hurt penis, it is always best to rule out disease of the urinary system by going to your family doctor for a complete examination with any type of pains in the penis.  If you do not have a medical health problem, then a painful penis is usually explained by past trauma to the genitals or pelvis.  Even minor trauma can at times cause significant penile injury with varying degrees of pain and other symptoms.  One of the reasons that traumatic penis damage is often not suspected as the cause of genital pain is that there is sometimes a delayed response between the time of injury and when the penis pain begins.  It is rather common for a man to discover that a penis injury during sex that started his Peyronies disease might not cause discomfort until several weeks or months afterward.  Probably the single-most common way for PD to start is from a forcefully bent penis during sex.

Penile fracture or broken penis syndrome – Common way to hurt penis during sex

Even though there are no bones in the penis, penile fracture and broken penis syndrome are legitimate medical terms.  Both refer to a sudden and forceful bending injury of the erect penis, resulting in torn or ruptured internal tissue.  Many times a penile fracture will occur as a result of injury during sex activity when an erection is suddenly and forcefully impacted at the tip of the penis, almost like being punched in the nose.  When the force is sudden and unexpected the vulnerable shaft can painfully sustain a sharp bend, “breaking” the inner layer of penile tissue called the tunica albuginea membrane, as well as other tissues.  The forceful impact that causes a penile fracture most commonly happens during heightened sexual activity with the female partner in the superior position; other sexual positions allow for this to happen but this is the classic situation that results in a penile fracture.  Within just a second of time she will pull back too far, lose contact with the male, and then continue back down on top of the erection impacting the penis head with her pubic, inguinal or inner thigh area.  The initial immediate pain can be very mild or severe, depending on many variables, yet sufficient to tear the tunica when it is stretched tight during an erection.

The tunica albuginea surrounds the two corpora cavernosa chambers, specialized elongated masses of spongy tissue of the penis that fill with blood to create an erection.  In a penile fracture, because the torn tunica albuginea can no longer trap blood inside the penile chambers, blood that is normally confined within the penile chambers can freely leak out to surrounding tissue often resulting significant bruising and swelling, in addition to varying degrees of pain in the penis.

About half of men who undergo penis injury similar to the above, or even compression injury during a work-, sports- or auto-related accidents, will self-heal and repair the problem with the tunica albuginea without developing Peyronie’s disease.   The other half of cases will not heal, and it will slowly and gradually worsen as Peyronie’s disease develops over time.

Pain in tip of penis

Men with Peyronie’s disease sometimes have pain in the tip of the penis, although this is somewhat unusual because the pain of PD is usually located along the shaft or even base of the penis.  Although pain in the penile tip could be related to Peyronies, it is more likely due to reflex from the prostate gland; prostatitis often will refer pain to the tip of the penis.  As a point of differentiation, prostatitis will often increase urinary frequency, reduce the force and volume of urine, burning in the penile tip unrelated to voiding, reduced erectile ability, blood in the urine and semen, and aching pain is possible in the penis, testicles, rectum, perineum, groin and lower abdomen and low back.  Prostatitis can be precipitated by too frequent or too infrequent ejaculation, sexual arousal without ejaculation, withdrawal at the time of ejaculation, aggressive bike or horseback riding, excessive spicy foods, alcohol, and caffeine, as well as prolonged sitting especially in an automobile.

A similar complaint is burning at the tip of the penis.  When this occurs it suggests the possibility of an STD (sexually transmitted disease) or an infection of the urinary tract.   Generally, an STD is associated with a change of sexual partners, and can be variable from few a few subtle symptoms to marked genital pain during intercourse, discharge, itching and pain burning pain in the penis tip during urination.  STDs are serious problems that demand prompt and aggressive medical diagnosis and care.   A common urinary infection is suspected if you feel the need for frequent urination or notice that you need to urinate again within a few minutes.

Pain at base of penis

Pain at the base of the penis is perhaps most often explained as originating from a chronic bacterial infection of the prostate (chronic bacterial prostatitis).  This problem often comes and goes over time without apparent reason.   During a flare-up the penis pain can be dull or sharp, and extend to the testicles and anus as well as the pubic bone in front or the low back.  Bowel movements may be painful at this time.  It is also common to note frequent urgency of urination, pain when urinating or during ejaculation. While these symptoms are similar to an acute bacterial prostatitis, men who have a flare-up of chronic bacterial prostatitis tend to be less run down, feverish and ill-feeling than with acute prostatitis.

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

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

Hello Dr. Herazy,

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

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

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

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

Suffering Guy

 

Greetings Suffering Guy,

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

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

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

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

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

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

How about using ultrasound as Peyronie’s treatment?

What are your thoughts on using ultrasound technology to treat minor Peyronies scaring?  Thanks


Greetings,

First of all, there is no such thing as minor Peyronie’s scarring.  All Peyronie’s scar tissue has the ability to rapidly progress in a very short time and become a major problem.  For this reason all cases of PD should be taken very seriously and treated aggressively before being given an opportunity to worsen and ruin your life. If your current problem with PD is small, be grateful.  But do not ever assume the problem will stay that way.

