Tag Archives: masturbation

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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I have Peyronie's disease. Is there anything i can use or do to lessen the pain when getting an erection?

Posted on by Dr.Herazy

Hello Dr Herazy,

About 3 months ago i had a vasectomy done, and to try and “clear out the system” i was masturbating a lot more then usual. Over time I began having throbbing pain from the shaft of the penis which would pulsate towards the tip when getting an erection, i don't recall this pain prior to the surgery or frequent masturbation. But it seemed as though it had worsened and after a self examination i noticed a BB sized ball towards the bottom of my shaft, so i made an appointment with my urologist.

Well I just had that appointment today and after a short physical exam by him he indicated that the BB sized ball was plaque/scar tissue and that i have Peyronie's disease. He has prescribed me Verapamil gel and is advising me to take Vitamin E UI pills, but he was up front letting me know this may not cure my problem. Now like most men i immediately came home and did further research, but all i'm finding are most men talking about the “extreme curvature” to their penis. And in my case its the pain when getting an erection that i'm more concerned about but i cant find anything that relates directly to that. Let me also point out that although i have a slight natural curve to my penis that i've had for years i do not have anything extreme going on in that area.

So my question to you is there anything i can use/do to lessen that pain when getting an erection? Now that i've located the plaque it seems to be radiating from that area. It has become very frustrating when trying to be intimate with my wife as i focus more on getting that pain when developing an erection then trying to enjoy the intimacy. Any help/suggestions would be greatly appreciated!

Thank You,

Johnny J

Greetings Johnny J,

Sorry to learn of your problem and the pain you are in.  Please follow the advice and direction of your doctor. I agree with him that a course of topical verapamil and vitamin E by itself is seldom successful.  This is why I developed the Peyronie's Disease Institute to explore and develop an alternative medicine approach to treating PD.  As another option,  I suggest you spend some time reading the PDI website to determine if this alternate approach that seeks to increase your natural ability to heal, repair and eliminate the Peyronie's plaque makes sense to you.  A good place to start is Natural Peyronie's Treatment Options. 

Frankly, when I communicate with men who start Peyronie's disease treatment I am told that pain usually goes away in a few days.  Pain during an erection seems to be rather easy to control with the therapies in any of the treatment plans you might select.  

You need to understand that Peyronie's disease is a process that takes time – sometimes up to 18 months or so – to fully develop all levels of symptoms and signs of this problem.  In fact, I have many times communicated with men who find that their problem continues to develop (deteriorate) well into the 2nd or 3rd year.  Do not assume that your condition will remain the same as it is right now.  If you have no particular curve associated with your Peyronies problem at this time, be grateful because some men start out with a wicked curve.  However, it is a rare case of PD that does not eventually display some level of penis curvature or distortion.  If you do not have at this time any aggravation of your fundamental naturally curved penis, it will probably not stay that way.   It is just a fact, so be prepared.

Whatever you and your wife decide is the appropriate level of intimacy at this time, please be sure to be careful so that you do not exacerbate your Peyronie's disease. Do not stop having sex; have sex in a gentle and sane way so that you do not cause further injury to your penis.  You were abusive and overly aggressive with your masturbation to the point that you developed PD.  Do not repeat that mistake by making your PD worse.  It can be done and it can be a nightmare you do not want to visit.  Use additional sexual lubrication during intercourse and select those techniques that avoid the possibility of accidental slipping out and jamming/ramming the penis that would injure it further.

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Let me know if I can help you in anyway.  TRH 

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Do you think masturbation in childhood may lead to Peyronies later in life?

Posted on by Dr.Herazy

Dr. Herazy,

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I have a personal interest in Peyronie's disease. At about 70 years of age I developed what was diagnosed as a true case of Peyronies. Prior to that I had no particular problem having multiple partners and three wives resulting in four offspring. The true signs of Peyronies were of rather rapid onset, over a period of a few months. My Urologist suggested Topical application of Verapamil creme which I used for approximately six months to no avail. I experienced no pain and my wife and I continued to have pleasurable sexual experiences.

The architecture of my penis varied over a period of time. It was and is noticeably curved to the left. The Glans was small but has subsequently achieved normal architecture.  The curvature and a shortening of two inches prevails. (From a true 6″ to about 4).

I am now 81 years and seldom achieve orgasm and then only after prolonged oral and manual stimulation with adequate lubrication.

