• What is the dosage of therapy that will improve my Peyrnonie's disease?

    I am taking a combination of Neprinol, Vitamin C and Vitamin E. Can you advise me of a good number of each to be taken per day? I am currently taking 6 Neprinol per day, 3,000 mg of Vitamin C and 800IU of Vitamin E per day. Is this a safe amount that will effect Peyronies disease?

    Greetings,

    As I write repeatedly in these commentaries, there is no way to know ahead of time if any therapy plan is going to be effective for any particular person’s Peyronie’s condition or what dosage will work for you.  This is why it is essential each plan should be as varied and aggressive as possible, and that it is followed faithfully each day.  Because you will be able to monitor the size, shape, density and surface features of your scar before therapy begins and as it continues you will know whether your plan is working.  If it is working, you continue following your plan. If it is not working, you slowly increase the dosage of your plan until you begin to notice changes in the scar.

    It is essential that you not just take your various supplements, but that you “work” your plan.  The PDI concept of determining the dosage of Alternative Medicine to treat Peyronie’s disease is based on a simple system followed to prescribe drugs in medical practice. 

    This is how your medical doctor fine-tunes the dosage of the drugs he/she gives you:   Your dosage is started based primarily on your age and body weight for that particular drug – everyone starts at about the same dose, but it will change based on response to the drug.  You take the drug as prescribed, you return in a week or two and your doctor asks you questions and examines you to see if your symptoms have changed.  If your symptoms have been reduced to your doctor’s satisfaction, your dosage is kept the same.  If your symptoms are the same the dosage is either increased or you are given even more drugs.  You now taken an increased drug dosage as prescribed, you again return in a week or two and your reduction of symptoms is determined.  If your symptoms are now reduced your dosage is kept at this higher level.  If your symptoms are the still same the dosage is once more increased or you are given even more drugs.  This goes on until your doctor thinks your symptoms are under control.  This is how medicine is generally prescribed. 

    You can use the same method to determine how many and which of your different therapies to use to change the size, shape, density and surface features of your Peyronies plaque and hence to reduce the curved penis that the scar causes.

    As you take the dosage of the Alternative Medicine therapies you are using you monitor the size, shape, density and surface features of your Peyronie’s plaque or scar, just as a doctor would.   If your scar shows improvement (smaller, softer, a different shape, more difficult to locate or you have signs of the scar “falling apart,” you keep dosage the same.  If your scar is the same size and shape, just as hard and just as easy to locate, you slightly increase the dosage of what you are taking or you add new therapy to your plan.   You compare your scar every 10-14 days, looking for positive signs of scar reduction.  This pattern of increased therapy continues until you find that your scar has begun to improve.

    You do not just start popping a predetermined number of pills each day hoping that you get better.  You monitor your scar for positive scar changes and you are fully aware what it will take to make it happen.  This is PDI method of Peyronie’s disease treatment.  

    The Neprinol, vitamin E and C dosage you are taking is very common, and might even be a little low in regards to Neprinol.  Please refer to the notes and detailed instructions you were given about taking Neprinol when you received your order from PDI.

    If you have specific questions about altering your Peyronies treatment plan please contact me directly.   TRH

    Would PDI penis stretching technique help a congentially curved penis?

    I've had a genetically caused curved penis all my life, but as far as I know, i don't have Peyronies scaring. Would your your penis stretching technique help my condition?


    Greetings,

    Please see my prior response to a similar question at, Stretching a Congenital Curved Penis.

    In the last several weeks I have heard from a few more men who also have moderately bent penis they were born with – congenital curvature of the penis.  All have found improvement,e specially those who use Neprinol as part of the plan of care.   TRH

    Is there a treatment to improve my Peyronie's curved penis?

    My pain and scar are gone.   However the curvature remains.  Is there a treatment to improve the curvature?  Thanks.

    Greetings,

    I am happy for your apparent progress over Peyronie’s disease, although I think you are assuming too much. 

    When you ask this kind of question it tells me that you think of your scar and penis curvature as two separate things.  That is not the case.  The scar and curvature are directly related; the scar is causing the curvature, and without the scar you would not be bent.    The very best treatment, and the one that makes most sense to improve your curvature is to get rid of the cause.  In this case, the treatment to improve the curvature is to get rid of your Peyronie’s scar.  

    While I am sure you are correct that you have noticed reduction of your scar, and perhps you are not even able to find your PD scar any longer, in order for your shaft to still display a curvature there still must be some remaining scar material present within the tunica albuginea.   Sometimes the scar that remains is so greatly reduced or perhaps deeper than you can easily locate, but something must be causing the penile deformity that you still exhibit.   If you did not have some Peyronie’s plaque or scar still in the penis, there would be no explanation for the curvature. 

    I suggest you stay on your treatment plan to get rid of your bent penis.  Perhaps vary your treatment a bit while still following the basic outline that brought you the significant reduction of the scar, so that you can totally eliminate the remainder of it and completely reverse your curvature. 

    If you need help modifying your current plan to clean up the last part of your scar please send me the complete details of your current Peyronie’s treatment plan and i will be happy to make a few suggestions to improve what you are doing.  TRH

    Is it OK to have sex if I have Peyronie’s disease?

    DR. HERAZY,

    MY PEYRONIE’S PROBLEM STARTED A FEW MONTHS AGO AND I HAVE A 30 DEGREE UPWARD BEND. WE STOPPED HAVING SEX. MY WIFE IS AFRAID SHE WILL DAMAGE IT MORE. MY UROLOGIST PRESCRIBED VERAPAMIL CREAM WHICH IS NOT HAVING MUCH AFFECT.WHAT NATURAL TREATMENT I CAN APPLY TO CURE THE PROBLEM? AND SHOULD I DO ANYTHING TO PROTECT MY PENIS DURING DAYTIME FROM PRESSURE OF ANY KIND, OR APPLY A FIRM UNDERLINING support to keep it straight?

     

    Greetings,

    There is much to say here.

    First, do not stop your sexual activity; it is important that you basically continue as you always have, with the exception that you must be much more careful and defensive with your technique.  This is a huge subject, so perhaps to really understand it best you should get my book, “Peyronie’s Disease and Sex.”  It will help both of you to understand how to have a full sex life in spite of Peyronies.

    Fewer doctors are using verapamil because of limited results – and you have seen this to be true for yourself already.  For more information, see my article,  “Peyronie’s and Verapamil.”     

    Next, when you ask what kind of Peyronies treatment you can use to help yourself with your PD it is obvious you have not spent any time looking at the PDI website; it is loaded with hundreds of pages of information to answer this question.   To get you going in the correct direct go to start Peyronie’s treatment.  

    You must protect your penis to prevent additional injury during sexual activity.  You do not have to worry about light contact or pressure during the day.   To protect the penis during sexual activity we have assembled a great list of effective penis supports that will reduce the chance of re-injury by sudden buckling or bending during intercourse.    Go to Sex Supports and Aids.     You never want to force your bent penis to make it straight.  Once you start treating your PD and you begin to cause your internal scar tissue to get reabsorbed your penis will be able to naturally straighten out.   Before that happens do not apply pressure to reduce your curved penis to make it straight.         

    You really need to spend some time educating yourself in this critically important subject so you will know how to protect and assist yourself.    Probably the best single thing you can do to understand how all of this operates and how to help yourself is to get my first book, “Peyronie’s Disease Handbook.”  TRH

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

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


    Greetings,

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

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

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

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

    Can I use the PDI manual stretching technique to cure my curvature?

    Hi  Doctor,

    I have a normally bent penis with a downward curve.  I have it from when I was a child.  There is no pain, just normal curve 30 degree.   Can I use the  PDI manual stretching CD to cure my curvature ??

     

    Greetings,

    Many men have a curved penis from birth; it is part of what makes you a unique person.

    I have had reports from men who have used the manual penis stretching technique to safely and permanently change their normally curved penis.  You can read more about the CD that explains in detail how to use this special technique at Peyronie's Disease Institute Manual Penis Stretching Method©

    Keep in mind that your bent penis is a normal condition for you, even though it is 30 degrees.  Your improvement might be less than complete straightening, or it could be complete, there is no way to know ahead of time until you try it.   Please let me know how it goes for you.  TRH 

    Why Is My Penis Curved?

    How to straighten a penis

    What a terrible shock to realize, “My penis is curved.”

    But then you must ask, “How did that happen, and what is going on down there?  And the most important question to Google, “How to straighten my penis?”

    Of several causes of a curved penis, the most common and difficult 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 of the penis.  The presence of this fibrous nodule or band  under the skin of the penis prevents the normal expansion of the chambers of the penis during an erection.  This causes the erection to be curved, bent, hinged, or to take on an hourglass or bottleneck distortion.

    Please visit Peyronie’s symptoms to view the Peyronie’s pictures of curved penis to determine if you might have this condition.  It is always advisable to have a complete examination by a physician to make an accurate diagnosis of Peyronie’s disease.  Do not think you can self-diagnose this problem.

    The problem of Peyronie’s disease is not that you have a curved penis; the penile curvature is just the outward appearance of the actual problem that is found below the skin surface.  The real problem is the Peyronie’s plaque found deeper in the tunica albuginea causing incomplete filling of the penile chambers.  For this reason any treatment that is only directed to making the penis straight, without removing the PD plaque, will not be successful.

    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.  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.   Our objection to Peyronie’s surgery is that when a surgeon cuts that same tissue that has the plaque material in it puts stitches into it, what prevents additional scar formation from occurring?  The very real chance that more scar tissue will result is the reason many urologists and surgeons take a position against all Peyronie’s surgery.

    Peyronie’s Disease Institute has educated men since 2002 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.  Our approach is to assist each man to increase his chance to heal naturally like those in that lucky 50% group. So if you are one who has said in shock, “Why is my penis curved,” and “How to straighten your penis,”  now you know.

    Learn more about Peyronie’s disease treatment with Alternative Medicine. Another good source of information is the Peyronie’s Disease Handbook.

    Penis Extender Claims and Peyronie’s Disease

    Correcting the curved penis of Peyronie’s disease

    Many men with Peyronie’s disease are interested in recent advertising promotions reporting that penis extender devices can correct penile curvature. Any man who faces penis surgery because of Peyronies wants to believe this is true.
     
    Penis extender is an advertising term used for a mechanical device that is claimed to increase the length and girth of the penis by applying prolonged traction to the organ. This is supposed to be accomplished by wearing a plastic and metal device on the penis designed to firmly hold onto the head of the penis while using variable length metal rods to apply a traction force away from the body by pushing against the pubic bone of the pelvis. There is no proof that the extender can cause the penis to become larger and remain that way for more than a few weeks. 

    In early 2011 there are about 12 companies that manufacture penis extenders, with five of these companies that seem to dominate the market in terms of very aggressive internet marketing. Of the many penis extender devices I have personally evaluated, all are of the same basic design and engineering concept, with only small differences in regard to materials used and design features to hold the head or shaft of the penis while traction forces are applied.  The only great difference amongst this group appears to be in the advertising and promotional claims that they dare to make about the effectiveness of their products.  Prices range from $250 to $430 for the most common models.  

    Problems with penis extenders

    None of these penis extender companies inform their potential customers in their advertisements that best results are achieved when the device is worn for eight hours a day for six months or longer. That particular information is revealed only in the literature that comes with the penis extenders after the purchase is made.  
     
    Also, none of these penis extender companies reveal that these penis extenders weigh on average just a little over a pound. This is why men who have tried to use the penis extender products as instructed report to me that over a short period of time they experienced a rather rapid break down of the tender penile skin (tissue erosion from compression and rubbing that causes blisters, bruises, (and in some cases Peyronie’s disease).   For this reason a few of the more careful companies (perhaps those who are already been sued for damages) include in the penis extender kit special bandages, extra lamb’s wool padding, antibiotic ointments and instructions to follow when – not if – tissue erosion and bleeding develop after using the penis extender.
     
    All penis extender manufacturers claim that in addition to making the penis larger, their products can be used to treat Peyronie’s disease. However, none of these companies explain how this is accomplished. The closest explanation offered by one company is that “The device produces results by forcing tissues of the penis to expand rather than retract.” This is, of course, nonsense since the problem of Peyronie’s disease is not the tissue has retracted. When something retracts it pulls back, withdraws or pulls in. That is not what happens in Peyronie’s disease.   The problem of Peyronie’s disease is that excessive collagen material is deposited at the a site of suspected penile injury and develops into a mass of scar-like tissue, which in turn prevents expansion of the penile tissue during erection as well as prevents full closure of the penile veins during erection causing reduced ability to achieve a fully hard erection.   
     
    In order to accept the explanation of the penis extender manufacturers you will have to accept the idea that Peyronie’s disease is simply a problem of the penile tissue contracting for some reason they do not explain. They propose that the answer to this problem is to pull on the retracted or contracted tissue, like pulling for a while on a rubber band. This simplistic description and answer to the problem of Peyronie’s disease does not address the well known science surrounding Peyronie’s disease. Anyone who has taken the time to understand his problem will know this does not make sense. This is like saying that if a person is short they can be made taller by using traction that will cause the tissue to “expand rather than retract.”             

    Penis extender not Peyronie's treatment

    The best things about the penis extender devices for Peyronie’s treatment are that they must be easy to sell because:
                1. Any man would like to believe that the answer to his Peyronie’s problem will also cause his penis to be bigger.
                2. The simple idea that fixing a curved penis is as easy as straightening a bent paper clip must appeal to anyone who is frustrated by the complexity of Peyronies disease.
     
    It should be pointed out that none of the makers of the penis extenders offers a good explanation how this process is supposed to reverse the penile curvature of PD. It is my belief that they have not done so because there is none.  
     
    For information about the Alternative Medicine treatment of Peyronie’s disease.    
      

    Who is a Peyronie’s Disease Expert?