After reading a little of the standard medical information about using ultrasound physiotherapy as a Peyronie’s disease treatment I was not sure I was getting a full or accurate explanation about treatment results and effectiveness. What I did notice is that only one of the older research articles from Germany mentioned that the ultrasound machine they used to treat the Peyronie’s scar was a 1 MHz unit (1 million megahertz or 1 million sound waves a second).  At the frequency of 1 million sounds waves per second I know that sound passes too deeply (several inches) into tissue to be of value in treating Peyronie’s disease because the scar tissue is located about 1/4 inch below the surface.  This means that the German research was using the wrong kind of ultrasound machine; it would not get good treatment results because the heat generated by the ultrasound machine would not heat the superficial layer where the PD problem is located.

For this reason I contacted two of the largest manufacturers of ultrasound equipment for their opinions about using a 3 MHz unit (3 million megahertz or 3 million sound waves a second), which is commonly used by the cosmetics industry because units of this size heat only the very superficial layers of tissue, meaning a small fraction of an inch below the surface down to about 1/2  inch of depth.  In my opinion this would be a perfect frequency to use for Peyronie’s disease.   Neither of these two companies could say that ultrasound has been adequately tested or proven to work, and suggested that if I wanted to ultrasound for Peyronie’s disease I should be the one to do the research for them.

In view of this lack of interest and lack of current clinical background using ultrasound for Peyronies, I developed contacts within cosmetics industry and makers of 3 MHz ultrasound machines to see if any would be adequate to be used as a serious therapy for PD. I finally found that Bellaire Industry makes a great portable unit that is competitively priced.

PDI is currently working with a group of men who have Peyronie’s disease to test treatment protocols that might serve for a future research project.  Click here additional information about the 3 MHz ultrasound unit we are testing for Peyronie’s disease.   TRH

Would you like me to send you pictures of Peyronie’s disease?

Dr. Herazy,

I am not concerned with sex right now and I have no pain, except I have depression from my Peyronie's disease.

It seems I have only two problems. 1) a failure in the integrity of the wall of my penis on the left side. This is at a specific point rather than so much at a curve, even though that is there also when it is more erect. My penis doubles over to the left because of the failure in the shaft wall when not erect. 2) When erect my penis wants to hug the trunk of my body towards the left side.

Would you like me to send you pictures?

 

Greetings,

There is no need to send me our Peyronie's pictures at this time.  It might be useful later, but now.

 It is very common for men with Peyronie's disease to feel depressed for a variety of reasons.   For many men this depression arises from the (false) idea there is little you can do to help yourself with your Peyronie's disease and that your life will never be the same.  I suggest you begin spending more time reading and studying the PDI website to overcome this feeling of helplessness that seems to come from the idea that no drug has been found to help PD.  You need to know that the body reverses and corrects PD in a fair number of cases, and for this reason your energy should be focused on increasing and supporting your natural ability to overcome your PD.   Once you understand there is a lot you can do to increase your odds for self-repair and learn more about Peyronie's disease you will feel less scared and depressed.   Once you begin to actually do something to improve your physical condition you will feel empowered and in control of you situation.

There is a great technique I use to help men with their depression, called EFT.   Please go to the PDI website to the page about using EFT for distressing emotional states.  I have worked with many PD men using this technique and the results are often rapid and gratifying. Contact me directly for an EFT session when you are ready to feel better. 

What you describe as a failure of the integrity of the wall of the wall of the penis on your left side is not at all uncommon for men with PD.  This is commonly called a ding, dent,, hinge or pivot.  It can be caused in one of two ways, or a combination of both.  The first is by the abnormal internal tissue tension or pulling from within the shaft by the fibrous PD scar located in the tunica albuginea.  The second is by leaky veins within the shaft that do not close completely because the presence of the PD scar.  You can think of the PD scar acting almost like someone putting his foot in the doorway and preventing door from closing.  In PD the scar prevents the veins from closing, thus no pressure is built up within the shaft.  Without trapping of blood in the shaft the needed hydraulic pressure never develops to create a completely strong erection.  This can happen in just one small area of the shaft that creates the small dent in the side of the penis.   

Your left leaning erection is probably related to both the scar and weak erection on the left side of the shaft. 

There is not any need to send pictures at this time, since PD treatment is not based on the distortion or curve of the shaft.  Treatment is guided by the size, shape, density and surface features of the PD scars that create the distortion.   You must develop an exact knowledge of these characteristics in order to help your PD.   Once you reduce your scars, you will improve the distortion pattern that  bothers you so much.  This physical improvement will greatly help your sense of depression. 

So, I suggest you get busy.  Please get started with a reasonable Peyronies treatment plan that you can find on the PDI website.   If you need help with this, please let me know.  TRH 

Can masturbation cause Peyronie’s disease?

