Are there other conditions that produce the same symptoms as Peyronies disease?

I know you say to get diagnosed by a doctor, but all of my symptoms fit Peyronie's to a T. I feel that going in to be diagnosed would be throwing money, and time away. Are there other conditions that would produce the same symptoms? I am ready to commit to your plan, as it seems to be the only thing that might help. Also, are there any other health benefits from your plan? I have prostate problems,for which my doctor prescribed finasteride, and have since developed what I believe to be Peyronies. I have subsequently quit taking the finasteride, and was wondering if your plan helps at all with prostate issues.

Thank you for your help.


I cannot force you to receive medical care or to be examined, but only to advise you that it is typically the wise thing to do.

Many cases of PD are strongly suggestive of this problem, making a formal diagnosis seem superfluous.  There are no other medical conditions that cause an exact clinical presentation of a classic case of Peyronie's disease.

Please read Will the drug finasteride (Proscar) (Propicia) affect my Peyornie’s disease in any way? to learn more about the relationship between this drug and PD.

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The PDI treatment concept was intended specifically as a way to increase the ability to remove the PD scar material in a natural way as when the condition simply disappears during the normal healing process.   However, I have had many people tell me that many chronic health conditions have cleared up while following the improved nutritional approach that is integral to the PDI concept of PD treatment.  Even so I would not approach treatment of a chronic prostatitis hoping that it might clear up while working to eliminate the PD scar.  You would have to be much more specific and direct in your therapeutic selection than what is found in a PD treatment plan.  This is the reason we do include a few prostate treatment items under the “Prostate Support” tab of the PDI store.  I suggest you undergo a brief therapeutic trial of care in this way while still following your medical doctor's advice about your prostate.   TRH


Could one dose of Clomipramine have started my penis curvature?

Hello Dr. Herazy,

I'm a 27 year old graduate student from another country. When I was 23 years old, I was diagnosed with clinical depression and was prescribed Clomipramine. After taking this drug for the very first time, something very unusual happened to my penis (within 60 minutes of taking this drug). My penis had swollen up (not erect, swollen like a balloon). It remained like that for 6 or 7 hours and eventually the swelling subsided. Obviously, I did not take Clomipramine ever after that day. I also did not tell anyone because I did not want anyone to find out that I had been prescribed an anti-depressant (it is sort of a taboo thing in my country).
Since that day, my penis has been curved towards the left and more importantly, my erect penis is significantly shorter and less thick.

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I'm going to be in the US for another 3 years for my PhD, and I would like to receive your treatment before I return to my country.

I was wondering if you've ever heard of cases similar to mine. Please let me know.
Also, any other suggestions/advice would be appreciated.

Thank You.


I have not been able to locate any information indicating that Clomipramine can lead to Peyronie's disease, although there is abundant information about it causing alternation of the erection mechanism.

If you would like to discuss your penis curvature complaint when you are in this country please feel free to contact me.  TRH


Do you suggest any other products (i.e. stretching video, or other supplements) that are not in the small treatment plan?

Hello, I started my treatment with PDI two weeks ago. I am 47 years old and have never taken viagra or anything like that. I started first with pain during an erection in July of 2012. I went to my doctor and he felt to see if there was any scar tissue, but felt nothing. A month or two later I started to get a curve in my penis to my right side. I am not sure of degree but over this first year it has worsened. (I took pictures before I started as suggested) I purchased the PDI system, the most mild, because it seemed to most match with my condition. Do you suggest any of your other products (i.e. stretching video, or perhaps other supplements that are not in the mild treatment?) The reason why I ask is because of my age. I noticed that one of the descriptions for the mild treatment was 25 years of age. I want to attack this early and hard so as to have the best possible result.

Thank you!


If you wish to add to your small PD treatment plan you can certainly add any of the therapies not currently being used.

