What do you think is the best route for Peyronie's treatment?

I am a 39 year old male that developed peyronie's about 1 year ago. Much of the curvature has gone away, but my erection still bends slightly down (compared to having a natural upward curve previously), and it has a dimple on the underside of the shaft. Most of the pain has gone away. At the recommendation of my urologist, I was taking oral Vitamin E of about 400 IU daily, and added Wobezym (6 pills daily), Serrapeptase (120,000 IU/2 daily), and bromelain (1000mg daily of 2,000 GDU/g).

I was considering ordering the medium plan along with the stretching DVD. Do you think this would be the best route to go? How long do you think it would take to see results?

Thanks.

Tony

Greetings Tony,

Judging your progress simply by noting good or bad changes in the penis curvature is not a good strategy.  Naturally it is the bent penis that gets your attention and it is what you most want to see improved, but it is a poor way to evaluate what is going on with the Peyronie's disease treatment you are doing.

The fact is that the curved penis is not the primary problem of Peyronie's disease; the primary problem of Peyronie's disease is the internal scar or Peyronie's plaque that causes the penile distortion.  The size, shape, density and surface features of the internal Peyronie's plaque this is what you need to measure and evaluate to determine if your effort is being truly successful or not.

Another fact is that your Peyronie's plaque can be worsening and your curved penis can become straighter at the same time this is happening.  This happens when the growing PD scar tissue balances out the internal stresses and tissue pulling that takes place because of scar material.  This is not a good thing.  I f you have a large and complex interplay of PD scar material that is so arranged that your penis is straight, is this really desirable? Is it a good thing? If you say, “What do I care if the scars are getting worse?  Just as long as the curve is getting better and I can continue to have sex.”    The answer to that attitude is to understand that Peyronie's disease is not a static problem and over time it will worsen.  You might eventually have the currently balanced scars become imbalanced and they can begin to pull the penis in a weird and abnormal way resulting in a worse curve than you had at the beginning of your problem. 

Of course, I have no way to know the condition of your internal scar tissue.  But then again, neither do you unless you understand this concept and are paying attention to what is really important.  Your internal scar material could be totally reversed, it is possible, but you will never know and will remain at a distinct disadvantage for as long as you ignore what is going on inside. 

Only you will know the best treatment route to take by noting the response of your scar in terms of changes of the size, shape, density and surface features of your internal Peyronie's plaque.  The medium plan is a good one to work with.  Take it as you are given suggestions when you receive your order and every 7-10 days evaluate your shaft for changes in the scar size, shape, density and surface features.  Increase the dosage of your plan until you see definite and clear reduction of the size, shape, density and surface features of the plaque material.   This is the very best way to know you are following the best plan of action for your recovery. 

When a man follows a very aggressive Peyronies plan and does so faithfully, and finally reaches the correct dosage by slow incremental increase of dosage while evaluating the size, shape, density and surface features of his fibrous Peyronie's plaque, he can expect to see changes as quickly as 7-10 days after he has reached his correct dosage level.  Notice, I did not say his PD would be gone, just that his scar would begin to be reabsorbed and start to get smaller as determined by these various measures.   After that point it is usually 2-6 months of care to have all the tissue changes occur that will take place. 

By the way, you might be getting better results with Neprinol.  I also recommend that a good treatment strategy includes a variety of Peyronies disease exercises along with using vitamins, minerals, enzymes and herbs to support your natural recovery. TRH

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How long should I follow my large Peyronie's treatment plan before making a change in it?

Dr Herazy,

I purchased your Peyronies Large Treatment Plan late last year and recently purchased your two books.

My first question is – When looking for Natural ED treatments that have a similar effect as Viagra – which supplements or combination would you recommend trying first?

The second question is – I have been using the DMSO/Topical Vitamin E since the beginning of April but have not noticed any change. Is that long enough or should I continue for a while longer?

Thank you in advance for your answers

Lee

Greetings Lee,

First, all the male sex booster and enhancer products are located near the bottom of the PDI shopping cart where are treatment products are found.

Start your ED treatment plan by taking Stimulin by itself. Take four per day, meaning two in the AM and two in the PM (closer to bedtime) Once in the blood, Stimulin helps increase the production of nitric oxide that stimulates blood flow in all parts of the body, especially the penis. More blood flow means improved libido and more powerful, long-lasting erections. Stimulin is superior to other herbal remedies for sexual vitality because it stimulates blood flow naturally. Nothing is forced, so the erections more like your previous ability.