Dr. Herazy, I know you are a busy man, but if you can recommend something specifically for me, then I would greatly appreciate it to boost my confidence. I struggle with a very black depression from my Peyronie's. Here is my status: when not erect my penis is just fine/when about 30% erect I have the beginning of an hour glass shape/when about 70% erect the curve is on the left side/when fully erect it hangs to the left and has a curve on the left side. Also, question: can masturbation cause this to have happened? Thank You

Greetings,

If you are like most men, I believe the primary reason you are so depressed is that you do not realize how much you can actually do to help yourself recover from PD.  A large part of your emotional state is due to feeling helpless and depressed, and these start with not understanding Peyronie's disease.  Therefore, once you begin to learn more about the problem you will feel less scared and alone, as many men do with PD.  Once you begin to actually do something to improve your physical condition you will feel empowered and in control of you situation.

There are three things you can do right now to help yourself:
1.  Go to the PDI website to the page about using EFT for distressing emotional states.  I have worked with many PD men using this technique and the results are often rapid and gratifying. Contact me directly for an EFT session when you are ready to feel better. 
2.  Get my book, "Peyronie's Disease and Sex" to develop a better understanding of yourself and how women relate to your condition.  Men usually make their situation worse by assuming that women will automatically reject a man who has PD; this is often not the case when the man knows how to effectively manage his sexual problems.  This book can help you in this area.   
3.  Get started on the most aggressive Peyronies treatment plan you can sustain for a few months to hopefully begin to make positive changes in your physical condition.   As part of your PD education you should read, "Peyronie's Disease Handbook."  

Masturbation, by itself, will not cause injury that can lead to Peyronie's disease.  However, very rough or physically abusive masturbation practices can cause injury to the tunica albuginea that leads to PD.   All masturbation to be safe should be as gentle and well lubricated as sexual intercourse.   TRH 


How often and for how long do you recommend moist heat for the Peyronie’s scars?

How often and for how long do you recommend moist heat for the Peyronies scars?   Thanks, Roger

Greetings Roger, 

Use moist heat prior to the topical or external therapy (DMSO application or especially manual stretching technique) to bring blood to the area of your Peyronies scars.   For this reason it will be more efficient to perform these together as a group so you do not have to do it several times a day.
However, it is probably not advisable to use moist heart immediately prior to Genesen therapy since it would easily throw off any level of tissue sensitivity and make it falsely look like EVERY place you touch with the pens are active – when this is not actually true.  You would wind up wasting your time by treating points that did not need it although they appeared to need it.
5-10 minutes is a good time range to apply the heat.  You are only attempting to draw blood to the area of the shaft, and it does not take that long to dilate the blood vessels for that purpose; you are not poaching meat.   TRH


What is the correct way to apply penis traction for Peyronie’s disease?

I really enjoyed viewing the CD video for the light manual penis stretching technique.   Good information that I can see will be helpful to correct my Peyronies 80 degree bend.  One question. Is the stretching technique a slow fluid motion that continues to increase or a static consistent stretch that is held for minutes at a time? Thanks. Darryl
 

Greetings Darryl,

Glad you like the gentle manual penis stretching method video.  It is a great technique that I think everyone should add to their plan.  Just do not make the mistake of thinking this is all you have to do to get rid of your PD. 

The way to safely and correctly stretch the penis is to keep the traction light and consistent.  Do not vary the light penile traction force once you develop the deep dull ache that is mentioned on the CD.   

Once the light traction force causes the familiar deep dull ache, it is held at the same static “force” until the dull ache disappears or boredom causes you to decide to stop.  There seems to be a natural tendency for a lot of men to slowly increase the traction force after a few minutes have passed.  Avoid this tendency and strive to consistently maintain the same contact vectors and level of touch.   You will know you have increased your force when you notice the dull ache stop; simply lightening the contact touch should cause the dull ache to return as the fascia again begins to yield.   TRH  

What is the benefit of taking Neprinol rather than Nattokinase and Fibrozym?

Hello Dr. Herazy,

Thank you for the great site.

I am getting ready to place my first order with you and have a couple of questions:

1)  In your opinion what if any is the benefit of taking Neprinol over taking Nattokinase & Fibrozym. I understand your philosophy of overwhelming the problem but it seems like taking all 3 is overkill and from my limited understanding taking Nattokinase & Fibrozym sounds better than Neprinol?

2)  You do not mention the 15% Verapamil topical solution from PDLabs which seems to have had quite a few scientific studies done on it and the results seem to be very positive. Any thoughts on this would be greatly appreciated.

Thanks–I look forward to placing my order and getting started on a treatment plan.

Richard


Greetings Richard,

1)  The benefit of taking the single product, Neprinol, rather than the two products, Nattokinase and Fibrozym, is that the Neprinol is more concentrated and should result in taking fewer systemic enzyme pills per day while having a higher dosage intake.   In addition, Neprinol contains the additional enzymes of papain and bromelain.   The cost is higher for Neprinol, but considering the higher level of enzyme in the product, it is less expensive in the long term.   Yes, taking three different forms of a systemic enzyme might be more than is necessary, but for some men it does make a difference.  There is no way to anticipate how anyone will respond to their therapy plan, so I encourage everyone to experiment with different combinations of therapy products to determine how their scars will respond as you go through different combinations of products.

