Is this Peyronies disease?

I have 0 pain, 0 curve in erection and no hourglass look in erection.

However I am 18, and have had ed for 4 years. For as long as I can remember, on the occasion, My flaccid penis has a bit of the hourglass look. Also when it is night time, and I am extremely relaxed, and my flaccid becomes bigger, and almost a semi erect, it occasionally curves to the right which i just started noticing about 6 months ago. Also, after I urinate, occasionally I see my penis begin to curve right.

Again no pain, no bumps, no hourglass or curve in erection

I only see hourglass/curve in flaccid/semi erect.  Is this Peyronies disease?  If so will it get worse?  Can I send pictures to you?

 

Greetings,

Pictures would be of little help to reach a conclusion.

No one can say with any level of certainty based on the information you have provided whether your condition is Peyronie's disease or not.  These things are not diagnosed so casually or easily.   To know for sure what is happening, you must see a urologist and be examined for a formal diagnosis.

Having said that, it is my absolute guess that you do not have Peyronies disease for the following reasons you cite:
1.  Lifelong penile distortion, not recent onset
2.  Distortion when semi-erect or flaccid, not erect
3.  Occasional distortion, not constant or very frequent
4.  No mention of trauma
5.  No mention of familial PD or DC problem
6.  No penile curvature
7.  No pain

8.  No mass or lump, apparently; these can be missed even with PD, but in many cases the scar or plaque is easily found.

Please go to a good urologist and get to the bottom of your problem.   TRH

Where can I get the diet for treatment of Peyronie’s disease?

Where can I get the diet that you recommend for treatment of Peyronie's disease?

Greetings,

That diet is available and is explained in detail in Chapter 5 of "Peyronie's Disease Handbook."  

You must remember that PDI recommends a broad base of treatment for PD, using a variety of combined external and internal therapies, with your food intake and how you eat as being a very important part of your overall therapy plan.  The PDI diet for Peyronie's disease is only a part of the overall effort to increase your natural ability to recover from PD.  This suggests that you not rely on any one type of treatment but that you employ them all for best results.    TRH

Does Lexapro cause Peyronie’s disease?

i have been taking lexapro for about 7 months now – a side effect was diminished sex drive – so, as a result, my partner and I have had sex perhaps twice in those 8 months, ad that was nearly 6 months ago. I have been trying to stimulate myself so we can regain our sex life, modest as it is a this age and, of the last three occasions, i was able to get an strong erection but noticed now my penis is significantly curved upward – needless to say, i feel a bit freakish, and a conflicted between wanting to get aroused but not wanting to see my bent penis. Is it possible to Lexapro had this affect? I am 55 and now feel a "hate" relationship with my penis and not wanting to tell my partner or even have him see it. Basically, i am miserable about this and wanted to know if there is something i can do to help to "straighten out "my boy" and get back to more normal life (also looking to get off the lexapro but my Dr. said not till next year.

Greetings,

There are many side effects of Lexapro.  The most common are:   Constipation; decreased sexual desire or ability; diarrhea; dizziness; drowsiness; dry mouth; headache; increased sweating; light-headedness when you stand or sit up; loss of appetite; nausea; stomach upset; tiredness; trouble sleeping. 

There is no report in the literature of Lexapro causing or leading to development of Peyronie's disease

Before you go off in the wrong direction I advise that you have a medical examination to determine if you have Peyronie's disease.   If it turns out that you do indeed have Peyronies that your problem started in a more traditional manner of trauma.  A more likely scenario is that while taking Lexapro, or even before starting to take Lexapro,  you sustained injury during sexual activity that resulted in damage to the shaft of the penis.   Please review the information found on this site about Alternative Medicine treatment of Peyronie's disease.  TRH

Peyronie’s treatment diet questions

Diet questions
1. is rice milk an acceptable alternate?
2. why no bananas?
thanks

Greetings,

Yes, rice milk is an acceptable alternative drink, and so is almond milk. 

Bananas are to be avoided while doing self-treatment of Peyronies disease for reasons related to ancient oriental principles of yin-yang theory.   As I mentioned in “Peyronie’s Disease Handbook,” if you really want to completely understand why bananas should be avoided you will have to read several acupuncture text books to develop an Eastern insight into this way of looking at things.  The answer is not a simple Western explanation.    TRH  

 

Any institute located in India that provides treatment of Peyronies disease?