You see, Stimulin provides nitric oxide (NO) a chemical messenger that is used in and a part of many normal body functions. For this reason, Stimulin is not taken right before sexual activity. Stimulin is taken like a supplement to assure your body works better in many areas – only one of which is the sexual function you are presently having trouble with. Stimulin is especially helpful for heart, blood pressure and gastrointestinal function – plus sexual function.

If you are satisfied with the way Stimulin helps you sexually, there is no need to go further. However, we are all different. Your results might not be all that you had hoped for; if that is so, then we recommend the use of one of several herbal products PDI has available that are useful to increase sexual ability. While continuing to take Stimulin© daily, we suggest you consider Step 2. This group of products is related to direct sexual stimulation and stamina, and these are used only right before sexual activity.

If after using Stimulin for several weeks you find you need a further boost with an an herbal sexual stimulant you should look at the products available in the PDI store. Unlike your daily dose of Stimulin, these herbal stimulants are taken only when sexual activity will take place.

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I suggest you experiment a but with the product lineup in this sequence, since this is the order of popularity of these products and I assume reflects the effectiveness of them, although you might easily respond differently:

Male X Booster
ITI Man
Libido-M
BetterMAN
Herbal V

Any of these products, when taken with Stimulin©, should provide sufficient diversification for sexual support and stimulus. Once again, it comes down to synergy and approaching your problem (along with 3 out of 5 other men in America) with a broad based ED therapeutic approach.

Begin taking the product you select according to label directions. The big advantage with the herbal sexual products is that they are far less overpowering than a drug. This is critical for you because of your PD. To knock you off your feet I can either hit you with a baseball bat (Viagra) or gently tap you at a strategic point (herbal product). Either way the job is done, but one is more preferable; herbal products do not run the risk of damaging the tunica by out-of-control and powerful erections that erection drugs can cause.

Second, I recommend that you should demand of yourself change in the size, shape, density and surface features of your scars after you find you correct variety and dosage of Peyronies treatment. This means that if you have followed whatever plan of care you committed to you do not see a structural change in your Peyronie's plaque NOT a change in your penis curvature – you should change your plan until such time that your scar changes. Keep checking and revising your plan every 10-14 days until your scar begins to make structural changes. At that point when internal Peyronies scar begins to get reabsorbed and starts reducing, do not make any additional changes in your plan; just ride it out until the scar either is gone or changes stop occurring. If your scar reduction plateaus out, you will then need to increase your plan again in some way to re-stimulate absorption of the fibrous plaque.

You have followed a static plan for approximately three months, so if your scar is no different it is time to increase some element of the plan to boost the intensity of care. If you need help with the specifics of this process I will need to know the details of your plan and then I can make suggestions to you. Please advise. TRH

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Questions about straightening a congenital penis curvature

Hi Doc.

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My Name is Tomas and i am a 25 year old male from Sweden. We have spoken on the phone previously but i am afraid that my written English is better then my spoken. I have also, very recently, submitted a question but i am not sure it got registered correctly so i take the opportunity of writing a new one and adding some additional information and text if that is alright with you.

My penis, who i am overall pleased with, have always had a slight downward curved. Probably less then an average banana. It is not Peyronies disease but what you call Congenital curvature. Although this is yet to cause me any problems while having intercourse (i believe some of the girls i have been with have not even noticed it), i can't help to feel a bit self conscious about it. I think it looks unattractive compared to a completely straight penis and since i am quite of the 'ladies man' if i may say so my self, i thought to my self that it's time to get it straight. It would feel really good to just relax and enjoy sex without having to worry about my appearance.

First of all, i have to praise your dedication to the subject. I believe such attitude and respect as yours towards the patients are rare and something i hold in a very high regard.

Now, i know that your programs are generally more directed towards treating Peyronies disease – but i'm also of the impression that it can help a congenital curved penis as well. While searching the Internet, i have stumbled upon countless of alternative treatments but yours is the first which i feel confident might help me and feels “serious”.

So, my question is.

What is recommended for treating a congenital downward curve as effectively as possible? Should you add some supplement or is stretching enough? If so, what program?

And i also wondered what videos are possible to be sent to me by email and how that is arranged. The shipping costs to Sweden was really expensive – and i would also like to keep my little project a secret from my roommates.

Kind Regards
(And sorry for possible bad grammar)

Tomas
Sweden 🙂

Greetings Tomas,

Your English is wonderful and in fact better than some of native English speaking people I sometimes encounter. You are to be congratulated. And thank you for the kind words about the work I do with PDI.