2)  Most every medical treatment for PD is the same – one or two positive studies and a larger list of negative studies about it.  The same with topical verapamil from PDLabs of Texas. The different studies mentioned by PDLabs of Texas are intriguing, but are contradicted by other similar studies of topical verapamil.  When i first developed PD in late 2001 or early 2002 and found the PDLabs website on the internet and read those studies I also was impressed with their conclusions.  for this reason I used their topical verapamil product for about six months, during which time my PD worsened considerably and I developed overwhelming side-effects that caused me to stop using the product.  At that time I realized I would have to look outside traditional medical treatment for helping my PD and I began to intensely investigate Alternative Medicine options; eventually I came upon the concept and and treatment protocol that developed into the Peyronie's Disease Institute.   Over the years I have discovered more controversy about their findings – but this is typical of any kind of treatment for PD.  It seems PD is always tangled in controversy and exceptions.   TRH 

What are the chances my Peyronies will stabalize soon?

i am a healthy 50 yr old who has been diagnosed with Peyronie's disease about 14 months ago.  I've had a dent about 1 inch from the base approx.2 inches long during erection.  I thought it was stabilizing but seems to be getting slightly worse, moving towards the head.  I now think I'm starting to get some ED.  No treatment except vitamin E.  Starting to stress,what are your suggestions on treatment?   What are the chances this will stabilize soon?  Should i expect this to get worse?  Are the ED drugs (Viagra) a good idea to use?

Greetings,

You are asking several questions, most of which are answered many places within the PDI website.  I suggest that if you wish to learn more about PD you spend a little time reading what is here for you.  I will go through the questions and points you raise in order.

What looks like movement of the indentations is more likely the result of changes in the internal scar tissue, causing different patterns of pull on the tunica albuginea and layers of fascia within the shaft.  There is a wide variation of development of Peyronies, so be aware that your particular situation might be different from others you read about.  for many men these small but accumulative changes of the PD plaque or scar causes deformity changes over a period of many years.

There are two probable ways you could be experiencing ED at this point:  Physical – from the growth or contraction the PD scar material causing the internal valves of the veins of the shaft to remain open, thus preventing development of internal hydraulic pressure that creates an erection.  Sometimes this is a widespread problem affecting the entire shaft, and sometimes a local problem causing dents or bottleneck deformities.  Emotional – you are, as most men feel, angry, confused, scared, and/or embarrassed about what is happening to you.  The emotions have a great impact on the development of the erect state.

Using vitamin E by itself is almost no treatment   Vitamin E as a Peyronie's treatment is a great therapy, very essential, but it must be combined with other therapies to get the right kind of tissue response you are looking for.  

Treatment is the most thoroughly discussed subject on this website.  See "Introduction to Alternative Medicine treatment of Peyronie's Disease," and "Guide for Peyronie's Disease Treatment," and many others.

The PDE-5 category of drugs (Viagra, Levitra, and Cialis) can cause problems due to excessive erection development, resulting in over-inflation and possible tearing of internal tissues of the shaft.   See "Peyronie's Disease Plaque, Viagra, Cialis, Levitra and Blood Supply"  and  "Peyronie's Disease Treatment and Viagra, Levitra and Cialis" and many others.

Far better to learn about Alternative Medicine treatment of Peyronie's disease, take control of your situation, stop feeling so helpless and reduce your stressful state.  If you have specific questions about treatment please let me know.     TRH   

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

Hello,

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

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

Can you give us your thoughts about this please.

Best regards,

Leo

 

Greetings Leo, 

Thank you for the excellent question.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Can I treat Peyronie’s disease after 16 years?

I have had PD since I was 57. I am now 73. Is there anything I can do at this point or has the time for treatment passed?


Greetings,

Yes, there is a lot you can do to treat Peyronie's disease even after this long, and this might make you feel good about yourself for the first time in a long while.

From my experience in working with men who have Peyronie's disease, most stop looking for information and help after just a year or two.  These men are defeated by the negativity they encounter on most Peyronie's forums.  The great majority of men who contact PDI for assistance have had their problem for less than five years.  Occasionally someone will contact me who has had PD for 10 years.  The longest standing case I have worked with previously was 12 years old.  Your 16 year old case of PD puts you in a special category.

While working with these men whose problem is older than average, I have always been impressed with the ability of the Peyronie's plaque or scar to still respond favorably.   As with those whose PD is still in the common five-year range, the response to Alternative Medicine treatment still seems to be in direct proportion to the aggressiveness and faithfulness of care provided. 

There is no way for me to predict or anticipate how anyone will respond to non-drug and non-surgical Peyronie's treatment.  I think the healthiest and fairest way for you to approach your decision if you should attempt treatment is to first learn what is involved in the Alternative Medicine approach to recovery from Peyronie's disease.  Then decide what is a reasonable length of time you should be willing to devote to an aggressive and faithful program of care; maybe 4-6 months.  If it all makes sense to you, then begin care with the attitude that you will do your very best.  

