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Peyronies disease exercises – which ones can help me?

Posted on by Dr.Herazy

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.

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Does Bill Clinton have Peyronie’s disease or a curved penis?

Posted on by Dr.Herazy

Not every curved penis is Peyronie's disease

To offer a definitive and accurate answer to the question “Does Bill Clinton have a curved penis or Peyronie’s disease?” would require the presence of several pieces of clinical information determined by direct medical examination:

1. History of pain while erect, or less commonly pain while flaccid, or both
2. A mass or nodule of foreign scar tissue located below the surface of the penis shaft, detected by manual palpation or ultrasound examination
3. Structural deviation of the shaft of the penis during erection, (bending or curvature, hourglass, bottleneck, rotation or torque, or indentation deformity)
4. Erectile dysfunction, either total or partial, caused by the internal Peyronie’s scar material interfering with the pneumatic mechanism that creates a normal erection

Since none of the above information has been presented in any factual way, the curious public has only to rely on hearsay and innuendo.  Taking the sketchy information and various unconfirmed newspaper reports as credible, the only safe conclusion at this time is that former President Clinton does not have Peyronie’s disease.

A diagnosis of Peyronie’s disease can be complicated.  Peyronie’s disease is not determined solely on the presence of a curved penis, any more than the absence of penile curvature indicates a man does not have Peyronie’s disease.  Simply because a penis is curved does not support the conclusion that the cause is Peyronie’s disease, especially when the presence of the curvature is solely based on the observation of a layperson.

However, whether Mr. Clinton has Peyronie’s disease, or even a curved penis, cannot be confirmed in any meaningful way at this time due to the legal maneuvering and sealing of many court documents in which this question has been apparently asked and answered under oath.  As such, the presence or absence of a curve in Mr. Clinton’s penis is apparently known, but is not currently available for the public record.

Whether or not Bill Clinton, the 42nd U.S. president, does or does not have a bent penis, and is consequently assumed to have Peyronie’s disease, became an important political question during two different sex scandals in which President Clinton was famously involved.

The first, in 1994, centered on the sexual harassment suit that Paula Jones filed against President Clinton for conduct that was said to have occurred in 1991 at the Excelsior Hotel in Little Rock Arkansas. Her lawsuit was eventually dismissed on the grounds that she failed to prove damages as a result of her encounter with Clinton.  When Jones appealed the dismissal Clinton agreed to a $850,000 out-of-court settlement.

The second, in 1998, became known as the Lewinsky scandal.  This high profile sex scandal centered on the extra-marital affair between President Clinton and a 22-year-old White House intern, Monica Lewinsky. Eventually the scandal resulted in the impeachment of President Clinton by the U.S. House of Representatives and a subsequent acquittal on all impeachment charges of perjury and obstruction of justice by the U.S. Senate after a stormy 21-day trial.

Both of these women hoped to prove that Mr. Clinton was sexually active in their presence by offering that they saw a “distinguishing characteristic” of his private anatomy, suggested by others to be some degree of penile curvature.

However, the public record regarding Mr. Clinton’s alleged bent penis has been purged from their testimony.  Because the Jones and Lewinsky cases involved a sitting U. S. president, all testimony and affidavits that would quickly answer this question about Peyronie’s disease were sealed by court order and remain so. Detailed review of Monica Lewinsky’s August 6th and August 20th grand jury testimony, released on September 21, 1998 reveals no questions asked or answered about his penis.  Detailed review of Paula Jones’ testimony during her deposition to the U. S. Senate on February 17, 1998 also reveals no questions asked or answered Mr. Clinton’s penis.

As a result of the court enforced silence on this subject the public does not know what these two women said about what they saw. The Washington Times has reported that several sources with close ties to the Paula Jones case indicated that in her sworn affidavit she alleges Mr. Clinton’s displayed a distinctly angled bend of his erect penis.

Even if it was widely known that both women said Mr. Clinton has a bent penis, this isolated information does not definitely prove that the former president has Peyronie’s disease; it would only mean that his penis is curved.

