Is there a connection between masturbation and Peyronie’s disease?

My penis curves to the left and over the past 2 years I have become extremely self conscious about it after hearing the word "crooked" from a girl who's had nothing but perfectly straight penises. I've always told girls "the majority of men have a curve" because I remember reading that somewhere (i guess it was written by a guy with a curve.)

'm trying to figure out if I actually have Peyronie's and if so, where my scar is…I can think of a couple things that may have caused it but I'm not sure exactly.

For one, I've always been able to "pop" or "crack" my penis. Ever since I was young I remember waking up in the AM with morning wood and pressing on my penis (into my body or scrotum) and it feeling amazing with this popping sensation. I've read recently this can cause damage but it never hurt.

Also, as embarrassing as this is, I was young an ignorant and accidentally caught my penis in a vacuum cleaner at around 10 years old about a year short of learning about masturbation. It actually felt good and became a habit. I was actually ejaculating before I even knew what it meant.

I don't recall any pain or injury. I do recall one day the skin just below my head being really puffy as if the suction may have pulled the skin from my whole shaft towards my head underneath. I did not feel pain from this either but this situation made me drop this habit (especially as I started to learn about mastubation)

I've also always masturbated with my right hand. I've heard back and forths about this actually having an effect, but I've also read plenty from people who have claimed to straighten their penises out my using the opposite hand.

It seems like there are plenty of factors here that could cause this terrible issue but could it be congenial?

I never experience any erection pain. My head is extremely sensitive,specifically after ejaculation so I may have done some nerve damage there. (also obviously during sex with the curve to the left the head is always rubbing against something making it not as enjoyable sometimes.

I don't see any visible scars however. I can tell you my perinal raphe is not lining up 100% with my corpus spongiosm. when looking down while holding my penis against my stomach, the spongiosm veers to the left and the raphe to the right.

One more issue I cant seem to find on the internet is the possibility of damage or a peyronie's scar inside the body.
I do feel some sort of tissue on the left underside of my shaft inside of my scrotum. I obviously cant see it so I'm not sure if it could be a vein or not.

Right now I'm taking Serrapeptase, PABA, Nattokinase, Krill Oil, and Acetyl L Carnitine. I'm also mixing Vit E, SSKI, PABA powder from capsule with DMSO.

Any help is much appreciated.

 

Greetings,

It is said that almost all men masturbate. I have spoken to some men who have used exotic and extreme masturbation practices.  You would be surprised at just how man boys (and men) masturbate and play with a vacuum cleaner hose.  It is not so much that you have used some of these common and not-so-common masturbation techniques, but the degree of force involved, frequency, total number of events and the details of how these things were done that may have caused actual injury.  masturbation in and of itself is not going to cause Peyronies, but if you masturbate in such a way that would cause actual physical injury.  By my guess – and that is all that it can be, because I was not there and no one has examined you to know for certain – it sounds like you were a fairly aggressive young fellow who probably sustained actual injury to the penis when you masturbated.  For this reason, while you certainly could have genetic predisposition, and you could also certainly have a congenital malformation, you also have that possibility of Pd caused by physical trauma as an explanation for you current situation.

The only way to know for sure is to go to the best urologist you can locate and have yourself examined so you will now what you are dealing with.  You can guess and guess if you want, but nothing replaces knowing. 

Your absence of pain does not mean you do not have Peyronie's disease.  Pain is not always associated with Peyronie's disease, so you can have PD and not have pain. 

The "scars" of Peyronie's disease are not like the scars you see from old injury to your knees, elbows or elsewhere.  They are internal and are best called "plaque."  You may or may not be able to locate your Peyronie's plaque by yourself, and this is yet another good reason to go to a urologist to have this done for you.  It is part of knowing what is going on. 

You bring up interesting anatomy with your commentary about your midline penile raphe  in relation to your corpus spongiosum.  I do not have the time to explain this anatomy here to other readers, but it suggests to me you have had significant prior trauma to this area and it has resulted in abnormal tension and pulling of the penile soft tissue.   This could be consistent with Peyronie's disease.

Please do not mix DMSO with other things as you are doing.  This could injure you further.   

Please see a urologist for a complete examination and diagnosis.    TRH

Will reduction of masturbation help Peyronie’s disease?