After so long living with this lousy problem, I commend you for not being beat down by all the negativity and hopelessness that surrounds Peyronie's disease. 

A good place to begin learning about this unique PD treatment is from the home page of the Peyronie's Disease Institute website.   Let me know if I can assist you in any way.  TRH

Spontaneous Remission and Natural Cure for Peyronie’s Disease

Helping nature to remove the Peyronie’s plaque 

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

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

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

 

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

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

How often should a person with Peyronies use DMSO?

How often should a person with Peyronies use DMSO?  Can you use it daily with other topicals?   Will the stuff you put on after DMSO still go on?   Online it says put to put DMSO on LAST.  What if you put the DMSO on first is it still effective?

Greetings, 

Based on the basic nature of your questions about DMSO (how often to use it; combining it with other topical therapies; frequency of application) I have the sense that you have not gotten your DMSO from PDI.  Anyone who buys from PDI knows the answers to these questions and more.  PDI provides specific information and details for correct use with all the PD therapy products we sell.  We help you every step of your journey so you get the best results you can; you would not have these questions if you were dealing with PDI.  And this brings me to my biggest concern about you…

Some men make the mistake of using the highest concentration OF DMSO they can find, thinking that stronger is better and it is not.  You cannot use effectively use a high concentration DMSO for PD treatment very long without it quickly irritating the delicate skin of the penis.   This is why PDI offers the PMD DMSO brand of DMSO that was formulated in cooperation with Stanley Jacobs, MD, the man who in the late 1950s did the first medical DMSO research on humans.   Our DMSO formula has the best concentration for PD treatment, and it also contains PABA, MSM and urea for added benefit.  No other DMSO product is made specifically for Peyronies treatment but our PMD DMSO. 

Lastly, I must mention that you need to be very careful what you combine with DMSO when it is on your skin.  You mention applying "stuff" with DMSO.  This concerns me.  I have had contact with many men who decided to experiment by applying all types of chemicals along with DMSO over their PD scars.  Some men have crushed up and diluted drugs, applied solvents, slats and hormones and added DMSO to their experiments.   All of this can be extremely dangerous and counterproductive.  Please do not experiment with DMSO in this way.     

Now that I have had my say about DMSO in general, here are the answers to your questions:

DMSO can be used up to three times daily. 

It can be used daily with other appropriate safe topical therapies. 

It is best to apply DMSO last if you are also using other topical therapies; if you apply DMSO first there will still be reduced transfer of those topical therapies you applied first.     

Question about Peyronie’s treatment

Dear Sir,

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

Thanks and regards,

M.A. MUJEEB

 

Greetings M.A. ,

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

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

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

 

 

 

TRH 

Do you think this is a bad idea?

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

 

Greetings,

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

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

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

Does this mean I have Peyronies?

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

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

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

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

 

Greetings,

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

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

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

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

What can I do to make sure my penis curvature continues to straighten?

Greetings Dr. Herazy,

I've had Peyronies for close to 4 years. All I heard from those sad guys on the PD forums was that there is nothing you can do to cure PD.  But after being on your large PDI treatment plan for less than two months both my wife (a nurse) and I can tell there is a huge improvement in the curvature of my penis.  Not only is my bent straighter, I can enter her easier and we both have less pain during sex.  What can I do to make sure my Peyronies changes continue?   G.H.

Greetings G.H.

I am concerned here. Do not make any changes to your plan until you are fully versed in how to evaluate your progress via evaluation of your scar(s).  Judging your progress by positive changes in your curvature is all well and good, but it is not a reliable or accurate way to determine progress. Do not make the mistake of evaluating progress of your Peyronie's treatment plan solely on the basis of your reduced curvature. That is not the way you should do it. 

You must evaluate your treatment progress based on changes in the size, shape, density and surface features of your scar(s). Peyronie's disease is all about the scars, remember.  If you get rid of the scars your penis curvature will go away, but if your penis curvature gets straightened without change to your scar then the curvature will only come back.  

You must learn how to evaluate the scar for progress. I have a whole chapter devoted to this subject in my 1st book, “Peyronie’s Disease Handbook.” If you do not do your evaluation this way you are only guessing about progress and therefore you cannot determine correct dosage levels. Get the book if you do not have it. If you already have it, then re-read Chapter 4. 

Once you have a firm description of your PD scar then you will be able to use it as a reference point or benchmark to guide necessary changes in your treatment plan.  

Congratulations on your improvement so far, if you follow my suggestion I think you will be pleased how easily you can continue making good progress over your Peyronie's disease.   TRH

What can I expect from POTABA in my Peyronie’s treatment?