However, the New York Times newspaper has reported that on October 3, 1998 a detailed genital examination was conducted on Mr. Clinton by the chief of urology from the National Naval Medical Center, Capt. Kevin O'Connell whose interest was to specifically rule out Peyronie's disease.   The New York Times has reported that Dr. O’Connell, as a result of this examination would testify if given the opportunity, that Mr. Clinton does not suffer from Peyronie’s disease.  But this information is also under a court seal, so the best that can be done currently is to speculate.

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Some normal penises are curved while other normal penises are straight; just part of the normal variation that exists between men that makes us all unique.  When those court documents are finally opened and made public, few of us will be around to care about the private parts of President Clinton.

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Cortisone injections and Peyronie's disease

Posted on by Dr.Herazy

My doctor wants to put cortisone injections into my Peyronies scar, what do you think of that?

Will steroid injections reduce the inflammation and pain of my Peyronies?

My opinion is that it is risky to use cortisone injections as a Peyronie's treatment.  While a temporary and variable reduction of pain does occur in some cases, but not all, it is not worth the limited benefit that makes future Peyronies surgery more complicated and dangerous should it become necessary.  There is good reason to think twice about using steroid injections for this purpose.  This website has presented an earlier article about a closely related topic, Peyronie's disease treatment via direct drug injection.
It would be good to talk to your doctor about other treatment options or to consider using Alternative Medicine as a way to increase your natural ability to eliminate the Peyronies scar.  The PDI website explains how this can be done without the use of drugs and surgery.
In the 1960’s steroid (cortisone) injections were used as a Peyronie’s treatment under the theory that they would reduce plaque or scar formation because of the inhibitory effect cortisone has on fibroblast cell formation. Since fibroblasts are cells that make fibrin, and fibrin makes collagen in the body, with fewer fibrin cells the ideas was that this would result in less collagen produced during scar formation.
This treatment for Peyronie’s was used rather extensively until the mid-1980s when it became obvious that it did not consistently or greatly reduce collagen at the Peyronie’s plaque. And of equal concern was the observation that these steroid injections were causing penis tissue weakness (atrophy) of blood vessels, nerves, and all connective tissue of the corpora cavernosa and tunica albuginea of the at the site of the injections near the Peyronie’s plaque. These steroid injections resulted in weak and fragile tissue that would easily tear when a surgeon would try to sew it together during surgery, or worse yet would tear after surgery or heal slowly or not at all.

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It took a long time to notice and correlate this problem because virtually all of the studies of using cortisone injections in Peyronie’s disease did not use a placebo control, and they performed with only a small number of patients who reported their improvement subjectively without objective measurement of progress in terms of pain, plaque formation and deformity reduction.
Seldom did the steroid injections actually have a beneficial effect on the eventual Peyronie’s disease outcome, but had an undesirable side effect that made Peyronie’s surgery complicated and less effective. The problem was that the broad tissue destruction caused by the cortisone made the tissue so weak and compromised that a surgeon could not later go into that same area to suture the tissue closed at the site of a surgical incision, or expect the sutures to hold on the weakened tissue. If penis surgery was done it often resulted in frequent bleeding and repeated opening of surgical wounds. Once it was seen that cortisone injections made it difficult to do good surgery later, the practice began to fall out of general use.
In addition, the practice of using cortisone injections for treatment of Peyronie’s disease did not take into account the harmful effect of placing a series of multiple needle punctures into the scar material and the tunica albuginea tissue of the penis. Later clinical observations have shown that these frequent and repeated needle punctures act as additional trauma to tissue that has already shown itself capable of producing excess scar formation to repeated small injury. This has also proven to be the case when a series of multiple injections of other drugs like verapamil and interferon are used as Peyronie’s treatment. The clinical results of these other drug injections have not provided positive or encouraging clinical results that were any better than those of cortisone injections.
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Genesen Acutouch Pointers

Posted on by Dr.Herazy

Genesen Acutouch non-needle acupuncture: easy and effective at-home treatment

Genesen Acutouch pointers come with a 168-page manual written just for the layperson to use this professional grade equipment for doing acupuncture without needles

Acupuncture is one small part of a 5,000 year-old oriental healing tradition. It is performed by inserting fine needles into the skin to stimulate or sedate specific treatment points on the surface of the body. Two main reasons people today who would like to try acupuncture do not do it: the cost and the needles. The availability of the remarkable non-needle Genesen Acutouch professional grade acupuncture equipment has changed all that.

