How does your Peyronies treatment idea work?

Dear Dr. Herazy:  I have seen three urologists, one of them the best in Florida.  They all have told me that none of this Peyronies treatment can work.  Please explain to me how can you prove them wrong.

Thank you,

Jose T.

Greetings Jose,

I do not have to prove them wrong.  In 2002 I eliminated my own Peyronie’s disease using the simple and direct methods you see on the PDI website.  I am fine today. 

To answer your question in the most direct and simple way, the PDI Peyronies treatment works by trying to improve, support  and encourage the natural ability of the body to heal Peyronie's disease.  It is not perfect, it does not always work.  From my experience it works in about 80% of the cases when done aggressively, correctly and faithfully as outlined in the PDI website. Nothing works all the time. When I talk to men who do not get help using the PDI concept of Peyronies treatment I find that it is because they did not use this method correctly; they altered or cheated the process and reduced its effectiveness.

If you decide to believe your doctors who have never used this approach, then that is your decision.  But before you make a final decision you should know more about this different concept of health care.

I suggest to you that you do some thinking on your own. While it is very important to discuss things with your medical doctor, it is also just as important that what you decide is reasonable and sensible to you. Decide if this is a rather simple way to look at this problem of Peyronies treatment sense to you, or not:

1. Does my body have an immune response that heals and cures many health conditions? The answer is generally, yes.  If your body is functioning as it should, correcting Peyronie's disease should be a natural thing to do; this is why about 50% of men get rid of PD on their own without any outside or additional help.

2. Is it true that PD is eliminated by about half of the men who come down with this problem in the first 12 months after developing it? The answer is generally, yes, men cure their Peyronie's disease in about half of the cases.  You might run into different percentages of those who self-correct, and these are usually lower.  However, just as there is controversy about what percent of men have Peyronie's disease, there is even more controversy about how many men self-correct for this problem.  No one knows for sure any of these numbers, so these are generally estimates of what someone thinks.

3. If Peyronies disease is cured in about half of the cases within the first 12 months after developing it, does this or does this not mean that there is a natural cure for PD?  The answer is that it does. When a problem is eliminated

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4. If PD is cured in about half of the cases within the first 12 months after developing it, what is wrong with my immune system that I did not correct my PD like those 50% of men whose PD just goes away on its own? The answer is too complex for anyone to answer at this time, so we flood the body with as much natural vitamins, minerals, herbs, enzymes and other therapies to help the body do a better job to heal and correct the original problem.

5. If the body can heal PD 50% of the time, is there something that I can do to improve, support or encourage my own body to do a better job of correcting or eliminating my PD like the other half of men who do it without any outside help? The answer is that about 70-80% of men see positive changes in their Peyronies scars when they use the methods as outlined in the PDI website.

Medical doctors, when they develop Peyronies disease, face a real dilemma because they know the limitations and dangers of medical care.  Many eventually come to the PDI website and use this method. I am helping 2-3 MDs right now correct their PD problem.  Medical doctors are aware of the limitations of what they offer the average Peyronies treatment patient; they are aware of the risk of creating additional injury when any drug is injected into the tunica albuginea of the shaft; they are aware of the potential danger of the new collagenase drug, Xiaflex; they know and have seen the horrors of Peyronies penis surgery when it goes bad.  This is why they hesitate to use for themselves what they prescribe for others.

It is a tough thing when people tell you different things. You must make up your own mind about your Peyronies treatment.  Does it make sense to first try to help your PD to heal better by using the natural PDI approach, and then later if that fails to try a more radical and risky treatment?  Or does it make sense to first risk getting more scar tissue from your surgical Peyronies treatment when you have already demonstrated that you make too much scar tissue.  In doing this Alternative Medicine work treating PD since 2002 I have seen no evidence of side effects or complications from using this conservative methods.  In that same time I have communicated with literally many hundreds of men who have had bad reactions to drugs and surgery to treat Peyronie's disease.

You must consult with your doctor about your Peyronies treatment, ask good questions, listen carefully to the answer you are given, and then make up your own mind about your eventual care.

Let me know if I can help you in any way.  TRH

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What program would you suggest I try for my four year-old Peyronie's disease?