However my question and interest is regarding the “natural” curvature of the penis. I started masturbation at age 13 and as I recall my underdeveloped penis was relatively straight. However as length and maturity developed a definite but slight (10 Deg.) curvature to the left seemed to develop. This conformed to the natural curvature of my right hand which was the one used to masturbate. This continued until my full adult development and remained so for many years. Other than a marked curvature the symptoms presented no problems.

My thesis is that as the penis develops during adolescence the bend will be the result of the constant “abuse” of the organ during frequent masturbation. A nurse friend and lover of mine use to joke she could tell the left handed males from the right by the deviation of the penis. I have observed many males with straight penises and I am sure their masturbating habits were as common as mine.
Do you think that this may lead to Peyronies later in life.  Review of the literature reveals little information specifically relating to this issue.

Sincerely,

C. A. H. DDS MS

Greetings Doctor,

You are correct, there is no specific reference in the literature in regard to this particular, and somewhat common, question about repeated masturbation altering the shape of the penile shaft to conform to the hand that is habitually used.  There is also nothing noted in the literature tying Peyronie's disease and masturbation together.

I believe the reason there is so little interest to investigate the thesis is that it is rather implausible and has no evidence of occurrence in related or similar scenarios.  By this I mean if we take an approximately similar situation of a 13 year old boy who does something with approximately the same level of frequency or habituation as you or the average boy would masturbate, I cannot think of one example in which the body would be deformed or adapt to the repeated physical contact he would experience.

Giving this a few minutes thought, it seems to me that the best general area in which to explore or consider something like what you are suggesting would be in the area of sports or farm work, since it is common for 13 year old boys to be so engaged and to continue to be engaged in sport and farm work activities for many years thereafter.  Not only would the sport or farm activity start at this early age, and continue for many years subsequently, but it would typically be performed at a frequency similar or greater than such a boy would masturbate.  For example, a 13 year old boy growing up on a dairy farm would be obligated to milk cows twice a day, pitch hay daily, scoop manure several times a week and many other repetitious and physically demanding duties that significantly impact his developing body.  Yet, no deformity of the hands or upper body develops as a result of his work, other than the development of callus tissue on the hands which is only temporary.  

History does not report that when children during the Industrial Revolution were put into servitude at the age of 5 or 6 to work 10 hours a day 6 days a week that their bodies were in anyway significantly or predictably misshapen by contact with machines or tools they used.

Come to think of it, I have worn a belt snugly around my waist since 5 years of age or earlier yet I do not have an indentation to conform 8-12 hours of compression for a life time.     

What you ask about is a common idea, but I do not see evidence to support it.  TRH 

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Did my Peyronie's disease or curved penis begin because of always using the same hand while masturbating?

Posted on by Dr.Herazy

Dr. Herazy,

I have a personal interest in Peyronie's disease. At about 70 years of age I developed what was diagnosed as a true case of Peyronies. Prior to that I had no particular problem having multiple partners and three wives resulting in four offspring. The true signs of Peyronies were of rather rapid onset, over a period of a few months. My Urologist suggested Topical application of Verapamil cream which I used for approximately six months to no avail. I experienced no pain and my wife and I continued to have pleasurable sexual experiences.

The architecture of my penis varied over a period of time. It was and is noticeably curved to the left. The Glans was small but has subsequently achieved normal architecture The curvature and a shortening of two inches prevails. (From a true 6″ to about 4).

I am now 81 years and seldom achieve orgasm and then only after prolonged oral and manual stimulation with adequate lubrication.

However my question and interest is regarding the “natural” curvature of the penis. I started masturbation at age 13 and as I recall my underdeveloped penis was relatively straight. However as length and maturity developed a definite but slight (10 Deg.) curvature to the left seemed to develop. This conformed to the natural curvature of my right hand which was the one used to masturbate. This continued until my full adult development and remained so for many years. Other than a marked curvature the symptoms presented no problems.

My thesis is that as the penis develops during adolescence the bend will be the result of the constant “abuse” of the organ. A nurse friend and lover of mine used to joke she could tell the left handed males from the right by the deviation of the penis. I have observed many males with straight penises and I am sure their masturbating habits were as common as mine.

Do you think that this may lead to Peyronies later in life. Review of the literature reveals little information specifically relating to this issue.

