Monthly Archives: March 2011

Poor Peyronie’s Disease Treatment Results

Posted on by Dr.Herazy

Every few months I will receive a telephone call from someone who asks why he has not had any improvement after using his Peyronie’s treatment for a while.

Usually the first and last question I ask is, “What is the size, shape, density and surface texture of your scar?” The typical response I receive is at first silence, and then the caller will admit he does not know the answer to the question. At that point I will explain that if he does not know the current size, shape, density and surface qualities of his scar and he did not have that information when he started his treatment, there is no way to know for a fact that he did not progress.

Basically, these men are comparing minimal information to minimal information, and conclude that nothing has changed.

Further, I also get emails and calls from men who complain that they have not made enough progress to justify continuing with their treatment plan. My line of questioning goes like this:

1. What products and therapies are you using now?

2. What is your dosage for each?

3. Honestly, how faithful are you to your plan; how often do you forget to do what you are supposed to do?

4. What kind of change to your PD therapy plan have you made recently?

5. What was the size, shape, density and surface quality of your PD scar before treatment started and what is it now?

As you can imagine I usually learn they have not been following the PDI plan, but picking and choosing to do a few things that suit their fancy.

Most often the men who do not respond well are those who use no more than 1-3 different therapies. Sometimes the products they use are not from PDI but they use something recommended by someone at a local vitamin store. Compliance on a day to day basis for taking their products is “not great”. I learn they have not read the book I wrote but were trying to base all their therapy on the information only from the website. Along the way I might also learn they have been using Viagra while following their modified PDI plan or that they have received a series of Verapamil injections within the past few years. These men also seem to naturally eat all wrong for PD based on the suggested diet in “Peyronie’s Disease Handbook.” In short, they are their own worst enemy.

If any of this describes how you approach your Peyronies treatment, please consider changing your ways if you wish to get good results.

Please take your problem seriously, and take your treatment even more seriously. The more you do the better your results should be.

Click here for information about Peyronie’s disease treatment.

Stay focused to your plan, and do not become discouraged.

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Erections and Peyronie’s Disease

Posted on by Dr.Herazy

Erections can be difficult to develop on demand while in a sexual situation.  Paradoxically, erections can be difficult to stop or inhibit at certain times, especially during sleep.  All of this is important to Peyronie’s disease treatment since erections during sleep can have an adverse affect on progress of care.

A nocturnal, or nighttime, erection occurs because it is important for the basic health of the deep tissue, known as the corpora cavernosa, of the penis.  These deep tissues of the shaft fill with blood and trap it within the corpora cavernosa to create the erect state. If this term, corpora cavernosa, sounds familiar it is because the tunica albuginea is a thin and tough layer of tissue that covers the corpora cavernosa and the tunica albuginea is where the Peyronie’s scar is located. A nocturnal erection can be thought of as type of stretching exercise that takes place during the night when there is little other activity going on, to make sure the penile tissue is stretched and used in this unique way to keep the tissue healthy.

The problem during a nocturnal erection when Peyronie’s disease is present is that restriction and binding of the already-bent erection can be sustained against the penis for a long period of time.  Also, it is important to keep in mind that this added pressure poses a risk of additional injury top the man who already has PD.  For this reason it is important to be careful with an erection when the penis has no comfortable or safe direction to extend itself.   Since it is not possible to stop an erection while asleep, it is smart to not wear tight or limiting underwear or pants while sleeping if you have Peyronie’s disease. It might be even smarter to wear nothing at all while you sleep since this avoids a great potential for binding and restriction.

For the most part, a normally occurring erection th

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at can simply “stand on its own” with no pressure against it, is not going to bind or incorrectly stretch out the penile tissue in a way that is detrimental to the penis.  Problems occur during 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.   For this reason it is understood that a naturally occurring erection is safer than an artificially created erection.

Drug induced erections can start Peyronie’s disease

Over the years I have communicated with many men whose PD 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 pounds per square inch during normal use, and over-inflating it to 100-150 pounds per square inch.  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 Peyronies, but rough, aggressive, hard sex can be dangerous and really injure the already damaged tissue further. Developing and using a natural erection is not to be avoided either in Peyronie’s disease.  However, it is important to keep your wits about you and do not go wild during sex.  The emphasis should be on an easy, smooth and gentle sexual encounter.  Any sexual activity or posture 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 book, “Peyronie’s Disease and Sex.”  You will enjoy learning more about what you can and should do to take care of this nasty problem.