    The problem of the Peyronies specialist

    The problem for a man with Peyronie’s disease is much greater than his physical condition. If it were not bad enough that there is no known cause and no known cure for Peyronies disease and that most medical doctors prefer to rush out of the room rather than explain this problem, there is another layer of distress to deal with when you have PD.   It appears that even within the medical profession there is disagreement about who should provide Peyronie’s disease treatment. While reviewing an internet Peyronies forum recently I discovered an interesting Q/A.  This brief exchange demonstrates just how great the difficulty is for any man who has a curved penis to know where to go for help.  The doctor’s name has been omitted only because it is actually not important to this discussion. Suffice it to say that this doctor is considered a Peyronies specialist and practices in one of the largest US cities. His answer says a lot about the low knowledge and poor experience level of the average general practitioner and urologist with Peyronie’s disease.  It is both amazing and sad to think he believes so few doctors are capable of providing good care for this problem. I have been diagnosed with PD by a urologist 3 months ago. I am 59. He has prescribed 800 IU of Vitamin E daily & also Infam-away (a hi-potency Enzyme formula) capsules 6 daily on a empty stomach. Nothing has helped after taking these medicines for 3 months. Erections are very painful and curvature has developed to the left. An indentation about 1" below the glans has also developed. He has basically told me that there is nothing else he can do. My primary care physician admits that this is a disease that not much is known as to the whys and what will work to help the pain and hopefully stop or reverse the curvature which at present is 30-40%. I was given a pain killer to help especially if erections get too painful. Are there any over-the-counter or on the internet medicines that may help? Dr. XXXXX Answers: There are no known over-the-counter products of benefit in Peyronie's disease. Most urologists know little about this condition and are generally not completely up-to-date on treatments and we suggest that you seek out a Peyronie's disease expert for evaluation and a discussion of treatments From his response you could almost hear the professional rivalry and his impatience with his medical colleagues who he thinks do not know as much as he thinks he knows.  You will also notice he did not offer any helpful advice to this man who asked the question. If you should not go to a urologist for a problem with your penis, then to whom should you go for care?  If “most” urologists do now know enough about PD to be current with care, how is the average patient to know who is safe to go for care?  No urologist has on his/her business card, “I am a urologist but it do not know how to treat PD.” Many of the people who write to me at the PDI website info@peyronies-disease-help.com live in small states and areas of low population, with poor access to a urologist and have no idea who a “Peyronie’s specialist” might be.  This is why so many men who contact me after going through the medical route of Peyronies treatment are totally confused, frustrated and angry about their medical care. While I do not agree with the opinion of this Peyronie’s specialist, “[t]here are no known over-the-counter products of benefit in Peyronie's disease,” I can only assume he is referring to the absence of studies in medical journals about non-drug treatment of PD and not his own private investigation or experience.  This tends to be true in this country because our medical doctors are not comfortable or experienced doing independent thinking. They only repeat what the drug companies and the multi-million dollar drug research have told is the truth. This truth of course changes when that same multi-million dollar drug research is found to be false, full of bad research, or riddled with corrupt findings.  When a new “wonder drug” is suddenly pulled from the market after patients are made worse or die from the prescribed drugs they are given by doctors, the doctors are told to think and prescribe in a different way.  They are given new truths from the drug companies and new drugs. In Europe it is different.  This is why so many new ideas and innovative discoveries come from Europe. In my own opinion, it is best to attempt to promote your own spontaneous recovery from Peyronie’s disease by doing all that you can to increase your body’s ability to heal and repair the curved penis plagues you.  Read about this process at Start Peyronies treatment

    Peyronie’s Disease and Intercourse

    Peyronies and problems with sexual intercourse

    Sexual intercourse can be a problem in Peyronie’s disease due to the penile distortion that occurs because of the presence of fibrous scar tissue, or Peyronie’s plaque, within the shaft of the penis.  The presence of this fibrous plaque can cause the penis is bend in any direction to a minor degree that is hardly noticeable, up to and even beyond a 90 degree curve.  In addition to a significant bend, Peyronies disease can also cause distortions that are described as “bottle neck” and “hour glass” for their resemblance, as well as simple dents or dings along the side of the shaft. Click here for Peyronie’s pictures.

    The cause of Peyronie’s disease has not yet been determined even thought the condition has been known for almost 500 years.  Some researchers theorize the distortion forms as a result of trauma to the penis, or when minor contact causes an indirect micro-trauma shearing force that can result in minor bleeding into the wide area of tissue.   While healing is taking place certain growth factors that appear to be genetically determined cause an abnormal amount of scar tissue (or plaque) to form at the site of injury.

    The penis is composed of three cylindrical cavities, with two of these at the top and one below.  The top two are wider and thicker, and are called the corpus cavernosa, while bottom cylinder is the corpus spongiosum and contains the urethra or the tube through which urine flows.  During erection the two top corpora cavernosa expand to trap and hold the blood that produces the pneumatic force that results in enlargement and rigidity.   Each of these paired cylinders is surrounded by a very elastic covering called the tunica albuginea, similar to the casing of a sausage.

    In a case of Peyronie’s disease the elastic tissue of the tunica is replaced by scar tissue, so it lacks flexibility and the ability to stretch.  Because the plaque is not elastic, but rather hard, it will not stretch with erection.  When this happens the erection that occurs is not even or symmetrical, and often smaller than before.

    What starts out as a small nodule or constriction on the penile shaft just below the skin surface, eventually expands to form a flat plaque or deposit that can sometimes extend along the entire length of the shaft.  This plaque invades and replaces the elastic tunica albuginea covering of the internal tissue of the penis, leaving a mass of inflexible material. In some patients the penis beyond the plaque will not become as rigid. When a man with this degree of extensive Peyronie’s has an erection, the scar or plaque material cannot expand, resulting in a curved or bent penis, or one that exhibits a bottle neck or hour glass deformity – or a combination of these distortion patterns.

    Often the plaque is located on the top surface of the penis, causing an upward curvature.  However, plaques can occur anywhere on the penis; the scar or plaque will always be worse on the concave portion of the distortion pattern.

    Many men with Peyronie’s disease complain not only about their curved or distorted erection, but also about the loss of length and girth. These are all results of the inelastic tissue within the substance of the penile body.

    Peyronies curved penis and sexual intercourse

    One-third of men with Peyronie’s have pain when erect, and a smaller number become impotent. In some cases, the head of the penis does not fill with blood, resulting in a penis that is erect on the bottom near the pubic area, and soft or flaccid toward the top part of the penis – this is called a bottle neck deformity.  This type of distortion would make intercourse difficult due to penetration problems.  About half of men with Peyronie’s disease continue to function sexually when their curving penis is gradual and minor.  But as the curvature becomes abrupt and large the amount of sexual difficulty also increases.   Half of men with Peyronies experience frequent to constant problems with intercourse due to their distortion pattern.

    For in-depth solutions and discussion of the sexual problems related to Peyronie’s disease please review the contents of Peyronie’s Disease & Sex, a one-of-a-kind book written by a man who completely cured his PD using the Alternative Medicine treatment principles found on the Peyronie’s Disease Institute website.

    Disorders of the Penis besides Peyronie’s Disease

    Penile conditions, other than the curved penis of Peyronie’s disease

    There are additional problems of the penis that can develop while a man treats his Peyronie’s disease.  There are not many additional problems, but all can complicate your life more than you need at this time.

    Priapism

    Priapism is a persistent, often painful erection that is not associated with sexual activity and is not relieved by orgasm, lasting from a few hours to a few days.  In priapism blood enters the penis but does not leave, thus the erection is maintained.   The more common causes of priapism:

    • Penile injections, as verapamil, collagenase, steroids or interferon-alpha-2b
    • Drugs, such as anesthetics, antidepressants and blood pressure medications
    • Alcohol or drug abuse, especially cocaine
    • Spinal cord disease
    • Injury to the genitals
    • Blood diseases, including leukemia and sickle cell anemia

    Rapid treatment for priapism is important, even without Peyronie’s disease present, because a prolonged erection can result in tissue destruction by reducing blood flow and lead to scar formation. Treatment involves removing trapped blood with a needle placed in the corpora cavernosae, as well as treating any underlying medical condition or substance abuse problem that might be present.

    Balanitis

    Balanitis is an inflammation of the foreskin, or skin covering the head of the penis.   Symptoms are redness, swelling, itching, rash, pain and a foul-smelling discharge in the area of the foreskin.   Balanoposthitis is a similar condition in which the glans (penis head) and foreskin are inflamed and present similar symptoms.   Both problems can occur in men or boys who are uncircumcised (foreskin has not been surgically removed).  If an uncircumcised male does not wash under the foreskin regularly, then sweat, debris, urine, dead skin cells and bacteria will collect under the foreskin and cause irritation.    Other common causes include:

    • Infection – local or systemic infection with candida albicans, the yeast responsible for thrush, can result in an intensely itchy and scaly rash.  Several sexually transmitted diseases (STD), gonorrhea, herpes and syphilis can also produce balanitis in addition to their unique infections that affect other parts of the body.
    • Dermatitis/allergy Dermatitis is any inflammation of the skin often caused by contact with an allergen or irritating substance. Sensitivity to even a small amount of certain chemicals in  soaps, detergents, perfumes and spermicidal preparations can cause balanitis.
    • Diabetes – When a diabetic has glucose (sugar) in the urine, this can be trapped under the foreskin and acts a rich breeding medium for many bacteria.

    Treatment of balanitis depends on determining the underlying cause, improved hygiene and perhaps  circumcision if the balanitis cannot be controlled in any other way.

    Phimosis and paraphimosis

    Phimosis is a medical problem in which the foreskin (prepuce)of the penis is so tight, preventing it from being pulled back or retracted from the head of the penis.  Paraphimosis is a medical emergency in which the foreskin is stuck, after being rolled back or retracted, and cannot be slid back to its usual position over the head of the penis.

    Phimosis is most often observed in children, and may be present even at birth.  When it occurs in an adult male it is usually caused by an infection of the reproductive tract, or scar tissue that formed as a result of injury or chronic inflammation of the prepuce.   Phimosis can also be caused by balanitis when it causes the foreskin to the scarred or tight around the head of the penis.  Immediate medical care is required if phimosis makes urination difficult or impossible.

    Paraphimosis is a medical emergency because serious complications can arise if it is not treated. Paraphimosis may occur after sexual activity, a nocturnal or typical daily erection, or after trauma to the head of the penis, leading to pain and swelling, and impair blood flow. When extreme, this reduced blood flow can result in death of the penile tissue (gangrene), making amputation of the penis necessary.

    Treatment of phimosis may only require gentle manual stretching of the foreskin repeated daily over a period of time.  Circumcision is often used to treat phimosis.  When the phimosis has gone on a long time the prepuce sometimes adheres to the glans.  When this happens, a surgical procedure called preputioplasty is used to separate the foreskin from the glans.

    Treatment of paraphimosis focuses on rapidly reducing the swelling of the glans and foreskin, using ice and pressure applied to the head of the penis. If these simple measures are unsuccessful, an injection of medication can be used to drain the inflammation and blood from the penis, or small cuts in the foreskin are made by a surgeon to release the prepuce from behind the glans.

    Penile cancer

    Penile cancer is a rare form of the disease.  While the exact cause of penile cancer remains unknown, certain risk factors for cancer are known, including:

    • Phimosis – Tight foreskin that is constricted and difficult to retract, discussed above.
    • Uncircumcised penis – Men who are not circumcised are at higher risk for cancer of the penis.
    • Smegma – Natural oily secretions from the skin of the prepuce can accumulate if not cleaned daily.   If allowed to collect under the foreskin, this results in thick, cheesy white, bad-smelling substance, known as smegma.   Smegma by itself is irritation to the prepuce and lead to inflammation and a host of other problems.
    • Human papillomavirus (HPV) infection – More than 70 types of  human papillomaviruses can cause warts (papillomas).   Only a few of these HPVs infect the reproductive organs and the anal area, being passed as a STD from one person to another.
    • Smoking –Cigarette smoking brings many cancer-causing chemicals into the blood stream  that affect more than the lungs.
    • Psoriasis treatment – The medication and ultraviolet light used to treat can cause penile cancer.
    • Age – Penile cancer occurs most commonly in men after age 50.

    Common symptoms of penile cancer are sores or unusual growths on any area of the penis, abnormal discharge from the penis, and bleeding.  Surgery or radiation is commonly used to remove the cancer from the penis.

    Since 2002 PDI has advocated Alternative Medicine Peyronie’s treatment options to avoid any of these complications that compromise penis health.

    Fix Penis Curvature

    How to straighten curvature of penis

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

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

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

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

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

    Fix penis distortion by treating the Peyronie’s plaque

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

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

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

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

    Penis Stretcher: Big problem as Peyronie's Treatment

    Question safety and effectiveness of mechanical penis stretcher

    I closely monitor all aspects of Peyronie’s disease treatment.  On July 27, 2010, I received the following news release from the Food and Drug Administration.  This information is of vital importance to any man who has Peyronie’s disease and has considered using a mechanical penis stretcher for this curved penis problem.

    Please carefully read the last sentence of the last paragraph of the FDA release since I will discuss that sentence in particular:

    News & Events

    FDA NEWS RELEASE

    For Immediate Release: July 27, 2010
    Media Inquiries: Erica Jefferson, 301-796-4988
    Consumer Inquiries: 888-INFO-FDA

    Federal Agents Seize FastSize Extenders and FastSize EQM Erectile Quality Monitors
    Unapproved devices are adulterated and misbranded; safety and efficacy not established

    At the request of the U.S. Food and Drug Administration, U.S. Marshals today seized $346,954.43 worth of FastSize Extender devices and FastSize EQM Erectile Quality Monitor devices, as well as component parts used in the manufacture of the FastSize Extender. The FastSize Extender and the FastSize EQM Erectile Quality Monitor are manufactured and distributed by FastSize, LLC of Aliso Viejo, Calif.

    The FastSize Extender and the FastSize EQM Erectile Quality Monitor are misbranded and adulterated because they, among other things, are unapproved and were manufactured under conditions that did not meet current Good Manufacturing Practices (cGMP) requirements. The seizure warrant was issued by the U.S. District Court for the Central District of California.

    The FastSize EQM Erectile Quality Monitor device was promoted to measure penile axial rigidity (intercavernosal pressure) and to aid in the diagnosis of health related issues such as diabetes, high blood pressure, and heart disease. The FastSize Extender device was promoted to gain length, girth, and overall penile health improvement and to correct penile deformity caused by Peyronie’s disease. Because the devices are intended to diagnosis, cure, mitigate, treat or prevent diseases, they are subject to the regulatory authority of the FDA. The devices do not have approved applications for premarket approval for these uses.

    During a recent inspection of the FastSize LLC manufacturing facility, inspectors noted significant deviations from cGMP regulations. Additionally, the devices are not properly listed with the FDA as required by law, and the firm failed or refused to furnish materials or information regarding the devices to federal inspectors as required under the Medical Device Reporting regulation.

    Three important issues come to mind about this penis stretcher:

    1.    Seizure of more than a third of a million dollars worth of property is a serious action for the FDA to take.  It indicates they acted in accordance with strong evidence against the FastSize Extender manufacturer to immediately stop any further sales of this product.  This is not just a slap on the wrist over a difference of opinion or a minor offense; this suggests the FDA encountered a major problem with the FastSize Extender.  Perhaps they had reason to think they would not be cooperative or forthright if they were otherwise simply asked to stop selling this device to the public.

    2.    Although the news release does not go into detail about the deviations from current Good Manufacturing Practices problems encountered by the FDA inspectors, it could possibly do with sanitation or material and assembly quality issues.  None of this should make anyone feel good who has used this product in the past.

    3.    The first sentence of the second paragraph, in which the FDA says. “…The FastSize Extender…are misbranded and adulterated because they, among other things, are unapproved and were manufactured under conditions that did not meet current Good Manufacturing Practices (cGMP) requirements…” caught my interest.  I wanted to know more about what these “other things” might be.  For this reason I called the FDA spokesperson who wrote this FDA news release, Erica Jefferson,  to learn what she did not report concerning these “other things” that were a problem with the FastSize Extender.  I specifically asked her in a telephone conversation about details concerning the safety of this product and what is called efficacy (the ability to produce the desired result) meaning, the ability of the FastSize Extender to reduce the penile curvature of Peyronie’s disease.  In an email on 7-28-10 Ms Jefferson replied to me:

    Dear Dr. Herazy,

    Thanks for your call. So, I checked in with our compliance folks and as the release points out, the FastSize Extender has no approved application for premarket approval in effect (pursuant to 21 U.S.C. 360e(a) of the Federal Food, Drug, and Cosmetic Act), thus, there is no assurance that the device is safe and effective for its intended uses.

