Peyronie’s Disease and the Erection

Peyronie’s treatment and how to care for erections

An important consideration of Peyronie’s disease treatment concerns how the ability to develop a normal erection will be influenced.

While erections can be difficult to develop on demand during a sexual situation, paradoxically, an erection can be difficult to stop, especially when it develops while asleep.  Nocturnal (nighttime) erections occur for a reason, and they are important for the overall health of the spongy tissue of the corpora cavernosa and corpora spongiosum (deep tissues of the penis that fill and trap blood to create the erect state).

It is as though the body takes the opportunity to develop an erection during the night when there is little other activity going on, to assure that the penile tissue is stretched and used in this particular way for its own benefit.  The problem with a nocturnal erection in Peyronie’s disease is that confinement and binding of the erection can be sustained against the penis for a long period of time at the risk of additional injury.  Be especially careful about getting an erection during a time when the penis has no comfortable place to go – do what you can to avoid an erection while wearing tight underwear or pants.

For this reason it is important to not wear tight clothing to bed in order to avoid this problem.

For the most part, a normally occurring erection that can simply “stand on its own” with no pressure against it, is not going to bind or stretch out the penile tissue to any great excess that is going to be detrimental to the penis. Where you can get into trouble is in creating a drug-induced (Viagra, Cialis, Levitra) or artificial erection, during which an abnormally great amount of blood is drawn into the penis by more soft tissue relaxation than normal.  So in this way we see that a naturally occurring erection is safer than an artificially created erection.

Over the years I have communicated with many men whose Peyronies disease started after a drug induced erection that stressed the penile tissues by greatly increased internal pressure.  This process would not be much different than taking a car tire that is meant to go no higher than 40-50 PSI during normal use, and over-inflating it to 100-150 PSI during use.  Because it is not built to take that kind of pressure, you could expect some problems to develop in using a tire that way.  Not much different with the penis.

Sexual activity is NOT to be avoided if you have Peyronie’s disease, but rough, aggressive, hard sex could really hurt you.  Developing and using a natural erection is not to be avoided either in PD.  Just keep your wits about you and do not go wild during sex.  The emphasis should be on an easy, smooth and gentle sexual encounter.  Anything that causes pain should be avoided.

Many important related topics about taking care of yourself, avoiding injury, doing nothing to set your progress back while you are attempting to heal your problem, are covered in my recent book, “Peyronie’s Disease Handbook.”   I think you would enjoy learning more about what you can and should do to take care of this nasty problem.


Peyronie’s Disease Treatment Question

Peyronie’s treatment that are not mainstream

Every now and then someone emails a question to me about an herbal Peyronie’s disease treatment (ginkgo biloba, echinacea), a micronutrient (coenzyme Q, EPA), and old standby like vitamin E, or an old home remedy (garlic, Castor oil, olive oil) that might be used as a Peyronie’s disease cure. Along a similar line, I am sometimes asked if I know anything about a legendary Peyronie’s treatment known as Thacker’s formula, what I would think about using the treatment, and why does this treatment not appear in the PDI lineup of therapies?

How is a Peyronie's treatment method selected by PDI?

In order for any therapy or procedure to be included in the PDI lineup of 14 potential Peyronie’s treatments, it has to have either been applied specifically in treatment of PD in a series of scientific studies and proven at least 50% effective in several trials (even though it might have done poorly in others), or it must have demonstrated good success and acceptance within the scientific community for treatment of other unrelated health problems (acupuncture and homeopathy). With this simple criterion we establish some level of scientific credibility for those therapies in our PDI lineup, and further increase the possible effectiveness of therapy when several of these are united in a synergistic program of care.

There are probably some really good Peyronie’s disease treatment ideas that that could be actually very effective. But who among us wants to waste his time, effort, energy, money, and most importantly, his opportunity to get over his Peyronie’s disease by experimenting with theories that have absolutely no proven ability to influence the body to promote healing? I did not want to waste my time on theories of questionable merit, when I knew there were many available that had already achieved some level of success. This last group seemed to be a better place to look for answers, than chasing unproven ideas.

Edgar Cayce’s castor oil pack might indeed be an effective Peyronies’ disease treatment, but for one reason or another it has not been subjected to even minimal scrutiny for PD. The goal of recovering from Peyronies is too great to use an untried treatment, when there are so many others of higher credibility and logic to work with.

PDI was started on the basis of using treatments of some level of known and proven merit, and uses this standard today to determine what additions will be recommended and used in future therapy plans. Rumors, stories, and speculation you read about on a Peyronie’s forum is not enough. Alternative Medicine employs early science to see through the maze of superstition and learn the truth of what may or may not work to regain health. These are the principles used to formulate the current Peyronie’s disease treatment strategies you have learned about. We are already working on the outer rim of established medical practice, but we must be careful to not go too far away from common sense and valuable scientific information that will help us achieve our health goals.

Usually, my suggestion for someone who wants to use such a new Peyronie’s treatment is to do it in combination with several other known and better proven therapies already in the PDI lineup. This way there is back-up treatment, and the total effort will create a therapeutic synergy. Never is it suggested to use only the one therapy of any type, proven or unproven.

So, if you are just adding in an extra type of therapy because you read about it on a Peyronie’s forum, I say, all the more power to your curiosity and sense of adventure, but please do not have that constitute the majority of what you do for yourself.

Try not to become so desperate that you grab at straws. There is a lot of good information about sensible Peyronie’s disease treatment I can offer if you need help with your rehabilitation program.


Treatment for Peyronie’s Disease with Alternative Medicine

Peyronie's Disease Treatment is simple with Alternative Medicine

All Peyronie's disease treatment is surrounded by controversy.  Every drug used for treatment for Peyronie's disease is unproven, to say nothing of the Alternative Medicine treatments proposed by PDI.

