Erections and Peyronie’s Disease

Erections can be difficult to develop on demand while in a sexual situation.  Paradoxically, erections can be difficult to stop or inhibit at certain times, especially during sleep.  All of this is important to Peyronie’s disease treatment since erections during sleep can have an adverse affect on progress of care.

A nocturnal, or nighttime, erection occurs because it is important for the basic health of the deep tissue, known as the corpora cavernosa, of the penis.  These deep tissues of the shaft fill with blood and trap it within the corpora cavernosa to create the erect state. If this term, corpora cavernosa, sounds familiar it is because the tunica albuginea is a thin and tough layer of tissue that covers the corpora cavernosa and the tunica albuginea is where the Peyronie’s scar is located. A nocturnal erection can be thought of as type of stretching exercise that takes place during the night when there is little other activity going on, to make sure the penile tissue is stretched and used in this unique way to keep the tissue healthy.

The problem during a nocturnal erection when Peyronie’s disease is present is that restriction and binding of the already-bent erection can be sustained against the penis for a long period of time.  Also, it is important to keep in mind that this added pressure poses a risk of additional injury top the man who already has PD.  For this reason it is important to be careful with an erection when the penis has no comfortable or safe direction to extend itself.   Since it is not possible to stop an erection while asleep, it is smart to not wear tight or limiting underwear or pants while sleeping if you have Peyronie’s disease. It might be even smarter to wear nothing at all while you sleep since this avoids a great potential for binding and restriction.

For the most part, a normally occurring erection th

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at can simply “stand on its own” with no pressure against it, is not going to bind or incorrectly stretch out the penile tissue in a way that is detrimental to the penis.  Problems occur during a drug-induced (Viagra, Cialis, Levitra) or artificial erection, during which an abnormally great amount of blood is drawn into the penis by more soft tissue relaxation than normal.   For this reason it is understood that a naturally occurring erection is safer than an artificially created erection.

Drug induced erections can start Peyronie’s disease

Over the years I have communicated with many men whose PD started after a drug induced erection that stressed the penile tissues by greatly increased internal pressure.  This process would not be much different than taking a car tire that is meant to go no higher than 40-50 pounds per square inch during normal use, and over-inflating it to 100-150 pounds per square inch.  Because it is not built to take that kind of pressure, you could expect some problems to develop in using a tire that way.  Not much different with the penis.

Sexual activity is NOT to be avoided if you have Peyronies, but rough, aggressive, hard sex can be dangerous and really injure the already damaged tissue further. Developing and using a natural erection is not to be avoided either in Peyronie’s disease.  However, it is important to keep your wits about you and do not go wild during sex.  The emphasis should be on an easy, smooth and gentle sexual encounter.  Any sexual activity or posture that causes pain should be avoided.

Many important related topics about taking care of yourself, avoiding injury, doing nothing to set your progress back while you are attempting to heal your problem, are covered in my book, “Peyronie’s Disease and Sex.”  You will enjoy learning more about what you can and should do to take care of this nasty problem.

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Peyronie’s Disease Treatment and Insanity

Einstein and Peyronie's treatment

We have all heard Albert Einstein’s definition of insanity:  “Doing the same thing over and over again and expecting different results.”   Well, I think this sometimes applies to the way some men conduct their Peyronie’s disease treatment plans.

I am reminded of Einstein’s famous quote each time I communicate with someone who wants to know why his Peyronies treatment is not getting results even though he is faithfully following it daily, for weeks and months at a time.

Please review the following email exchange between one of your PD Warrior brothers and me. You will see the writer had no idea about the size, shape, density or surface quality of his scars yet he was trying to treat himself with Alternative Medicine.   Because he had no idea of where he was, where he had been, or where he wanted to go, he was easily discouraged and was not successful with his Peyronies treatment.

I will use the familiar method to keep the email question sent to me in black and my responses to him in red within his email so the information becomes more of a conversation between us.

Hello Dr. Herazy,

It has been a while since we talked on the phone when I asked for help getting started treating my Peyronies correctly.   My name is BXXXXX, maybe you remember me.   I am the student at the University of XXXXXXXXX who was in the bike accident and was hospitalized with a fractured pelvis.  Three months later I was diagnosed with PD.  I asked my doctor if he thought there was a connection between the accident and the PD and he said no.  From my experience Peyronie’s disease is a fairly common outcome if you sustained direct injury to the penis shaft when your pelvis was fractured.  Many men develop Peyronies disease  after injuries that occur during sexual activity that are less serious than what you went through, so I am not sure why he would have said this.  Also, your Peyronies could have started either from the injury to the shaft that took place during the bicycle accident, or from the catheterizations that took place during surgery or afterward.  Because of my limited funds I settled on using a PDI medium plan plus PABA.