    Regards,

    Erica

    Erica V. Jefferson
    Press Officer
    Office of Public Affairs
    U.S. Food and Drug Administration
    office: 301-796-4988
    cell:  240-753-3047
    fax:  301-847-3536
    email: Erica.Jefferson@fda.hhs.gov

    So, apparently these “other things” are the fact that in spite of the extensive advertising about how great the FastSize Extender is to treat PD, the manufacturer has no proof that it is safe or effective.  No additional details were available about the safety issues.

    If the manufacturer actually had any data or information to prove the FastSize Extender was safe or that it had efficacy (effectiveness) to treat Peyronie’s disease, you can rest assured they would have completed the necessary applications for premarket approval from the FDA.  It is reasonable to assume that they did not complete the required forms because they could not prove the safety or the ability to help treat Peyronie’s disease.

    Mechanical penis stretcher not a Peyronie’s treatment

    For years now this blog has addressed the problems of these mechanical penis stretching devices.  To read a past blog about this subject, go to Peyronie’s disease and the penis stretcher.   Many men have told me their PD started after they injured themselves with a mechanical penis stretching device; therefore, it does not make sense to me that this same device could actually help PD.

    Please keep this FDA news release in mind the next time yo0u see one of those slick ads promoting a mechanical penis stretcher.  It looks like the government is starting to crack down on these folks.

    Let me know what you think about this FDA announcement, and let me know your experiences with a mechanical penis stretcher.

    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.”

    Why is My Penis Curved?

    Might not need to straighten your penis

    To answer this common question it is first necessary to know if this penile curvature is something you have had all your life, or if it is something that just appeared after being fairly straight all of your life; if it is an old or a new feature of your anatomy.  Usually there is little   reason to straighten your penis if that is the way you were born.  If a small curvature has not caused any problem in the past, it is not likely to be Peyronie’s disease and you should not treat it.

    If you have had a curved penis all your life, then it is most likely due to a normal and natural variation of tissue in that part of your body.  The human body is often made with slight imperfections and variations, and this might be one of yours.   Just as someone might be born with one ear that is shaped differently than the other, or one leg slightly longer than the other, you might have a penis that is curved just because it is not made perfectly.

    Inside the penis are three chambers of special tissue that have the ability to expand and become rigid when filled with blood.  If any of these three chambers is larger or smaller than the other two, or has some anatomical variation that prevents it from completely filling with blood, the penis will be distorted in some manner when erect.

    This is rather common among men and is not in any way related to Peyronie’s disease and does not warrant treatment or concern.  So long as sexual function is not limited in any way the curvature is considered a normal variation that makes you a unique person.

    On the other hand, if you have had a fairly straight penis all your life, and at some time later you noticed an unusual bend, curve, twist, or dent-like physical deviation during erection that was not there previously, then that recent change in your anatomy suggests the possibility of Peyronie’s disease.  This is especially true if the unusual bend, curve, twist, or dent-like physical deviation is accompanied by Peyronie’s pain and reduced hardness of your erection.  Confirming the problem of Peyronie’s disease even more would be your recollection of a recent accident or injury, or use of a drug that is known to have Peyronies as a side effect.

    Straighten your penis sometimes unnecessary

    Even though the distortion of your previously perfect penis can be very disturbing to a man, it is not the real problem of Peyronie’s disease.  While the curved penis gets your attention, it is the internal Peyronie’s plaque located in the tunica albuginea layer of the penis that is the real issue.  The way to straighten your penis is by eliminating the internal Peyronie’s plaque that is the cause of the curvature.  Having surgery to straighten your penis carries a high risk of failure and tragedy, and only creates the opportunity for more internal Peyronie’s scar tissue to develop as a result of the penis tissue being cut during surgery.  This is the reason so many men find that after having Peyronie’s surgery their curvature becomes worse; it is because of additional internal scar tissue that results from the surgical incisions.

    This is why Peyronie’s Disease Institute advocates that Alternative Medicine first be used to eliminate the internal Peyronies plaque before penis surgery to treat Peyronie’s plaque is attempted.  For additional information about this process, please review safe and effective Peyronie’s treatment options.

    Straighten Your Penis

    How to straighten your penis naturally and gently

    A common question about Peyronie’s disease treatment concerns restoring a curved penis to its prior degree of natural straightness.   The question usually is along the lines of, “If someone has Peyronie’s disease for over 10 years like me, do you think the problem has gone on too long to straighten your penis?”

    The answer to that question is a simple. “No, probably not, and treatment is always worth a try. Even if you have had a curved penis for 10 years due to Peyronie’s disease, it is still worth the effort to try to straighten your penis.”

    Notice, I did not reply that reduction of penile curvature was guaranteed or easy, or that it would necessarily be a total correction – I have replied that it is possible because this kind of thing can and does occur using the concepts presented on the PDI website.  No one can accurately predict if and how much progress a man can make with his Peyronie’s problem after any length of time, let alone 10 years.  But, I have worked with men whose PD is older than 10 years, and many were able to see change and improvement.  You will only know if it is possible to straighten your penis if you attempt to do so.

    In my experience most men simply stop looking for Peyronie’s disease help after a year or two.  This seems to be about the time when they accept the defeat that the medical doctors feed to them.  After a while they read and hear so much negativity about recovering from their Peyronie’s penis that they eventually stop looking for fresh ideas and help.  They accept that there is no help and they do nothing.  For this reason I tend to communicate with men whose Peyronie’s disease is relatively recent, and they are still searching for answers; for this reason most of my experience is working with men whose PD is in the 3-24 month range.

    Using Alternative Medicine to straighten your penis

    Although the explanation is long and detailed, the basic idea for using Alternative Medicine to reduce the excess fibrous tissue of Peyronie’s disease that causes a curved penis can be simply stated:

    1.    Determine the exact size, shape, density and surface qualities of your PD scar(s)

    2.    Improve your diet to take in more nutrients that will assist healing

    a.    Make needed dietary changes outlined in “Peyronie’s Disease Handbook”

    b.    Aggressively and faithfully follow a broad based and diverse Alternative Medicine therapy plan of both internal and external therapies, as outlined on the PDI website

    3.    Use the Manual Penis Stretching Technique© developed through research of the Peyronie’s Disease Institute.  Do not be fooled by the clever ads that promote a mechanical penis stretcher that attempts to force the correction you are looking for; they can be dangerous and can actually make your PD worse.  I have spoken to hundreds of men who learned the hard way that there is no easy way to reduce penile curvature.

    If you do these things, in my opinion, you will stand your best chance to straighten your penis from the effects of Peyronie’s disease.  If you do nothing, if you sit around and wait for someone to develop a miracle drug that will magically solve all your problems for you, you will be waiting a long time and your life will slip away from you. If you use a mechanical penis stretcher you run the risk of injury to your already injured penis. This is why the best time to learn if you respond to your effort to straighten your penis is now; the sooner the better.

    Curved Penis Facts and Humor

    Since Peyronie’s disease is all about the effect of the Peyronie’s plaque that causes the classical curved penis, here is useful – and sometimes just fun – information about an important part of the male anatomy.

    1. Pronged cigarette smoking can shorten the penis up to a centimeter, or slightly less than a half inch. Since erections are affected by normal blood circulation, and smoking leads to calcification of blood vessels, it is easy to see that erectile quality is not helped by smoking cigarettes.   If you are not concerned about how smoking is bad for your lungs and blood vessels, now you know it is also not good for your manhood. .

    2. With knowledge and techniques developed through stem cell research, it is now possible to use the foreskins of circumcised infants to grow skin for burn victims.  A single foreskin can be used to create 23,000 square meters of new tissue.  This is an area large enough to cover every Major League infield in the U.S.

    3.
    An enlarged prostate gland can lead to premature ejaculation, as well as erectile dysfunction (ED).  If you have a problem with either ED or premature ejaculation that has not responded to direct therapy, consider having your prostate gland examined.

    4. The average male orgasm lasts six seconds, while the average female orgasm lasts 23 seconds.

    5. Scientists have identified the oldest male fossil animal yet discovered. It is an ocean-dwelling creature found in 425-million-year-old rocks in the UK. This creature is called is a hard-shelled sea creature called Colymbosathon ecplecticos; that is Greek for “amazing swimmer with large penis.”

    6. Even after circumcision the foreskin can be grown back. The movable skin of the penile shaft can be pulled up toward the glans (head) of the penis and kept in place with tape.  Using a series of plastic rings, caps, and weights, and after a few years the male can once again say, “Everything is covered.”

    7. From a physiological standpoint, there are two types of penises. The first type is called a “grower” because it can easily expand and lengthen when erect to a size much greater than its flaccid dimensions.   The other is called a “shower” because it is very large when flaccid, but doesn’t increase in size when erect.  It is estimated that 80% of men are growers, while 20% are showers.

    8. German researchers say the average time for sexual intercourse is 2 minutes, 50 seconds.  Yet, women estimate that the average time for sexual intercourse is 5 minutes, 30 seconds, and men say it is in excess of 10 minutes.

    9.
    The record holder for numbers of sexual partners is King Fatefehi of Tonga, an island in the South Pacific Ocean.  It is recorded that he had sexual relations with 37,800 women between the years 1770 and 1784—that’s about seven women a night.

    10. Spanish researches have determined that better-looking men may have faster and stronger sperm.  When women were shown photos of men who sperm was known to be in good, average, and unhealthy condition – and were told to select the men that they thought were most handsome.  The women consistently selected men who were in the good sperm category.

    11. The act of ejaculation is not controlled in the brain, but it is a reflex that is started within the spinal cord.  It can therefore be said that it does not take any brains for a man to have sex.

    12. The most common cause of penile rupture and injury is overly vigorous masturbation causing Peyronie’s disease.  For this reason it is wise to slow down, use a lot of lubrication, and enjoy a nice gentle ride.

    Channel Blockers and Peyronie’s Disease

    Peyronie’s disease and Verapamil

    Calcium channel blockers, or calcium antagonists, are a class of medications as well as natural substances (D-glucaric acid) that disrupt calcium ion conduction along what are known as the calcium channels of the body.

    While some doctors use calcium channel blockers to treat Peyronie’s disease, there are researchers who have evidence that these very same calcium channel blockers can actually cause Peyronie’s disease.  This shows how strange and up-side-down is the world of Peyronie’s disease treatment.

    The most widespread prescription use of calcium channel blockers is to reduce elevated blood pressure in patients with essential hypertension, particularly elderly patients.  Calcium channel blockers are notably effective to reduce large blood vessel stiffness, a common cause of elevated systolic blood pressure in geriatric patients.  They are also used to control and reduce rapid heart rate, prevent spasms of brain blood vessels and reduce chest pain due to angina pectoris.

    Calcium channel blockers, or calcium antagonists, also treat a variety of conditions, such as Peyronie’s disease, high blood pressure, subarachnoid hemorrhage, migraines and Raynaud’s disease.

    All tissue of the body requires oxygen, and the heart muscles in particular need oxygen to pump blood.  The faster and harder the heart pumps blood, the more oxygen it needs. Heart pain occurs when the amount of oxygen available to the heart muscle walls is inadequate for the work load of the heart.  Calcium channel blockers dilate the large arteries that supply blood to the heart muscles, and thereby reduce the pressure within those arteries. This action reduces the stress on the heart muscles and reduces the need for oxygen at the same time, thus reducing angina pain. In similar mechanism, calcium channel blockers reduced elevated blood pressure, and slow the rate at which the heart beats in a condition known as tachycardia.

    Peyronie’s treatment with verapamil

    One type of calcium channel blocker known as a phenylalkylamine calcium channel blockers, is called Verapamil.  It is used in the treatment of Peyronie’s disease because it is thought to be effective in disrupting the calcium ions found within the Peyronie’s plaque, thus slowing or reversing the development of the offending plaque material that is the cause of the notorious Peyronie’s curved penis.

    Peyronie’s disease is a complex health condition without a known cause that affects nearly 4-6 percent of the worldwide male population.  It is best characterized by the development of internal fibrous plaque material below the surface of the penile shaft that results in curvature of the penis, as well as pain.  Peyronie’s disease typically on average at age 54, yet men of all ages (from 16 to 80) can and do  develop it for reasons that are not consist or clear.

    Some medical doctors prescribe a topical gel of the calcium channel blocker, Verapamil to be applied once or twice daily over the area of the Peyronie’s plaque.  Since it is thought that calcium channel blockers change the way that calcium is bound within the plaque, that it might slow or reverse the development of Peyronie’s disease.  While this form of treatment has not proven especially effective, and has fallen out of general favor, other medical doctors attempt a more direct route of administration by injecting Verapamil directly into the plaque material of the penis.  This can be a rather painful treatment, and is often given in series of 12 to 20 injections over time.  Verapamil injections have not proven to be especially effective, either, yet remain on the list of medical therapies because it offers some avenue of treatment for both patient and doctor who do not have much medical treatment available for this troublesome and persistent problem.

    Danger of Verapamil injections into the Peyronie’s plaque

    In addition to the problem of inconclusive results and lack of support within the medical community for the use of Verapamil drug injections as a Peyronie’s disease treatment, there is also the vexing problem of trauma to the delicate tunica albuginea by repeated piercing of these multiple injections.

    While there is still debate if calcium channel blockers actually cause Peyronie’s disease in healthy men, as well as if it can be used to treat Peyronie’s disease in those men who have it, the use of verapamil appears to be reducing if only because of discouraging clinical outcomes.

    The Peyronie’s Disease Institute has maintained since 2002 that it makes sense to attempt to restore and support the natural healing ability of the body to correct Peyronie’s disease as occurs in about 50 percent of men who develop this condition. Read how you can use many Peyronie’s disease natural treatment options to help your body heal and repair without risk or danger of unnecessary drugs or surgery.

    Peyronies: Disease of the Penis?

    Peyronie’s disease is not a disease

    The problem that brings men to this website that is usually commonly called Peyronie’s disease is not a disease of penis tissue, actually.  We continue to use this term only because for hundreds of years it has been commonly associated with this problem we share, but it is not accurate.

    A disease refers to an altered condition of the body that is associated with extreme pain, significant and limiting organ or system dysfunction, social problems, and even death.  Further, a disease is typically acquired by means of indirect or direct contact or transmission from one person to another.  While there are many definitions of what constitutes a disease, the above definition is universally acceptable.

    Let’s consider each element of what constitutes a disease, point by point.

    1.    Peyronie’s disease seldom causes extreme pain, and sometimes no pain at all – does not fulfill definition.

    2.    The genitourinary system of which the penis is only a part continues to function carrying urine in all cases, and has reduced sexual function in about half of the cases – does not fulfill definition.

    3.    Society is not affected by a Peyronie’s curved penis that plays havoc with the man who has it in the way that diseases like the flu or measles, alcoholism, syphilis and tuberculosis  do – does not fulfill definition.

    4.    Lastly, it is not communicable.  It is not possible to catch Peyronies from someone else or pass it on to another person  – does not fulfill definition.

    5.    Peyronie’s disease is not fatal, except to some couple’s sex life – does not fulfill definition.

    You will notice that throughout the PDI website and blog I often refer to this problem as a “condition.”  More clinically accurate names that were taken from the Peyronie’s Disease Institute website:

    1.    Indurato penis plastica

    2.    Penile fibrosis

    3.    Penile fibromatosis

    4.    Penile induration

    5.    Chronic cavernositis

    6.    Fibrous sclerosis of the penis

    7.    Fibrous cavernositis

    8.    Fibrous plaques of the penis

    Peyronie’s syndrome

    Some people use the term Peyronie’s syndrome to refer to this problem, but technically that is also not a correct way to refer to Peyronie’s disease.