I  WANT TO KNOW ABOUT THE PEYRONIE’S TREATMENT I HAVE BEEN PRESCRIBED.  I HAVE JUST SEEN A UROLOGIST WHO DIAGNOSED ME WITH PEYRONIE’S DISEASE. HE HAS PUT ME ON 400IU OF VITAMIN E THREE TIMES A DAY AND 12 GR. OF POTABA PER DAY.   IS THIS A GOOD COURSE OF TREATMENT?  WHAT CAN I EXPECT FOR A SUCCESS RATE?

THANK YOU

BOB

Greetings Bob,

In my opinion you should do a bit of online readying about POTABA. I think you will find a lot of controversy and reports of non-effectiveness about it.  From my experience there are fewer and fewer MDs using POTABA in the last few years because of high cost, limited results, and poor compliance because most men find they cannot tolerate the severe abdominal pain it causes even with the initial usage.  I am surprised your urologist did not mention this to you; I am sure he knows all about it. 

Did you ask the urologist what kind of success rate he has with this prescription?  Did you ask the urologist about what response and reactions you should expect while you are taking POTABA? I would be interested to know his response.

POTABA is one of the limited number of drugs available for prescription by an MD in the treatment of PD, although there are many MDs who do not prescribe POTABA  because they find the trouble their patients encounter while taking it does not justify the limited potential benefit.

Now, POTABA is nothing more than a simple B vitamin – PABA – that has a molecule of potassium added to it, or to say it another way, POTABA is a potassium salt of PABA.

PABA has been shown years ago in medical research to be successful in treatment of PD, but the medical profession likes to use drugs (POTABA) whenever it can, and refuses to use something as simple as a B-vitamin.  POTABA causes a host of gastric symptoms, for which reason few men complete their course of therapy with it.   PABA works just as well, and has no side-effects.  However, neither PABA or POTABA produce results as good as PABA when combined in a more aggressive therapy program as you see presented on the PDI website.

You should know this is a rather limited course of therapy.  No one can predict whether it will help you or not, you must follow if for a while to determine if it will improve the size, shape, density or surface quality of your Peyronie’s plaque.   You would be wise to get the book I wrote, “Peyronie’s Disease Handbook,” about dealing with Peyronie’s disease on a daily basis to improve your chances for recovery.

The Peyronie’s Disease Institute has offered PABA to its visitors since 2002 for treatment of Peyronie’s disease without a single report of inability to use it because of gastric problems.

Is there someting I am missing about Neprinol?

Dr. Herazy,

It is my understanding that Neprinol contains everything that the Fibrozym and Nattokinase supplements contains and is more potent, thus making it redundant to add Fibrozym to a program that already includes Neprinol.  Am I missing something?

Greetings, 

No, some men want assurance they are not missing anything in their Peyronies treatment plan, and they intentionally use the redundancy of getting the nattokinase and serrapeptase from two different sources.

Men use Neprinol both ways – as a total substitute for the other enzyme products, or in addition to them (usually with the Neprinol being the primary enzyme source and the others being used as a minor role).  The choice is yours. When I successfully treated my own scars that is what I did – I used the Neprinol as the primary and largest supply of systemic enzymes, and then added in a few of the others per day.  

I would consider trying just the Neprinol by itself, and see how it works for you and your scar.  If that is not enough to get your scar to change favorably, then bring back the Fibrozym or Nattokinase, or Quercetin/Bromelain if you are also using it, or all of them.  You must keep experimenting to learn what makes your scar respond favorably and then continue with that.   TRH  

Peyronie’s treatment safety issue when applying moist heat

Hi Dr. Herazy,

The use of an electrical heating pad was suggested in last month's Peyronie's Disease Institute newsletter for the moist heat therapy. I am curious as to whether or not the immense heat and warmth provided by this electrical pad would be detrimental to the testicles. The pad it hot but does not seem hot enough to scald the penis. Thank you! 

 

Greetings,

Peyronie's treatment safety should be your first concern.  To reduce possibility of excess heat being applied to penis and testicles you should:

     1. Reduce heat setting on the control of the heating pad so that the heat is not "immense" but only comfortably warm
     2. Place a small moist wash cloth between your skin and the heating pad to act as a buffer or spacer, thus reducing heat to the penis
     3. Position yourself so that your testicles are not in contact with the heating pad
     4. Place a dry wash cloth between the scrotum and heating pad to act as a buffer or space, thus reducing heat to the testicles

This suggestion for using an electric heating pad was submitted by one of the PDI Warriors and was presented in our last newsletter as an alternate way to apply moist heat to the shaft of the penis.  The original method that has been suggested by PDI is to use a hot water bottle wrapped with a moist towel and positioned to heat the shaft of the penis.  This method has the safety advantage of staying warm for 15-20 minutes before slowly losing heat.

Thank you for your observation.  TRH

How do I find my Peyronies scar?

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

 

Greetings, 

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

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

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

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

1. So small – it cannot be found

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

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

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

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

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

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

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

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

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

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

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

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

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

Do you perform Peyronie’s surgery?

Hello doctor!

I read your book and I am happy that the vitamins worked for you!