I thought because I am young and the injury was recent I would get over the PD fast.  That is usually true for most men, but even some younger men take longer to recover because of overall poor health, stressful lifestyle, poor diet, genetic predisposition, or other reasons like drug abuse. But after two months I got discouraged and quit care for a few months.  I was following the medium plan for two months and my curve stayed the same as far as I could tell, so I stopped doing everything.   You made a few mistakes early in your care:  1. You did not contact me for ideas and advice about your treatment when you ran into a problem.  You were in a totally new area of your life and you were trying to do it all by yourself when you have help available.  Big mistake.  2.  I looked up your records and you did not get “Peyronie’s Disease Handbook” that would tell you how to go about treating your problem.  For this reason you used the phrase “my curve stayed the same as far as I could tell.”  This means that you were not using the condition of your curve to tell you if your treatment was successful or not, and this is a big mistake made by people and MDs who have no idea how to approach PD treatment. The condition of the penile curvature is determined by the internal PD scars that affect the tunica albuginea.  If you want the curve to go away you must get rid of the scars.  All of your evaluation and attention should be directed to understanding and documenting the condition of the size, shape, density and surface qualities of each of your scars.  Once your scars are reduced or eliminated you will change in the distortion pattern or bend that you have.  3.  You were guessing about your care because you were guessing about your condition at the time you were treating yourself.

Before you go on a diet to lose weight you must at least measure your waist and weigh yourself so you know your situation at the start of your diet.  If you do not measure your waist and weigh yourself, how will you know if your diet is working?  If you are guessing about your weight, you will either quit a plan that is working because you do not know that it is working, or you will stay on a diet too long that is not working.   If you know your exact waist measurement and weight you will be able to tell immediately when the diet starts to work – or not.

You will then be able to intelligently either stay on a diet that is helping you or change the diet if it is not helping you – all based on your knowledge of the situation.  You must do the same with your PD treatment. Then I reinjured myself during sex   Always be very careful during sexual activity and maintain control of the situation because it is you who will suffer most.  All woman-on-top positions are dangerous because you do not have good control over her and she can bend the penis if she comes up too far and you slip out.   When she comes back down again you will get your shaft bent. and my curve got even worse.  I thought I had no choice but to start PDI treatment again since the idea of Peyronie’s surgery is out of the question for many reasons.     Good thinking.  Surgery is the last thing you want to do if you have PD.  I have many posts on the PDI blog about Peyronie’s disease surgery that goes bad.

I am sorry to say that after ten weeks of faithfully   No, you did not faithfully follow the PDI concepts of treatment. You think you did, but you did not.  You tried to make up your own rules and they did not work for you.  You cut a few steps out of the process and you wasted time and money guessing about your treatment.   As a necessary step at the beginning you must determine the exact size, shape, density and surface quality of each of the scars you can find. Once you know that, then you can begin care.  By applying or using whatever level of treatment you think would help you, you should frequently monitor your scar to see how they are responding to whatever kind of treatment you have chosen to use.  To learn more about this process, please refer to chapter four of the “Peyronie’s Disease Handbook” and many blog pages that refer to this process. treating my problem I believe I have not made any changes with my bend or the pain I have,  Again, it is not the bend or pain that is important – but it is the condition of the scar that is causing the bend and the pain that is important.  All focus and attention should be on the scar that is causing all of the things you notice. although sometimes it is difficult to say.   That is exactly the point I am making.  It is difficult for you to say because you were guessing for four and a half months and you got confused and frustrated along the way. The two nodules on the top of the shaft are smaller some days, but it is difficult to know for sure.  It is good that you can tell that they are changing, that means that your tissue will respond to your treatment if it is already responding to things that you are doing in your daily life.

For the last ten weeks this is what I take:

Nattokinase – 2/dose between meals
Fibrozym – 2/dose between meals
Vitamin E 400/400 – 3/day
Maxi-Gamma E – 1/day
Vitamin C – 1/day
MSM – 3/day
Scar-X – 2/day
PMD DMSO with Unique-E and Super CP serum – 1/day
PABA – 6/day
Massage and Exercise program – 4 or 5/week

There is nothing wrong with the plan you are following.  The problem is that you are not sure your body is not responding to it because you have no baseline for comparison to judge progress.  So, the job in front of you is to know exactly the size, shape, density and surface qualities of your scars, and to then see what you have to do to your plan to make your scars change from that baseline.  It is that simple – and that difficult.  More about that will be covered below.