    A syndrome refers to a typical group of several essential and clearly recognizable clinical signs, symptoms and characteristics that often occur in association or together, creating a picture or profile of a recognizable clinical condition.  In an actual syndrome the presence of one feature, sign or symptom will alert a doctor to the possibility a particular syndrome might be present.  Once this is established, the doctor will automatically look for other features, signs and symptoms that normally occur with it within the profile of that suspected syndrome. If additional typical findings are found, a diagnosis of that suspected syndrome can be made.

    Peyronie’s syndrome is not a valid term because the characteristics, signs and symptoms of Peyronies are actually too few, and seldom present a customary group of features that suggest this particular health problem.  By usual medical standards the few symptoms and signs associated with PD are actually vague and sometimes are totally missing. Since there are typically only three such standard findings associated with Peyronie’s disease (penis pain, penis curvature, presence of the common Peyronie’s plaque or scar), this group is not  large enough to strongly suggest this condition, hence Peyronie’s syndrome is not a good term to use.

    Disease of penis not fair to either party

    Many times I am asked how I would suggest telling a woman about Peyronie’s disease.  The first thing I say is, “You want to be fair and accurate when you tell this new woman you have just met about your problem. For this reason do not tell her you have a ‘disease.’  PD is not a disease, so do not create a problem for her or yourself that neither of you deserve.”  I then go on to explain that to be most accurate and honest requires that you describe what is wrong with you, avoiding the term “Peyronie’s disease.”  Simply say, “I injured myself a few years ago, and now I have an excess of internal scar tissue that has caused some penile curvature.  I am not as straight or large as I was before this scar material developed, but I am otherwise very healthy. Do you have any questions about what I have just said?” Then answer her questions honestly and forthrightly.  I have never met a man who has gotten into trouble or lost a woman in a new relationship if he offers this type of description of his problem.

    You do not have a disease of penis tissue so do not frighten her or create problems where none should exist.

    If you wish to learn more about this condition usually called Peyronie’s disease, or Peyronie’s disease treatment, please review our website and blog for additional information.

    Is It Necessary to Straighten a Curved Penis?

    Not every curved penis requires Peyronie’s treatment

    Before discussing how to straighten a curved penis, it would be wise to consider if reducing penile curvature in your situation is a necessary and advisable thing to do.

    If you know for a fact that you have Peyronie’s disease, it is my opinion that it is always wise to attempt to treat your problem – even if it is currently only minor and does not interfere with intercourse.  Many men suggest to me that since their curved penis is not causing any sexual problem they are not going to do anything about getting rid of their Peyronies problem.  They say they will only worry about having PD if they cannot engage in intercourse.  Otherwise they intend to just leave it alone.

    But, it is unwise to delay effort to straighten a recently curved penis for three reasons:

    1. Many times a small penile curvature suddenly gets bad enough to interfere with intercourse
    2. The longer Peyronie’s disease persists the more difficult it can be to treat
    3. A curved penis is unstable during intercourse.  The longer your penile curvature continues you take an unnecessary risk every time you engage in sexual intercourse because your penis could suddenly bend and buckle when you least expect it, resulting in additional injury on top of what you currently have.

    If you are not sure you have Peyronie’s disease, it might be unnecessary to use any treatment procedure.  It is best to seek a medical opinion about your curved penis to determine the exact cause and diagnosis of your situation.

    Lifelong penile curvature

    When a man has had a curved penis all his life, it is still possible to use a few techniques that are discussed on this website to straighten a curved penis that is not related to Peyronie’s disease.  The Peyronie’s treatment that might be successful to reverse a normally curved penis are:

    1. Gentle Manual Penis Stretching Technique © – done without dangerous or painful penis stretcher devices.
    2. PMD DMSO, in combination with copper peptides (Super CP Serum) and vitamin E concentrate.
    3. Neprinol

    The idea behind this approach is to soften and reduce as much soft tissue as possible within the contracted scar tissue, while using gentle manual penile stretching to straighten your curved penis; approaching the problem from two different directions at the same time.

    Straighten a curved penis due to Peyronie’s disease

    Regardless of the duration of Peyronie’s disease or how severe the curved penis, it is possible to make changes in the penile curvature and distortion.  There is no way to predict how much correction can be earned; sometimes it is complete reversal of curvature and other times the correction is only minor – but everyone seems to note some degree of improvement.   The real factor that seems to determine if a man succeeds or not is the amount of time and effort he devotes to his problem.

    Now that you know how to work to straighten a curved penis it is time to get busy.  You will never know for sure until you do your best to correct your penile curvature, and now is the best time to do it.

    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.

    What is Peyronie’s Disease?

    Not all definitions of Peyronie’s disease are honest or correct

    Great question, “What is Peyronie’s Disease?”  However, an accurate and honest answer is not always easy to find.  If you are one of the hundreds of new people each day who surf the Internet for a Peyronie’s cure, you need to pay attention to the kind of answer you might run across.

    In my experience it is common to receive an incorrect answer when it is provided by someone who only wants to sell you something, like a magic herb or a manual penis stretcher.  When a salesperson is the source of your information the answer will often minimize Peyronies by oversimplifying the real problem to the point the answer is not truthful.

    The reason that someone will intentionally give you this false information is easy to understand.  If Peyronie’s disease can be made to sound like a simple problem, then a simple solution can be more easily presented to you in a believable way – and the more likely you will buy a product if the problem and solution sound uncomplicated and straightforward.

    The usual short (and false) answer you will see to this question is, “Peyronie’s disease is a curved penis.”  This is almost like saying that Peyronie’s disease is no more complicated than a bent paperclip.  All you have to do is straighten out the paperclip – and we all know how easy that is to do – and you are as good as new.

    What you must understand is that the bent penis of Peyronie’s disease is just a symptom of what is wrong.  The penile curvature is not the problem, it is just a sign of the real problem. What is causing the penis to curve is the actual problem that must be addressed.   Click here to view

    If you have pneumonia, you will probably have a nasty cough. But, it is not correct – or helpful – to say, “Pneumonia is a cough.”   If the problem was presented to you like that, and you believed it, then someone could sell you a cough suppressant as a cure for pneumonia.  You would believe that stopping the cough is all you have to do.  The truth is that the cough is just an outward sign of a deeper problem. To address your pneumonia correctly you must do what is necessary to help your body reduce and remove the lung infection, the inflammatory response that occurs because of an invasion of foreign bacteria, and the cough – and the pneumonia – will no longer be an issue.  The cough is just a sign of the pneumonia, it is not pneumonia – just as a curved penis is a sign of Peyronie’s disease, but it is not the problem. The bent penis is just an outward sign of a Peyronie’s plaque or scar tissue within the tunica albuginea interfering with the normal filling of the corpora cavernosa, resulting in a bent or distorted erection. No amount of penis stretching or mystery herb from Afghanistan will eliminate the PD plaque.

    So, what is Peyronie’s disease?

    Peyronie’s disease is a problem with no known cause and no known medical cure in which the presence of a dense fibrous nodule or band in the tunica albuginea layer of the penis causes a variable degrees of pain, penile distortion during erection, reduced sexual function, and loss of physical size in length and girth.

    If the explanation, “Peyronie’s disease is a bend in the penis” makes you think it is just like a wrinkle in your shirt that can be ironed out – then you are ready to accept the notion that pulling on the bent penis can magically remove that kink.  If it were only that simple and worked that well.

    You will notice that none of the advertisements for the magical herbs or mechanical penis stretchers explain how they work.  The reason there is no explanation is because they do not affect the Peyronie’s plaque, which is at the heart of Peyronie’s disease.

    For additional discussion to the question, “What is Peyronie’s disease?” please go to Peyronie’s disease discussion.

    Penis Surgery to Treat Peyronie’s Plaque

    Peyronie’s surgery from correction to amputation

    It is not uncommon for a man to learn that he has Peyronie’s disease and to have his doctor immediately recommend penis surgery to attempt to remove the Peyronie’s plaque or straightened his curved penis.

    When faced with even a mild degree of penis curvature someone might think that penile surgery is the only treatment option.   It seems to me from my perspective in talking to a dozen men each week about their history with Peyronie’s disease that many of them are given strong pressure to have surgery far too early in the process.

    It seems they are not being told that many who undergo penis surgery end up with numerous side effects like pain, numbness or loss of all sensation of the penis, additional loss of length and girth greater than their PD gave to them, greater curvature than their PD gave to them, and total impotence or inability to develop an erection.   I frequently communicate with men who have more pain, distortion and loss of sexual ability after penile surgery than before it.

    In a desperate effort to satisfy their sexual partner, and under false expectation of how easy and safe the surgery will be, men sometimes make matters worse with Peyronie’s disease surgery.  Worse yet, it often happens that a man will have a second Peyronie’s surgery to correct the errors and problems created by the first Peyronie’s surgery – only to have even greater problems after the second surgical attempt.

    For information about the Leriche surgery technique for Peyronie’s disease.

    Peyronie’s surgery to the extreme

    The worse case of failed Peyronie’s disease surgery I ever spoke to occurred sometime in 2006.  I received a phone call from a man who asked if I guaranteed the treatment we present in the PDI website.  I told him that no medical procedure or therapy is ever guaranteed – even aspirin.  I said there is no such thing as a medical guarantee provided anywhere in the world because of the complexity of human physiology.  I asked him why he was interested in a guarantee.  He said he was desperate for something to help his terribly curved penis that had gotten progressively worse after each of three separate penis surgeries.  He said he was scheduled to have his fourth penis surgery in two weeks, but he would cancel that surgery if I could give him a guarantee that the PDI process would correct his problem.  I told him I was sorry that I could not make such a guarantee, and said I doubted his surgeon was going to guarantee the next operation.  He corrected me.  He told me that the next surgery was going to “fix’ his problem because the next operation was for the surgeon to amputate – completely cut off – his penis!

    He went on to explain that his penis was now just a tiny two inch mass of twisted scar tissue; he had no feeling in his penis; for the last two years when he urinated he would get his abdomen wet; his wife was long gone and he felt that suicide was his only other option, so having his penis cut off made sense to him.

    I was shocked.   Just as I was starting to explain that I could not guarantee his results at this late stage in his problem I heard a click, and the phone was silent.  The entire conversation took less than five minutes, but it was the most powerful discussion I have ever had with any of my Peyronie’s men.  I will never forget the empty and desperate tone of his voice.

    Penis surgery for a man who already has Peyronie’s disease presents a greater risk than for someone who does not have a Peyronies problem:

    1. High degree contracture due to fibrous tissue buildup, resulting in greater curvature than prior to surgery.
    2. Greater chance for numbness or total loss of sensation, or Peyronie’s pain,
    3. Greater chance for impotence.

    Start with conservative Peyronie’s treatment, then penis surgery if necessary

    I am not saying that a bad outcome will happen to all men who have Peyronie’s surgery, but it can and does happen so the possibility should be clearly kept in mind before rushing into surgery.    Every day I hear from men who tell me their doctor on the first visit suggested penis surgery to “correct” their Peyronie’s disease.

    It is my opinion that it is safer and wiser to take a more conservative route of care using the Alternative Medicine form of natural Peyronie’s treatment options that have been presented here since 2002, before considering surgery.

    How to Straighten a Curved Penis

    Penile curvature and Peyronie’s disease

    Before discussing how to straighten a curved penis, it would be wise to consider if reducing penile curvature in your situation is a necessary and advisable thing to do.

    If you know for a fact that you have Peyronie’s disease, it is my opinion that it is always wise to attempt to treat your problem – even if it is only minor and does not interfere with intercourse at the time.  Many men suggest to me that since their curved penis is not causing any sexual problem they are not going to do anything about getting rid of their Peyronies problem.  They say they will only worry about having PD if they cannot engage in intercourse.  Otherwise they intend to just leave it alone.

    It is unwise to delay effort to straighten a curved penis for three reasons:

    1. Many times a small penile curvature can suddenly become bad enough to interfere with intercourse
    2. The longer Peyronie’s disease persists the more difficult it can be to treat
    3. A curved penis is unstable during intercourse.  The longer your penile curvature continues you take an unnecessary risk every time you engage in sexual intercourse that your curved penis could suddenly bend and buckle, causing additional or worse injury on top of what you currently have.

    If you are not sure you have Peyronie’s disease, please see Peyronie’s pictures because it might be unnecessary to use any treatment procedures.  It is best to seek a medical opinion about your curved penis to determine the exact cause and diagnosis of your situation.

    Lifelong curved penis

    In those cases where a man has had a curved penis all his life, it is still possible to use a few techniques that are discussed on this website to straighten a curved penis that is not related to Peyronie’s disease.  The Peyronie’s treatment that might be successful to reverse a normally curved penis are:

    1. Gentle Manual Penis Stretching Technique © – done without dangerous or painful penis stretcher devices.
    2. PMD DMSO, in combination with copper peptides (Super CP Serum) and vitamin E concentrate.
    3. Neprinol

    The idea behind this approach is to soften and reduce as much soft tissue as possible within the contracted scar tissue, while using gentle manual penile stretching to straighten your curved penis; approaching the problem from two different directions at the same time.

    Straighten a curved penis due to Peyronie’s disease

    Regardless of the duration of Peyronie’s disease or how severe the curved penis, it is possible to make changes to the degree of abnormal penis bending and distortion.  There is no way to predict how much correction can be earned; sometimes it is complete reversal of curvature and other times the correction is only minor – but everyone seems to note some degree of improvement.   The real factor that seems to determine if a man succeeds or not is the amount of time and effort he devotes to his problem.

    Now that you know how to work to straighten a curved penis it is time to get busy.  You will never know for sure until you do your best to correct your penile curvature, and now is the best time to do it.

    Difficulty Finding the Peyronie’s Plaque

    Peyronie’s disease plaque

    Let’s clear up the confusion about the Peyronie’s plaque, the fibrous scar-like tissue that is the most common characteristic of Peyronie’s disease.  Many people when reading “scar” automatically think they should see it on the skin surface; for this reason I prefer the term Peyronie’s plaque.

    Peyronie’s plaque is usually a flat or slightly elevated mass of fibrous tissue just under the skin, in a thin but tough membrane of the penis known as the tunica albuginea.  Sometimes it is cord-like or nodular, but usually it lies flat making it difficult to locate.

    Peyronie’s plaque is not in any way related to plaque material that line artery walls. It is benign, meaning it is not cancerous and it is not a tumor.  Peyronie’s disease and this fibrous material is not in any way contagious, and is not in any way the result of any transmittable disease or microorganism – thus there is no way for a sexual partner to “catch’ the Peyronie’s plaque.

    The mystery of Peyronie’s disease

    For a male health problem that affects up to nine percent of the adult population, it is amazing that practically no man ever hears about PD until the day he is given the diagnosis.  It is this shock – a “mystery” condition that comes out of the blue, for which there is no known cause and no known cure that can wreck a man’s life.  While caught off guard, totally confused and shocked upon first learning about Peyronie’s disease, a man is often does not ask all the standard questions and does not remember the information as he receives his diagnosis.

    With so many details pouring into his ears, and so many questions rolling around in this brain, it is easy to understand why a man can leave his doctors office and not remember much about the mystery condition.  Even the doctor’s explanation about a Peyronie’s plaque can become confused, making it sound like it is related to the blood vessels.