I have had Peyronie's Disease for probably 4 years or so (not initially diagnosed) and the initial bend and associated pain is no longer apparent. I have several plaques on the shaft and these cause somewhat of an hourglass effect and an associated constriction.

I no doubt have suffered from depression during this period partly due to feelings of guilt and helplessness. I have taken l-carnatine and more recently Neprinol. I have found that if nothing else doses of vitamin E have also been good for my skin health.

More recently I have been diagnosed with Ehlers-Danlos syndrome. I am in quite good health and have not experienced any loss of sexual function. In taking the Neprinol – this is probably of no association – I now wake with an erection.

I recognize that I should have acted earlier but as it took several attempts to find a doctor that could actually offer help I had already somewhat resigned myself to my fate. As described there has been substantial improvement from the original condition and I am looking to continue my recovery. What program would you suggest that I try? I look forward to receiving your advice.

Greetings,

As I suggest to all men who contact me with the same basic question about what program to get started with, I think you should visit the page  Suggestions to help you decide how to start Peyronie's treatment.  This is a good starting point for anyone who wishes to increase his ability to naturally heal and eliminate the offending Peyronie's scar tissue.  The basic idea is to support and encourage the strongest healing response possible by using the largest and most aggressive plan you can use for at least 2-3 months.

It is encouraging to think that you saw some degree of improvement by just using acetyl-L-carnitine and Neprinol.  This is not a good plan design, so if you decide to use what we offer as a viable treatment plan I would guess your results would be considerably better than what you did on your own. 

Fifty percent of men who initially develop Peyronies will cure or eliminate it without any outside help.  You saw what your body could do when you helped it a little in a lop-sided way.  The PDI therapy idea is simply to encourage that natural healing ability by supplying at the same time and in an elevated dosage all possible nutritional elements to help that healing process along.  

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If I can help you in any way, please let me know. TRH

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Questions about taking Neprinol in a Peyronie's treatment plan

Hello Dr Herazy,

I have a question regarding the intake of Neprinol and the absorption of proteolytic enzymes. I understand that they need to be taken away from meals. My understanding is that on an empty stomach they act/are absorbed in one way, and with food they act in another way. On your site somewhere you say they they should be taken 90 minutes before or 90 minutes after eating. 90 minutes before eating sounds extreme. Surely they are out of the stomach and on the way to the intestines in a lot less time than that. And by the same reasoning, taking them 90 minutes after eating … wouldn't there still be food in my stomach at that time? 90 minutes before suggests REALLY away from food; but 90 minutes after suggests that mixing it with food then is OK. Can you clarify this a little further. I just want to be sure what I take can be as efficacious as possible. My practice has been to take it 15 to 30 minutes before eating. (At which time I also take other herbs (for other non-PD concerns) that also need to be taken on an empty stomach.  Thanks.

Walter

Greetings Walter,

What you are asking about is called “gut transit time,” or the amount of time it takes for food to pas through the digestive tract, as well as absorption rates for different molecules that pass through the stomach wall. As you can imagine, this is a variable factor from one person to the next. The 90 minute stipulation is a good average for most men following a Peyronie's treatment plan,  but it might far shorter or far longer than it should be for some people; yet, it is a good average.

If you feel that you need to increase or decrease these times for taking Neprinol based on your personal digestion physiology, by all means please do so. Having said that, I would caution you that you should err on the side of assuming there is food in your stomach longer than what you think. Please give yourself a bit more additional time when taking the enzymes before a meal, and give yourself a bit more additional time before you eat after taking the enzymes. The world will not come to an end if you take your enzymes to close to the time you are going to eat, or you eat too soon after taking enzymes, but your therapy will be diminished and Peyronie’s treatment is too important to make this kind of error.

You write that you take your systemic enzymes 15-30 minutes before a meal. That might be perfect for you, but it might not be enough time for the next person. Further, that might not be enough time for your stomach to get the enzymes into your blood stream and into the fibrous tissues. How would you know?