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When Peyronie’s Plaque or Scar Not Easily Located

Posted on by Dr.Herazy

Peyronie's plaque

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

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

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

1. So small – it cannot be found

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

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

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

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

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

Finding your Peyronie's plaque

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

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

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

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

Different way to approach Peyronie's scar

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

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

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

When Peyronie’s Scar Not Easily Located

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Peyronie’s plaque

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

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

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

1. So small – it cannot be found

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

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

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

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

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

Finding your Peyronie’s plaque

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

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

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

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

Different way to approach Peyronie’s scar

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

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

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

Protection for Peyronie’s Disease during Intercourse

Posted on by Dr.Herazy

Girth enhancement rings stabilize Peyronies

Since 2002 Peyronie’s Disease Institute has made several different products available to our customers that offer important penile protection while still allowing sexual intercourse to take place. One of these is the girth enhancement ring or sleeve, please see Girth Enhancement Ring.

Using this uncomplicated device provides a level of support that greatly reduces the possibility of re-injury of the penis during intercourse. For many men this simple and inexpensive device is essential in a couple’s ability to engage in sex at all – for many men the added support is needed to make penetration.

The basic girth enhancement sleeve is a thick but flexible tube that is open at both ends, made of very soft and stretchy silicone material. The penis is slipped into the tube and the glans or head of the penis sticks out at the other end for full sexual contact. With this added support the shaft is less likely to be re-injured by sudden bending or collapse.

Even if the cause of Peyronie’s disease in your case was not trauma, it is critical that you do all you can to not injure your penis during sex if you have PD. The following deformities present a real or potential weakness of the shaft of the penis that can easily get re-injured during sexual activity, and therefore will benefit from the use of girth enhancement sleeve:

1. Twist

2. Curve

3. Bend

4. Dent, dink, nick, depression, impression or filling error

5. Bottleneck deformity

6. Hourglass deformity

Any of these Peyronies deformities is weakest at the area of the greatest distortion, or thinnest part of the shaft, that can suddenly bend, fold or collapse during insertion or while thrusting. This is the area over which the girth enhancement sleeve should be worn.

Dealing with a penis that is weak in one small area is like having an ankle that is weak because of an earlier injury, making it susceptible to re-injury. Also, just like a sprained ankle, each penile re-injury occurs more easily and gets progressively worse. The best approach to take is to not allow additional injury to take place so the tissue remains as healthy and strong as possible. For the ankle the treatment is to wear a support and to slow down so that you do not hurt yourself again. The same with Peyronie’s disease.

A valuable second benefit to the girth ring support is the additional thickness or girth it adds to the penis that can make up for the lost dimension that many men experience.

I urge any man whose penis is distorted by Peyronie’s disease – known as a Peyronie’s penis – to investigate the girth enhancement sleeve to provide protection during sexual activity to avoid re-injury and worsening of his problem.

Communication Vital for Peyronie’s Teatment Success

Posted on by Dr.Herazy

Saying you do not know might be the wisest thing you can do

The Peyronie’s Disease Institute has been working with men since 2002, offering the most effective therapy ideas and products we can find, and helpful information about successful Alternative Medicine treatment of Peyronie’s disease.

Usually within the first month of Peyronie’s treatment a man will enter into a critical point of his Peyronie’s treatment when he can become confused and doubtful. Many men become unsure if they are using the correct treatment products or using them in the right way. Many times men want to change their plan but do not know how to do it. If this describes how you are feeling about your treatment plan, you must let me know your questions and I will do my best to help you with all of this.

Please do not hesitate to send an email asking for help and information. I would be happy to answer your questions, and offer insights and ideas gained after successfully treating my own PD, writing two books on this subject, and working with nearly a thousand men from around the world with their Peyronie’s treatment.

Contact Dr. Herazy at info@peyronies-disease-help.com

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