    Location of Peyronie’s plaque suggested by penile curvature

    You can usually count on finding your internal plaque on the concave part of a curved penis.  If a plaque is located on the topside of the penile shaft (the most common location), the penis will bend upward.  A plaque on the underside causes a downward penile curvature.  A plaque on the left lateral side of the penis causes a curvature to the left, and a Peyronie’s plaque on the right lateral side of the penis causes a curvature to the right.

    Many times a distortion develops on both top and side, or top and bottom, resulting in twists, hourglass deformities or indentation, even shortening of the penis.

    Peyronies plaque is elusive

    Each week I receive emails asking, “Since my doctor examined me and could not find any Peyronie’s plaque material, and I cannot see a scar, do you think I really have Peyronie’s disease?”

    There is never an EXTERNAL scar or plaque in Peyronie’s disease that can be seen.  The Peyronie’s plaque is always an internal mass of fibrous tissue that is sometimes called a scar, but is not a scar in the usual sense.  Peyronie’s plaques or ‘scars” are only sometimes obvious, while at other times they cannot be found if a person’s life depended on it.  Ultimately, if you have Peyronie’s disease you must assume it is there and you should try as many different tactics as you can to find your scar(s) because having a clear and accurate information will help your Peyronie’s disease treatment effort.

    To find the internal Peyronie’s plaque, sometimes it is helpful to think about it being much larger than you have previously imagined; mentally expand the size of the scar you are looking for.  If you were looking for a “pea” before and couldn’t find it, start looking for a “postage stamp” or a “thumb nail” size structure.  This change of the mental image increases your odds to detect it.

    When the plaque cannot be located, but there is still pain and distortion of any kind, a diagnosis of PD can still be made.  This is so because the fibrous plaque can be so:

    1. Small – it cannot be found

    2. Soft – it blends into the other tissue and cannot be detected

    3. Deep – it cannot be reached easily

    4. Large and flat – that the edges are not determined, almost like something that is so close to you that you do not see it because you are looking far away

    When plaque is never found it is because of a combination of two or more of these factors – deep and small, or soft, large and flat, or deep, soft and doctor error, and so on.

    It is common to have difficulty locating the plaque for the first time.  Sometimes it is best to forget about finding a “scar.” Instead just try to find something – anything – within the mass of erectile tissue that feels unlike the other tissue.  Finding something unlike the rest of the penis tissue will help define the problem tissue that can be difficult to locate. It might be you have an unreasonable expectation of what a “scar” or Peyronie’s plaque should feel like, making it easy to miss what is rather obvious to someone else with experience in this regard.

    After an unusual tissue is found, mark its location on the penis with a marker pen or something that will stay on the skin for a few days.  Return to that location each day to re-evaluate it.  You want to determine if it becomes easier to make sense of it, so you can monitor it during your Peyronie’s treatment.

    Curved Penis and Peyronie’s Disease

    Can a curved penis be normal?

    One of the common questions I am asked is if a lifelong curved penis could be Peyronie’s disease.  The fast answer is that not all penile curvature or bends are abnormal, or even a problem.  If you have had a bent penis all your life it is probably not PD.

    To help readers make sense of the situation, a longer answer is that a curved penis might indicate Peyronie’s disease under these two basic situations:

    1. Curved penis that occurs with other signs and symptoms:
      A.  Pain – the pain of Peyronie’s disease can be variable
      i.     Constant
      ii.    Only when erect
      iii.   Only when non-erect
      iv.   Occasional
      B.   Nodule or chord of fibrous tissue (Peyronie’s plaque) present somewhere under the surface of the shaft, usually located on the concave side of the curved penis C.   Penile curvature, bend or distortion not present earlier
      D.  Loss of sexual function
    2. Sudden appearance of penile distortion or bend that was not present earlier in life

    Causes of a normally curved penis

    Everyone has some degree of difference or asymmetry between one side of the body and the other.  I can just about be 100% certain that if you looked into a mirror you would notice not one, but many, differences in the appearance of your face:

    1. One eye shaped differently than the other.
    2. Wrinkles around the mouth or eyes that are different on one side of the face than the other.
    3. Nose and nostrils not even on the face.
    4. Mouth crooked.
    5. Center of chin not lined up with the tip of the nose or the space between the eyes.
    6. Ears shaped differently.
    7. Cheek bones not curved the same.

    While all of this relates to the face, but can also be said of the hands, feet, legs, abdomen – or penis.  All parts of our body demonstrate slight irregularities and imperfections that make us human.  These are the small and unimportant things that make us unique individuals.

    Inside the penis are three long tubular chambers that contain erectile tissue – one corpora spongeosa and two corpora cavernosa.  If there is any difference in the length, width or straightness of these three chambers it will result in an erection that is curved or imbalanced in some way.

    When a small boy first notices his erections he accepts them for what they are.  Later he begins to question and wonder if he is as good as other people, and does not like being different from other people who he assumes are all perfect.  Don’t allow a curved penis to become more than what it is.

    It would be a good idea to have your curved penis evaluated by a doctor who has experience in this area if you also have recently started to have pain, a nodule or mass of fibrous tissue, and/or reduced sexual ability.

    Your curved penis may or may not be Peyronie’s disease, therefor this diagnosis is always best left to the experts.

    Visit the Peyronie’s Disease Institute website for information about the Peyronie’s disease natural treatments.

    Peyronie’s Disease and Masturbation

    Masturbation prominently factors into Peyronie’s disease either as a cause of PD, or later as a man attempts to cope with his curved penis.

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

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

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

    General masturbation comments

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

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

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

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

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

    Masturbation can contribute to sexual dysfunction in Peyronie’s disease

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

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

    Safe masturbation in Peyronie’s disease

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

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

    Peyronie’s Symptoms

    Do I have Peyronie’s disease?

    When someone asks about Peyronie’s disease symptoms they usually want to know if they have Peyronie’s disease.   This is a diagnosis that is not always easy to make, since the actual signs and symptoms of Peyronie’s disease can be tricky at times.

    In order to answer this question it is first important to remember that a symptom is something a person feels or experiences inside, meaning it is subjective. A symptom is what someone experiences as a result or during an illness, injury or disease.  Symptoms can include chills, Peyronie’s pain, shaking, shivering, nausea, or dizziness.  Symptoms are reported by the patient to help a doctor diagnose a problem.

    In the case of Peyronie’s symptoms the only subjective finding would be the penile pain that can be variable; pain can be felt constantly, only when erect, only when non-erect or only when flaccid.  In addition this pain can be extremely mild, very severe, or something between. Because the Peyronie’s pain is not always present – and is sometimes totally absent – it is not always a reliable way to make a diagnosis of PD.

    You might say a sign is the opposite of a symptom.  A sign is an outward or obvious physical indicator or manifestation of illness, injury or disease.  In this way it is said that a sign is objective, since it is always something that another person can detect, measure in some way or see that helps to make a diagnosis.  Some common signs are rapid pulse, elevated body temperature, low blood pressure, bleeding, a rash or open wound, bruising, to name but a few.

    In the case of Peyronie’s disease, there are only a few signs or outward findings that are used to make a diagnosis.  These signs can be just as variable as the Peyronie’s pain, such as the elusive Peyronie’s plaque or scar, a curved penis or some other distortion, and impotence or  reduced sexual ability.  Because each of these Peyronie’s signs are also not always present – and can be sometimes totally absent – it is not always a simple or easy thing to make this diagnosis.

    Very often only a few Peyronie’s symptoms and signs are available to make a diagnosis, with perhaps the most common being some type of curved penis or distortion.

    Click here for more information about Peyronie’s disease.

    Penis Doctors or Peyronie’s Doctors? – Take Your Pick

    Doctors who specialize in Peyronie’s disease

    When you think about going to a “Peyronie’s specialist,” you should understand a few things that could make all the difference in the world to you.  You should also know that Alternative Medicine is your safest and most logical approach to Peyronie’s treatment – more about that at the end of this article.

    Each month I am asked for the name of a few Peyronie’s doctors; someone who specializes in the treatment of Peyronie’s disease, in a particular part of the country or a specific city. My answer that I do not know of any such doctor always seems to be a surprise.   Often a follow up question is posed in which I am then asked for the names of penis doctors, and again I give the same answer.

    For anyone interested in finding a Peyronie’s doctor, first consider that Peyronie’s disease is known as “the doctor’s nightmare.”   Notice, the name is not “a man’s nightmare,’ or “a curved penis nightmare,” or “a patient nightmare,” but “doctor’s nightmare.”   This suggests how much doctors in general do not like dealing with Peyronie’s disease.  The average doctor does not like to deal with the diagnosis and treatment of Peyronie’s disease, as well as the many valid complaints and exaggerated demands of both the men and women who must live with this problem.  Frankly, we men with Peyronie’s disease are often a royal pain in the butt for an MD to deal with.

    Peyronie’s specialists

    Most often it is the urologists who come closest to the idea of being penis doctors or Peyronie’s doctors.  But even they often want to avoid the many frustrations and long explanations that are a part of working with men who have Peyronie’s disease.  I guess that 99.4% of men who are given a diagnosis of Peyronie’s disease have not once ever heard of it before it is dumped on them.  That this condition exists is a total shock to the man who first learns he has the problem. And just like the denial phase of someone who learns of the death of someone, there is a denial phase when first being told that the reason for the penile curvature, pain, or strange lump is an interesting thing called Peyronie’s disease that has no known cause and no known medical cure – other than Peyronie’s surgery.   This news creates a lot of denial issues in the patient that the doctor must take the time to explain away.

    It is said that no one is happy while dealing with Peyronie’s disease.  Another reason the doctor is not happy is because he or she has no standardized or accepted form of medical treatment to rely upon.  Generally, there are four three basic approaches for managing this problem medically:

    1. Offer no treatment, but simply monitor the progression of the problem. Suggest the patient come back in six months to determine if the problem has deteriorated enough to warrant the risks of surgery.
    2. Offer the patient to either “try verapamil or cholchicine or POTABA for a while, although I have not had much luck with any of them, or you can always use some vitamin E if you would like.”   This kind of low key and unenthusiastic recommendation is based on the fact that none of these approaches work, and the doctor knows it.  The MD is put in a tough position because he or she cannot help PD, and this is a known fact from the start.  Talk about a negative situation that only gets worse as the penis shrinks or sex becomes difficult as a curved penis develops.
    3. Suggest surgery right away.
    4. Go home, ignore it, and try to learn to live with it.

    These four options all seem wrong to the thinking patient. Yet, the doctor feels obligated to offer some kind of treatment when none actually exists, and he knows ahead of time that the patient will be upset when nothing helps.  Long explanations, distrust, and complaints will follow over a few office visits until the patient figures out the doctor really has no Peyronie’s disease treatment. The doctor knows ahead of time he will look incompetent and non-caring no matter what he does.  Hence the term, “doctor’s nightmare.’

    For all these reasons only a few medical doctors have focused on Peyronie’s disease treatment.  Some of those who work in this area of urology are:

    Thomas Lue, MD – Los Angeles, CA
    Culley Carson, MD – Chapel Hill, NC
    Lawrence Levine, MD – Chicago, IL
    Martin K. Gelbard, MD, Los Angeles, CA
    Sudhakar Krishnamurti, MD – Hyderabad, India

    These doctors are essentially using the same drugs as any general practitioner or urologist, with perhaps maybe the surgery they perform being different in some cases.   You need to understand that while these doctors can be called Peyronie’s specialists because they hold themselves out to being more interested in or spending more time in the area of Peyronie’s disease treatment and diagnosis, there is not that much different they can offer than the doctor down the street in your town.  The great difference with these doctors is the number of people they see who have PD, so they will have more experience in this area.

    For this reason when some calls to ask about a Peyronie’s doctor, I suggest they just contact a local urologist they have confidence in and stick with him.

    Since there is no accepted standard medical treatment for Peyronie’s disease, and so many doctors suggest not doing anything for the first 6-18 months, I strongly suggest that a person consider building up his own ability to heal and repair the Peyronie’s plaque or scar.  Information can be found at natural Peyronie’s disease treatment.

    Peyronie’s Disease Vitamin Therapy

    Peyronie’s disease vitamin E treatment and other nutrients

    There are many important nutrients – vitamin, mineral and amino acids – that should be used to improve and support the ability of the body to heal and repair the Peyronie’s plaque and help reverse the curved penis it causes.  However, since starting this work in 2002, I have never heard of a medical doctor prescribe any supplement other than vitamin E.  I think this says a lot about what MDs know about Peyronie’s disease vitamin therapy; their knowledge is limited, focused only to the obvious, and tends to not go beyond what everyone else is prescribing.

    Vitamin E and Peyronie’s disease

    The standard Peyronie’s disease vitamin E recommendation of the medical profession is to “get some vitamin E, and take no more than 400 IU a day.”  Occasionally the dosage will be doubled to 800 IU daily of vitamin E by some doctors who think outside the box a bit.  This is important to remember because vitamin E is essentially the only non-drug Peyronie’s disease vitamin treatment that is suggested to a man with Peyronie’s disease.

    Vitamin E is available in both a synthetic form and a naturally occurring organic form.  Which form you decide to use ultimately determines how much can be taken safely.  There are eight different members of the vitamin E family.  Four are known as tocopherols and the other four are tocotrienols.  The most widely found vitamin E member is gamma tocopherol, which assists the elimination of nitrogen free radicals, as well as being an effective anti-inflammatory agent.  Tocotrienols are primarily found in the skin and subdermis where they protect against UV and free radical damage. Tocopherols are found in the major organs.  A balanced diet – very difficult to achieve these days – contains all eight members of the vitamin E family.

    Because of costs and chemical stability,  and because early research proposed it was the only member of the family to have biologic benefit to man, most vitamin E supplements contain only alpha tocopherol.  This means most men on Peyronie’s disease vitamin therapy as prescribed by their medical doctor will receive only one of the eight members of the vitamin E family.  Since the early days of vitamin E research (not so long ago in the 1950s) it has been proven repeatedly that the complete vitamin E family, stressing gamma tocopherol and tocotrienols in their natural and unesterified form, accelerate wound healing and minimize scar formation.   For this reason I am most insistent that men using Peyronie’s disease vitamin E treatment use a high quality vitamin E product that is heavily slanted toward gamma tocopherol and all the tocotrienols, like Yasoo Health’s Factor 400/400.

    If you are concerned about vitamin E safety issues, please read Peyronie’s Disease Treatment and Vitamin E that answers all dosage and safety questions.

    The body is like a house

    In order to build a solid house and have it operate well, it is necessary to have a wide variety of components available during the construction phase and during the long maintenance phase when the house begins to need help in the form of repairs.

    During the construction phase, many problems would develop if all the builder had to work with were roof shingles, or just windows, or just doors.  A wide variety of components are needed to make a good house – lumber of various widths, thicknesses and lengths, concrete, plywood, along with nails, dry wall, electric wire, and so many other hundreds of different things.

    During the maintenance phase, many replacements and repair items are needed.  If the home owner only had nails, or furnace filters, or pale yellow paint to work with, it would not help a bit if the problem was a leaky roof, a squeaky door, or a leaky faucet.

    It makes sense that a wide variety of replacement and repair parts are needed for all the parts of a house.  It also makes sense that a Peyronie’s disease vitamin therapy program has to also be broad and diverse.   How does it make sense that all the problems of Peyronie’s disease are solved with just vitamin E?