Hello Dr. Herazy,

I am 32 and very recently developed Peyronie's disease.  I noticed the pain in early November. The pain then resolved itself by late December, around the same time two plaques appeared and a curvature of 5-10 degrees. At the time I developed it, I was under more stress than I can remember experiencing. I'm seeing a urologist next week. So that is my status but I was wondering if I currently masturbate daily do you think that reducing my masturbation by 50-75% would help. Also, in situations such as mine (young, early development, changed lifestyle (much stress now – except for the Peyronies concern)) and with the proper treatment plan the chances of recovery are high? Very very much appreciated….  J

Greetings J,

I have to smile.  Here you think that masturbation might be aggravating your Peyronie's disease, yet your solution is not to stop masturbating but only to reduce it by 50-75%.   I hope women appreciate this kind of thinking we men have when it comes to sex.

Masturbation, per se, did not cause and cannot aggravate your Peyronie's disease.   But it could have been the injury and repeated tissue strain that you sustained during masturbation that could have caused or aggravated your Peyronie's disease.   Do you get the point?   Gentle and easy masturbation that does not injure the tunica albuginea of the penis will not cause Peyronie's disease.   But the aggressive and sometimes violent masturbation practices and techniques that some men use can injure this deep tissue, causing or aggravating Peyronies disease.  It all depends on how you do it. 

The cause of Peyronie's disease is complex and not fully understood.   In my opinion your best chance for recovery is found in doing all those things that enable the body to heal as it does in 50% of men who develop PD.  This is what you will find explained in great detail on the PDI website. 

The earlier treatment starts and the more correctly, faithfully and aggressively the treatment is employed, will tend to favor tissue response and eventual recovery.  TRH

Is there a “sex toy or tool” to prevent additonal injury to my Peyronie’s penis?

Good day! 

Doctor,

Is there any "sex toy or tool" that can help not to get more injured when masturbating?

Thanks for being available to us  PD Warriors.

Greetings,

You are welcome, and thanks for being a Warrior.   It is my pleasure and my obligation to tell people about how to help themselves recover from Peyronie's disease without drugs or surgery.

For years I have listed a nice size group of such "Peyronies sex toy' items on the PDI website because they can indeed protect and support the shaft during intercourse and help prevent further injury when you already have Peyronies.   When the shaft is bent, curved, dented  or narrowed due to the underlying scar material it is extremely vulnerable to injury by collapsing or folding over during the rigors of intercourse and masturbation.  Any man with such a penile deformity should look at these devices to see what appeals to him – and use it to prevent additional harm.   Go to PDI store front and scroll down until you see the penis support devices to be used during intercourse.  

Of course, it is always best to slow down, use a reasonable and cautious technique while masturbating, and use plenty of sexual lubricant to avoid additional injury while masturbating.   Vibrators are always a safe tool to use since little friction or force is used.   TRH

Can masturbation cause Peyronie’s disease?

Dr. Herazy, I know you are a busy man, but if you can recommend something specifically for me, then I would greatly appreciate it to boost my confidence. I struggle with a very black depression from my Peyronie's. Here is my status: when not erect my penis is just fine/when about 30% erect I have the beginning of an hour glass shape/when about 70% erect the curve is on the left side/when fully erect it hangs to the left and has a curve on the left side. Also, question: can masturbation cause this to have happened? Thank You

Greetings,

If you are like most men, I believe the primary reason you are so depressed is that you do not realize how much you can actually do to help yourself recover from PD.  A large part of your emotional state is due to feeling helpless and depressed, and these start with not understanding Peyronie's disease.  Therefore, once you begin to learn more about the problem you will feel less scared and alone, as many men do with PD.  Once you begin to actually do something to improve your physical condition you will feel empowered and in control of you situation.

There are three things you can do right now to help yourself:
1.  Go to the PDI website to the page about using EFT for distressing emotional states.  I have worked with many PD men using this technique and the results are often rapid and gratifying. Contact me directly for an EFT session when you are ready to feel better. 
2.  Get my book, "Peyronie's Disease and Sex" to develop a better understanding of yourself and how women relate to your condition.  Men usually make their situation worse by assuming that women will automatically reject a man who has PD; this is often not the case when the man knows how to effectively manage his sexual problems.  This book can help you in this area.   
3.  Get started on the most aggressive Peyronies treatment plan you can sustain for a few months to hopefully begin to make positive changes in your physical condition.   As part of your PD education you should read, "Peyronie's Disease Handbook."  