If you are looking for my suggestions about what you might want to consider changing with your PD program:

1.    Consider increasing your enzyme dosage; maybe even adding Neprinol into your plan.

2.    You really should reduce the Factor 400/400 vitamin E for now

3.    Consider increasing the vitamin C intake

4.    Adding moist heat applications prior to your PMD DMSO treatment is always a good idea

5.    Consider getting the PDI Manual Stretching video – it is an inexpensive way to add a very different level of treatment to your plan

6.    Consider using the Genesen Acutouch pens – they are effective and often increase treatment results within a short time for many men

You do not want to follow all of these changes or additions at once; doing one at a time while monitoring your PD scar for positive changes is how it is done.

Putting these two different times I followed your system of treatment I worked for a total of about 4½ months and do not have anything to show for it.  How do you know you have nothing to show for it?  You could have a nice reduction of the size, shape, density or surface quality of your scars but you would never know it because you have not taken the time to learn how to document these important measurements.

Your system makes sense and I like the logic of it, but I do not know how to make it work for me.   It is really not that complicated or difficult to make the system work once you get a few things explained to you. What changes should I make to my treatment plan to create more definite changes in my problem?    All you have to do is to make some change – any change – to your PD treatment plan and check back in 7-10 days to see if there is any change in the size, shape, density or surface quality of your scars.  If you see a change, then keep doing what you are doing.  If you see no change, then change something else.  It is as simple – and complicated – as that.

Since neither you nor I am smart enough to know ahead of time what your body needs to recover from PD, it is your job to try different things to learn first-hand how your scar will respond to whatever changes you decide to make.

Following the same ineffective plan for four and a half months is insane.  If you are walking north and you really want to be going south, you must stop what you are doing and turn yourself around.  Successful PD treatment is not a matter of popping a handful of pills into your mouth, hoping that something will happen.  You must learn what it takes to make your PD scar respond favorably and continue to do that.  You must be in control of your plan and understand your Peyronie’s plaque or scar behavior better than your MD – and that should be pretty easy.  I can help you if you let me. TRH

Thanks for your time and help.


I hope reviewing this email exchange was helpful.

It really is not a complicated process to figure these things out.  I believe the problem is that most people are accustomed to going to the doctor and following orders; they are not accustomed to being in charge of their treatment.   After men realize that their MD has no viable PD treatment to offer them, then they finally take on the challenge of taking control of their destiny and they start to see results.

Peyronie’s Treatment and a Crying Baby

Peyronie’s disease treatment requires a variable approach

Peyronie’s treatment is a lot like caring for a crying infant.

If you have never had to care for an infant it is necessary to understand that, regardless of what the adult might think about solving the problem of a crying baby, it is the baby who will ultimately determine how a situation is handled and a problem is solved.

The adult might have a certain idea in mind to stop a baby from crying, but to be successful the solution must be in agreement with what is wrong with the baby. It is the baby who will eventually dictate how the problem should be addressed because the baby has needs that must be met, regardless of any adult preconceptions

  • If it is a wet diaper that makes a baby cry, what good is it for the adult to feed the baby?
  • If the baby is frightened, what good is it for the adult to change the baby’s diaper?
  • If the baby wants to eat a lot, what good is it for the adult to feed the baby only a little?

The wise adult will listen to the baby and watch for clues, and act accordingly.

Peyronie’s disease treatment

What was said of the baby is also true of your treatment of the Peyronie’s disease plaque.

  • If you think a high price mechanical penis stretcher will somehow solve your curved penis like straightening out a bent paperclip, I can assure you that your penis is not a paperclip and will not respond like one.
  • If you are convinced that taking vitamin E for a few weeks should help your Peyronie’s problem, but you are actually deficient in MSM, acetyl-L-carnitine, PABA and systemic enzymes, then you will be disappointed.

To be effective, your Peyronie’s treatment must be directed toward what your body needs to heal and repair the Peyronie’s plaque.  In other words, to be successful your Peyronie’s disease treatment philosophy must be correct and directed toward what is actually wrong in your body.

Monitor Peyronie’s plaque to guide treatment

If you know the exact size, shape, density and surface characteristics of each of your PD scars, you will know when your treatment is being effective because one or more of these findings will change as you alter your treatment plan.  Without this exact information about your scar you are only guessing if your treatment plan will work.

For more information about this vital process for successful Peyronie’s disease treatment, go to “Peyronie’s Disease Handbook.”

Improving Peyronie’s Disease Treatment Results

One small skill makes Peyronie’s treatment more effective

Several weeks ago I received a good question in an email from someone who had just started a Medium Plan for Peyronies treatment.  Even though he just started his Peyronie’s disease treatment plan he wanted to know if there was more he could do to maximize his recovery.  I thought to myself, “This is a man after my own heart.”