Hello Doctor,

I wish to know that is there any institute located in India which gives treatment for Peyronie.

With regards,
Rajan

 

Greetings Rajan,

I am not aware of any formal group or effort in India to treat Peyronie's disease

The Peyronie's Disease Institute is the only online effort to educate, treat and research this problem.   You can read and learn about Peyronie's disease treatment online and in the two books I have written and undergo an active self-directed treatment plan based on the information and ideas found on this website.   If you have questions or concerns during the course of your treatment you are able to write me emails so I can share with you my experience and suggestions for help.   Usually men are very pleased and satisfied with this arrangement since they have come to learn that their own effort and interest is far better than what they receive from the average medical institution.  TRH

How do I develop synergy to treat my Peyronies disease?

Been searching your site, have ordered Neprinol, but have not found the alternative product suggested for the synergy 'maybe' needed — besides Vitamin E, which I take.

Greetings,

Please read this page from the PDI website, "Synergy and Treatment of Peyronie's Disease."

In this discussion you will learn that synergy results from the combined use of several different therapies, but not any particular therapies.   For successful Peyronie's disease treatment the more therapy and wider variety of therapy products that are used, the deeper and more effective your synergy will be – the more the merrier.

Synergy is a natural reaction when groups of similar things are combined.   Let's take for example people.    If we combine a group of people who are slightly bad, when they get together they will tend to do things and behave in a way that is generally more bad than they would if they were not together.   In a similar way,  if we combine a group of people who are good, when they get together they will tend to do things and behave in a way that is generally better than they would if they were not together.  I suppose you can say that by combining similar things the natural tendency of those things is intensified. This is synergy. There is no limit to the number of things you can add for synergy to happen, and everything seems to be affected by it so you can use any Peyronie treatment you want to cause it to help you.

In the Alternative Medicine treatment of Peyronie's disease we  use different therapies that have been shown to be slightly effective as a Peyronie's therapy.  But when you combine them – the more the better – you get an increase of this ability to reverse  the Peyronies problem.

Further, since no one can tell which of the Peyronies therapies you need most and which you are lowest in, we approach treatment from a broad base that you supply all of those that could be helpful so that you are not missing any and this will also strengthen the effect of synergy on your problem.  Let me know if you have any more questions about the Alternative Medicine treatment of Peyronies disease. TRH

What do I start doing to prevent my Peyronie’s disease from getting worse?

I was just told last week that I have pd..I have some pain that is light, no curving, but my erections are weak on the left side at the base with some mild ED. What do I start doing to prevent it from getting worse?  I saw my urologist who told me to take vitamin E 1000 IU daily.  Please advise me to help it not get any worse…thanks

Larry Baldwin


Greetings Larry,

I have never seen vitamin E by itself help anyone with Peyronie's disease.  Vitamin E is a great therapy but it must be combined with a variety of other therapies to make a positive and helpful impact on a difficult problem like PD.  Besides that, you cannot just take a general or lesser grade of vitamin E and expect it to work for you;  a pharmaceutical grade is required.  PDI has two great therapeutic grades of vitamin E available on the website.

You should by reading about Peyronie's disease on the PDI website, especially starting with the page "Start Peyronie's Treatment."  

When you have a specific question about treatment of Peyronie's disease please let me know.   TRH

Would Neprinol work on my Peyronie’s disease?

Hi,

I've had Peyronies now for roughly 10 years. I passed a kidney stone in my 30's and it jammed at the end of my urethra, I squeezed it ,and it passed. But for a month my penis killed me. It eventually shrunk to about 3 inches, from 7  1/4 inches . Ive tried everything. I went all natural. vitamin c, 1000mg , omega 3 1200mg, vitamin e 1000 mg, l-arginine, ginkgo biloba, saw palmetto 1000mg, and flax seed oil, 1000mg gotu kola.  All have helped get at least 6 inches in length back after 10 years.

My love life suffered at first, but we overcame things. I would like to get the other 1 1/4 inches back. Right at the tip, just behind, it curves up around 30 to 35 deg. I can feel the hard plaque still. It just won't soften up any more.

Would Neprinol work, or do you have any suggestions on how to finally rid my self of this man destroying dilemma?  I'm 45 now, I would like to keep going if you know what I mean.

Thanks.  Any suggestions would be a great help.

Greetings,

While I realize you have probably just discovered the Peyronie's Disease Institute website on the internet, my first suggestion is that you stop playing around using different herbs and supplements that have not been shown to be helpful for treating PD.