You write that taking Neprinol 90 minutes before a meal sounds extreme to you, but I must wonder what you base that on. All I propose is that you give your gut ample time to get all the systemic enzymes through the gut wall, into the blood stream, and disbursed to start working on the excess foreign protein that is in the Peyronie’s scar. Maybe this can take place in 17 minutes, or 59 minutes, or 90 minutes, no one knows for sure because these particular digestive enzymes have never been studied for absorption times or delivery times. So why not make sure you allow enough time to allow it to happen so you get the best results from each and every dose you take?

If all you are doing is using that “full stomach” sensation to judge if food is still in your stomach you might be incorrect. Many people have food still being digested for hours after a meal – they might be exceptions, but it does happen. Further, gut transit time – the time food stays in the stomach – changes in the same person from one meal to the next depending what kinds of fats, carbohydrates and proteins are in each meal, and changes based on your emotional state, how well or poorly you chewed your food, how physically active or rested you might be at that time, how warm/cold you are, and other factors.

Lastly, let me guess that your question is not based on the usual situation in which you can control your food and enzymes schedule perfectly. I will guess you are asking this question really based on those days when your schedule for eating, working, and taking a handful of different therapy items is totally out of your control. We all have too many of those days when we forget to take Neprinol 90 minutes before we eat, or we absolutely will not be able to take the Neprinol 90 minutes after we eat. What do we do then? When we cannot allow ample time to take systemic enzymes on a good schedule because of forgetting or something we cannot control, what should we do? Do the best you can. Then promise yourself that the next dose will be taken at a better time to allow for better absorption and delivery. That is all you can do.

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Give your gut ample time to empty food, and to absorb Neprinol, so as to maximize the ability of Neprinol and other proteolytic enzymes to the target Peyronie’s disease fibrous scar material.

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My severely bent penis is almost back to normal, but how can I get my size back?

Hi Dr. Herazy,

I've been following your instructions and using your products now for about two years. My progress has been slow, but thanks to you, I HAVE made progress and almost back to normal…..as far as the severe bending and curvature. There is now only a small knot remaining at the upper right on top, near the head of the shaft and appears to be all that is remaining. I will continue your Peyronie's treatment procedures. My question is, and it's VERY important to me is : Can I get my size back ??? Since this issue began, I've lost at LEAST an inch in both length and girth even though my erections are “near” normal. Is it possible to use a pump with care and restraint to gradually build back up ?? This is driving me crazy with worry.

Thanks,

David V

Greetings David V,

First of all, congratulations in getting your bent penis under control and eliminating all but a small knot of scar tissue. 

However, in spite of all the reading and instruction I know you have read, it seems to me you are making a huge mistake to only gauge your treatment success based on reduction of your severe penis curvature.  You must have read a hundred times it is necessary to use the size, shape, density and surface features of your scar to guide your treatment.  Once you begin to do that your treatment will be a lot more effective and you can expect to see more changes in your curved penis and lost size.

I suggest avoiding a penis pump, or VED.  With those devices it is not possible to know that you are not injuring yourself until it is too late.  There is a better way to get back lost penis size.  

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In regard to getting back your lost penis size, let me give you some advice.  I have reviewed your file of past purchases and see that you have not used the gentle manual penis stretching technique.  This would be a very logical addition to your current plan as I understand it.   Please continue with your current treatment plan, but add in the gentle manual penis stretching to see if you cannot possibly reduce the last of that small remaining scar as well as coax back some of your lost dimensions.   TRH  

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What Peyronie's treatment plan would you recommend for me with an enlarged prostate?

I have used your basic plan in 2010 and after that I discontinued since I was able to get erections and intercourse was not painful. Later I have been diagnosed with an enlarged prostate but PSA is normal. Now I have irritating and burning pain after ejaculation for many hours and my penis appears to become short although the curvature is not significant. The amount of semen is also very little. I am 47 years old. Never used Viagra or any other enhancing drugs.

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I am deficient on Vitamin D and taking an Omega supplement which also has Vitamin E.   What plan you would recommend for me and can you provide me details of medication in each plan. It was listed in this site but could not find now.