I replied that although it seems like an indirect way to reduce the Peyronie’s plaque, there is something that is most important in any recovery plan that is often missing.  This is the knowledge of where you are at the beginning of care, as well as the knowledge of how you are progressing during the course of your care.

To improve your Peyronie’s treatment results considerably, it is critically important to simply have the knowledge of where you are at the beginning of care and every point thereafter.

This information is vital to your recovery because without knowing where you are and how you are advancing, how will you know for sure you are doing the right thing or not?  Thus, knowledge is an important element of any therapy plan.  You must know what is going on – or not going on – with your Peyronie’s plaque in order to treat yourself most efficiently and effectively.  If you are only evaluating your curved penis you are making a mistake.

Because it is so essential to be able to recognize progress when it occurs, and to not fool yourself into thinking there is progress when it is not occurring, I made this a major topic of my book, “Peyronie’s Disease Handbook.”   In this book there is a large chapter devoted to measuring and familiarizing yourself with the minute details about your scar(s). If you think only in general and vague terms about your scar, you will never know for sure if you are making progress.  You can be discouraged if you think you are not making progress when your scar is actually making great improvement – only you do now know enough about your scar to recognize that improvement. That is a sad and sorry situation.   What a terrible tragedy to be so discouraged that you quit care, if you are actually making progress and don’t know it.

Unless you are fully aware of all the details about your scar, you are only guessing when you examine yourself after several weeks of therapy.  You will have to rely upon your memory and vague recollection of your scar.   This is not a smart way to approach a problem of such great importance.  Do not do this to yourself.

Better that you take the time to learn how to approach your scar and the treatment of your scar like it was very important to you.  You should set out to become the world’s leading authority on your scar. This makes a lot of sense.  You know from your own experience that your medical doctor is not paying too much attention to your problem, so perhaps you should be the one to take the time to be interested in what is going on with you.

If you are not sure about the exact details of your scar location, size, shape, density and surface features, shame on you!  You are failing yourself, and you are creating an opportunity for failure when none should exist.

Go to the PDI website and order the book, “Peyronie’s Disease Handbook.”

Guide for Peyronie’s Disease Treatment

How to know if your Peyronie’s treatment is working

For those who do not have the book, “Peyronie’s Disease Handbook,” this post will be an introduction to the idea that to seriously provide Peyronie’s disease treatment it is absolutely critical for you to master of the physical condition of your Peyronie’s plaque.  This handbook book presents in detail the necessary steps required to fully understand and accurately report all possible physical qualities and aspects of your Peyronie’s plaque or scar.

To use Alternative Medicine well to treat Peyronie’s disease it is necessary that you can accurately describe the current condition of your problem. It is not good enough that you know you have a scar somewhere down there, or that it is a “nodule” or “lump” or “band”, or that your shaft is “curves upward.”   All of these are general and meaningless terms.  They do not clearly and accurately say anything about the specifics of your current state.   Worse yet, these terms are not objective or real enough to compare the condition of your scar from one time to another.

If you think about your Peyronie’s disease problem in these vague terms you would not know enough about your problem – now or in the future – to determine if your Peyronies is getting better or worse.  Saying that your scar is “hard” or “soft” is like saying the weather today is “hot” or “cold.”  These terms are very general and subjective, and mean very little.   This means if someone said it was “cold on Christmas day,”  in middle of summer it would not help him to know exactly how cold it was – he could not “remember” how cold that day was six months later.

Specific Peyronie’s treatment information

If you were looking for a new job and you were told you would be paid “money,” you would not be satisfied with that information.  You would want to know how much money per hour, your total per week, how often you would be paid, what other direct and indirect benefits were included, and your vacation schedule.  You would want details at the beginning of your employment so you would know later if you were being paid correctly on pay day.  You would need details at the beginning to determine later if things were going correctly or not. The same with Peyronie’s treatment.

The other day I had a long discussion with someone who just finished reading my book, “Peyronie’s Disease Handbook.”  I asked about his scars.  He said the largest one was “3/4 of an inch and rather square-ish with somewhat sharp, not rounded, edges, rather flat, generally firm but with a little ‘give’ like the seat cushion of his car, and rough and bumpy like the backside of a carpet.”  The other he said was a scar that was the size, shape, hardness and smoothness of a “grain of un-popped pop corn.”

I was very impressed!  Not only did I fully understand the physical nature of those two scars, but I knew he knew for his future reference how to evaluate his scar as his therapy progressed.  As he continues to make improvement he will be totally confident to identify all progress and changes he makes – or doesn’t make.  He is on top of his problem and he will do a better job and make more progress than the man whose only recollection is that his scar is, “I don’t know, I guess it is just some kind of bump.”