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However, before doing so, I suggest that you explore a higher dosage of several therapies that are in the PDI small plan, like Nattokinase, Fibrozym, vitamin C, and the DMSO and copper topical treatments.  It is far better to work with higher dosages of what you already have available to you, than to merely collect a larger assortment of therapies that you do not actively work with.   Using a smaller dosage of a large assortment of therapies seems to be less effective than taking a larger dosage of a small assortment of therapies.

Please contact me to discuss how you can use your small plan better than you are now.

To answer your question, acetyl-L-carnitine, PABA and the stretching video are always good therapeutic choices to expand your treatment profile after you have exhausted combinations and dosages of what you are now using.   TRH


Would liposomal nutrient delivery be a good way to treat Peyronies disease or Dupuytrens contracture?

Dr Herazy,
Are you aware of liposomal delivery of nutrients. It is a vastly superior way to get right through the cell walls with little or no degradation in the digestive process. I am switching over most of my regular supplementation to be liposomal and even make my own liposomal C.

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I really believe that this way to deliver the nutrients (and enzymes?) is the wave of the future and will become the standard. Especially for intracellular use of nutrients. Would it not be a good way to treat Peyronie's disease or dupuytren's contracture?

Please comment.

Thank you, i believe you are very dedicated to helping people.


Yes, I am very much aware of the new technology in which water and fat soluble nutrients are encased in a micro-sized sphere of fat that enables it to be passed through the digestive tract wall, into the bloodstream, and eventually through the cell walls of all tissue cells throughout the body. These spheres are so small (100 to 400 nanometers across) that they can only be seen with an electron microscope.  Larger size spheres that contain more nutrients can be made but they would not easily pass through the gut membrane, nor pass through the cell walls.

There is much interest in this new technology because so often  orally consumed nutrients are not adequately  absorbed by all people into the body.   Liposomal delivered increase the absorption of oral nutrients, and protect delicate nutrient molecules from breakdown when subjected to the digestive process.

Many times a person will only absorb and benefit from a small portion of the nutrients that are taken.  With the promise of liposome technology the nutrients easily pass through the digestive system intact and undiminished.  The combined effect is that the nutrients are absorbed better and carry greater potency, with less chance of

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However, this is still a relatively new technology and it is evolving and improving over time.  I am somewhat hesitant to get into it or promote its use before it has been sufficiently refined and proven its worth.

There are several key points to keep in mind at this early stage of liposome development:

1. Be sure that the PC (phosphatidyl choline) or fat content is sufficient.  For example, a 1000 mg dose of vitamin C will usually need about 350 mg of PC, and even more might be better to assure the nanometer size is sufficiently small for maximum passage into the cells.

2. Deal with only a reputable company to learn the liposome size in the product.  This information must be guaranteed by the manufacturer.   If the liposomes are too small they will not carry enough nutrients.  If the liposomes are too large they cannot pass through the intestinal lining or the wall of the targeted cells.  A guanteed range of 100 nm to 400 nm (nanometers).

3.  Read the manufacturers report on size testing.   Only large laboratories have a SEM (Scanning Electron Microscope), so they need to offer proof of this critical determination.  How they are able to manufacture liposome is proprietary, so I do not know how you propose to make your own nutrient liposomes.  I would be very suspicious of a company that tells you that it will help you to do it.  TRH


Peyronies disease exercises – which ones can help me?

Exercises for Peyronie’s disease

Peyronies disease exercises presented in this article are not intended to increase the size of the penis, or to make the organ in any way stronger in the usual sense.  These exercises are chosen because they attempt to get to the cause of the Peyronies problem, the nodule of scar tissue located below the surface of the skin.

Peyronie’s disease is all about the presence of fibrous scar tissue within the deep layer of penis tissue called the tunica albuginea.  When this scar tissue develops within the penis, under the skin surface, it drastically affects how the penis appears when erect and often how it feels in regard to pain.