Genesen Acutouch pointers

Genesen pointers provide easy and effective non-needle at-home treatment by the layperson The Genesen Acutouch instruments are sometimes called Acutouch pointers or Genesen pointers because of the way that they are used during treatment; they are simply pointed toward an area on the surface of the body. To receive the benefit of acupuncture treatment it is no longer necessary to be concerned about pain, bleeding or fear of needles.   Just point the tips of the Genesen touch pointer and let them do all the work.  
The Acutouch pointers are ideal for both the professional acupuncturist and the layperson for several reasons:
1.    Acutouch Pointers are totally safe because they do not penetrate the skin and bleeding cannot occur. The instrument uses only natural atmospheric infrared, magnetic and ionic energy.  It provides a simple, non-invasive, self-administered treatment that is totally unique in both traditional and Alternative Medicine because it uses no artificial or external power source, with no wires and no batteries to replace – it is totally mobile.
2.    This instrument produces a wide treatment area. The tissue area that is affected by the galvanic energy field of the Acutouch pointers is huge compared to an acupuncture needle.   The treatment area of an acupuncture needle is about the width of a human hair; the treatment area of the Genesen Acutouch Pointer tip is one inch or 25 mm. For this reason a person only needs to be roughly close to an acupuncture point for the Genesen device to be effective. Experts and novices get similar results using it for this reason. This instrument has such a wide area of impact or effectiveness, and it tells you when you are on the correct treatment area, that you cannot make a mistake with it.
3.    Your Genesen pointers will last a lifetime because it has no moving parts, it will never wear out, and it has no external power source. This is certainly space age technology you can hold in your hands today. It operates on an infinite supply of natural atmospheric energy, providing the home user with a compact, portable and convenient response to more than 220 ailments, injuries and conditions.
4.    Effectiveness of point stimulation. The Genesen Acutouch instrument is manufactured to ISO9002 standards; the product carries CE certification as a Class 1 medical device. It causes penetration of chi to pass down through the gold tips (coated in 20 microns of 24K gold for optimum hygiene, performance and response) into the body to a depth of 25mm (1 inch).
Most people do not realize there are many methods to effectively stimulate acupuncture points; pressure, heat and electricity are just a few different ways that are commonly used instead of needle stimulation.  With the recent development of the Genesen Acutouch pointers everyone can safely and easily stimulate various acupuncture points on the body, and do it with just as much accuracy as a highly skilled acupuncturist.
By following the simple instructions that come with this equipment it is now possible for a layperson with no formal training to perform a rather sophisticated acupuncture treatment without encountering any of the problems and limitations of traditional needles. The Genesen pens (they are often called this because each one looks very much like a ballpoint pen) will indicate to the user when an active acupuncture point has been located and if it is in need of treatment. It is this aspect of the Acutouch pointers that make them so easy to use and effective even in the hands of a total novice.