When the Peyronie's Disease Institute Manual Penis Stretching Method was developed and researched in 2006 it was intended to be used for PD, not correction of birth or congenital penis curvature. However, since there are apparently many men like you with a slightly to moderately curved penis they would like to make straighter, we have had perhaps 40-50 men over the years who have used this particular Peyronie's treatment method and have reported success when used according to the detailed instructions found on the CD. What you will find is that on the CD there are several different techniques, a variety of pivot points, as well as different angles and lines of traction to use depending on your particular penis curvature.

In the past I have recommended that these men who want to change a congenitally bent penis use at least Neprinol as the follow the PDI manual penis stretching method. This should work to increase the effectiveness of treatment. A bit more information is available on the PDI website at “Peyronie's Disease Institute Manual Penis Stretching Method.”

The information you want is available only on the CD and has not been made to be downloaded as an attachment to an email. Sorry.

I would be remiss if I would not advise you to be less concerned about the small penis curvature you have. Women are far more tolerant and willing to accept physical variation of the penis than what you would imagine. Attractiveness and beauty are not found in symmetry or sameness of appearance; the value and effectiveness of the penis toward good sex is not found in symmetry or someone's preconceived idea of beauty, but how it is used with kindness, gentleness, a giving spirit, passion and love. Besides that, a bend applies a bit more friction to the vaginal wall for added stimulation. You might be better off curved than straight. TRH

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Can your Peyronies stretching video help me correct a downward curved penis?

Hi doc!

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Which videos are you able to email to me and what is recommended for a congenital downward curve?

Regards

Tomas

Greetings Tomas,

The Peyronie's Disease Institute Manual Penis Stretching Method was not intended or tested for correction of congenital penis curvature. However, men with a curved penis that they were born with have reported success when used according to the instructions found on the CD. I have always recommended that they at least take Neprinol while following this manual penis stretching method to increase the effectiveness of treatment. You can find information by clicking on “Peyronie's Disease Institute Manual Penis Stretching Method.” TRH

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How do you find the Peyronie’s plaque or scar

Dr. H – how does one gauge the presence/size of the plaque on the dorsal side of the penis ? Frankly, I do have the curvature but am not able to “feel?” the area that has been compromised.  Thanks

 

Greetings,

Location of the Peyronie’s plaque or scar is essential for effective and efficient Peyronies treatment.  For this reason an entire chapter was devoted in my first book, “Peyronie’s Disease Handbook” to help men locate and know how to gauge the size, shape, density and surface features of the plaque or scar within the shaft.

If you have a penis curvature you must have a plaque or scar that is causing it, even if you are at this time unsure how to locate it.

I suggest you get a copy of this important book to learn how to go about finding and defining the scar.   You will use the information of the size, shape, density and surface features of your scar to determine if changes are being made while you undergo Peyronie’s treatment. Without this information you are merely guessing about self-care and this is not a good thing to do.  TRH  

Will the PDI Manual Stretching Technique help a congenital penis curvature?

My penis has a bend in it which is approximately 45 degrees to the left and upward. Its been this way as long as I can remember, Im now 50 years old. I have had no problems with sex and have two children. My wife is starting to have some issues, so I want to know if its Peyronies or something that Im born with. Will the stretching techniques be good for me or is there something else I should try?


Greetings,

There are a few things I do not understand in your question.

It is not fair to either of us to ask if you have Peyronie's disease based on the information you have presented.  Besides, I really do not understand what you mean when you say you have had a 45° bend for as long as you can remember.  Are you saying you believe you were born that way or are you saying that you have had a curved penis for a very long time?  

When you say your wife is starting to have some issues, what do you mean?   Are you having sexual difficulty because of reduced ability to achieve an erection?   Difficulty making penetration?   Reduced size issues that often are a part of Peyronie's disease?  You will have to be more specific.

The PDI gentle Manual Penis Stretching Technique was first tested on men with PD, not congenital curvature issues.  However, I have now hard back from men with congenital curvatures who have reported positive responses; some small and some great.    TRH   

How can I correct a congenital penis curvature?

Hi, i have had this problem. My penis are bent to the left and i have no pain or stress when i do the self ejaculation. But i am in a big confuse that i can marry or not? Its happen by born. What i do to get rid from it?

 

Greetings,

If your penis has been bent to the left since birth, it is not likely you have Peyronie's disease.  You probably have what we call a congenital penis curvature, or a small variation of your body that makes you different from other men.  