Masturbation, by itself, will not cause injury that can lead to Peyronie's disease.  However, very rough or physically abusive masturbation practices can cause injury to the tunica albuginea that leads to PD.   All masturbation to be safe should be as gentle and well lubricated as sexual intercourse.   TRH 


Peyronie’s Disease and Masturbation

Masturbation prominently factors into Peyronie’s disease.   A man will either cause his own Peyronie’s problem when he abusively or violently masturbates , or later as he attempts to cope with the growing sexual frustration and limitation created by  the curved penis of his Peyronie’s disease.

Masturbation is the self-stimulation of the female or male genitals to arouse sexual pleasure, usually to the point of orgasm or sexual climax.  It is commonly performed by touching, stroking, or in some way pleasurably stimulating the penis or clitoris until orgasm occurs.

Peyronie’s disease intersects with masturbation in particular for several reasons:

  1. Older boys and men of all ages can injure themselves during rough masturbation rituals with the potential to lead to Peyronie’s disease, especially if genetically predisposed to develop PD.
  2. Men who are unable or too embarrassed to expose their deformity to their sexual partner often resort to masturbation to release sexual tension, and perhaps in a negative mindset will be abusive to themselves.
  3. Men who are unable to engage in sexual intercourse because of severe penile distortions can receive masturbation from them partner as a way to share sexual pleasure, serving as a substitute for traditional intercourse.
  4. Women who are denied sexual intercourse because of a partner’s severe penile distortion or erectile dysfunction related to Peyronie’s disease can be masturbated as a way to share sexual pleasure, as a substitute for traditional intercourse.
  5. Women who are denied sexual intercourse because of her partner’s emotional and physical withdrawal, thus isolated from the man with Peyronie’s disease, can use masturbation to release sexual tension while he is working out his own problems.

General masturbation comments

At one time or another or all life long, just about everyone masturbates – male and female.  It is an extremely common behavior, even among people with access to sexual intercourse and other erotic outlets with a partner. While in one national study 95% of males and 89% of females reported they have masturbated, those who reported they had never masturbated admitted they would be reluctant to admit it if they did – thus these numbers are probably low.

For young children masturbation is a normal part of youthful exploration, often becoming the first sexual act. Most people continue to masturbate in adulthood, and many do so throughout their lives.  The most common explanation given why people limit or avoid masturbation is the shame and guilt that arises from religious and societal pressure.

Once regarded as a perversion and sign of a mental problem, masturbation is now seen as a normal, healthy sexual activity that is pleasant, fulfilling, acceptable, and safe. Masturbation is only considered a problem under certain circumstances:

  1. Directly or indirectly inhibits sexual activity with a partner.
  2. Causes significant distress if done compulsively and uncontrollably, against the greater desire of the individual to stop.
  3. Interferes with daily activities of life.
  4. Compulsively done in public or at socially inappropriate times.

No longer considered as being harmful, masturbation is thought to improve sexual health and interpersonal relationships, if after learning what is personally pleasurable this knowledge is shared with a partner.  Especially in the situation of Peyronie’s disease many partners use mutual masturbation to develop and refine techniques for a more satisfying sexual relationship, when more traditional sexual outlets are not an option.

Masturbation can contribute to sexual dysfunction in Peyronie’s disease

Men who habitually masturbate in ways that are not common with a sex partner – employing mechanical measures that produce an unusually intense stimulus, stroking with great pressure or unnatural friction, resulting in soft tissue damage of the penis – can become so accustomed and dependent on that particular level or type of stimulus that partner-sex becomes insufficient for sexual arousal and leads to retarded ejaculation.  When a man experiences this sexual dysfunction he finds it difficult or even impossible to climax during more conventional partnered sex.

Michael A. Perelman, PhD, clinical associate professor of psychiatry, reproductive medicine, and urology at Weill Cornell Medical College in New York City and the president of the Society for Sex Therapy and Research states, “Any man experiencing any sexual dysfunction should ask himself if he’s masturbating in ways that produce sensations that differ from those he gets from his partner’s hand, mouth, or vagina.  If so, then he should consider what he could say to her to make the stimulation more similar — and how he could change the way he masturbates to make it feel more similar to what his partner does.”