Genesen pointers are fun and easy to use

There are several great reasons anyone who is interested in Alternative Medicine would use Genesen Acutouch at-home therapy in place of traditional needle acupuncture.
  • Safety – no needles involved
  • Results – the three forms of naturally occurring energy focused by the Genesen pointers spread out an inch wide and penetrate an inch deep into the tissue to stimulate every acupuncture point for treatment
  • Cost – with professional acupuncture office visits costing anywhere from $75 to $200 each, the Genesen instruments will pay for themselves after just a few uses.
  • Convenience – treat yourself or family members in the privacy and comfort of your home at any time of the day or night, as often as you like  
  • Ease – simply look at the pictures in the 160 page instruction book and place the pointers on those same areas of the body. The Genesen Acutouch pointers will tell you if you are on the correct or not; if not, simply move to another spot until the pointers indicate you have located the correct area for treatment.
The Genesen Acutouch instrument was invented by a South Korean engineer, Chi Kyung Kim, in 1999. It carries several international patents and earned him awards from the governments of several countries.  The Acutouch pointers use a combination of 1200-G focused magnets; a pinpoint far infrared beam (between 6 and 14 micrometers) that is focused down the length of the hexagonal barrel of the device; and a negative ion emitter in a ceramic powder chamber. These three energy sources are tuned to precisely merge at the gold plated point of each Acutouch device. The gold pointers of the device direct this composite of natural energy into the body, stimulating the body’s inherent ability to regulate and heal itself.
Acupuncture is not one thing. There are many styles of acupuncture and many ways of stimulating acupuncture points. Some of the best acupuncture treatments are those provided without traditional needles, using innovation and the ability to respond to the needs of the individual. The Genesen pointers allow you to do just that kind of self-care treatment. You can hold in your hands a truly revolutionary treatment device like the Genesen Acutouch pointers even as a layperson and deliver an effective acupuncture treatment, without the costs, problems and limitations of traditional needles to those you love.

My husband has a curved penis, is this normal?

Posted on by Dr.Herazy

 Bent penis usually means Peyronie’s disease later in life

A curved penis can be normal for some men, or it can indicate the presence of a problem for other men.  Just because the penis is curved does not necessarily mean there is a problem.

For the most part, the fact that penile curvature exists at all in a man does not indicate a true abnormality or reason for concern; an abnormality is more so suggested if there is a change in the appearance and structure of the penis if it was previously straighter than it is now and only later became curved.

If a diagnosis of Peyronie’s disease has already been made to explain the bent penis you are asking about, you should consider using Alternative Medicine treatment to assist and support the body’s natural ability to heal and repair the Peyronie’s plaque that causes the curved penis and the various signs and symptoms that are a result.  Click here to find a good place to start learning about non-surgical and non-drug Peyronie’s treatment.

When did the bent penis begin?

Usually the answer to the question, “When did the curved or bent penis begin?” will usually indicate if there is an actual problem to justify concern.

If your husband’s penis has been curved since childhood, or for as long as he can remember, then there is a very good chance that he has a normal variation of the shape of his penis.  This is called a normal penis curvature and is often simply due to a variation of the size of the internal chambers that make up the body of the penis.   In a congenital curve of the penis there is usually no pain associated with erection or intercourse.

Also, in regard to when the penis curvature occurred, it is not uncommon for Peyronie’s disease to develop after certain medical procedures or treatments:

  1. Use of Viagra, Cialis or Levitra (PDE5 inhibitor drugs) that have been known to cause damage to the internal tissue of the penis when an exaggerated or excessive erection occurs.  For some men this can happen after just one use of these drugs, or for other men after multiple uses that previously did not cause any unusual reaction.
  2. Use of beta-blocker heart medications that are used for chest pain and arrhythmia to name a few.  There are many beta-blockers used, but a few of the more popular are Lopressor LA, Sectral and Tenormin
  3. Use of some cholesterol lowering drugs (statin drug group) that have a long list of known side effects, but recently have been expanded to include Peyronie’s disease.  There are statin drugs in this category, but a few of the more popular are Crestor, Lipitor, Lisinopril and Lovastatin
  4. Having been catheterized as part of surgical procedure, especially when done while under anesthesia while in a hospital setting.  Many times greater force is used to pass the catheter tube through the urethra due to time constraints and urgency, resulting trauma to the penile tissue.

If your husband’s penis curvature started recently or sometime after his teen years when it had been previously straight, then this suggests a problem for which he should make an appointment with a urologist for an examination and diagnosis.  The most common cause of a curved penis that appears after it was previously straight, by far, is Peyronie’s disease.  Other less common causes can be:

  1. Trauma to the penis that causes simple swelling
  2. Trauma that causes penile fracture
  3. Penile cancer, although very rare

Diagnosis of Peyronie’s disease and the curved penis 

Typically, in cases of an adult onset curved penis, there are three primary findings that usually have to be met in order to establish a diagnosis of Peyronie’s disease:

1.    Presence of one or more nodules or areas of hardness located under the skin of the shaft.  These localized nodules are not seen on the surface, but a felt by digital examination below the skin; some can be so large that the surface of the skin is elevated from below by the nodule.