My husband has Peyronie's disease the last 2 years. He saw 2 doctors and they just recommended surgery,

Do you perform Peyronie's surgery? If you don't, could you please let me know which one is the best surgeon?

Thanks so much

 

Greetings,

Yes, the PDI treatment concept worked for me and for many men who followed the concepts you see on this website.  I assume the great majority of men who have been helped to regain their freedom from Peyronie's disease were also told they needed surgery, just like your husband.  They resolved their PD problem by using Alternative Medicine treatment and did not need Peyronie's surgery.

When you go to a surgeon you will usually find that they tend to think of and recommend surgery.  Since I am not a surgeon and I philosophically prefer to first use natural conservative means before resorting to drugs or surgery, I suggest before considering any type of risky surgery that your husband should first attempt a few months using Alternative Medicine to correct his problem.   TRH   

Is there any penis surgery procedure you could recommend?

Greetings,

I must admit that I am very embarrassed to send this message.

I'm 52 years old with what could be a fairly long 4.5 to 5" penis, but the curvature is painful and very very frustrating for my lover and me. I keep my pubic hair shaved to give the appearance of more mass, but he is not satisfied, nor am I.

Is there any penis surgery procedure you could recommend? I have been too embarrassed to mention this to our family practitioner (female).

What first steps can I do to improve my condition?

In His name, Peter

 

Greetings Peter,

After reading your email a few times I am not sure if you are more concerned about the pain and distortion of your Peyronie's disease, or by your loss of penile size since you developed PD. 

We live in a strange culture in which personal self-worth and value as a human being is based on penis size.  Your penis is attached to you; you are not attached to your penis. Think about that a bit. 

There is no need for embarrassment since developing PD is not a personal character flaw or a deliberate act that suggests an imperfection of who you are as a person; it is just an unfortunate  health problem.  No one should feel embarrassed for having glaucoma or asthma, not should you feel that way because of your PD.

From my experience in communicating with many hundreds of men since 2002 about penis enlargement surgery, I hear far too many horror stories of failed surgery.  Learn to enjoy what you have and who you are, or you might be left with little to enjoy.

If you want to actually treat your real problem I suggest that your go to the PDI website to learn how to increase your ability to heal and repair your Peyronie's disease – which in turn could result in return of lost penile length and girth.   TRH

Is it adviseable to needle the penis directly?

Dr. Herazy,

I am an acupuncturist treating a patient with Peyronie's disease.  I bought your "Peyronie's Disease Handbook,"  hoping you had included specifics on the use of acupuncture, especially whether or not you think it's advisable to needle the penis directly?  I know you advise to not cause additional injury to the penis, but needling near scar tissue on other parts of the body is not contra-indicated, but actually beneficial.

What are your thoughts on this please? My patient is willing to try anything.

Greetings Doctor, 

Yes, needling a superficial scar on other parts of the body is very often beneficial, but the penis is a different part of the body. I would not needle the penis for concern of puncturing the tunica albuginea and further extending his Peyronies problem.  My concept is never to puncture the tunica in an attempt to help this problem. 

However, local treatment has always been an important part of my acupuncture practice, such as the famous Circle the Dragon technique, and that is why I advocate heavy use of the Genesen Acutouch pens to treat the PD lesion in this particular way because it will not risk injuring the patient by avoiding compromise to the tunica.

If you feel required to needle, distal points are always advisable. I do not treat a lot based on Five Elements theory, but I believe you would likely benefit your patient by evaluating for an Excess Wood situation.  Bear in mind that the “Peyronie’s “scar” is not a scar in the traditional sense of being a superficially located skin lesion; it is below the subdermis and within the tunica so the standard methods of needling a scar – that I have done daily for over 35 years – does not apply to PD.  At least, that is how I understand it based on my concept and methodology in guiding Peyronie's treatment.

If you feel obligated to needle, distal points are always advisable such as SP3, SP6, K3, GB34, the master points of the Conception Vessel, Sedation points for the Wood element and and Stimulation points for the Fire element. as well as appropriate Eight Extraordinary Meridian points (Du Mai, Chong mai, Yin Wei mai, etc.)    TRH  

 

Am I cheating on my wife?

Greetings Dr Herazy, 

I was wondering.  Since my penis has been bent over 70 degrees for the last few years of my Peyronies, my wife and I are not having any intercourse.  During this time, every now I have been masturbating without my wife's knowledge.  Am I cheating on her? 

Paul

Greetings Paul,

No, you are just keeping the pilot light burning for her benefit later. 

You owe it to her to be less shy and more creative.  You know, you are not the only one that needs sex every now and then. She is probably feeling lonely and neglected.  I encourage you to include her in your private efforts and maybe you two can share some favors. There is a world of sexual adventure and satisfaction for a married couple outside of traditional intercourse.  I go into all these areas in my book "Peyronie's Disease and Sex."   Don't be so selfish.  

The important goal is to get over your Peyronie's disease so you no longer have this limitation.  Stay focused on your PD treatment, please. TRH  

What is my opinion of prescription drug injection?