Some people mistakenly focus only the obvious physical appearance changes that are common with PD.  They equate Peyronie’s disease with the penis curvature or hourglass deformity that develops because of the internal scar, but they fail to realize the distortions occur because of the scar they cannot see.  As a result they approach treatment as though getting rid of Peyronie’s disease was as simple as getting rid of the bent penis they see, like straightening out a bent paper clip.  But, Peyronie’s disease is not a curved penis; the curved penis is merely the end result of the real problem which is the scar tissue found under the skin. The real problem of Peyronies is a tendency to produce an excessive healing response to trauma. Therefore, this discussion of various Peyronies disease treatment exercises will focus on several strategies that are intended to increase the natural ability of the body to eliminate or heal that offending scar material.

We know self-correction or natural healing of the Peyronie’s scar is indeed possible, and happens frequently by medical standards; it happens in about half of the diagnosed cases of PD.  Spontaneous healing or natural elimination of Peyronie’s disease is the primary reason that standard medical treatment of early cases includes a waiting period of at least 12-18 months before considering doing surgery.  During the standard 12-18 month waiting period it is hoped that the body will be able to simply eliminate the Peyronies scar as it happens in about half of the cases.

These Peyronies disease exercises are presented because each represents a slightly different way to assist the tissue to correct the basic problem of the scar material.

Peyronie’s disease stretching exercises

Gentle manual Peyronie’s disease stretching exercises should not to be confused with the Middle Eastern practice called jelqing.  Jelqing is essentially an ancient method of penis enlargement performed by forcefully stretching penis tissue repeatedly, squeezing more blood into the cavernous penis tissue spaces than it can normally hold while also being stretched.  Jelqing is sometimes mistakenly recommended as by some who do not understand the real problem of Peyronie’s disease.  They think that forcefully stretching and unbending the penis will take care of the problem as though the bend was a simple issue that could be fixed like a bent paper clip.  Not only is this ineffective for treating Peyronies disease, jelqing can cause more injury in a penis that has already demonstrated that it is capable of producing too much scar tissue.

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As proof of the brutality of jelqing, many cases of Peyronie’s disease start after a man injures himself while using this technique.  How anyone could think jelqing is a reasonable way of treating peyronies is a mystery.

The Peyronie’s disease stretching exercises that were developed in a research project of the Peyronie’s Disease Institute in 2006 are greatly different than jelqing because they are extremely gentle.  They approach soft tissue stretching from the standpoint of increasing tissue length much in the same way a ballerina attempts to become more flexible by using very light stretches over a prolonged period of time.

Massage and exercise video for Peyronie’s disease treatment

A group of simple treatment exercises for Peyronie’s disease were first applied by Peyronie’s Disease Institute in 2004, and presented in a video.  These exercises were selected on the basis of their ability to increase blood flow and increase lymphatic drainage to the pelvis in general and penis in particular.  None of these massage and exercise techniques are ever applied directly to the penis, since this could possibly result in additional injury and more internal scar development. Instead these massage and exercise techniques are applied to the area immediately around the genitals to loosen tight and contracted soft tissue while avoiding further injury.

This Peyronie’s disease exercises video presents a series of Kegel exercise instructions increase the blood flow and health of the lower pelvis, deep tissue massage to the deep pelvic soft tissues to increase drainage of the lymphatic tissue which in turn will increase blood flow of the involved area, and lastly a series of instructions to increase energy movement in the area of the penis.

Peyronie’s disease treatment exercises

These various Peyronies disease exercises make sense because they attempt to address the potential underlying problems that could prevent the natural healing of the dense internal scar tissue that is at the heart of this problem. Schemes that merely try to enlarge the penis ignore the need to reduce or eliminate the Peyronie’s scar.

When these Peyronies disease exercises are added to an aggressively applied Alternative Medicine treatment program of diverse vitamins, minerals, herbs and enzymes it is sometimes possible to assist the tissue to remove the Peyronie’s scar. The earlier in the disease state this is started, and the more aggressively it is done, the better the therapy results tend to be.


Can the PDI penis stretching method help my congenitally curved penis?

Dear Dr. Herazy, I would like to know if your method of penis stretching exercises would allow an improvement in my congenital twisted penis.  I do not have PD; however, does your method help men with congenital curvatures too?