    Peyronie’s disease vitamin, mineral, and amino acid treatment

    Peyronie’s Disease Institute uses a variety of different nutrients to satisfy the many needs of the body to have all the needed supplies to heal and repair the scar tissue in the best way possible.

    Look at the list of different products that are suggested for use in the large Peyronie’s treatment plan.  The list is long because the process is complicated.   Of course, even the large plan does not contain all the nutrients that could be recommended to heal and repair the Peyronie’s plaque; PABA, acetyl-L-carnitine, quercetin, bromelain and herbs to stimulate the process are just some of the additional therapies that can be used.

    Your house is large and complicated, but it is nothing compared to the body. When the body develops Peyronie’s disease it just does not make sense to attempt to fix it with vitamin E only.  That would be like trying to fix a broken window with a screw driver.   The screw driver might be a useful to remove some glass from the window frame, but other tools – and glass – will be needed for the repair to be done correctly.

    For more information about successful Peyronie’s disease treatment.

    Pictures of Peyronie's Disease – Penile Curvature and other Distortions

    What does Peyronie's disease look like?  Pictures of Peyronie's disease

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    Peyronies pictures of the classic curved penis shown on this page are offered to widen the experience and education of anyone interested in this terrible problem. The pictures of Peyronie's disease found at the bottom of this page are graphic full male nudity, presented for educational purposes.

    In the experience of PDI, most men do not understand the full consequences and eventual degree of distortion that are possible from Peyronie's disease – until it is too late. Because they do not know how bad the penile curvature, Peyronie's pain, and loss of sexual function can be, there is a tendency to underestimate the problem. Thus it is assumed that the small problem will stay “just an inconvenience, and hardly noticeable”. For some the curve or distortion starts small and stays small. However, for others it starts small and just continues to get more distorted, more curved, and perhaps more painful, eventually resulting in total loss of sexual function. At this point most men resort to surgical correction. For a discussion, click Peyronie's disease surgery.

    If your Peyronie's penis is causing sexual distress, you might be interested in the in-depth and detailed discussion and loads of helpful information found in Dr. Herazy's   second book, "Peyronie's Disease and Sex."

    There is a direct, safe and effective technique for manual penis stretching that has been researched and developed by PDI.  For details, click on stretching curved penis.

    Without fully understanding where Peyronie's disease might take them, it is easy for some men to not take the curved penis of Peyronies too seriously. The uninformed and uneducated can accept and agree with the wishful thinking of the standard medical treatment to do absolutely nothing for PD in its early stages.

    Click on "Peyronie's Disease and a History Lesson" to completely change the way you think about Peyronie's treatment.

    Peyronie's Pictures: an Education and Wake-Up Call

    To help comprehend and verify the nature of the Peyronie's disease problem, many men are shocked to see a Peyronies picture for the first time. It can be a real wake-up call.

    These Peyronies pictures are not intended to aid a layperson make a self-diagnosis, nor are they intended to guide Peyronie's disease treatment. They are offered to encourage prompt medical evaluation and attention about any problem that might be PD. Bear in mind, just as every person is a unique individual, with unique physical characteristics – this even extends to the appearance of the penis in health and disease. Simply because you have a curved penis, or even a severely bent penis with a 90 degree angle, does not necessarily mean you have Peyronies. Do not think that your penis must look like any of these. Only a physician experienced in this condition can accurately diagnose this problem.

    Learn how easy it is to create an effective Alternative Medicine plan, click on Organize Peyronie's Disease Treatment.

    Before viewing these Peyronie's pictures, please review what causes the dramatic penile curves and distortions you are about to see.

    Peyronie’s disease can be considered an exaggeration of the wound healing process. It is characterized by the presence of one or more flat and irregular benign (non-cancerous) fibrous plaques or scars anywhere along the shaft of the penis, as well as painful erections. Usually there is only one scar, but multiple scars do occur.

    These scars can stop full expansion of the penis during erection, resulting in various degrees and patterns of distortion. Depending on the number, size and location of scar tissue, the penis can be slightly to severely distorted or shortened during erection or not at all. For more information, Anatomy of the Penis and Related Areas.

    Peyronies pictures showing the erect penis from 5°- 45° are not uncommon, sometimes 90º or more. Sexual difficulty and impotency also range from mild to severe, depending on the degree of curved penis deformity.

    Graphic pictures of  Peyronie's disease

    Peyronie's Disease downward penile curvature - unusual
    Peyronie's Disease downward penile curvature – unusual
     
    Peyronie's Disease hourglass deformity in lower one-third
    Peyronie's Disease hourglass deformity plus slight penile curvature
     
    Peyronie's Disease upward penile curvature - common
    Peyronie's Disease upward penile curvature closer to glans (head) – rather common
     
    Peyronie's Disease upward penile curvature closer to glans (head) -<br />
            rather common
    Peyronie's Disease upward penile curvature – common
     
    Peyronie's Disease bottleneck deformity with lateral penile<br />
            curvature to left - common
    Peyronie's Disease bottleneck deformity with lateral penile curvature to left – common
     
    Peyronie's Disease 90 degree lateral penile curvature to right

    Hopefully, these pictures of Peyronie's disease will help you to understand your own situtaion better, and motivate you to see your medical doctor. Please review the section, Peyronie’s Disease Treatment, to determine how to incorporate the aggressive use of multiple conservative measures to treat your PD.

    Click here for more Peyronies pictures.

    Peyronie’s Treatment Help Starts Here

    Peyronie’s Treatment Right Now

    Every day I talk to men who have taken control of their Peyronies disease situation and are helping their curved penis when nothing else has helped them. They do all of their Peyronie’s disease treatment with the information found only on this Alternative Medicine website and “Peyronie’s Disease Handbook.”

    If your Peyronie’s penis is causing sexual distress, you might be interested in the in-depth and detailed discussion and loads of helpful information found in Dr. Herazy’s   second book, “Peyronie’s Disease and Sex.”

    If you are interested in a direct, safe and effective Peyronie’s treatment technique for penile curvature that was researched and developed by PDI, click on stretching curved penis.

    What we propose at PDI is not so earth shattering or extreme in concept. We simply try to help you figure out why your Peyronie’s plaque did not heal or self-correct like the 50% of men whose Peyronie’s disease goes away on its own.  If half of the men naturally “cured” their own Peyronie’s desease, why not you? That is all we are attempting to accomplish with our therapy concept. It is really not so far out as some of the other things you find on the Internet.

    To read success stories, click on Peyronie’s disease treatment testimonials.

    Why Buy from PDI? It’s all about getting the best Peyronie’s disease treatment possible:

    • Service PDI offers email support and assistance for the products and services we provide. Dr. Herazy is here to help you with questions about the products we sell. This is an extremely valuable service the others cannot possibly match.
    • Quality and Quantity Repairing the Peyronie’s scar is such an important mission. It is critical you use a high quality and quantity of nutrients. We have done the hard part of selecting good companies and products. Buy with confidence.
    • Value PDI has a competitive pricing structure of which we are proud. You cannot find better products that deliver the quality and quantity for the prices we have set.
    • Convenience Everything you need is here, right now, in one place.

     

     

    Three simple steps for Peyronie’s help:

    1. Learn about your Peyronies problem. You were told  next to nothing about Peyronies disease by the doctor who gave you the diagnosis. You are on the internet right now looking for information about what you can do to help your Peyronie’s disease.   Get clear and concise information from a doctor who had Peyronie;s disease.  I put my personal experiences and how I recovered from PD in a book I wrote called “Peyronie’s Disease Handbook.” This book gives you all the information about day-to-day treating and living with Peyronie’s disease you will need. The information found in this book is different in many ways than the information on our website; there is no duplication of information between the book and the website. Another book that will help you tremendously is “Peyronie’s Disease & Sex” that covers all aspects of this complex subject. Get help through education.

    2. Start the most aggressive therapy plan you are comfortable following so that you will get your best results. If you are interested in doing all that you can to help yourself, then perhaps you could consider using what is called the “Large (Best) Plan” for personal treatment. The “Medium (Better) Plan” is perhaps the most popular of the three plans. There is a “Small (Good) Plan” that is also well designed. It is very common for men to substitute Neprinol in place of the two smaller products, Nattokinase and Serrapeptase in any of the plans. These products and plans are found at Peyronie’s treatment products.   All plans can be modified, by subtracting or adding, to suit your personal Peyronie’s disease treatment philosophy.

    Or, you can design your own therapy plan using the information found on this website. You do not have to use any of these model plans, they are only examples – but they make sense and they have helped hundreds of men improve their Peyronies plaque and reduce the bent penis of Peyronie’s disease.

    3. Stop being discouraged. Sign up for the Peyronie’s Disease Treatment Forum blog and get motivated, inspired, educated and reminded that everyday men around the world are actually beating their Peyronies problem using the Alternative Medicine methods of the Peyronie’s Disease Institute.

    As you will soon see, the PDI website is full of exciting and helpful research information about Peyronie’s disease treatment you have never seen before. You will also see this site is different because it gives you the answers you have been looking for. But you must work along with the PDI guidelines in order to get the kind of results you will read about.

    Understand why Alternative Medicine treatment of Peyronie’s disease is not accepted by traditional medical practice, click  Science is Slow.

    We strongly suggest you get all of your Peyronie’s disease natural treatment products and supplements from PDI. The products we use have been selected after years of experimentation because they are special, and a prime reason for the results our customers receive. The PDI therapy concept and strategy are built around the therapy products available from PDI, and no others. Peyronie’s Disease Institute only uses what are called “pharmaceutical grade” products, which are of a higher quality and purity level, and pass rigorous tests to guarantee that what is on the label is contained in each capsule. Time and again we see that when men switch over to PDI products and follow our instructions, good things start to happen. Our therapy products have been used successfully in hundreds of treatment programs. Most people understand that it is a poor time to experiment and sample bargain products while they are attempting to repair a serious health problem like Peyronie’s disease.

    With over 31,000 nutritional products available on the worldwide market, this subject is confusing. Many of them – more than you would believe – do not contain what they are supposed to contain. They have far fewer – or none – of the nutrients you need to do the big job in front of you.

    Commentary:  Standard medical “wait-and-see treatment” of Peyronie’s disease, click Peyronie’s Disease and Man Whose House is on Fire.

    Peyronie’s Disease Institute cannot answer your questions or help you with your therapy plan if we do not have knowledge, experience or confidence with any “foreign” therapies you might decide to use on your own. On the PDI website we clearly state, “Sorry, but due to the volume of emails PDI receives and with limited hours available in a day, we can only answer questions from PDI customers. Purchase your therapy products only from PDI so you have full access to the vast experience and careful assistance available to our customers. If you purchase inferior grade or questionable bargain products elsewhere, you will have to rely upon that source for whatever help you might need later.”

    Please email me any questions you might have about treatment of PD with Alternative Medicine, like how to use vitamin E or the best advice about those mechanical penis stretchers.   I will be happy to help you in any way that I can.  info@peyronies-disease-help.com.

    Click on “Peyronie’s Disease and a History Lesson” to completely change the way you think about Peyronie’s treatment.

    PEYRONIE’S TREATMENT STARTS LIKE THIS

    Peyronies Help To Use Right Now

    Every day I talk to men who are have taken control of their Peyronies disease situation and are helping their PD when nothing else has helped them. They do it all of this with the information found only on this site.

    What we propose at PDI is not so earth shattering or extreme in concept. We simply try to help you figure out why your Peyronie’s plaque did not heal or self-correct like the 50% of men whose Peyronie’s disease goes away on its own. If half of the men naturally “cured” their own Peyronie’s desease, why not you? That is all we are attempting to accomplish with our therapy concept. It is really not so far out as some of the other things you find on the Internet.

    Do these three simple things to get started right now:

    1. Learn about your Peyronies problem. You were told nothing, or next to nothing, about Peyronies disease by the doctor who gave you the diagnosis. You are on the internet right now looking for answers, so get them in a special book I wrote, called “Peyronie’s Disease Handbook.” This book gives you all the information about day-to-day treating and living with Peyronie’s disease you will need. The information found in this book is different in many ways than the information on our website; there is no duplication of information between the book and the website. Another book that will help you tremendously is “Peyronie’s Disease & Sex” that covers all aspects of this complex subject. Get help through education.

    2. Start the most aggressive therapy plan you are comfortable following so that you will get your best results. If you are interested in doing all that you can to help yourself, then perhaps you could consider using what is called the “Large (Best) Plan” for personal treatment. The “Medium (Better) Plan” is perhaps the most popular of the three plans. There is a “Small (Good) Plan” that is also well designed. It is very common for men to substitute Neprinol in place of the two smaller products, Nattokinase and Serrapeptase in any of the plans. These products and plans are found at http://peyronies-disease-help.com/buy.html All can be modified, by subtracting or adding, to suit your personal thinking about Peyronie’s disease treatment.

    Or, you can design your own therapy plan using the information found on this website. You do not have to use any of these model plans, they are only examples – but they make sense and they have helped hundreds of men improve their Peyronies plaque and reduce the bent penis of Peyronie’s disease.

    3. Stop being discouraged. Sign up for the Peyronie’s Disease Treatment Forum blog and get motivated, inspired, educated and reminded that everyday men around the world are actually beating their Peyronies problem using the Alternative Medicine methods of the Peyronie’s Disease Institute.

    As you will soon see, the PDI website is full of exciting and helpful research information about Peyronie’s disease treatment you have never seen before. You will also see this site is different because it gives you the answers you have been looking for. But you must work along with the PDI guidelines in order to get the kind of results you will read about.

    We strongly suggest you get all of your therapy products and supplements from PDI. The products we use have been selected after years of experimentation because they are special, and a prime reason for the results our customers receive. The PDI therapy concept and strategy are built around the therapy products available from PDI, and no others. Peyronie’s Disease Institute only uses what are called “pharmaceutical grade” products, which are of a higher quality and purity level, and pass rigorous tests to guarantee that what is on the label is contained in each capsule. Time and again we see that when men switch over to PDI products and follow our instructions, good things start to happen. Our therapy products have been used successfully in hundreds of treatment programs. Most people understand that it is a poor time to experiment and sample bargain products while they are attempting to repair a serious health problem like Peyronie’s disease.

    With over 31,000 nutritional products available on the worldwide market, this subject is confusing. Many of them – more than you would believe – do not contain what they are supposed to contain. They have far fewer – or none – of the nutrients you need to do the big job in front of you.

    PDI cannot answer your questions or help you with your therapy plan if we do not have knowledge, experience or confidence with “foreign” therapies. On the PDI website we clearly state, “Sorry, but due to the volume of emails PDI receives and with limited hours available in a day, we can only answer questions from PDI customers. Purchase your therapy products only from PDI so you have full access to the vast experience and careful assistance available to our customers. If you purchase inferior grade or questionable bargain products elsewhere, you will have to rely upon that source for whatever help you might need later.”

    Please email me any questions you might have about treatment of PD with Alternative Medicine, I will be happy to help you in any way that I can. info@peyronies-diseae-help.com.

    PEYRONIE’S TREATMENT STARTS LIKE THIS

    Peyronies Help To Use Right Now

    Every day I talk to men who are have taken control of their Peyronies disease situation and are helping their PD when nothing else has helped them. They do it all of this with the information found only on this site.