Two months later he would be able to think back to the feeling of a grain of unpopped popcorn and know exactly what his small scar was like.  If later by comparison the ¾ inch square of bumpy cardboard felt like a ¼ by ½ inch strand of overcooked pasta with a loose and rough surface like a pair of woolen socks, he would know for sure he was making progress.  He would know for sure how to manage his dosage and his selection of therapies based on his confidence in the progress he was making.

You cannot possibly remember what “hard” or “soft” felt like one month earlier.  Without vivid, exact and personal references that do not change over time you will not have to guess about your progress or lack of progress.  Saying your scar is a “bump” or that it is ‘hard” is almost useless.  Each description must be loaded with personal meaning that you can accurately refer to later so you will have no doubt if you are making progress or not.

Peyronie’s Disease Handbook

If you follow these instructions from the handbook you will be more knowledgeable about your problem than a medical doctor about the condition of any one patient’s problem.  I guarantee it.  With that knowledge you will be able to direct and control your therapy better than ever before.

The goal is to be a master of what is going on with your Peyronie’s disease treatment on a day to day basis, and to use that knowledge in such a way as to guide your diet and your Alternative Medicine therapy to your fullest success possible.

Good luck to you, even though after all, it is not really about luck, it is about hard work and knowledge!

My Penis is Curved

How to straighten a penis

What a shock when you realize, “My penis is curved.  How did that happen, and what is going on down there?"  And the most important question to Google, "How to straighten my penis?”

While there are several other causes of a curved penis to suddenly happen, the most common one, and the most difficult one to deal with is Peyronie’s disease.   Peyronie’s disease is a condition that occurs in about 6-10% of men over the age of 40 (although it can affect teenagers and men in their early 20s) in which a dense and thick mass of fibrous tissue, called a Peyronie’s plaque or scar, is found within the tunica albuginea layer on the inside of the penis.  The presence of a nodule or band of fibrous tissue under the skin of the penis will prevent the normal expansion of the chambers of the penis during an erection.  This causes the erection to be distorted resulting in a curve, bend, hinge, hourglass or bottleneck distortion.

To assist you to determine if you have PD, please visit Peyronie’s symptoms and check out some of the Peyronie’s pictures of curved penis.  It is necessary for anyone who thinks he might have Peyronie’s disease to go to his doctor to have a complete examination so an accurate diagnosis can be made. Do not make the mistake to think you can self-diagnose this problem.

It is important to remember that the problem of Peyronie’s disease is not that you have a curved penis.  The problem is actually the Peyronie’s scar that is present within the deep tissue of the tunica albuginea causing incomplete filling of the penile chambers, resulting in the curved penis that got your attention.  For this reason any treatment that is directed solely at trying to make the penis straight without removing or eliminating the PD plaque will not be successful.

While the Peyronie’s Disease Institute does not take a position against Peyronie’s surgery, we feel too many men resort to penis surgery far too soon before trying conservative treatment.   If a man knows he has Peyronie’s disease he should also know the problem is that his body produced excessive scar tissue or plaque in response to a small injury or inflammation of the deep penile tissue layer.  What does he assume will happen to that same tissue when a surgeon cuts that same tissue and also tugs on it, stretches it, and put stitches into it during the course of Peyronie’s surgery?  There is a very good chance that more excessive scar tissue will result.  This is why many urologists and surgeons take a position against all Peyronie’s surgery.

Since 2002 the Peyronie’s Disease Institute has educated men about the use of Alternative Medicine to assist the body to heal the Peyronie’s plaque.  Fifty percent of men naturally recover from Peyronie’s disease without any help or outside intervention; the problem just goes away on its own like any other health problem should.  Our approach is to assist each man to enable his body to heal naturally like those in that lucky 50% group.

So if you are one of us who has said in shock, “My penis is curved,” you now know what to do about it.  Learn more about Peyronie’s disease treatment with Alternative Medicine. Another good source of information is the Peyronie’s Disease Handbook.

Diagnosis of Peyronie’s Disease

Poor welcome to the world of Peyronie’s disease

It seems that most men cannot clearly or fully understand the scope of the problem when they are first given a diagnosis of Peyronie’s disease.

Obviously, when a man goes to the doctor for the first time it is because he is having a problem of some type with “his plumbing.”   It might be the sudden or gradual appearance of pain, a lump or nodule, curved penis or distortion of some type, or reduced sexual ability, that brings him to see his doctor or surf the Internet. While he knows he is having a few Peyronie's disease  symptoms that were not there until recently, he is surprised to learn there is actually a medical condition that causes his problem.

After being given the diagnosis, a common first mental question often is, “If there is this problem that can so cruelly affect a man, why on earth have I never heard of Peyronie’s disease before today?