What is the Dr's opinion on using the prescription Edex injected with a syringe? 

Bryant from Ohio

 

Greetings Bryant, 

You ask for my opinion about Edex injections.  I will not comment on the drug, because that is the decision of your treating doctor.  But I will make a few observations about injections in general and how they could further injure the tunica albuginea.

Anytime you inject ANYTHING – even sterile water – into the penis and directly or indirectly contact the delicate tunica albuginea, you are taking a serious risk of making your Peyronie's disease worse. This could either occur just from the simple act of piercing the tissue of the tunica albuginea, or the placement of a concentrated chemical that is foreign to that tissue, or both.

I have communicated with many, many men whose Peyronie's disease started or was made worse from penile injections of a variety of substances.

If your problem is PD, why are you taking an ED medication? Some MDs prescribe Viagra, Edex, etc to their PD patients in the belief that this increases the local circulation which in turn is beneficial to PD.

What if you could take a drug that would enable you to lift a ton of weight above your head and keep it there for an hour? Nice trick, very impressive, but your body is not built to take that kind of pressure. It would cause great damage to internal organs, your spine, your blood vessels, all major joints, etc. Simply put, “It just ain’t natural.” Same with Viagra, Levitra or Cialis. The increased pressure created by these medications can be very damaging to the delicate tunica albuginea, and can result in or worsen a case of PD. What would happen to your car tires if you happened to over-inflate them with 100 pounds of air pressure, even though they were built to take just 40 pounds of pressure. You would be running the risk of damage to the internal structure of tire, wouldn’t you? Of course.

The same thing can happen if the penis is over-inflated and then given a “rough ride.” This is where the problems start, and this is what I wanted to bring to your attention. It is very likely that the MDs who prescribe these medications to men with PD will not agree with this thinking. MDs tend to favor a chemical “fix” even if it is temporary, so you would tend to expect a prejudice from an MD to use drugs to solve most problems.

A penis that is predisposed to PD in the first place cannot tolerate the kind of stress that these erections drugs create.  If you think independently and logically about what happens when these drugs are used, you should have no trouble understanding how this could work against you.  That is just the way I see it and I feel compelled to share this rationale with you. Use of Viagra and other related meds like it could easily be worsening the very problem you are attempting to heal. Something to think about.  TRH

What is the average age for onset of Peyronies?

Greetings Dr. Ted, 

Thanks again for all the information you have provided in the past. My curve has gone from 60 degrees to less than 10 degrees.  I can't believe all this change in just 13 weeks after only getting worse for the last three years.

One more question that I have is about my age when my PD started.  I am 36 now and I got PD when I was 33.  According to most sites you read it states that occurrence typically is after age 55+, and some even say 40+.   Although I am sure there is great variation, does 33 seem young or typical given your experience?

Thanks again,

Gary

Greetings Gary,

No, 33 is not especially young to develop Peyronie's disease.  I, unfortunately, communicate with many men your age and even younger who have PD.  Last week I was involved in a lengthy discussion with a young man of 18 years who has had a diagnosed case of PD for almost two years. It does happen.

Age is less of a factor in Peyronie's disease than people would like to think, and the numbers are not absolute.  Just as you have stated that many sources report that PD usually occurs in men 40+ or 55+ or whatever age you might read, that does not mean there is a wall protecting you for the next few years if you are 37 years old.  While it is true Peyronies disease is a problem of older men, you youngsters can develop it also.  I would not put too much emphasis on that entire subject of age and PD.

The real question is now that you know you have PD, what are you going to do about it?  Let me know if I can help you tweak your plan a bit more to increase the rate of your improvement.  TRH

Will erections further injure my penis?

Dr. I have ED, used ED meds and now have Peyronies. Have stopped the Med use but still get erections at night. Will getting erections further injure my penis ?

Greetings,

No, erections will not further injure your penis.  Based on your brief explanation I suspect your penis could have been injured more so by the prescription medications you were given for your ED.   My suspicion is that you were given a prescription for one of the  PDE-5 (phosphodiesterase-5, like Cialis, Levitra or Viagra) drugs.  Taking one of these could have produced an excessive reaction in which the erection caused more internal pressure than was healthy for you.  This, in turn, could have resulted in damage to the internal penile tissue and hence Peyronie’s disease. 

If you now notice pain while erect since you have Peyronie’s disease, this does not mean that the erection is necessarily bad for you.  The erection is simply stretching inflamed internal penile tissue related to the PD.

You might also find reading Peyronie’s Disease and the Erection  to be helpful to understand this subject. 

I suggest you avoid the PDE-5 erection producing drugs in the future, since they could possibly injure you further now that you have Peyronie’s disease.  Consider investigating the non-drug erection producing herbal and mineral products that will not risk injuring your further.   TRH

Benefit of VED for treatment of Peyronie’s disease?

Dr. Herazy,

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


Greetings,

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

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

Do I need your book or a doctor?

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

Greetings Mike,

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

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

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

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