Sincerely,

C. A. H. DDS MS

Greetings Doctor,

You are correct, there is no specific reference in the literature in regard to this particular, and somewhat common, question about repeated masturbation altering the shape of the penile shaft to conform to the hand that is habitually used.

I believe the reason there is so little interest to investigate this idea is that it is rather implausible and has no evidence of occurrence in related or similar scenarios. By this I mean if we take an approximately similar situation of a 13 year old boy who does something with approximately the same level of frequency or habituation as you or the average boy would masturbate, I cannot think of one example in which the body would be deformed or adapt to the repeated physical contact he would experience.

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Giving this a few minutes thought, it seems to me that the best general area in which to explore or consider something like what you are suggesting would be in the area of sports or farm work, since it is common for 13 year old boys to be so engaged and to continue to be engaged in sport and farm work activities for many years thereafter.  Not only would the sport or farm activity start at this early age, and continue for many years subsequently, but it would typically be performed at a frequency similar or greater than such a boy would masturbate. For example, a 13 year old boy growing up on a dairy farm would be obligated to milk cows twice a day, pitch hay daily, scoop manure several times a week and many other repetitious and physically demanding duties that significantly impact his developing body. Yet, no deformity of the hands or upper body develops as a result of his work other than the development of callus tissue on the hands which is only temporary.

History does not report that when children during the Industrial Revolution were put into servitude at the age of 5 or 6 to work 10 hours a day 6 days a week in factories and coal mines , that their bodies were in anyway significantly or predictably misshapen by rigorous and repeated contact with machines or the tools they used.

Come to think of it, I have worn a belt snugly around my waist since at least five years of age or earlier yet I do not have an indentation to conform to 8-12 hours of compression from a belt over a life time – and I am 67 years of age.

Lastly, and perhaps most importantly, I think you have made the case that handedness while masturbating does not lead to any particular curved penis pattern.  You wrote that many men have straight penises although they were all likely to have masturbated at the same age and the same or greater frequency and gusto than what you used.   The fact that those straight penises exist tends to refute what you have proposed. 

What you ask about is a common idea, but I do not see evidence to support it.

However, what you describe in your email does sound like Peyronie's  disease.  I would suggest that the apparent injury that started your Peyronie's problem was not because of your right (or left)  hand holding your erection with any particular hand repeatedly, but from some accident that occurred while as a young man or even later in life.     TRH

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Should I change my Peyronies treatment because I am younger?

Posted on by Dr.Herazy

Hi,

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I am a young man in my thirties. My torture with Peyronie's started two years ago. Following masturbation I damaged myself at the tip of my penis.  I knew at the time is was a major event and one that would change my life irreversibly for the worse.  It was caused by pulling the foreskin back too far with force.

Following it, I had considerable pain for a year and a half. I went to casualty, multiple doctor's but no-one could tell me what it was. Surprisingly, the first doctor I saw guessed maybe Peyronie's because I had a bit of fibrosis at the tip but it was not a nodule – it was clearly calcification along what I thought was a nerve. It soon circled round the head as a thin band. The pain continued and intensified and after a few operations on the skin, a circumcision was suggested as the only cure.

I had that done and it removed the ring of tissue, but no I just had pain when I came to a climax. The original injury happened just before climax so I hypothesized that it was still the same problem. Gradually the pain turned into Peyronie's with a big nodule just behind the head, neither at the top, bottom, left or right but in the middle. Where I had the pain at the top left, scar tissue was forming. The pain was intense, day in, day out. I am a very fit young man and nothing seemed to stop it, sometimes its subsides but then it comes back to remind me and worse than before.

I have tried pentox with Cialis and also Tamoxifen having gone to a specialist. I am quite well studied and just can't understand this disease. I also tried using a stretching device but that was the worst advice in my opinion and stopped quickly afterwards. I have read studies, have read your book and am interested in what happens to younger men.  No one seems to know. I am 1% of a sample size of 1% of the population – aren't I lucky. I am not giving up, your book makes a lot of sense which is why I started off with your mid plan and have now bought everything I can get my hands on. I do take pentoxyfilline at the same time though as I feel it does help blood flow although it doesn't fix anything.To summarize therefore, at the moment, I have changed my diet (as much as I can), now just started taking everything on your list (although I am still nervous about DMSO but it is a calculated risk) and pentoxyfiline.