    What we propose at PDI is not so earth shattering or extreme in concept. We simply try to help you figure out why your Peyronie’s plaque did not heal or self-correct like the 50% of men whose Peyronie’s disease goes away on its own. If half of the men naturally “cured” their own Peyronie’s desease, why not you? That is all we are attempting to accomplish with our therapy concept. It is really not so far out as some of the other things you find on the Internet.

    Do these three simple things to get started right now:

    1. Learn about your Peyronies problem. You were told nothing, or next to nothing, about Peyronies disease by the doctor who gave you the diagnosis. You are on the internet right now looking for answers, so get them in a special book I wrote, called “Peyronie’s Disease Handbook.” This book gives you all the information about day-to-day treating and living with Peyronie’s disease you will need. The information found in this book is different in many ways than the information on our website; there is no duplication of information between the book and the website. Another book that will help you tremendously is “Peyronie’s Disease & Sex” that covers all aspects of this complex subject. Get help through education.

    2. Start the most aggressive therapy plan you are comfortable following so that you will get your best results. If you are interested in doing all that you can to help yourself, then perhaps you could consider using what is called the “Large (Best) Plan” for personal treatment. The “Medium (Better) Plan” is perhaps the most popular of the three plans. There is a “Small (Good) Plan” that is also well designed. It is very common for men to substitute Neprinol in place of the two smaller products, Nattokinase and Serrapeptase in any of the plans. These products and plans are found at http://peyronies-disease-help.com/buy.html All can be modified, by subtracting or adding, to suit your personal thinking about Peyronie’s disease treatment.

    Or, you can design your own therapy plan using the information found on this website. You do not have to use any of these model plans, they are only examples – but they make sense and they have helped hundreds of men improve their Peyronies plaque and reduce the bent penis of Peyronie’s disease.

    3. Stop being discouraged. Sign up for the Peyronie’s Disease Treatment Forum blog and get motivated, inspired, educated and reminded that everyday men around the world are actually beating their Peyronies problem using the Alternative Medicine methods of the Peyronie’s Disease Institute.

    As you will soon see, the PDI website is full of exciting and helpful research information about Peyronie’s disease treatment you have never seen before. You will also see this site is different because it gives you the answers you have been looking for. But you must work along with the PDI guidelines in order to get the kind of results you will read about.

    We strongly suggest you get all of your therapy products and supplements from PDI. The products we use have been selected after years of experimentation because they are special, and a prime reason for the results our customers receive. The PDI therapy concept and strategy are built around the therapy products available from PDI, and no others. Peyronie’s Disease Institute only uses what are called “pharmaceutical grade” products, which are of a higher quality and purity level, and pass rigorous tests to guarantee that what is on the label is contained in each capsule. Time and again we see that when men switch over to PDI products and follow our instructions, good things start to happen. Our therapy products have been used successfully in hundreds of treatment programs. Most people understand that it is a poor time to experiment and sample bargain products while they are attempting to repair a serious health problem like Peyronie’s disease.

    With over 31,000 nutritional products available on the worldwide market, this subject is confusing. Many of them – more than you would believe – do not contain what they are supposed to contain. They have far fewer – or none – of the nutrients you need to do the big job in front of you.

    PDI cannot answer your questions or help you with your therapy plan if we do not have knowledge, experience or confidence with “foreign” therapies. On the PDI website we clearly state, “Sorry, but due to the volume of emails PDI receives and with limited hours available in a day, we can only answer questions from PDI customers. Purchase your therapy products only from PDI so you have full access to the vast experience and careful assistance available to our customers. If you purchase inferior grade or questionable bargain products elsewhere, you will have to rely upon that source for whatever help you might need later.”

    Please email me any questions you might have about treatment of PD with Alternative Medicine, I will be happy to help you in any way that I can. info@peyronies-diseae-help.com.

    Peyronie's Curved Penis

    Penile Curvature of Peyronie’s Disease

    Peyronies bent penis is common diagnostic sign

    Peyronie’s disease natural treatment is all about supporting your own ability to heal and repair the internal scar tissue (plaque) that causes a distortion or curved penis to develop.  Even though the Peyronie’s plaque is the most important element of this problem, Peyronie’s disease is known as the “bent nail disease” because the curved penis is the most noticeable aspect of this problem except for the sexual difficulty that often develops.

    To read success stories, click on Peyronie’s disease treatment testimonials.

    In a healthy penis the internal tissue is flexible and expandable to allow for a normal erection to develop when blood is trapped inside.

    In Peyronie’s disease the healthy and elastic tissue of the penis (in a part called the tunica albuginea) is replaced by dense and inelastic fibrous tissue that is called a scar or plaque. During an erection the normal elastic tissue of the penis can stretch and expand to allow the penis to become larger in length and circumference (girth) symmetrically, resulting in a straight erection. With the addition of Peyronies fibrous scar material this normal expansion cannot develop, resulting in a curved penis.

    Peyronie’s disease often starts as a small nodule or bump on the top or sides of the penile shaft immediately below the surface of the skin. Over a few weeks to several months, this small area of density can expand to develop into an irregular shaped mass of variable size, shape, density and surface quality. Some scars are as long as the penis, or surround the shaft like a collar. Some scars are either so soft or small, or their edges are so gradual and vague, that the scar is not detected. When the scar or plaque cannot be located, it is can still be assumed to exist because of the curved penis that is commonly associated with Peyronies.

    To learn more about a new, safe and effective technique for manual penis stretching of the Peyronie’s curved penis that does not involve costly manual stretching devices. For details, click on stretching curved penis.

    Curved penis affects sexual intercourse

    Penile curvature of Peyronie's disease can break a marriage because it prevents sexual acitivity in a large percentage of cases.

    Peyronie's disease is called the "bent nail disease" because a curved penis can prevent sexual penetration.

    About 75-90% of couples who deal with Peyronie’s experience problems with sexual intercourse. The primary issue compromising sexual penetration is the presence of a greatly bent or curved penis that makes penetration physically impossible or so painful that intercourse impossible. Distortions can be so severe they are described as “cork screw” or “cane handle.”

    Further compromising and limiting sexual activity is the incomplete filling with blood that can also develop in Peyronies that results in a small or large area of softness of the penile shaft. This softness causes a weakness of the normally turgid erection that can cause additional difficulty for the sexual act.

    It is a rare Peyronies couple who does not experience sexual difficulty because of penile distortion and reduced firmness of the penis. Because of the complexity of so many physical and emotional issues that surface for the couple who struggles with Peyronie’s disease, the reader is best referred to “Peyronie’s Disease and Sex” for detailed discussion and answers.

    If your Peyronie’s penis is causing sexual distress, you might be interested in the in-depth and detailed discussion and loads of helpful information found in Dr. Herazy’s   second book, “Peyronie’s Disease and Sex.”

    Normally curved penis

    Some men are born with a penis that is not perfectly straight. Just as some people are born with hands or feet of different sizes, curvature of the nose, or eyes that are not the same size, the two primary chambers of the penis can be of a different size. For these men the penis will look straight when non-erect, but then exhibit the imperfection only during erection.

    Usually this type of lifelong penile curvature is more gradual and arched than what is associated with Peyronie’s disease, and seldom prohibits intercourse.

    This slight penile distortion will be noted all throughout life, and does not appear suddenly as does the curved penis of Peyronie’s disease. Additionally there is rarely pain associated with the normally asymmetrical penis, while pain is often felt in the early stages of Peyronie’s disease since inflammation is part of the initial process.

    Curved penis treatment

    The most important point to keep in mind at the start of Peyronie’s disease is that any penile distortion that develops is not the primary problem. While a suddenly curved penis is difficult to ignore, it is only a symptom of the real problem of Peyronie’s disease – the scar or plaque material under the surface of shaft. If there was no Peyronies scar there could be no curved penis.

    This is the reason I counsel men who use the Peyronie’s Disease Institute method of Peyronies treatment to focus their time and attention of the size, shape, density and surface qualities of the scar or plaque to determine if their Alternative Medicine treatment is being effective.

    It is common during successful Peyronie’s treatment for the curved penis to worsen as the scar is being reduced or eliminated. This happens because it is difficult to know how many scars a man actually has, since they are often difficult to locate and often overlap. If only one scar is present (unusual), the curvature problems are direct and easy to understand. But, if several scars are present (common), the internal dynamics are made very complicated. Several scars could be influencing 2-3-4-5 different planes of connective tissue within the deep tissues of the penis to which they are all interconnected. Any change in one or more will change the way the internal tissues are pulled internally. This can make the curved penis and other penile distortion appear worse, even though the scars are improving under treatment.

    For this reason it is wise to ignore the penile distortion and focus all attention to the condition of the scar while using Alternative Medicine to treat your Peyronies problem.

    Do not be discouraged by the curved penis of Peyronie’s disease, but focus on effective natural Peyronies treatment.

    To view graphic pictures of Peyronie’s disease, click on pictures of Peyronie’s disease and Peyronie’s pictures

    Synergy and Treatment of Peyronie's Disease

    How Synergy Applies to Treatment of Peyronie’s Disease

    Questions?
    Peyronies disease treatment forum blog of the Peyronie’s Disease  Institute, with Peyronie’s desease cure discussion
    Learn the latest and best Natural Peyronie’s treatment

    Synergy (sin’-er-je) is the interaction of two or more substances or forces that when combined tends to produce a total effect that is greater than the sum of the individual elements. A short explanation of synergy is “1 + 1 +1 = 5”. Taber’s medical dictionary defines it as “the harmonious action of two agents such as drugs, or organs such as muscles, producing an effect which neither alone could produce, or an effect that may result which is greater than the total effects of each agent operating by itself”.

    Synergy can be applied to winning a game of tug-of-war, or Peyronie’s disease treatment to reduce the terrible curved penis that so often develops.

    Here is a very good example of synergy in everyday life. A doctor must closely monitor the combined effects of drugs that are prescribed to a patient. The effect of drug A on the body might be well known, and the effect of drug B might also be well known. But the synergistic effect of combining drugs A and B can be difficult to predict. As a result the doctor must closely monitor a patient when multiple medication is being administered. Thus, synergy is a significant part of the art of medicine.

    There are many examples in life in which two or more agents or elements act in common to produce an end result that is greater than the simple sum each is able to achieve separately. A good example of synergy occurs in agriculture, when soil nutrients are applied to benefit crops. If nutrient A is known to produce a 2% increase in crop production, and nutrient B is known to produce a 2% increase in crop production, it is logical that using these two nutrients together should result in a 4% crop increase. However, because of the synergy between nutrients A and B a 6-8% crop production increase might occur, instead of the expected 4%. Taking it a step further, nutrients A, B, and C (with each increasing crop production by 2%) when used together might result in a combined synergistic effect above 12%.

    Peyronie's treatment requires synergy to reverse a curved penis or eliminate Peyroie's plaque

    Did you ever hear that some cooking recipes cannot be simply doubled if you want to make twice as much of a particular dish? Have any idea why that would be so? Sure you do: synergy. Perhaps, when a recipe is doubled, the oil, or the salt, or other ingredient reacts in a way that is more than twice its single effect. This is another example of synergy in action.

    Let’s say that I can lift a maximum of 100 pounds, and you can lift a maximum of 100 pounds. It would seem reasonable that by working together, you and I should be able to lift 200 pounds. However, with the principle of synergy, it might be possible that together you and I could lift more than that, maybe 205, 210 pounds or more. Life is full of situations in which the synergy of team effort occurs.

    To read success stories, click on Peyronie’s disease treatment testimonials.


    Peyronie’s disease treatment using synergy

    PDI’s philosophy for Peyronie’s disease natural treatment makes a lot of sense when you think about taking advantage of the power of synergy. We are suggesting that you take advantage of a simple and frequently seen phenomenon that occurs all around us every day. This explains why it is better to combine vitamin E with vitamin C and MSM or PABA in your Peyronie’s therapy plan.

    Commentary:  Standard medical "wait-and-see treatment" of Peyronie’s disease, click Peyronie’s Disease and Man Whose House is on Fire.

    Peyronie’s Disease Institute’s  approach of using multiple natural therapies uses this power and expects a synergistic result in treating PD, just as in other applications commonly seen in medical practice, architecture, agriculture, or any other part of life. The synergistic effect applies in countless areas and situations, and treatment of PD is no different. Therefore, the synergy of multiple therapies selected from successful PD research and studies should result in an improved ability of the body to heal and repair.

    Click on "Peyronie’s Disease and a History Lesson" to completely change the way you think about Peyronie’s treatment.

    Science is Slow about Peyronie's Treatment

    Science Can Be Slow – Especially with Peyronie's Treatment

    It is said that if aspirin was discovered today, it would not meet the rigid and exacting standards of scientific proof that are currently in use. Aspirin would be one of those drugs that would be outside of accepted medical practice since it would lack sufficient scientific proof. Medical acceptance and scientific proof of a therapy is, of course, important and desirable especially with Peyronie's disease treatment for the elimination of the classic curved penis or other penile distortions that occur.  Yet it is important to keep in mind that just because a procedure or substance lacks this acceptance does not mean it is therefore ineffective or inferior. It might just mean that medicine and science have just not yet figured it out sufficiently to declare that it is OK. Remember that it was not too many years ago medicine and science said the following were falsehoods, and could not be proven scientifically: 1. Exercise is good for your heart. 2. Diet is related to heart disease. 3. Smoking causes lung cancer. 4. Smog is harmful to lung tissue. 5. High fat diet raises cholesterol in the blood. 6. Antioxidants, vitamin E and vitamin C are related to immunity and resistance. This list of what science made mistakes about could go on for a long time, all the way back to the “The world is round”. Most of us are old enough to remember the problem with Thalidomide. How about the AMA declaring that there was “insufficient scientific proof” of a correlation between a high fat diet (think French fries) and obesity? To read success stories, click on Peyronie's disease treatment testimonials. The point is simple:  Sometimes science is just slow to pick up ideas and information that are apparent to average people who use common sense and simple observation.  PDI thinks the same is basically true in regard to Peyronie's disease natural treatment.

    For an interesting way of looking at things, click on A Honey of an Idea for Peyronie's Disease Natural Treatment.

    How an Erection is Affected by Peyronie's Disease

    Peyronie’s Disease Stops Normal Erection Mechanics

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    An erection is the stiffening or hardening with enlargement of the penis that periodically occurs upon a sexual and non-sexual stimulus. The primary purpose of an erection is sexual intercourse.  The curved penis of Peyronie’s disease occurs when this process is interrupted or impaired by the presence of the Peyronie’s plaque material.

    There is a direct, safe and effective technique for manual stretching of the curved penis of Peyronie’s disease that has been researched and developed by PDI.  For details, click on stretching curved penis.

    View graphic pictures, click on pictures of Peyronie’s disease and Peyronie’s pictures

    If your Peyronie’s penis is causing sexual distress, you might be interested in the in-depth and detailed discussion and loads of helpful information found in Dr. Herazy’s   second book, “Peyronie’s Disease and Sex.”

    The complex erection mechanism can start in either the brain (a thought), the penis (a touch), or the bladder (when filled). Upon stimulation a beautifully intricate and balanced reaction of nerve messages occurs between the brain and the reproductive organs. The first thing to happen to the penis is a message is received from the brain. This message causes nitric oxide to be released from the tissue of the penis. Nitric oxide in turn causes the same cells of the penis to produce cyclic guaosine monophosphate (cGMP). This chemical, cGMP, has the ability to cause rapid relaxation of both the arteries of the penis and the smooth muscles that line the network of small interconnected spaces of the corpora cavernosa and corpus spongiosum. This relaxation response has an expansive and enlarging effect on the penis, because it causes more blood to flow into the penis and it is “loosened up” to receive and hold the extra blood that is being shunted to it .