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Actually I need to tell you my story: I underwent surgery to eliminate the congenital curvature, but there are now non-absorbable stitches into my penis and they are hurting me. The surgery was almost nine months ago, in August, 2012, and I think of removing these stitches from me to help the pain. So I have a question: how much time do I need to wait so that I can remove these stitches without losing the correction I have obtained with the surgery?

Well, and there is another thing: my penis was curved left and down before the surgery. After the surgery, I realized that my penis is not pointing to the left, but it still curved down, with a bend near the base of the penis. Thus, I would like to correct the bend downwards that still exists, and finally reach the complete correction of my penis.

I would greatly appreciate if you could answer my important questions.

Thank you.

Greetings Vini,

Yes, the PDI method of gentle penis stretching has helped make safe changes even in some congenital penis curves and bends, but it is not possible for anyone to know ahead of time which will and which will not respond.  Even though we initially tested the gentle manual PDI penis stretching method only on  men with Peyronies disease, over the last few years I have received back reports of success from men with congenital curvature.  The best and safest method is to simply apply the work and use the technique for a month or two to determine how well you will respond.

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However, you have had penis surgery, so this changes a lot of things. Too bad you did not ask me these questions before you had your penis surgery.  Once you have had tissue removed, and had stitches inserted to hold you into a certain position, there is less that our gentle penis stretching technique can do for you.

Now, since these surgical changes have been made. you really should be asking these questions to the doctor who tried to correct your congenital penis curvature with surgery.  This is the person who should have all the answers regarding how your penis will respond in the future.


I am 18 years old and fear I am suffering from Peyronies Disease

Hi, I am 18 years old and fear I am suffering from Peyronies Disease. I do not believe I have suffered any physical trauma. My penis is straight for a few centimeters and then bends at about a 50 degree angle when erect. In addition, my erections are not as hard as they used to be and I can lose them fairly quickly. When lying down, my erection is not rock hard, so if I lean by body slightly to the right my penis looks straight, but is obvious when standing up.

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I spoke to my GP and he brushed it off and said “its natural to have a bend” and said how the erection part is psychological.

My concern: I took propecia for about a year. Before taking this pill I had a NORMAL penis. No bend, rock hard erections. For 16 years I had no bend and then I developed one, could that be normal or do I have Peyronies disease?

Another concern: when I masturbate frequently, my over-all erections are decently hard. However when I go 2+ weeks without masturbating my erections are bad. For separate reasons I am trying to stop masturbating, but I am extremely concerned that if my erections got worse after 2 weeks, what will happen after a month? Or 3?

I'm really really worried. I can't stop thinking about this. If I could at least have the satisfaction of knowing it probably won't get any worse then I can deal with it. But it seems people are saying it could get worse (as my bend has gotten slightly worse over that past 2 years). If my erections get any weaker ill probably have to look into medication. I'm 18 years old, I cant deal with this, the last thing I want is to go to a urologist and look into medication. I stopped taking propicia 1.5 years ago, and I recall reading that people returned back to “75%” of their pre-finasteride erections after stopping, if thats the case with me I can accept it and try to move on. What do you think?

I hate this.

Greetings young man,

There are many side effects of Propecia (finasteride), among them reduced erection quality and Peyronies disease. For additional information please see Another case of Propecia and Peyronies disease and Will the drug finasteride affect my Peyronies disease in any way? In the absence of trauma, and without known genetic predisposition or family history of this problem, there is strong presumptive evidence that you could have Peyronies disease due to your use of the drug finasteride.

It would seem that the urologist you spoke to did not listen to what you were saying. While it is indeed true many men are born with a curved penis, that is not the situation in your case; you had a straight penis for many years and it became significantly distorted after using Propecia for a year.

It is not normal to have a straight penis and firm erections for 16 years, and then within a year or two for all that to change into a 50 degree bent penis with weak erections. That does not sound like a congenital malformation to me.