R Venkat

Greetings R,

I suspect that you did not correctly or completely finish your course of initial care and that this is the reason some of your symptoms of small curvature has come back.  Since you discontinued care because your erections improved and intercourse was no longer painful, I suspect you made a fundamental mistake in understanding how the PDI treatment should be used.   It appears to me you did not monitor the condition of your scar in terms of reduction of the size, shape, density and surface features of your Peyronie's disease scar to know for a fact that your true problem was gone.  While it is good your pain improved and your erection quality improved, that is not a good way to determine success or failure in treatment.  I also suspect that you got a small reduction of your scar (enough to make intercourse less painful and erections stronger) but that there was more work left to be done to reduce the scar further that you did not do.

Many of your current complaints could be due to the prostate enlargement you mention; you should discuss this with your doctor.  For this I suggest that in addition to using the medication he has prescribed for you, that you consider using multiple vitamin supplement that will supply all the nutrients that you need for your general health, plus special nutrition and herbal support for the prostate gland; it is called Prosta-Support.   Additionally, it would be good for you to talk to your doctor about performing a simple and economical prostate massage on yourself a few times a week using the Aneros prostate massager.

You should consider using at least a medium Peyronies treatment plan, and even a large Peyronie's treatment plan if it is in your budget because it is larger and more diverse, to help your body completely eliminate the remainder of your Peyronie's scar.  TRH

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Another Peyronie's disease treatment success story

Hi Dr Herazy

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When I was 58 years old (I am now now 62 years old), I had a severe case of Peyronie's disease which came out of the blue. When erect, my bent penis had an angle bend of about 60 degrees about half way along, so my future looked pretty bleak.

I investigated surgery and it frightened the hell out of me. There were no promises of success and I formed the opinion that the surgeons/urologists had locked in their opinion and you were just fodder for their work. Then I found your web site and treatment plan. I did the lot other than the Japanese herbs which irritated my stomach. I hit it really hard and kept at it. It took about 6 months before I really noticed some improvement and it gave me some cheer. I kept at it and it took about 18 months in total to really get my penis back to pretty well straight.

I'm very pleased to say that I'm fully functional and have been since the recovery.

I've been meaning to tell you of my success and I can recommend to anyone – follow the full treatment plan for as long as it takes. It's a pain to do as it's got so many pills/lotions/etc, but it works. And it's been a darned side cheaper than surgery could ever have been.

Best regards

Greg Woodford

Greetings and thank you Greg,

Thank you for the report of your success, but especially thank you for being dedicated enough, tough enough and stubborn enough to stick with it to work for your recovery.  Yes, you are right a lot of work and sacrifice are needed for recovery against Peyronie's disease.  I see that most men who fail to earn  the degree of improvement that you did are not willing or able to work the way you did.  Too many try to change the PDI method to make it something that it is not, and they fail.  You did it the right way and you beat the monster that was taking your life from you.

If PD was an easy problem, and easy to reverse, it would not be the kind of life changing problem that it is.   There are many more men getting the kind of results you got in the last few years because the PDI method is getting more refined.  For more information please see  Is it really possible that Peyronie’s disease completely disappears? 

Before I make a few comments, Greg, allow me to remind the readers of a few things  based on what you have told us in your email.  First, this recovery that took place was in a case that was for Peyronie's disease that was 2-3 years old when you started your care; this was far after the time it should have cleared up on its own.   This means Greg's case was past the time it should have gone away on its own, so we are confident that it was just not a spontaneous recovery that would have happened anyway.  Greg was successful in helping his body do what it was not doing on its own.  Second, his doctor wanted to cut on him, he was that bad and his sexual activity was that effectively reduced that he was fair game for the scalpel.   This was not a minor or easy case.  Thirdly, he said, “I did the lot” meaning he did not hold back he was aggressive.  This is always key to recovery.  Please take note.

For full disclosure I think I am am accurate to say that you and I have never spoke or communicated about your treatment plan, or to answer any questions from you during your 18 month Peyronies treatment .  My recollection is that you did your treatment pretty much on your own while learning how to approach your self-care from the PDI website exclusively.   This is good because it has always been my intention to make the PDI site so informative and inclusive that a man like you could read and learn on your own, and be totally self-sufficient to reach total recovery, as you did.  Congratulations.  