It has been recently estimated that after the age of 40, there are about four to six cases of Peyronie’s disease for every 100 men around the world.  That is a lot of men and a lot of cases of Peyronie’s disease.  For such a common condition, why is it that no one seems to know about PD until it is too late?

There are a few answers to this question, and they are all important to any man dealing with Peyronie’s disease:

  1. No one likes to admit he has a problem, or is less than perfect, when it comes to his sexual apparatus and his sexual ability.
  2. No one wants to the subject of teasing or to be pitied.
  3. There is often such social restriction limiting discussion of sexual matters that prevents open and free information that limits the discussion of Peyronie’s disease or similar topics.

This is indeed unfortunate because if there was more knowledge of Peyronie’s disease there probably would be less of it. Additionally, if there was more knowledge and comfort  discussing this problem we would probably be a lot closer to a genuine Peyronie’s treatment than we are now.

If more young men were given more information, such as how trauma is associated with the start of Peyronie’s disease in over half of the cases, it is more likely that reasonable caution and defensive measures would be taken.  It is very difficult to avoid a problem if you do not know it exists. This is why in “Peyronie’s Disease Handbook” I spend a fair amount of time describing how men should talk to their sons about this problem.

To learn more about Peyronie’s disease, please go to the Peyronie’s Disease Institute website for information about cause, progression and Peyronie's natural treatment.

Organize Peyronie’s Disease Treatment

How to organize Peyronie’s disease treatment

Keep a few things in mind if you want to organize a Peyronie’s disease natural treatment plan.  Mainly, be sure to keep treatment balanced among the therapies used.

Closely follow the detailed treatment information in the form, “Outline for Natural Self-Treatment.”   This is the double-sided paper supplied with every first order from PDI.

Usually, it is best to organize Peyronie’s disease treatment around one of four PDI existing plans. They have been used thousands of times over the last 20 years.  Hence, they are balanced and effective.  When enlarging a plan, it is important to expand what is already there, not distort it.

Balance therapies between three groups

There are three large and distinct groups of therapies used. (See below.) When selecting which therapy to increase, it is important to to alternate between members of “Group 1” and “Group 2” therapy products.  Seldom is it necessary to change much about “Group 3” therapy products, although it is done as needed.

Do not increase therapy products only from one large group.  For example, increasing only the MSM, Acetyl-L-Carnitine, PABA and L-Arginine (Group 1 members) is a mistake.  It will keep the plan from being balanced and effective.

Use this outline to help you decide exactly which therapy product to increase:

    1. “Group 1” – any enzymes in the plan, such as:
      1. Inflamazyme
      2. Neprinol
      3. Serretia
      4. Nattokinase 1500
      5. Fibrozym
      6. Bromelain 5000
    2. “Group 2” – any internal support therapies in the plan, such as:
      1. MSM
      2. PABA
      3. Acetyl-L-Carnitine
      4. L-Arginine
      5. Coenzyme Q10 (Ubiquinol)
      6. Quercetin-Bromelain – do not increase to more than a total of 4/day
      7. Scar Free and Scars-Adhesions homeopathy
      8. Vitamin E – do not increase to more than a total of 2-3/day
      9. Vitamin C
    3. “Group 3” – any external therapies in the plan, such as:
      1. Moist heat – local application usually applied for 5-10 minutes immediately prior to any external therapy
      2. Gentle manual stretching
      3. DMSO, with vitamin E and Super CP serum
      4. Ultrasound
      5. Genesen Acutouch pens

General information

Organize a Peyronie’s disease treatment plan selectively. It is not necessary to use each one of the products to create or modify a Peyronie’s disease treatment plan. Which therapies – and number of therapies – finally selected is an individual choice. One therapy – any therapy – is better than none; two are even better, three even more so, etc.

The average number of therapies used in a treatment plan is about 9-10.  Generally, the larger the therapy plan, the greater its effectiveness. Organize Peyronie’s disease treatment accordingly. Our experience is that those who try to do the least get the least. No one can predict how a person will respond to any plan. Consequently, “You usually get out of it what you put into it.”

Additionally, information about Peyronie’s disease treatment is also available in the “Peyronie’s Disease Handbook.”

Brief guide to create your Peyronie’s treatment plan:

  1. Be aggressive. Think in terms of overwhelming your problem and supporting your tissue health in a broad area. Picture this as a war plan.  For example, attack from as many directions and levels as possible to assure your success in battle. Attack on schedule, as planned.  Do not slack off.
  2. Diversify. Use some enzymes (Group 1), internal therapies (Group 2), and some external therapies (Group 3). Use them all.  Mix it up.  Organize Peyronie’s disease treatment outcome this way, and results should improve. As an aside, there are many who report better treatment results when they place emphasis on the enzyme group.
  3. Educate yourself. Read about the various therapies to understand the purpose of each in a Peyronie’s disease treatment plan. Determine which are the most important to you.
  4. Get personal. Think in terms of what you know about your own health and body. Try to select those options that address your individual needs.
  5. Discuss your ideas with your doctor. Do not exclude your doctor from your decision-making process. Keep him/her informed and listen closely to all advice you are given.