Having said that, it is all slowly getting worse. I have days with intense pain and all the time I have some pain. I think your point about digestion is valid as I do struggle with digestion and find it hard to go to the toilet.

I would really like your help. Currently I have a very fibrous penis all throughout. Sometimes it feels better than others but it isn't good. I am a positive guy but I am at my limit. I have a beautiful girlfriend who doesn't mind and I am great at sex, but I can't climax. I don't actually have pain during intercourse but erections are getting harder.

My personal hypothesis is that Peyronie's is caused by a chemical that is released through damage. In my case it is a nerve at the tip of the penis. This chemical went everywhere due to the great trauma and now the scar tissue is just finding where the chemical is. If I can find the inhibitor, I might get my life back.

What are your thoughts? I may be barking up the wrong tree but I need hope. In short, forget my hypothesis, is there anything I should do.  Should I change my treatment because I am younger? Should I take more of one thing and less of another? I am completely open to ideas. Like I say, I think it is beatable at any stage, you just have to find what works for you. I think there are many types of Peyronies caused by many types of things (which is why drug treatments are inconsistent).

Let me know what you think. I really appreciate your approach and thoughts.

Many thanks,

Steve

Greetings Steve,

Welcome to the large body of men who do not understand Peyronie's disease.  PD is a mass of contradictions and irregularities and this accounts for the ongoing difficulty not only in making a diagnosis, but also treatment.

You ask for my thoughts.  To begin with, several aspects of your story makes it sound like you have an extremely atypical, or not standard, case of Peyronie's disease.

Your 2nd and 3rd paragraphs are very interesting.  Bear with me, but based upon the scenario of the development and progression of your problem as you present it, I can make a different interpretation of your problem.  From a slightly different vantage point I interpret your report differently.  I can see it is possible that your penile problem was not originally Peyronies.  It is possible that you only developed later into Peyronies after the rigors of “a few operations on the skin“, plus a circumcision. Starting a penis problem by pulling the foreskin tightly down tightly during masturbation, a superficial and circular pattern of fibrosis at the tip of penis, and constant severe pain for 18 months are not at all typical of PD; fundamentally, Peyronies is a problem of the tunica albuginea located in the shaft, not in the tip of the penis. Your problem is not even in the usual location for it to be Peyronie's disease.  Furthermore, you do not mention a deep nodule in the shaft and you do not mention penile distortion.  Very little of your initial complaints during the first 18 months of your ordeal sound at all like Peyronie's disease.  It is only later, after you were under medical care and had several penis surgeries for these unusual complaints, when you were probably catheterized several times or used Cialis several times, or were traumatized while using a mechanical penis stretcher, that you started to have complaints more consistent with Peyronies. 

I mention this observation because it is important for you to explore the possibility that you are dealing with a complex problem that could actually be two or more different problems that are superimposed on top of each other.  Perhaps I am incorrect in this regard, but based on what you have reported in your statement I think the case could be made that you initially had a superficial tissue abrasion or tearing that later developed into fibrosis, and only after receiving drug injections into the shaft during surgery or from catheterization after surgery did you develop PD.  Something to think about. 

You ask if you should change your plan because you are in your thirties, which you apparently consider to be younger than average to develop PD.  Based on many years of experience, you are not young to have PD; many men I would with are in their 30s, and 20s; I deal with many sad cases of teenage boys with PD.

Regardless, whatever your age might be, age is not the reason to change your plan. You should change your plan because whatever you are doing is not working; if your current Peyronies treatment plan is not providing benefit or improvement, and you have not changed it by now, then you definitely should change what you are doing.  You did not mention how you are using your medium size plan, or what your individual dosages are, so there is no way for me to suggest how to best modify your plan since I do not know what you are currently doing for yourself.   

The best way to handle this is by working together in direct discussion during a telephone call.  We can get a lot done in just 30 minutes or so if we put our heads together.   Please go to the PDI website to arrange for a telephone call together so you and I can directly discuss your situation in detail.  TRH

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Is a rubbery ring after masturbation an early case of Peyronie’s disease?

Posted on by Dr.Herazy

After some vigorous masturbation I felt like my penis had puffed up around the circumference so I stopped. That very day I noticed this had made a very soft and rubbery circle (and another half circle as well), encircling my penis, (prominent mostly on the sides) almost like I squeezed it too hard.