Having mentioned all that, allow me to say it is my guess that I could have probably helped you along the way and made your journey a bit faster, or a bit easier, or a bit less expensive, or all of these.  I get feedback from the men I work with that the personal input and ideas I can offer will often make nice changes in the rate and degree of their recovery.    I mention this because  most men I work with usually wrap up their plans in less than a year; sometime in six months or so.

Now that you are back to where you want to be, please keep in mind that anyone can re-injure themselves by being careless or assuming too much.   There are several things you need to keep in mind as you resume sexual activity as before:  Make sure your erection is a solid as you are able. Make sure she is ready for intercourse with a lot of foreplay and natural lubrication, or use copious amounts of silicone based lubrication if necessary.  Make sure your selection of sexual positions are safe; do not use any intercourse positions that you have had trouble with in the past in keeping connected during intense activity (when you pop out of her you are extremely vulnerable to re-injury so keep your arm around her waist or hold her hips to make sure you do not get injured), so steer clear of those , please.

Again, nice work and congratulations, sir.

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Cortisone injections and Peyronie's disease

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

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

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

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

Hi,

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

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

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

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

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

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

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

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

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

Many thanks,

Steve

Greetings Steve,

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

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

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

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

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

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

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

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How should I change my Peyronies treatment plan to get better results?

Dr. Herazy,

I have been using the following and not seeing many changes. I’m wondering what I should increase.

Externally: Super CP Serum, Vitamin E then DMSO 3 x day

Internally: 2 Neprinol, 1 Quercetin/Bromelain and 1 Acetyl-L-Carnitine 3 times daily between meals
1 Ascorbplex 1000mg and 1 Unique E 400mg 2 times day with meals

I will also order the ultrasound unit to go with the treatment.

Thanks for your help.

Michael

 

Greetings Michael,

You need to tell me when you are taking these products and if/how they are being used during the day.  I can at least tell you that your  plan is rather limited and light compared to those who get good results with their Peyronie’s disease treatment plans.   I suggest that you set up an appointment to have a telephone discussion with me soon to get you on the right track.  TRH

Vitamin E is not enough therapy for effective Peyronies treatment

Dear Doctor,

I’m 31 and I have been diagnosed with Peyronie’s disease this year. I had trauma during sex in January and after about a month the scar appeared and I started to have pain in the beginning of the erection, and since that time pain varies. During sex I don’t have any pain.

I have changed 3 urologists because they have very very poor knowledge about Peyronies and they said there is no cure for it. One of them said that my body reacts to trauma by making an excessive amount of scar tissue. I mentioned to him that 5 years ago I had trauma on my ear and I had a keloid develop which was removed with an operation. They all want me to wait and see what will happen with the pain and penis curvature. In other words, no treatment until the scar stops growing and pain disappears. When that happens their solution is injection of Verapamil or operation, but I don’t want that especially now when I discovered your website. You already help me a lot in understanding Peyronie’s and I’m continuing reading everything I can on your site.

The scar is on the upward right side and its size was like the bean when I discovered it and after few month it was bigger, and last month my penis bend towards up for about 20 degree (I can send you pictures too). I started taking vitamine E 400mg per day from April, and last month I’m taking 600mg. Now I know that only Vitamin E isn’t enough (and it didn’t help me) and I want to buy some products from your PDI website. Can you help me to decide which program to buy? I’m from Croatia and I would like to order supplies for a few months including CDs and books too, so I don’t have to order every month and wait for it. I’m worry when I order something that I have problems on customs and I don’t get your products. Do you have some experience with that?

Thank you,

Deni


Greetings Deni,

Based on what you have described I suggest that you consider getting the PDI medium size plan.

There is indeed a cure for Peyronie’s disease.  The body cures and eliminates the Peyronie’s plaque in about half the men who develop this problem.  That is a rather good success rate.  What the MDs mean is that they do not have any method to help you, although it is obvious that the body generally does a good job of eliminating this problem when given the opportunity. 

We have had some problems with Croatia customs.  I suggest that if you have a friend in the U.S. or the UK that you have your friend receive your plan from PDI.  Your friend could then send these products to you as a gift.  I cannot send an order to you as a gift. This I believe is a legal thing to do and might help you receive what you want.  TRH