I suggest that you reconsider going to a different urologist the next time – one who listens to what you are saying – for an examination to make a diagnosis of your current situation. Armed with this knowledge you will know how to proceed. Right now you are only guessing and supposing, and worrying yourself sick, without knowing for sure what you are dealing with. If it does happen that you have Peyronies disease I suggest that you very soon begin a conservative regimen of care using Alternative Medicine to assist your body to possibly eliminate this problem. For information about this please go to Peyronies disease treatment.

Sometimes the effects of finasteride usage are reversible once the drug is discontinued, and other times they are not. It is my opinion you cannot assume your problems will resolve themselves, partially or completely, by simply no longer taking Propecia. I suggest you actively do all you can to assist your body in its effort to eliminate the Peyronies disease once you know for a fact that is your problem.

Please let me know if I can assist you in any way or answer other questions for you. TRH


Can I use heat on the penis shortly after injury?

Dear Dr. Herazy

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I was diagnosed with peyronie's disease 3 weeks ago. I presume this is the acute phase. I was reading a lot about heat treatment as well and I read that you also recommend moist heat before applying external therapies. I also read that heat increases inflammation. I read that one of your clients applies heat when he is watching TV or reading. Is this heat not counter-productive in the acute phase because of the inflammtion.


Greetings again Sam,

Most cases of PD we work with are well beyond the initial acute phase of penis injury, and so applying heat prior to other external therapies is not counter-productive.

I suggest that if you are in the acute stage of injury that you get any acute inflammation down with ice, applied for 20 minutes at a time. When the acute stage subsides in perhaps a week or two, heat would be approprite. TRH


Can I take Colchicine with my PDI large plan?

Dear Dr. Herazy

I have had an penis injury and developed Peyronie's disease about 3 weeks ago. The Urologist I saw prescribed Colchicine. I did order the large plan from you. Will you advise to continue using the Colchicine when I start taking the vitamins and enzymes.


Greetings Sam,

Sorry for the delay in getting back to you; so many email questions to answer lately.

Yes, there is no problem in combining the two. I suggest you contact the doctor who prescibed the Colchicine to you for confirmation of this opinion. TRH

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Which Peyronies treatment do I increase next, by how much, etc?

Hello Dr. Herazy,

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Joe here in Maine. I recently ordered some more supplements through your website and I am currently using the medium plan.

I wanted to know if you knew of any good urologists in New England that I should be aware of. My general practitioner doesn't know very much about Peyronie syndrome and I went to see a urologist here in Portland Maine who really didnt know much about alternative treatments like yours. Not long into my visit with him he was talking about surgery, prosthetics, etc . . . His recommendation was for me to wait 6 months and see if the scar tissue went away or not and then come back for a second visit.

I want to do more to help myself. I began by taking the manufacturer's recommended dosage on each bottle. After 3 weeks I increased the amount of Fibrozym to 3 pills 3 times daily (with food). Soon, I will want to increase my daily intake of my supplements again but I'd like to have professional advice on how to do this. (Which treatment do I increase next, by how much, etc?)

So if you know of any good doctors that support the therapies you do, and are located in my neck of the woods, please let me know. I am only a few hours north of Boston.

Thank you,

Joe B.

Greetings Joe,

I do not know of any urologists in your area I can recommend to you. You will just have to call around and try to find what you are looking for. I suggest you can a urologist office, and ask to speak to “the doctor's nurse.” The doctor's nurse is the doctor's right hand, and sees it all and does it all; a very good person to get to know. Ask the doctor's nurse about the doctors use of alternative medicine, and anything else you would like to know about.

Unfortunately most urologists are very quick on the trigger to suggest and do penile surgery for Peyronie's disease. Watch out for that kind of doctor.

You are making a mistake by taking Fibrozym with food; it is to be taken between meals. All enzyme products are to be taken between meals when using them for Peyronies treatment.

To answer your question about increasing theapies as you progress in your treatment I would need to know what and how many of each of the therapies you are taking. Please call to set up an appointment time and we can discuss this to get you started in the right direction. TRH

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