No one can say which is the best treatment for Peyronie's disease at this time, because only prescription medication is researched by the drug industry.  Peyronie’s surgery and medication are the only forms of treatment for Peyronie’s disease that the pharmaceutical companies seriously investigate; no other Peyronie’s treatments are even considered.  With no economic motivation Alternative Medicine ideas are ignored.

The Peyronie's Disease Institute offers a way for the average man to apply concepts and have personal control over a form of new treatment for Peyronie’s disease, using Alternative Medicine.  Peyronie’s natural treatment will never be considered by the pharmaceutical and hospital industries, and these business interests will never endorse home treatment for Peyronie’s disease for obvious economic reasons.

The PDI website recommends aggressive use of multiple Peyronie's natural treatment in the acute and chronic stages.  The purpose of this intense treatment for Peyronie’s disease is to increase and support the maximum healing potential of the body.  In this way each man is given the best possible opportunity to repair and regenerate the damaged penile tissue to the best of his ability.

"Proof" of Peyronie's Disease Treatment

In modern society drugs and medical technology with the greatest profit potential are researched most and are pushed hardest into the marketplace. Even though a particular treatment for Peyronie's disease might help people, unless there is strong economic motivation to find “proof” that it works.  Low profit therapies (vitamins, enzymes, homeopathy) are generally ignored by the medical establishment for reason of simple economics.   Simple remedies are labeled “unproven” not necessarily because they do not work, but simply because no one wants to spend the time, effort and money to scientifically prove their effectiveness. A good home treatment for Peyronie’s disease can stay untested (ignored actually), and therefore remain “unproven”.

New Treatment for Peyronie's Disease

Our theories for using aggressive and multiple Peyronie’s treatments are not yet proven.  That proof is probably a long way off, since PDI cannot underwrite Peyronie's disease research the way a large university or billion dollar company can.   PDI is not against surgery or drugs in cases that have been non-responsive to prolonged aggressive use of its new treatment for Peyronie’s disease.  Too many men rush into Peyronie’s surgery believing that is an easy and sure solution to a big problem.

Natural Peyronie's disease treatment theory is that the potential benefits of these subtle natural therapies are enhanced and multiplied by simply using several alternative therapies at the same time.  We strongly suggest that abundant benefits are available to any man who needs treatment for Peyronie’s disease by using what is known and what is available – even if it is not perfect – rather than passively behave like a Peyronie’s victim.

Peyronie’s Treatment and Cialis


Peyronie’s and Cialis (Tadalafil) and PDE5 inhibitors

Peyronie’s and Cialis are both on the rise – no pun intended, and there is a reason for that.

Cialis it is not a Peyronie’s treatment; Cialis is used to treat erectile dysfunction (impotence).   Some MDs use Cialis in Peyronies treatment because they think it will help the patient achieve a stronger erection  since Peyronie’s disease and impotence or erectile dysfunction often occur together.    But    This practice is is coming under close scrutiny because Viagra, Cialis and Levitra (all the PDE5 inhibitors) can make Peyronies worse if they cause a very extreme erection that the body is not built to handle.  This can cause damage to delicate tissue and more Peyronie's plaque formation.

Peyronie’s and Cialis Usage

Every man should know each package of Cialis contains information warning that men with Peyronie’s disease should use Cialis with great caution because of possible side effects that include damage to the penile tissue that can actually cause Peyronie’s disease if you do not already have it.

MDs write orders for their patients with Peyronies and Cialis is a commonly prescribed drug.   The MD will explain that the Cialis will increase the blood flow to the penis and this makes it beneficial to Peyronie’s disease.  I think this is nonsense.

An erection is created when blood is TRAPPED inside the penis, causing the spongy tissue to fill up and expand with about 2-3 tablespoons more blood than is normally in the penis.  This additional 2-3 tablespoons of blood become TRAPPED inside the penis, just like when you blow up a balloon and tie a knot at the end of the balloon.  Sure there is more air inside the balloon, but it does not circulate freely – it is stagnant air. And the additional blood also does not circulate freely in the penis.  That is why the penis is darker when it is erect – the blood does not have much oxygen in it, making the tissue darker.  This just goes to show how little many MDs think about what they are doing when they write a prescription.

Cialis is a popular erectile dysfunction drug, but it does not make sense to use it for treatment of Peyronie’s disease. When a man goes to his doctor for his Peyronie’s and Cialis is prescribed, he should understand the reason for the prescription does not make sense.

Cialis and Peyronie’s Connection

While I hate to spoil the fun for those whose sex life is enhanced by Cialis, but over the years I have had a disturbing number of men inform me they now have Peyronies and Cialis use was the cause.  Any of the PDE5 inhibitor drugs (Viagra and Levitra are others) can increase pressure within the penis that  can be greater than normal.  Injury to the tissue can lead to Peyronie’s disease.

If it were possible to take a drug that would allow you to lift a truck above your head and keep it there for an hour, should you do it?  That would be an interesting, and very impressive to the ladies, but is that reason enough to subject your body to the potential risk that would be involved?   The fact is that the body is not built to be used that way.  Lifting a great amount of weight causes internal pressure on tissue and organs that were not meant to bear that kind of weight.  Great injury would occur to internal organs, your spine, knees, hips, shoulders, blood vessels, and so on.  The same relationship exists between Peyronies and Cialis, and the rest of these PDE5 inhibitors.

All of this is so unfortunate because there are far safer methods for Peyronie’s disease treatment.

The increased occurrence of Peyronies and Cialis use also increasing is not a coincidence.  There is a reason that more and more men are getting Peyronie’s disease at the same time that more and more men are using Cialis and the other PDE5 inhibitors.