Safe masturbation in Peyronie’s disease

Generally, the best and safest masturbation you can enjoy by yourself or with a partner is that which is most like vaginal stimulation.  This can be as simple as using the hand in a fist to surround the erection while applying upward and downward stroking, oral stimulus, or sex toys that feel like a vagina.   This kind of masturbation is therapeutic once the Peyronie’s curvature has been corrected and more traditional sexual encounters can be enjoyed once again.

Lastly, because penile injury is thought to be a prime cause of Peyronie’s disease, it is mandatory that all masturbation be gentle and well lubricated to avoid worsening of an already bad situation. For more information, click on “Peyronie’s Disease and Sex.”

Masturbation as Cause of Peyronie’s Disease

Here is a common kind of question asking me if I think this young man's Peyronie’s disease started with masturbation.  In this discussion we explore the cause of Peyronie's disease, and my response advising him how to manage his problem.

hi dr. herazy

thank you for your quick replies to my questions!!

i know that i cannot ask anyone else this question, because it is so embarrassing for me…and you are the only one i know who I can trust…but i need to know because it is just driving me crazy and i do not know who else to ask before i hurt myself even more.

as i told you, i got my pd almost two years ago when i was 17, and i have kept this problem from my parents all this time…the reason i have not told them is because i do not know how they would react if i told them that i think i got peyronies by masturbating too hard…do you think this is possible?  ever since i was about 11 or 12 i would masturbate sometimes a few times a week…sometimes a few times a day…and I developed what i now see are some pretty strange and brutal rituals to reach ejaculation….one day i got so carried away with rubbing and twisting really hard that i got so sore for over a week that i thought i broke something inside…i got black and blue and then about a month later i noticed a lump of tissue on the top and side; after that the curve started that has only gotten worse for two years.

please tell me if you think i did this to myself, so i will know and maybe i will be able to stop masturbating after all this time…waiting for your answer.


thanks for your past advice.

Regards
cxxxxxx

—–Original Message—–
From: herazy@sbcglobal.net
To: CXXXXX@netscape.net
Sent: Fri, 12 Oct 2008 4:54 AM
Subject: RE: Question

Greetings, CXXXXXX,

It seems like every few weeks I get a phone call or an email from someone who tells me his Peyronie’s disease started from a injury that started from over-aggressive masturbation.  I mention this to you so you know you are not alone.  It seems many men – both young and old – sometimes get so carried away with their masturbation that they injure the delicate tunica albuginea membrane inside the shaft of the penis. When this happens it is possible for one or more masses of fibrous material (called plaque) to develop in response to the injury as a way of healing it – it has been said that PD is nothing more than an excessive or exuberant healing response of the tunica to injury.  This plaque prevents a normal erection from developing and leads to the severe 90 degree bend you now have.

I have no way of knowing for sure if that was the case with you.  However, based on what you have told me how you have rubbed and rammed your penis against your mattress or into a pillow for years, I think there is a good chance that this is how your problem started.  Actually, my concern is more about how to take care of your problem than in trying to help you blame yourself.  It is in the past.  The only thing that is important right now is what you are going to do to help yourself today.

So what are you to do now?  We have already discussed how I suggest you go about using Alternative Medicine to promote repair of your PD. You need to carefully and faithfully work that Medium Plan and add in the information from the gentle manual stretching video just as soon as you receive it.

In addition to all that, you need to stop being so rough in your masturbation – notice I am not saying stop masturbating – I am telling you to refine and improve your technique so that it is more like intercourse.  I know that you have never had sex with a girl because of your PD, so you need to imagine what it is like and use your hand to mimic what you think that feels like.   Do not use inanimate objects for the time being – use only your hand so that you can control the softness of the stimulation and to heighten the pleasure that you are looking for.  You must use a lot – loads – of lubrication when you masturbate so that you do not injure yourself further.  Never masturbate “dry” again.  There is no sense in you doing all this work to help your body to heal your Peyronie’s plaque if you beat yourself up every night while masturbating, OK?

You have to get ahead of your problem and being soft and gentle is the way to do it.  I am sorry, but you will probably find that in the beginning maybe for a few days or a few weeks you will not be able to come to orgasm with your new way of masturbating.  You will have to change what you do, young fella, even if it is difficult and not as familiar to you at the start.  Over time your nerve system will adapt to this new pleasant sensation and you will probably enjoy it more in the long run.

Let me know if you have any more questions.

Regards,

Theodore R. Herazy, DC, LAc