"Going natural" is not the key to successful Peyronie's treatment; you have to use the right products and use them in the right way.  It looks to me like you just started using anything that might have had some positive things written about it, and hoped it would help your problem.   You have not "used everything."   You have only scratched the surface.   You have approached your problem from the wrong direction and gotten lucky that some of the things you did  might have helped you.   Had you spent that same time, effort and money using the products from the PDI lineup for your Peyronie's treatment I believe you would have been far better off today.

I suggest you get on at least the PDI medium plan along with the PDI gentle Manual Penis Stretching CD video and use them faithfully for a few months.  It is important to use the exact therapies from PDI because not all brands of Alternative Medicine therapies are of the same quality or potency.   You cannot walk into the average vitamin store and expect to get good quality products that will do the job for you.  It is amazing and appalling that many vitamin shops sell such low quality items.

Your question about Neprinol shows that you do not understand how to use Neprinol and that you are again approaching your therapy from the wrong direction.   You need to spend more time reading what is on the PDI website to learn how to go about successful Peyronies treatment. 

When you order from PDI you will receive specific instructions how to use everything that you order for the best possible treatment of Peyronies disease.   Let me know if you have specific questions about helping your problem.   Good luck to you.   TRH   

What is the best Peyronie’s treatment?

Hello,

I am from Dubai.  My problem is like this:   Peyronie's disease with left lateral (side) penile curvature and constrictive ring deformity causing hourglass close to body. No pain up to now during sex.  I find that my penis  is now shorter by more than one inch.   I took vitamin A & E but it did not help.  What is the best Peyronie's treatment?   Thank you.

Greetings to you in Dubai,

I am sorry to learn about your problem.   

Taking only vitamin A and E is seldom effective because it is much too limited or narrow in its attempt to help you heal the PD scar.  The best Peyronie's treatment is not any one therapy, but a combination of several – sometimes many therapies that work to assist your ability to remove the foreign Peyronie's plaque or  scar tissue from your body.

Please do not think my answer is silly or insensitive.  Allow me to give you an answer that will tell you exactly what you need to do create the most effective therapy plan for your condition:  The best plan to treat your Peyronie's disease is the one that you create that causes your body to break down and absorb the foreign scar material.   The best Peyronie's treatment plan appears to be different for each man.   I do not know what you need to do to make this happen, but I can tell you how to figure this out for yourself. 

If you follow these steps you will do as much as you possibly can to be successful over your Peyronie's problem:

1. Learn as much as you can about the natural treatment of Peyronie's disease from the PDI website.  The more you understand the better your treatment and your results will be.

2.  Go to "Start Peyronie's treatment" to see the basic outline of getting started with care.  Follow those instructions your read about.  

3.  Determine the size, shape, density and surface features of each PD scar you can find.  If you do not know how to locate your PD scar(s) send me an email and I will give you special help to determine where it is located and how to evaluate it.  This information is critical since you will use it to measure the progress and effectiveness of your Peyronie's treatment plan.  Without this information you are only guessing about your treatment. 

4.   Monitor your PD plaque for changes as you follow your treatment plan.   If your scar or plaque changes size, shape, density or surface features while you are using your treatment plan, there is no need to change it; you simply continue to use that plan for as long as your scars continue to reduce. If your  scar DOES NOT CHANGE size, shape, density or surface features while you are using your treatment plan, you must increase the plan by either increasing your dosage of therapy products or increasing the variety of treatments you are using.  When you get to that point I will offer you ideas and information so you will know how you wish to proceed. 

Please let me know if you have an questions about how you wish to proceed.   TRH

Pentoxifylline, Niacin and Peyronie’s Disease

Pentoxifylline is not an approved Peyronie’s disease drug

There are several things I find interesting in a question and answer about Peyronie’s disease and Pentoxifylline (Pentox) I discovered online recently.  It appears on the Peyronie’s forum of a medical doctor who is well known as a Peyronie’s disease expert.  I will not use the doctor’s name since it does not serve a useful purpose to mention his name.

Here is the question, followed by the doctor’s answer:

Question:  Can Pentoxifylline help with increasing blood flow when a man has PD?  Also is Niacin also an alternative that might achieve any results?