I’ve had no pain except for the discomfort that one time masturbating, all seems well now. And I have no curvature etc..

It is not noticeable when completely flaccid. but during a semi erection (when the penis is soft but still somewhat engorged) I can see a “ring” under the skin around the shaft. It is not movable with the veins

Anyways, I have had this for 2 weeks… I have no pain or erect curvature. Great erections… Just this thin soft/rubbery thin stringy thing that isn’t hard or obstructive.

Do I have Peyronies disease? Does it ever present this way early on?

 

Greetings, 

No, not much of what you describe sounds to me like early Peyronies disease.   It sounds like not much more than some inflamed and swollen tissue that should clear up in a short while.  If it does not start clearing up soon, say in another two weeks, I suggest you have it looked at by a urologist.  

However, let me put you  on notice, my friend, that any masturbation technique that is aggressive enough to cause that kind of tissue swelling and inflammation two weeks later might just as easily have caused Peyronie’s disease. In this sense I think you were lucky this time.  But, you might not be so lucky next time.  I have a feeling that you masturbate with some frequency, and perhaps even with some degree of aggressiveness.  This might be the reason your rubbery ring has persisted; I suspect you are continuing to masturbate  even though you have this bruised tissue ring problem.  While it is not my intention to tell you to stop masturbating, I definitely do want to caution you that you should reconsider how you are masturbating (and how often, since this gets back to the issue of being abusive to the delicate tissue of the penis shaft. 

Please lighten up and enjoy a slower and more gentle experience.  Peyronie’s disease is a terrible thing to happen to a guy.  You do not want to be the man who brought it on himself in this way.   

For additional information please see Is there a connection between masturbation and Peyronie’s disease? and Can masturbation cause Peyronie’s disease?  and  Is it beneficial to achieve erection and masturbate in the early stages of Peyronies disease?   TRH

 

I am 19 years old and I need your help with a curved penis after rough masturbation

Posted on by Dr.Herazy

From the time when I was 11, I used to masturbate, and several times after masturbation, I pulled my penis so hard that I heard a kind of sound from end of my penis.

Another bad habit I had was the wrong way of masturbation. I used to bring my legs closed to each other and then moving or inserting the erected penis between the two legs. After a short time I saw that my penis is curved, narrowing form its end where a kind of line like rupture and weakness is seen.

Now when I get erection, I lose it and get back soon, it can’t stand erect which makes me unable to achieve penetration. Although, I have erection, but it can not be maintained.  While having intercourse it curves down from its end I mean the place where it is weak and narrowing. And also I think I ejaculate very quickly.

What should I do? I need your help!

In our area we don’t have experienced doctors, so please help me. Now I am 19 years old, the age when I lost self-confidence and seeking for help.  I need your help, Please! Help me !!!!!!!!!

I am looking forward to hearing from you.

 

Greetings,

Yes, you do need help.  You need more help than I can offer here to sort out what has happened to you over the years due to your rough masturbation practices.  It is fairly common for Peyronie’s disease and masturbation to be related to each other simply due to repeated injury. 

In your case, the first thing you need to do is to get a complete urological examination even if you have to go outside your area, so you and I can both be certain you have Peyronies.   If you have not told your parents, or an adult in your family, about your problem you should do so now if you can do so comfortably and without concern for reprisal.

If you feel embarrassed talking to a family member about what is going on with you, then simply tell them, “I have pain in my private parts and I do not know why.”  That story will protect your privacy, make you feel comfortable that you are not saying more than you want to say, yet it will also let an adult know you re in trouble and need medical care.   If that adult wants to go into the exam room just tell them that you feel embarrassed and that you would prefer to go in alone. Once you get to the doctors office you can get a lot more specific and accurate so the doctor will know what to do with you.

There are very strict HIPPA laws in place today that will protect your privacy as an adult. This way no one from the family needs to know what is going on, but you can get the diagnosis you need.

You may or may not have Peyronie’s disease.  I cannot tell you what is going on from the limited information you provided.

If it turns out that you do have Peyronie’s disease you must keep in mind that many boys and men have made the same mistake you have made by masturbating too aggressively; you are not alone in this problem.  You need to learn how to achieve orgasm while using gentle and pleasant self stimulation. If you need help along this line, please let me know and I will guide you to appropriate resources.