You ask if you should marry.  I do not know the answer to that question.  I also do not know if your penis is bent too much for you to be unable to complete the sex act. 

Keep in mind that when a woman has sufficient sexual stimulation her vaginal muscles will relax greatly, and she will produce a significant amount of lubrication.  As a result she will be able to open her vagina to allow entry of even a bent penis.  In your case, it all depends on how much you are bent and how much she can accommodate to allow entry.  That is something you will not be able to answer until you try.  

You ask how to get rid of your problem.  Many men with a congenital penis curvature have used the "Peyronie's Disease Institute Manual Penis Stretching Method" to reduce their curvature.  Although the method I developed was designed and researched to be used for Peyronies treatment, it apparently also helps me born with a bent penis. Again, you will not know if or how much this will help you until you try.  TRH

What is the success rate of PDI Peyronies treatment approach?

I am curious, what is the success rate of your Peyronies treatment approach? John from Australia

Greetings John,

You ask about PDI Peyronie's disease treatment results. All day long I send emails to men from around the world – like yourself – who do not have to report back to me, and over whom I have no control as to how, if, and when they use their various therapies.

I can only tell you this directly about the treatment results I have heard about from men over the years: I receive about 12-15 emails or telephone conversations reporting improvement in scar size, shape or density, or favorable change in penis curvature, or improvement of sexual function, for every one email or telephone call I receive complaining of no progress concerning the above. Considering that people tend to complain more than they compliment, I interpret this 12:1 ratio in a very favorable way.  But to give you percentages of natural Peyronies treatment improvement, I cannot report that to you at this time. Perhaps some time in the future when we are able to do formal research.

PDI is not yet conducting controlled studies, so I have no way of knowing how any of this is being used. And of course how these products are used determines the results that are earned. I get back bits and pieces of information from men about their treatment results. My feedback is limited in response to the large amount of information I put out to the PD community.

There is no guarantee that you or anyone else will use any of these products as I suggest that you use them. Actually, after doing this work since 2002 I find that few people start out using their Peyronie's treatment plan in the correct way.  You know how people can be. I can only hope that the suggestions I make are given fair consideration and application is made in the correct way. As a result, I do not receive with any regularity reports from men about their treatment results.

All I can tell you is that the more that a person does to knock that scar out of the tissue, the greater the synergistic effect and the greater the likelihood for success. You either understand the concept of synergy or you don’t. It is the reason that MDs have so much trouble with patients when they start putting them on more than one drug – when combined, the synergistic effect of multiple drugs begins to magnify, often causing drug reactions that most people have come to be concerned about. In the area of Alternative Medicine the results tend to be beneficial.

I notice from your records that you have only ordered Scar-X from PDI, and nothing else to treat your PD.   It is a good product we have used with success over many years. However, since you order only Scar-X you are using this product in a way it is not intended to be used.   You are a good example of what I mentioned earlier.  You are not following the suggestions of PDI and yet you will judge PDI results after not following our suggestions.   It is your decision; I can only advise you along the way and you will decide how you wish to proceed.  TRH

What can I do to make sure my penis curvature continues to straighten?

Greetings Dr. Herazy,

I've had Peyronies for close to 4 years. All I heard from those sad guys on the PD forums was that there is nothing you can do to cure PD.  But after being on your large PDI treatment plan for less than two months both my wife (a nurse) and I can tell there is a huge improvement in the curvature of my penis.  Not only is my bent straighter, I can enter her easier and we both have less pain during sex.  What can I do to make sure my Peyronies changes continue?   G.H.

Greetings G.H.

I am concerned here. Do not make any changes to your plan until you are fully versed in how to evaluate your progress via evaluation of your scar(s).  Judging your progress by positive changes in your curvature is all well and good, but it is not a reliable or accurate way to determine progress. Do not make the mistake of evaluating progress of your Peyronie's treatment plan solely on the basis of your reduced curvature. That is not the way you should do it. 

You must evaluate your treatment progress based on changes in the size, shape, density and surface features of your scar(s). Peyronie's disease is all about the scars, remember.  If you get rid of the scars your penis curvature will go away, but if your penis curvature gets straightened without change to your scar then the curvature will only come back.  

You must learn how to evaluate the scar for progress. I have a whole chapter devoted to this subject in my 1st book, “Peyronie’s Disease Handbook.” If you do not do your evaluation this way you are only guessing about progress and therefore you cannot determine correct dosage levels. Get the book if you do not have it. If you already have it, then re-read Chapter 4. 