Answer:   Pentoxifylline has been shown in animal studies to potentially reduce the development of the Peyronie’s scar when the animals consumed the Pentox in their drinking water from the time that the Peyronie’s process is triggered.  Pentoxifylline is indicated to enhance blood flow to the lower extremities in patients with peripheral vascular disease likely because it has a mild non-specific vasodilating effect.  Therefore, it is possible that it can increase blood flow in the man with PD.  As to whether this will improve erections or has anything to do with preventing progression of already established PD is unknown.  Niacin, to my knowledge, has not been studied as a treatment for Peyronie’s disease.

Pentox preferred simply because it is a drug

Point # 1.  The doctor responds that the use of Pentoxifylline is used to treat Peyronie’s disease because it has the ability to enhance blood flow to the lower extremities in patients with peripheral vascular disease likely because of its mild non-specific vasodilating effect.

My response:  Here the doctor is saying that Pentoxifylline is used in Peyronie’s disease because it improves blood flow in people who have peripheral vascular disease.  Anyone who has studied this subject knows that Peyronie’s disease is not a vascular or blood vessel disease, so it is difficult to understand from this answer the connection between the two conditions. This reason he gives for using Pentox for treatment of PD is not supported by what we know about this condition.

Point #2.  The doctor states that Pentoxifylline is used in Peyronie’s disease (of the penis) because it improves blood flow in the periphery of the body, meaning arms and legs.

My response:  These are two different areas of the body. This part of the answer suggests that Pentox has not been tested or shown to actually improve the blood flow to the penis, only the upper and lower extremities.  This reason he gives for using Pentoxifylline for treatment of PD is not supported by what we know about this condition.

Point #3.  The doctor attempts to tie his two points together and then carefully speculates that “it is possible that it can increase blood flow in the man with PD.”

My response:  What the doctor is saying is that using Pentox for Peyronies treatment might possibly work since it works for other conditions that are only remotely related. This kind of speculative use of a drug is common, and would not be objectionable except for the fact that Pentoxifylline is known to have side effects that can affect the cardiovascular, immune, digestive, respiratory, visual and nervous systems. That is a risk taken by a patient for use of a drug that might only possibly help an unrelated condition.  I doubt many patients know that they are exposing themselves by taking drugs that are not known to help the condition they have.

Point #4.  The doctor reports that it is unknown if Pentoxifylline will improve erections or has anything to do with preventing progression of an existing case of Peyronie’s disease.

My response:   Saying that it is unknown if Pentox will improve erections suggests that it does not influence blood flow to the penis. Yet, improving penile blood flow is one of the reasons given by this doctor to justify using it for Peyronie’s disease.   Since I have never heard of anyone taking any medication for prevention of Peyronie’s disease, the doctor also says that Pentoxifylline will not alter the progression of a case of PD once it has started.  This sounds to me that it would not help Peyronie’s disease.

Point #5.  The doctor reports that to his knowledge niacin (a member of the B vitamin family) has never been studied as a possible treatment for Peyronie’s disease.

My response:  Niacin is well known to those who take vitamins for the “niacin flush” that it causes.  Niacin causes an increased blood flow throughout the body, experienced as heat, redness and itching that occurs after taking a few hundred milligram dose.

So we have the doctor reporting that Pentox (with side effects) is used to treat Peyronie’s disease because it has a “mild non-specific vasodilating effect,” yet niacin (with no side effects) which also has a mild to moderate non-specific vasodilating effect has never been studied as a Peyronie’s treatment.

I think this is a classic example of the drug industry ignoring potential non-drug therapies simply because they lack profitability.  This is a point to remember when you are told that no nutritional therapy has been shown to help PD.   This is only true because these companies refuse to do the testing to prove they might have merit.

Point #6.   The doctor uses  only one brief  sentence to discuss niacin, and 90% of his reply to discuss a drug that does the same thing as niacin can do and do it without side effects.  In his short sentence about niacin he only says that it has not been studied as a Peyronie’s treatment.  Period.  As a scientist, as a physician interested in advancing the body of thought about Peyronie’s treatment, wouldn’t you think the doctor would be more interested in something like niacin?  Instead, he merely brushes the idea of niacin use for PD aside.  This is so typical of the attitude of organized medicine about treatment of Peyronie’s disease.

Point #7.  The man who asked a reasonable and intelligent question about niacin was not given an actual answer about niacin.    He was only given a reply that promoted the use of a drug that has side effects and not known to be effective against Peyronie’s disease.   And you wonder why men get frustrated with the lack of help and useful information about Peyronies treatment.