Let me know how it goes for you.  If your parents want to use Alternative Medicine to treat your problem, contact me again and we can work together.  TRH

Can weight lifting or masturbation cause Peyronie’s disease?

Posted on by Dr.Herazy

Dr. Herazy,

A few months ago I noticed a slight curve/tilt in my penis to the left side. I figured it was due to the way I lay when I sleep, and I thought it would go away soon. But, now, it's months later and it hasn't gone away, and I'd say it's gotten a little worse. I'm thinking it's Peyronies Disease, but I'm not sure. I seem to have most of the symptoms: one part of my penis looks like it's pinched, there's an area of inflamed skin on the underside of it, and there's the curvature I mentioned. However, there's no pain (except lately I feel a very minor, dull pain near the inflamed area after ejaculating which lasts for a few minutes, and the curvature also gets worse for a few hours after ejaculating), and the curvature is only maybe 30 degrees to the left at its worst.

Considering there's no significant pain, and considering the curved penis isn't too major and my penis still works just as fine as it did before, is there a chance that it's maybe not Peyronie's Disease? Or maybe a mild form of it? I'm convinced it's from rough masturbation, and if it is, is it possible I can cure it naturally by maybe stopping masturbation and being more careful from now on?

The curvature seemed to show up overnight, but I recently remembered that I noticed the "pinched" area maybe a few months before the curve showed up. So, it seems that this happened gradually (if that makes a difference at all). I also realized that I started lifting weights around the time I noticed the pinch effect, and as I've continued to lift weights it seems like I'm seeing more and more symptoms of Peyronie's Disease. (I haven't physically damaged my penis with weight equipment at all, but I'm wondering if maybe the strain from lifting is stressing my tissue? Could that be a cause?)

Thank you very much, Dr. Herazy, and I'm really hoping I can fix this problem with your advice.


Greetings, 

My first advice is to stop guessing and wondering, and make an appointment with a local urologist to have your problem formally diagnosed.  The tissue inflammation and pain after ejaculation are not typical of Peyronie's disease and could indicate other problems. 

Lastly, the strain of weight lifting would not cause Peyronie's disease; if you have it, rough masturbation is much more likely a cause.  Please review the article in the PDI website, Peyronie's disease and masturbation.

If your condition is diagnosed as Peyronies then I suggest you consider putting yourself on a treatment plan to increase your natural ability to reduce and eliminate the foreign fibrous tissue of the PD plaque. Let me know if I can help you in any way.  TRH 

Wants advice about extreme pain in penis

Posted on by Dr.Herazy

Dear Doctor Herazy
Almost 5 months ago i felt a slight pain at the base of my penis (on the underside), i was shocked and i ran to emergency and family doctor and they did all sorts of tests to rule out infection and prostate problems.  everything came back negative.  during all this time my anxiety has driven me crazy. i started rotating my penis once to the left and once to the right every day and night and taking pictures for whatever i see (which was actually nothing).  for five months i have been abusing my penis by twisting and rotating to check it, besides the spot of pain which is much like a bulge at the base i developed more spots, one just close to the glans and the other on the shaft, it is like thickened areas underneath the skin. i have a history of dorsal vein thrombosis which has been there for years without causing any pain, and now those spots are so painful that i cannot even walk.  walking is just terrible.   i am not sure if those areas are plaque or they are swollen branches of the vein due to thrombosis, i have the hourglass shape at but only after masturbation, and i cannot see any curvature during erection.  the pain is really bad and i wake up everyday with it, it is worse with walking.  the pain is in flaccid as well as erected penis however erection worsens it.  my penis is hard and very stiff at the flaccid state and the pain is changing its patterns from sensation of wound in the erectile tissue to a sensation of burning in the spots which i developed. but the best to describe it is a disabling pain as i cannot walk. i will have to wait for 3 more months to see a Urologist, knowing that i had an ultrasound on my penis which was non-specific (pretty much looking for cysts or anything unusual as the nurse said) and the nurse couldn’t see anything……anxiety is about to ruin my life…i appreciate your advice and support.

 

Greetings,

Based on the information you provided, it is my educated guess that your problem does not sound like Peyronie’s disease.   Typically, the pain of Peyronies disease is not as intense nor of a burning nature.  Also, the only penile distortion you report only occurs after masturbation, and this is not at all like what Peyronie’s disease would do to a man.