Lastly, for help with questions or problems, send an email to

Peyronie’s treatment

Peyronie's disease treatment in detail

Since mid-2002, I have been deeply and continually involved in Peyronie's disease treatment – initially for myself, and then later for other men who have PD. All the details of my successful effort to heal my own case of Peyronie's disease using Alternative Medicine are revealed in my first book, “Peyronies' Disease Handbook."

The most popular single topic of any email question I receive from around the world concerns Peyronies treatment, naturally.  More than wanting to know about the chemistry or the physiology of Peyronie’s disease, or how to locate the Peyronie’s plaque, or names of doctors in different parts of the world, or anything else about PD, people want to know what must be done to successfully treat this terrible problem.

Many details about Peyronie’s disease treatment are found on the PDI website, in “Peyronies' Disease Handbook," and in nearly 100 issues of the Peyronies Disease Institute Newsletter.  Some days I answer more than a dozen emails from men and women who have countless questions about PD treatment.  I offer the best information I possibly can to each person. Yet, no matter how many times I present this information in a variety of formats, there remains one aspect of Peyronies treatment that many people just do not seem to understand.

Perhaps it is my fault for not stating this treatment information plainly enough, or not presenting it often enough.  Yet, somehow I feel responsible I have not found the best way to present this basic aspect of Peyronie’s disease treatment so everyone will understand this topic as well as I do.   If this is so, if all this is my fault, here is yet another attempt to make this important point about Peyronies treatment perfectly clear.

Peyronie’s disease treatment critical point

Regardless of how a person attempts to increase their immune response to eliminate the nasty Peyronie’s plaque, it is not as important how you start treatment, as it is how you progress and eventually finish your Peyronies treatment.   There are many ways to rationalize and calculate how you will go about treating your PD problem.  There are many good ways to help your body eliminate the Peyronie's scar and restore penis health.  That is the reason I have assembled three different size sample treatment plans. I have repeatedly said that these three plans can be increased or decreased in an effort to help your body heal your Peyronies.

Each day several men begin their Peyronie’s treatment with PDI in a wide variety of formats. Some of these are ultimately successful and some are ultimately unsuccessful, not because of the plan they put together at the beginning of their care, but their ability to modify, organize and apply the necessary changes to their Peyronie’s treatment plan if they do not get the kind of results they are looking for with the plan they start with.

Peyronie's treatment is like a football game

Let’s say that you are a football coach, and you have a big game coming up.  As part of your job, you rationalize and calculate how you will beat the opposing team.  You know the strengths and weaknesses of the men on your own team, and you do the best you can to understand the strengths and weaknesses of the men on the other team.  You keep in mind the weather conditions, the time of day, home team advantages, and countless statistics to eventually develop a winning strategy.  Eventually, you devise a plan to win.  The day of the big game arrives and you put your plan into action.  After a few minutes into the game you see that you have made some mistakes because none of what you planned is happening, because apparently you did not figure things out correctly.

You can do one of two basic things:

  1. You continue with the plan you started with.  You follow the basic plan that you started with because you tell yourself that your plan made sense to you before, and it should eventually work out.  You tell yourself, you must have patience with your plan.  You remind yourself that if you continue to follow your starting strategy things will sooner or later come together, your plan will begin to work, and you will eventually win.  Besides that, you do not know what else to do, so you struggle forward.
  2. You change your plan after giving it a reasonable time to work.  You eventually keep those parts of your starting strategy that seem to be working, while you change other parts of the plan that are not.  You improvise where you can, make minor and major changes if you are able, and look around for options that you might not ever have considered before.  You try different things until something works.   It is not pretty, it is not what you planned, but you take every advantage you can find during each moment of the game. Besides that, you do not know what else to do because continuing with a loosing plan does not make sense to you.

You see, my PD Warrior, Peyronie’s treatment should not be not static, although some people approach it that way.  Just because you start with one idea, one plan, does not mean you must continue with it if it does not seem to be working after a reasonable length of time.

If you start with one idea, and it seems to be working, fine, continue with it.  But if it is not working, change it.  How?  I don’t know.  But if you let me ask you a few questions and tell me about what you are doing, I know I can offer you some ideas you have never considered.  Sometimes these changes make a small difference in the progression of Peyronies treatment, and sometimes they make a huge difference.