2.    Pain, from mild to severe, from occasional to constant, in some area of the penis while erect.  A small percentage of men experience penile pain while flaccid (non-erect), and an even smaller percentage experience pain during both states.

3.    Recent development of curved or bent penis, or some other similar distortion of the penis (bottleneck, hourglass, or indentation). 

A diagnosis of Peyronie’s disease can still be made without one of the above findings, if the other two are dominant and reliable.  Other findings of slightly less frequency and less importance seen during Peyronie’s disease, that are of some value in making a diagnosis  are:

  1. Loss of penis size in terms length and circumference (girth or diameter).
  2. Reduced erectile ability in either the entire shaft or a localized area of it.

The important thing is to not ignore the penile curvature and to do whatever you can to avoid Peyronie’s surgery whenever possible since the side effects can be devastating.

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

Posted on by Dr.Herazy

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.

Sex hurts because my husband’s penis is crooked, can we get help?

Posted on by Dr.Herazy

Painful sexual intercourse of Peyronie’s disease can often be eliminated or reduced

Painful sexual intercourse when due to medical or psychological causes is medically known as dyspareunia (dis-pair-oo-nee-uh).  While this kind of pain is most often reported exclusively by women, it is also reported amongst men who have a curved penis due to Peyronie’s disease.

Assuming that your husband has a curved penis because of Peyronie’s disease, there are several different ways and areas of their life that a couple can work together to improve, and possibly eliminate, the pain they experience during sexual intercourse. While most people assume that the pain is the direct result of a curved penis, it has been shown it is necessary to consider the effects of the multiple factors that are unique to Peyronie’s disease and capable of affecting sexual function.  To help a situation in which intercourse is painful because of the effects of Peyronie’s disease it is usually necessary to use more than one treatment approach.

Do not make a hasty assumption that the cause of your pain during intercourse is a crooked penis; you might be right, but then again you might be only partially correct.

The topic of pain during intercourse is so common and so important to couples who deal with Peyronie’s disease that the Peyronie’s Disease Institute offers two valuable methods to learn how often eradicate the problem, or at least minimize it greatly.  The first is a special program in which our staff nurse will personally 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 and physiology of sexual intercourse to suggestions for intercourse positions and lubrication options, as well as help dealing with sexual difficulties.  The second is a book written by Dr. Theodore Herazy titled, “Peyronie’s Disease and Sex,” that covers many of the diverse problems faced by couples who find intercourse painful or restricted by a curved penis or erectile dysfunction.

There are many different deformity patterns (bend, curve, indentation, rotation or twisting, hourglass and bottleneck, as well as combinations of these) plus different degrees of those penile distortions and curvatures that can contribute to different levels of pain experienced during intercourse. Even so, a bent penis is usually not the sole reason for painful intercourse for a couple dealing with Peyronie’s disease.  Just like the difficulty of putting a square peg in a round hole, a curved penis will certainly get someone’s attention and be the natural assumption for the cause of painful intercourse.

However, the amount of pain and even the absence of pain during intercourse that is due to a curved penis often presents a  surprisingly inconsistent and unexpected pattern; it is difficult to predict the failure or success of intercourse, or even if pain will or will not occur, based solely on the external appearance of the man’s penis.  It is not possible to say that a couple will experience pain or failure to complete entry for sexual intercourse only based on how much or where the penis is bent or distorted.

Women get help with painful sexual intercourse related to Peyronie's disease

The Peyronie’s Disease Institute nurse has advised and counseled many men and women who had not been able to engage in sexual intercourse because of pain for several years, even though the penile distortion involved sometimes is not great, less than 10 degrees.  Conversely, she has encountered a large number of happy couples, who in spite of having to deal with penile curvature approaching 90 degrees, were still able to engage in satisfying sexual intercourse without pain.