My advice for you is to attempt to get in soon for another evaluation since I suspect that you could be having an aggravation of your deep vein thrombosis.  TRH

Is it beneficial to achieve erection and masturbate in the early stages of Peyronies disease?

Posted on by Dr.Herazy

Dr. Herazy,

I spoke with you on the phone this evening, Friday May 11th.  I sincerely thank you for taking the time to talk with me.  Much appreciated.  I will be ordering your book as my first step.

If I operate under the assumption that my situation is in fact Peyronie's disease, it would be safe to assume since my symptoms of curvature and pain started about a month ago that I am in the initial stages of the syndrome.   I have two questions for you:

1. Is it beneficial to achieve erection and masturbate in this stage? My thought is that this may have some benefit in protecting from scarring, similar to prescribed rehab after a knee surgery. In that example the patient manipulates the joint frequently to break up formed and forming scar tissue. Would this be useful?

2. Do you recommend or discourage the use of Viagra and the other similar drugs in this period?  Could they help or hurt healing?

Thanks again for your time.  I will keep you posted!

R. Brown

 

Greetings R.

As you recall, I mentioned that there are often many irregularities and inconsistencies in the way Peyronies disease will present itself; it is rare to find someone with a classic text book presentation.  Since your particular symptoms and history does not strongly suggest that you have PD, and only a few a small part that does, I suggest you consult with a second urologist to confirm one way or the other your actual diagnosis. 

That masturbation might be beneficial for Peyronies' disease because exercise of joint after surgery is a standard therapy, is a flawed comparison.  What you are proposing would not be much different than watching movies after eye surgery, smelling flowers after nose surgery or listening to music after ear surgery.   In Peyronie's disease the lesion or problematic tissue is relatively passive or non-functional relative to sexual activity.  Even though  it is obviously the  primary structure that is involved in sexual activity and it certainly gets involved, in my opinion there is limited and minimal direct therapeutic benefit to masturbation for Peyronie's disease.   Having said that I think there is considerable secondary or indirect benefit.   Masturbation is helpful not only from an emotional basis, but also due to the increased blood circulation that occurs during any type of sexual activity.   I doubt that frequent or occasional masturbation would make a great difference to your eventual recovery, one way or the other, but if it feels good and it benefits you even a small amount then that is probably reason enough to do it. 

While exercise to rehabilitate a damaged joint and weak muscles are obviously appropriate and necessary therapy for a bony articulation that is meant to move and muscles that are meant to contract, none of this applies to the corpora cavernosa, corpora spongiosum or tunica albuginea of the penile shaft. 

If I have not stated the point clearly enough, allow me another round at it.  While there might be small and indirect benefit to masturbation if you have any stage of Peyronie's disease, I am sure the direct therapeutic benefit is only minimal.  I get the sense from your question that you had the idea you could "masturbate your way out of PD."   To the extent this is what you had hoped, the answer is no.    

All sexual activity, especially masturbation,  for a man with Peyronie's disease should be gentle, easy and non-traumatic in every way possible.  A critical part of being as gentle and easy on yourself  is to use an above average amount of personal lubrication to avoid abuse to the involved tissue.  Easy does it.  If it hurts, even a little, stop doing and never repeat whatever does not feel pleasant to you.  One of the worse things you can do for yourself would be to reduce or alter your usual and customary sexual activity simply because you have Peyronie's disease.  Many men do this, and it sets up an attitude of defeat and hopelessness that is not beneficial for eventual recover.   Go at it, sir, but be careful.

I can tell you a long list of sad stories related to me by teenage boys who developed Peyronies after injuring themselves while using rough and exotic masturbation practices; more 14 and 15 year old virgin boys than you would imagine, who will never have intercourse in their lives if they follow the standard medical advice of "do nothing until I say it is time for Peyronie's surgery."

I have written extensively about the frequent situations in which the use of the PDE5 inhibitor drugs (Viagra, Cialis, Levitra) can precipitate injury to the delicate tunica albuginea of the shaft and lead to Peyronie's disease.  You can search the archives for these articles, but a few are "Peyronie's disease plaque, Viagra, Cialis, Levitra and blood supply" and "Viagra, Cialis, and Levitra use with Peyronie's disease," and" Viagra Peyronie's disease connection."

Please let me know if I can help you in any other way.  TRH