Once you have a firm description of your PD scar then you will be able to use it as a reference point or benchmark to guide necessary changes in your treatment plan.  

Congratulations on your improvement so far, if you follow my suggestion I think you will be pleased how easily you can continue making good progress over your Peyronie's disease.   TRH

Fix Penis Curvature

How to straighten curvature of penis

For most, the main focus of Peyronie’s disease treatment is primarily to fix penis curvature or whatever distortion might exist.  However, this is not the best goal to have when you want to get fix your bent or curved penis.

The primary goal of Peyronies treatment should be elimination of the internal scar (Peyronie’s plaque material) that causes a curved penis to develop in the first place – not to fix penis curvature.  Although the most obvious aspect of Peyronie’s disease is the curved penis, it is not the actual problem.  Using penile curvature to determine success of any Peyronie’s disease treatment is unwise and counter-productive since it is not the real problem.

Healthy internal tissue of the penis is able to fill, trap and expand as blood enters it for a normal erection to develop. In Peyronie's disease one or more areas of a layer of tissue known as the tunica albuginea develop a dense and inelastic fibrous scar tissue or Peyronie’s plaque.  During a normal erection the slightly elastic tunica albuginea will stretch and expand evenly in all directions.  But when a man has Peyronies disease expansion is limited because the tunica albuginea contains fibrous tissue, resulting in a curved penis.

Peyronie’s disease usually begins as a small internal nodule or band of fibrous tissue on the top or sides of the penis, within the tunica albuginea.  A few weeks to a year later, this fibrous nodule can develop into a larger irregular plaque of variable size, shape, density and surface quality.  The Peyronie’s plaque can be as long as the penis and sometimes surrounds the penis, creating an hourglass indentation around the shaft. Some are one large mass, while others are small isolated islands of fibrous tissue in many areas. Scars can be so soft and small, with edges so tapered and vague, that no scar can be found.  When no Peyronie’s plaque or scar can be found it is assumed to exist when a curved penis develops during erection.

Peyronie’s disease causes penile curvature because the inflexible fibrous tissue of the Peyronie plaque prevents incomplete filling as an erection develops or by pulling unevenly on those same internal tissues.  The location and degree to which this poor filling and internal tug-of-war takes place is different from man to man, and so the bends and distortions are also different.  At times a small internal scar can cause a great amount of distortion and poor erection quality, just as a large scar can cause very little problem.  In other words, the scar size does not determine the degree of problem that is observed.  Sometimes as a Peyronie’s plaque or scar increases or decreases, the distortion can get either better or worse; many times the degree of penile curvature does not indicate the severity of the Peyronies plaque or the success of Peyronies disease treatment.  For this reason, the true measurement of success of Peyronies treatment should be determined by the reduction of the Peyronies plaque or scar.  Once the fibrous plaque material reduces in size, shape, density or surface quality, only then can improvement of the curved penis or reduced erection strength be expected in time.

Fix penis distortion by treating the Peyronie’s plaque

A curved penis that suddenly appears one day might be difficult to ignore, but it is only a symptom of the real problem of Peyronie’s disease that lies below the surface – the fibrous scar in the tunica albuginea.  Without that Peyronies scar there would be no curved penis; because it is the cause of the distortion it should be the only way that treatment success is determined.

Evaluating progress of a Peyronie's therapy plan can be difficult, if not impossible, if only paying attention to a curved penis.  A small scar – or a scar that is getting smaller – can cause a large penis curvature.  A large scar – or a scar that is getting larger – can cause no bend at all if it is balanced by other scars that are applying a symmetrical force.  Making matters more complicated, a man can have many more scars than he can locate because the often overlap.  Thus, it happens that a curved penis can worsen as the scar is actually being reduced or eliminated.

When only one scar is present the curvature problem is direct and easy to understand, although this is uncommon.  More commonly multiple scars cause internal pulling and twisting that create complicated distortions that can worsen as the scars become smaller.   Several scars can interact on many planes of internal penile tissue.   Any significant reduction in one or more scar will alter the internal tension on the tissues, resulting in an altered curvature.  Because there is no guarantee the curvature will improve initially, I advise to focus all attention to the size, shape, density and surface qualities of the scar while treatment of the Peyronies problem continues.  Realize the curved penis is just a reflection of Peyronie’s plaque structure below the surface.

Do not be discouraged as you try to fix the penis curvature related to Peyronie’s disease.  Instead, look for changes in the size, shape, density and surface qualities as you continue your Peyronie’s disease treatment.