Monthly Archives: January 2013

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

Posted on by Dr.Herazy

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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I was injured by rough masturbation, and now I have a bent penis. Will I be able to have sex with my girlfriend?

Posted on by Dr.Herazy

I am 21 year old and i used to masturbate for the last four years until I developed a bent penis.  My penis head is not covered by skin and its by birth, not from circumcision. About 2 years back i found that masturbating on the bed is more exiting than by hand for me and due to that one day i slightly bent my penis and had a slight pain in the middle of the penis.  But that didn't bother me too much so i masturbated like that regularly.  My question is this now. For the last 6 months that have passed i realized that i was doing it in the wrong way and that i have hurt my penis,  and i discovered I have a bent penis with a bend in the middle of the penis on the left side, but i don't have any pain in erections now.  i used to masturbate with my hands 2 times a week.  There is no difficulty in ejaculation and pain in erection,and yaa doc. One more thing when half erected it bents downward easily and not upward as its tight some time i had seen hour glass shape when its not erect and i m still a virgin, and very upset with my peyronie condition.  Can it become straight again?  Can i be able to have sex ever with my girlfriend?  i am too much depressed. sir plz help me…its very important for me……

Greetings young man,

Rough or unusual masturbation practices can injure the penis, especially when repeated many times, and can lead to Peyronie's disease. Please read I am 19 years old and I need your help with a curved penis after rough masturbation

A bent penis and an hourglass shape indicate you could have Peyronie's disease.  However, your young age, lack of pain, and the fact that you do not mention a lump or knot of tissue under the surface of the penis indicates that you might not have Peyronie's disease at all.  At this time, you are only thinking it is PD, and maybe it is not.  First things first.  You should go see a doctor who specializes in this kind of problem, a urologist, who can tell you definitely one way or the other if you have Peyronie's disease.   

If you have Peyronies disease then you can discuss with the doctor the best way to proceed to help yourself.  At your young age, and having relatively mild symptoms,  I suggest that you be extremely reluctant to allow yourself to be talked into surgery.  It might eventually be necessary, but I would offer to you that it only be done as a last resort after you exhaust all possible conservative Peyronie's treatment measures that would help your body to cure any Peyronie's plaque you might have at this time.      

Many men continue to have sex in spite of having Peyronie's disease, even with a bent penis.  It depends on how badly it is curved and where it affects the penis. All is not lost.  But you need to learn more about this problem and change how you masturbate.  Please read Peyronie's disease and masturbation.

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I suggest that you read and learn about natural ways to help your body eliminate the Peyronie's problem, and reverse your bent penis, if it turns out that is what is going on with you.  Please let me know what you learn and what you decide to do.  TRH   

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

Posted on by Dr.Herazy

Hi Dr. Herazy,

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

Thanks,

David V

Greetings David V,

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

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

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

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

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

Posted on by Dr.Herazy

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

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

R Venkat

Greetings R,

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

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

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

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Question about PDI ultrasound machine usage outside of U.S used for Peyronie's disease

Posted on by Dr.Herazy

Hi

I live in Australia and purchased the ultra sound device with my last order. The power supplied here is 240Volt – Is the ultra sound suitable for use in this Country ??

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Paul Craig

Greetings Paul,

Yes, the ultrasound machine we have available is made in two voltage ratings.  For the US and a few other countries it is made as a 110 volt unit.  For most of the rest of the world it is made as a 230 volt unit which will work when using 220, 230 or 240 volts power sources.  TRH  

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Question about vitamin E

Posted on by Dr.Herazy

Hi, I live in Estonia and I have pretty much surfed all the internet and cant seem to find any other Vitamin E supplements other than alpha tocopherol in my country. Right now I'm taking 300 IUs of alpha tocopherol daily, what would you suggest?

Thanks

Greetings,

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The vitamin E product we make available on the website of the Peyronie's Disease Institute contains all four factions of vitamin E: the alpha, beta, delta and gamma tocopherol members of that family. Please find it at Unique-E vitamin E.  TRH

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Is having a penis with a congenital twist really rare or fairly common?

Posted on by Dr.Herazy

Hi, Dr. Herazy.

I'm wondering if your treatment program might help me improve my penile torsion–my penis has a counter clockwise rotation some 45 degrees. I'm 40-years-old and married.

One more thing–is having a penis that twists in one direction or another really rare or fairly common?

Thanks for any advice.

Very best–Chris

Greetings Chris,

Since you do not mention having Peyronie's disease I will assume that your twisted shaft is a condition you have had all your life, or a congenital twist that is simply the way you are.  I mention this because it could also be part of the deformity pattern that develops as a result of Peyronie's disease, since many men note this finding along with a curved penis and loss of size that results from the presence of the Peyronie's scar.  When I had Peyronie's disease back in 2002 I also had a torque or twist in the shaft; mine was also counterclockwise, and it was resolved along with the 35 degree bend to the left, upward 10 degree bend, and loss of size when I was able to heal the PD scars that were causing that mess. 

But I assume your twist is unrelated to PD and is only something that makes you the unique and wonderful guy that you are.  For information about how some men are born with a different looking penis please refer to  How can I tell the difference between Peyronie’s disease and a congenitally curved penis?

Previously I have described how many men have used the PDI gentle manual penis stretching technique to partially or completely reverse congenital penis curvature and bends.  Please refer to Will the PDI Manual Stretching Technique help a congenital penis curvature?

It is not I often learn of men who have a congenitally twisted or torqued shaft; most often it is congential curvature that is mentioned.  Further, when twisting is mentioned I believe the amount is not often as much as our 45 degrees.   However, when it comes to these kinds of variations of the penis there is a tendency for men to not broadcast this information.  I would suspect that it is more common than generally spoken about.    For these reasons I will say that your situation is not all that common, but certainly not rare.  

I would suggest that if your torqued shaft is presenting a problem to your sexual function that you could consider a brief therapeutic trial of maybe three months or perhaps more using this PDI protocol to see if you can reduce the degree of variation you have. TRH

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

Posted on by Dr.Herazy

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

Posted on by Dr.Herazy

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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Another Peyronie's disease treatment success story

Posted on by Dr.Herazy

Hi Dr Herazy

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

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

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

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

Best regards

Greg Woodford

Greetings and thank you Greg,

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

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

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

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

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

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

Again, nice work and congratulations, sir.

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