Based on these observations, there must be something else going on that explains why one couple will have problems with a small Peyronie’s curve and another couple will not have any apparent problems with a large Peyronie’s curve.

From our experience it is common for other seemingly small and less obvious factors to turn out to be the sole reason for pain during sex, or at least the primary contributor, rather than the more obvious curved penis. Nevertheless, to find a solution for painful intercourse that is part of the Peyronie’s experience it is important to consider all possible factors and not the just obvious.  Unless all the issues that contribute to painful sex are identified and addressed, pain will likely continue to be a problem, often getting worse over time since interpersonal problems tend to escalate.

The most common cause of pain during sexual intercourse is a simple lack of vaginal lubrication that normally is secreted during arousal to make penetration easier and reduce friction and irritation during coitus.  Some common reasons a woman would experience a lack of lubrication are:

Menopause – reduced progesterone and estrogen hormone production after age 50
causes many changes in the ability of the reproductive system to operate in a way that favors reproduction.  Thinning of the vaginal walls, less natural lubricant production and pain during sex are common signs of menopause.

Lack of foreplay – hurried sex does not allow for adequate time for natural secretions to be produced.

Disinterest or emotional issues about sex – a variety of past and current issues can be at play to reduce sexual interest in either partner

Vaginismus – an involuntary spasm or tightness of the muscles surrounding the vagina, especially at the opening, making penetration difficult, painful or impossible. This tightening and subsequent pain while attempting entry can have several possible causes: past sexual trauma or abuse, a history of discomfort with sexual intercourse, and at times no cause can be found. Psychological factors related to Peyronie’s disease are commonly found to be at the heart of vaginismus often develops because of anxiety regarding sexual intercourse, such as remembering the traumatic event that happened during intercourse that caused the Peyronie’s disease injury in the first place, the guilt and anxiety about causing his Peyronie’s disease, the anger about being in a relationship that is marred by a curved penis, the fear another accident might happen making his PD even worse.  Vaginismus treatment involves education and counseling for the couple, behavioral exercises, and vaginal dilation exercises using plastic dilators. This type of therapy should be done under the direction of a sex therapist or other health care provider experienced in this area of sexual dysfunction.

A wide range of emotional issues that are rooted in Peyronie’s disease result in pain during sex because they cause of variable degrees of vaginismus and reduced sexual lubrication:

Anger and frustration about being in a relationship without normal sex

Fear of making his Peyronie’s worse during sex with another accident

Fear that the Peyronie’s disease is contagious – and it is not – and could result in problems for the female partner

Fear that the deformed penis will injure the vagina

Guilt since she was one who caused sex accident

Low expectation to gain entry since penis does not look like it would be able to fit

If you are a woman experiencing pain during intercourse while also dealing with Peyronie’s disease, contact the PDI nurse via to get help identifying and eliminating all issues that might be involved.

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

Posted on by Dr.Herazy

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

Posted on by Dr.Herazy

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.

Genesen Acutouch Therapy

Posted on by Dr.Herazy

Genesen Acutouch pointers – professional office equipment for at-home use

Acupuncture is one small part of a 5,000 year-old oriental healing tradition.  It is performed by inserting fine needles into the skin to stimulate or sedate specific treatment points on the surface of the body.  Two main reasons people today who would like to try acupuncture do not do it: the cost and the needles. The availability of the remarkable non-needle Genesen Acutouch professional grade acupuncture equipment has changed all that.

Genesen Acutouch pointers – Acupuncture without needles

The Genesen Acutouch instruments are sometimes called Acutouch pointers or Genesen pointers because of the way that they are used during treatment; they are simply pointed toward an area on the surface of the body. To receive the benefit of acupuncture treatment it is no longer necessary to be concerned about pain, bleeding or fear of needles.   Just point the tips of the Genesen touch pointer and let them do all the work.