Now, I hope this little discussion makes a difference in your effort to increase your ability to heal and repair your Peyronie’s disease.

Please comment and ask questions here if there is more that you would like to know about successful Peyronies treatment.

Peyronie’s Disease Treatment: Early Changes to Look For

Early signs of response to Peyronie's treatment

This post is about an interesting question I am asked from time to time about Peyronie’s disease treatment.  I thought it might be of interest to you.  The question is asked something like this, “When people finally get some positive changes in their Peyronie’s disease, how does it usually show up?  What usually happens first?  I want to know what I can expect, although I know we are all different.”

Well, usually – not always – as a man continues with a sufficiently large and aggressively applied Peyronie’s disease treatment plan from PDI, he will notice at first some small and TEMPORARY changes in the size and density of his scar.  The temporary nature of the change does not last long.  As treatment continues the changes and improvement become permanent.  Usually the scar itself will change before there is a noticeable change in the penis curvature or his ability to develop an erection.  This scar change will take place maybe during months 2-6 of the treatment cycle, although I have worked with men who see changes in the scar after just a few weeks of a PDI plan.  This fast response is the exception and not the rule, so do not plan on that kind of response although it does happen.

The initial and temporary improvement in the Peyronies plaque or scar will not last very long, maybe just a few days or so, and then it will often go back to how it was before – maybe even worse.  I wish I could say why this happens – it just does. Soon a pattern will develop in which there is improvement, regression, improvement, regression, back and forth, etc.  What happens over time is that you will notice that the amount of improvement will be greater than the regression, and the improvement will last longer than the regression.  You will likely see the pattern shifting slowly in favor of improvement – it will last longer and it will be greater than the regression.  Just like the stock market – it goes up and it goes down – but the general trend and pattern is that it slowly comes gets better.  This is how I have seen most every case of Peyronie’s disease improve.

Just as the Peyronie’s plaque changes, a little while later it is common to see a change in the curvature. The initial change in the penis curvature is not always improvement, however.  My curve worsened just after my scar showed some real strong progress for the first time.  I kept in mind that the Peyronies plaque was getting better, so I did not let the change in the curve upset me.  I kept working to reduce the scars I had and in time the curve I had also eventually improved.

Peyronie’s plaque and pick-up-sticks

Ever play “pick-up-sticks” as a kid?   With the complex interplay of sticks lying across each other, removing one stick makes three or four other sticks shift a bit.  I think the same happens in Peyronie’s disease.

How many plaques or scars do you have?  If more than one, then the dynamics are made even more complicated.  If you have only one scar (kind of unusual) then you have one scar that could be influencing 2-3-4 different planes of connective tissue within the corpora cavernosa of the penis that it is attached to.  It is not difficult to understand that if a part of a scar is changing, or one of four scars is disappearing, it could cause alteration of the tensions and angles of pull – as the scar is INCREASING or DECREASING in size – that could cause a change in the curve – to make it INITIALLY better or worse.  So in this sense, an increase in your curve is only seen as a bad thing if you know FOR A FACT that your scar(s) are increasing in size, shape or density. Over time, as the plaque continues to soften and reduce in size, and as the internal pull and tension created by these plaque begins to normalize, the curve should begin to straighten.  Continue monitoring yourself as you work aggressively, and you should see this positive pattern of recovery play out for you.

A worsening of the curve is acceptable if the plaque is improving.  As far as treating your condition and monitoring progress, the condition of the Peyronie’s plaque is far more important to monitor than a curved penis; plaque changes size, shape and density characteristics, and even seem to move, and so the plaque or scar tissue exerts control over the curve; the curved penis is just a reflection of plaque activity – good or bad.  A smaller plaque can create a larger curve if it is in the wrong place or is pulling or pushing in some strange way. It might make you feel sick to see your curve get worse, but ignore the curve and keep checking the condition of the Peyronie’s disease  plaque.  How do you check your plaque?  Go to review information about  my book, at Peyronie’s Disease Handbook

Whenever someone sends me an email reporting that he is seeing improvement in his plaque or bent penis, I warn him that it will not initially last very long and that his problem will surely return for a short while.  I can almost guarantee this pattern.  Come to expect it; count on it.  It is just the way it goes, so do not be discouraged or disappointed when it happens.  In a short time, you will see the pattern develop that will tell you that good things are finally happening.  Just stay with it.

How long it takes for the improvement to become permanent is also variable (just like everything about Peyronie’s disease).  Once you get your plan fine-tuned and working well for you, most of the time it takes 6-12 months or more for the progress to level off and become as good as it is going to be.  That does not mean that in 6-12 months or so you will be cured or completely well.  It just means you will be as good as you are going to be, in spite of your best effort.