The Acutouch pointers are ideal for both the professional acupuncturist and the layperson for three reasons:

  1. Acutouch Pointers are totally safe because they do not penetrate the skin and bleeding cannot occur.  The instrument uses only natural atmospheric infrared, magnetic and ionic energy.  It provides a simple, non-invasive, self-administered treatment that is totally unique in both traditional and Alternative Medicine because it uses no artificial or external power source, with no wires and no batteries to replace – it is totally mobile.
  2. This instrument produces a wide treatment area.  The tissue area that is affected by the galvanic energy field of the Acutouch pointers is huge compared to an acupuncture needle.   The treatment area of an acupuncture needle is about the width of a human hair; the treatment area of the Genesen Acutouch Pointer tip is one inch or 25 mm.  For this reason a person only needs to be roughly close to an acupuncture point for the Genesen device to be effective.  Experts and novices get similar results using it for this reason. This instrument has such a wide area of impact or effectiveness, and it tells you when you are on the correct treatment area, that you cannot make a mistake with it.
  3. Your Genesen pointers will last a lifetime because it has no moving parts, it will never wear out, and it has no external power source.  This is certainly space age technology you can hold in your hands today.  It operates on an infinite supply of natural atmospheric energy, providing the home user with a compact, portable and convenient response to more than 220 ailments, injuries and conditions.
  4. Effectiveness of point stimulation.  The Genesen Acutouch instrument is manufactured to ISO9002 standards; the product carries CE certification as a Class 1 medical device. It causes penetration of chi to pass down through the gold tips (coated in 20 microns of 24K gold for optimum hygiene, performance and response) into the body to a depth of 25mm (1 inch).

Most people do not realize there are many methods to effectively stimulate acupuncture points; pressure, heat and electricity are just a few different ways that are commonly used instead of needle stimulation.   With the recent development of the Genesen Acutouch pointers everyone can safely and easily stimulate various acupuncture points on the body, and do it with just as much accuracy as a highly skilled acupuncturist.

By following the simple instructions that come with this equipment it is now possible for a layperson with no formal training to perform a rather sophisticated acupuncture treatment without encountering any of the problems and limitations of traditional needles.  The Genesen pens (they are often called this because each one looks very much like a ballpoint pen) will indicate to the user when an active acupuncture point has been located and if it is in need of treatment. It is this aspect of the Acutouch pointers that make them so easy to use and effective even in the hands of a total novice.

Acutouch pointers for at-home use

There are several great reasons anyone who is interested in Alternative Medicine would use Genesen Acutouch at-home therapy in place of traditional needle acupuncture.

  • Safety – no needles involved
  • Results – the three forms of naturally occurring energy focused by the Genesen pointers spread out an inch wide and penetrate an inch deep into the tissue to stimulate every acupuncture point for treatment
  • Cost – with professional acupuncture office visits costing anywhere from $75 to $200 each, the Genesen instruments will pay for themselves after just a few uses.
  • Convenience – treat yourself or family members in the privacy and comfort of your home at any time of the day or night, as often as you like
  • Ease – simply look at the pictures in the 160 page instruction book and place the pointers on those same areas of the body. The Genesen Acutouch pointers will tell you if you are on the correct or not; if not, simply move to another spot until the pointers indicate you have located the correct area for treatment.

The Genesen Acutouch instrument was invented by a South Korean engineer, Chi Kyung Kim, in 1999.  It carries several international patents and earned him awards from the governments of several countries.  The Acutouch pointers use a combination of 1200-G focused magnets; a pinpoint far infrared beam (between 6 and 14 micrometers) that is focused down the length of a hexagonal barrel of the device; and a negative ion emitter in a ceramic powder chamber.  These three energy sources are tuned to precisely merge at a gold plated point of the Acutouch device. The gold pointers of the device direct this composite of natural energy into the body, stimulating the body’s inherent ability to regulate and heal itself.

Acupuncture is not one thing. There are many styles of acupuncture and many ways of stimulating acupuncture points. Some of the best acupuncture treatments are those provided using innovation and the ability to respond to the needs of the individual.  The Genesen pointers allow you to do just that kind of self-care treatment.  You can hold in your hands a truly revolutionary treatment device like the Genesen Acutouch pointers even as a layperson and deliver to those you love an effective acupuncture treatment, without the costs, problems and limitations of traditional needles.