    Going up

    Blood quickly enters the network of erectile tissue spaces as this relaxation continues along the length of the penis. A small amount of blood enters the corpus spongiosum, but the majority of it engorges the corpora cavernosa which expand to hold 90% of the blood involved in an erection.

    As more and more blood enters the relaxed spaces of the penis, the expanding spongy tissue presses against the firm tubular connective tissue sleeves known as the tunica albuginea and Buck’s fascia. This increased pressure in turn pushes against veins that normally let blood out of the cavernous and spongy spaces of the penis, compressing and closing their valves. Now with the veins closed off a greater and greater amount of blood is trapped in the penis. When the three penile chambers are filled with blood the penis is at its maximum length, diameter and rigidity, and is said to be erect.

    The glans or head of the penis, the mushroom-like end of the corpus spongiosum that sits like a cap on the end of the penis, remains more soft and pliable during erection because its tunica albuginea is much thinner than elsewhere in the penis. This thinness of the tunica at the head of the penis does not allow it to develop the rigidity that other parts of the penis achieve. Of course this is a good design feature, since the relative softness of the glans protects the cervix of the uterus during intercourse.

    Going down

    After ejaculation, or upon loss of mental or physical stimulus, the brain stops sending signals to the penis to release nitrous oxide. With loss of the nerve signal and subsequent chemical release, the flow of blood is reduced, the pressure drops, the vein valves are no longer held closed and so open up to release blood, and the erection ceases. The penis returns to its normal pre-erectile size and flaccidity.

    A simple balloon can give you a better idea of how an erection works: Before you blow up the balloon, the balloon wall material is very soft and flexible. Put a little air into the balloon and it begins to change shape by filling, making the balloon larger. As more and more air gets trapped inside the closed space of the balloon, it continues to become more rigid and large, until a limit is reached. After this certain limit point the previously flexible balloon material gets surprisingly tight and rigid. To keep it rigid you tie off the opening, and to reduce the rigidity you untie the opening.

    Click on “Peyronie’s Disease and a History Lesson” to completely change the way you think about Peyronie’s treatment.

    Peyronie’s disease and leaky valves

    PD causes a problem with the erection mechanism because the vein valves “leak” and cannot build up sufficient pressure to create a full erection, due to interference from the scar or plaque tissue in the tunica albuginea. Its as thought the scar tissue blocks the closer of the vein valves, just as a kink in a car door keeps the door from closing completely, or not at all. As improvement occurs in the size, shape and density of the PD scar as a result of successful therapy, one of the first observable changes will be in the quality of erection response.

    And this is why we contend, as you will read in other parts of this website, Peyronie’s disease is all about the scar.

    For an interesting PD therapy discussion, click on Heads You Win, Tails You Don’t Lose with Peyronie’s Treatment.

    Heads You Win, Tails You Don’t Lose with Natural Peyronie’s Treatment

    Heads You Win, Tails You Don’t Lose with Natural Peyronie’s Treatment

    Logic and scientific basis for natural Peyronie’s care

    Questions?
    Peyronies disease treatment forum blog of the Peyronie’s Disease  Institute, with Peyronie’s desease cure discussion
    Learn the latest and best Natural Peyronie’s treatment

    Anything you do for your Peyronie’s disease – even if what you do is to do nothing – is a choice and a calculated gamble.

    Peyronie’s Disease Institute’s opinion is that it is smart to use the best of what is known and available while the truth about PD is still being debated. If what you do makes a difference to your Peyronie’s disease, look what you gained. If your Peyronie’s disease natural treatment effort does not help your PD, you did not harm yourself and chances are the various therapies at least benefited your overall health and well-being.

    Commentary:  Standard medical “wait-and-see treatment” of Peyronie’s disease, click Peyronie’s Disease and Man Whose House is on Fire.

    This website offers a base of information to create a personal treatment plan with reasonable possibility to improve your opportunity for success, based on the synergy of using multiple therapies yet with minimal risk since none of these treatments are inherently dangerous. With so many simple, safe and sensible things that often work, even though none of them have full scientific proof and acceptance, you have a reasonable chance to increase your tissue’s ability to heal and repair your PD. Even if these therapies do not help your PD, there is only remote chance any of them could do harm. This is not true of medical therapies. Peyronie’s Disease Institute uses therapies that are refinements of substances normally and naturally found in your tissues – vitamins, minerals, enzymes, and amino acids. None of the therapies we propose are foreign or invasive in nature.

    If you are successful in supporting your health sufficiently, and your tissue responds by healing your PD – you win. If you are not successful in supporting your health sufficiently or early enough to adequately make the changes or improvement in your PD as you hoped – you don’t lose. There are no known side-effects to the elements of this treatment plan, and you improved your eating habits, improved your nutrition input, exercised more, probably removed some plaque from your arterial walls, probably lowered your blood pressure, probably noticed that your blood circulation was improved and your hands and feet are not cold as they were before, and probably witnessed general improvement in your overall health or elimination of your curved penis – you don’t lose.

    To read success stories, click on Peyronie’s disease treatment testimonials.

    Peyronie’s treatment and your odds for success

    If after following an aggressive and scientifically based alternative program of care your PD does not respond, as can certainly happen, then Peyronie’s disease surgery can still be performed. It seems logical that the PDI approach to managing PD is a safe way to use the time that the average MD would suggest that you do nothing to help yourself. Most conservative thought would be favorable to spending a few dollars and reasonable effort to reduce the need for an eventual surgical procedure. The person with a cold takes vitamin C to increase the function of his immune response, and expects to shorten the time he is ill. The person who has a broken bone and takes a calcium supplement, or the person who is anemic and takes some extra iron, or wants to build up some additional muscle tissue and takes some extra protein, is thought to be sensible and intelligent.

    The Peyronie’s Disease Institute tactic of aggressively using widely acceptable nutritional information and science in a Peyronie’s disease treatment plan is not much different. These measures have been reported to improve the ability of the body to heal and repair PD in certain studies — and could increase the odds you could be in the 50% group that eventually recovers from Peyronie’s disease.

    Peyronie’s Cure is Where You Find It

    Looking at Peyronie’s treatment differently

    While it is generally agreed there is no such thing as a Peyronies cure, PDI has shown since 2002 that it is certainly possible to reverse the curved penis of Peyronie’s disease with Alternative Medicine when it is done in the correct way.  This concept is so different than what is promoted on the internet it could be called a new Peyronie’s treatment methodology.

    Peyronie’s disease is primarily concerned with the dreaded fibrous Peyronie’s plaque or internal scar material that can cause a variable degree of penile curvature, pain, sex problems, and reduced penis size.  Any true Peyronie’s treatment must address the issue of the fibrous scar.  Yet, when men are first diagnosed by a medical doctor they are told there is no known cause of Peyronies disease and no Peyronie’s cure.

    Just because the medical profession does not have a drug as a standard Peyronie’s disease treatment, they have assumed the position there is no such thing as a Peyronie’s cure.  For this reason MDs do not like to treat Peyronie’s disease.  The average medical doctor, even a urologist, has few options for anyone with PD, other than Peyronie’s disease surgery – which often has poor results.

    Peyronie’s disease treatment

    The current accepted Peyronie’s disease treatment in a medical office is to do nothing for the first one or two years, while waiting for the Peyronie’s problem to either get better or worse on its own.  This is the wait-and-see approach to Peyronie’s treatment is frustrating and irritating to any man who wakes up one morning with the curved penis of Peyronies.

    While the medical establishment maintains there is no effective Peyronie’s disease treatment, the Peyronie’s Disease Institute has worked since 2002 using Alternative Medicine in a unique way that proves this is not true.  There is a simple and direct method to for Peyronie’s disease treatment that is either misunderstood or overlooked by the medical profession.  Those who follow the Peyronie’s Disease Institute treatment concepts sometimes even call it a Peyronie’s cure.

    Daily I communicate with angry and defeated men who get no help from the medical profession, who are neglected and given no hope or information to help themselves with their Peyronie’s problem.   Men speak of feeling like Peyronie’s orphans.

    One of the basic questions of Peyronie’s disease treatment is this:  “If my medical doctor says there is nothing that can be done for me, other than surgery, what does that really mean to me?  For those who are comfortable with thinking independently, they must decide if there are options outside of medicine that the neighborhood MD does not know about, or even care about.

    Natural treatment for Peyronie’s disease

    The Peyronie’s Disease Institute was started in 2002 by Dr. Theodore Herazy after he successfully cured his own severe PD with Alternative Medicine.  His early experiments with herbs, vitamins, minerals, enzymes and other safe natural remedies showed exciting promise for Peyronies help.  Over the years he has guided and counseled hundreds of men each year through the treatment maze toward elimination of the scar and distortion of a Peyronie’s penis.  It is not always an easy assignment, and when it is done incorrectly or without needed gusto it falls short of the desired outcome.   But when a man uses all of the tools available to him in a faithful and aggressive manner, the results can be dramatic and prompt.   It is estimated that about 80% of men with Peyronie’s disease who follow a large plan according to the outline provided on the PDI website, see from moderate to great success in reduction of penile curvature and elimination of the Peyronie’s plaque material.

    Even though the medical profession says it can’t be done – it happens anyway because the body knows how to heal itself.  Using the Peyronie’s Disease Institute concepts, you will be able to assist and stimulate that natural healing response that some people call a Peyronie’s cure.

    Curved Penis and Peyronie’s Disease

    Peyronies bent penis is focus of problem

    While the primary interest of Peyronie’s disease treatment is the internal scar tissue or fibrous  plaque material that causes the distortion or curved penis to develop, it is not the primary interest of the man who has PD.  For him, the most important aspect of Peyronie’s disease is the curved penis that plagues him.  For this reason Peyronies is also known as the “bent nail disease.”

    For those interested in viewing graphic pictures, click curved penis of Peyronie’s disease.

    Peyronie’s disease causes a curved penis when the fibrous tissue of the Peyronie scar or plaque pulls unevenly or causes incomplete filling within the erect penis.  This can vary in degree or severity from man to man.  For this reason the curved penis does not indicate the severity of the Peyronies problem or success of Peyronies disease treatment.  The true success of Peyronies treatment is based on the change that occurs in the Peyronies plaque or scar.  Once the fibrous scar changes, eventual improvement in the curved penis can be expected in time.

    The internal tissue of the healthy penis is flexible and expandable.  This normal tissue is able to allow for a normal erection to develop when blood is trapped inside the organ.

    In Peyronie’s disease some of the tissue is not healthy or flexible and elastic.  Specifically, the deep tissue known as the tunica albuginea is not elastic because it replaced by dense and inelastic fibrous tissue that is called a scar or plaque.   As an erection develops the elastic tissue of the tunica albuginea must stretch and expand evenly on both sides, left and fright, and top and bottom, of the penis.  If this cannot happen because an area of the penis is no longer flexible and expandable, then a curved penis results.

    Peyronie’s disease usually begins with a small nodule or bump that is found on the top or sides of the penis, just immediately below the surface.  A few weeks to several months to a year later, a small fibrous nodule can expand into a larger irregular scar of variable size, shape, density and surface quality.  These scars can be as long as the penis.  Some appear like a collar to go around the shaft.   Some are one large mass, while others appear to be like small isolated islands of fibrous tissue in many areas.   Scars can be so soft or small, with edges so tapered and vague that no scar can be found.  In a case of Peyronie’s disease when no scar or plaque can be found, it is still assumed to exist when a curved penis develops during erection. .

    Normally curved penis

    Most men have a straight erection, but some are born with a penis that curves or bends (usually upward).   Just as fingers on the hand or a nose can display a natural bend, or arms can be of different length on the same person, the penis can be bent without the presence of Peyronies.  Typically, the normally curved penis follows a more gradual and arched design, more like a banana.  In Peyronie’s disease the curved penis is more localized and abrupt, like an angulated bend.

    When the two primary chambers (corpora cavernosa) of the penis are a different diameter or length, the penis will bend when erect.   The penis will appear straight when flaccid, and on erection it will bend.

    This slight penile distortion will not be associated with pain, there will be no trauma in the history, and it will not appear suddenly as does the curved penis of Peyronie’s disease.

    Curved penis affects sexual intercourse

    It is estimated that 75-90% of Peyronie’s disease couples will sooner or later experience a sexual intercourse problem, in regard to either pain or difficult penetration – or both.   The curved penis of is the primary reason sexual penetration is compromised, and it is also the reason for the pain that can be experienced by either – or both – partner. This is especially so in those cases in which the distortion is so severe it is described as “cork screw” or “cane handle.”

    Incomplete filling of the penis with blood during erection can also happen in Peyronies.  This results in an area of the penis, either small or large, that is soft and unable to sustain the rigors of intercourse.  A soft area within an otherwise firm erection presents a weakness and vulnerability of the normally turgid erection.  A weak area of erection can suddenly collapse or buckle during intercourse, causing additional injury to the penile tissue.  This can cause pain, inflammation and additional fibrous infiltration.

    It is a rare Peyronies couple that does not deal with some level of sexual difficulty related to penile distortion and reduced firmness of the erection.  The many physical, emotional and social issues of Peyronie’s disease are complex.  For this reason the reader is referred to “Peyronie’s Disease and Sex” for more information about this complicated area of life with a curved penis.

    Treatment of the curved penis

    It is important to remember that any penile distortion that develops in Peyronie’s disease is not the primary problem of this condition.   A curved penis that appears one night is difficult to ignore, but is only a symptom of the real problem of Peyronie’s disease – the scar. Without the Peyronies scar there would be no curved penis.

    This is the reason I advise men who are undergoing Peyronies treatment to focus on the size, shape, density and surface qualities of the scar or plaque to determine if their Alternative Medicine treatment is being effective.  The curvature can improve or worsen as the scar is reduced.

    A small scar can cause a large bend, just as a large scar can cause no bend at all if it is balanced and symmetrical.   For this reason a curved penis can worsen as the scar is being reduced or eliminated.   Estimating progress or success of a PD therapy plan is difficult .  A man can have many more scars than he is aware of, and they can be larger than can be detected since they are often difficult to locate and often overlap.

    If only one scar is present the curvature problems are direct and easy to understand, although  this is unusual.   However, if multiple scars are present the internal pulling and twisting they cause can be very complicated.   Several scars can interact on many  planes of internal penile tissue.   Any reduction in one or more scar will alter the internal tension and pulling of the tissues, resulting in an altered curvature.  There is no guarantee the curvature will change for the better initially – sometimes it can look worse as the scars become smaller.  This is why I advise to focus all attention to the size, shape, density and surface qualities of the scar while treatment of the Peyronies problem continues.  Realize the curved penis is just a reflection of what is going on with the scar9s) below the surface.

    Do not be discouraged by the curved penis of Peyronie’s disease.  Instead, stay focused on your plan for effective Peyronies treatment.  Learn more about Peyronie’s disease treatment.

    Peyronie's Disease Treatment with Neprinol

    Peyronie’s treatment – Neprinol for Peyronie

    Neprinol is a very well researched systemic enzyme therapy that is used for Peyronie’s disease treatment. Since the curved penis that is so common in Peyronies is such a common problem with no effective medical treatment, Neprinol is a much needed Alternative Medicine tool against this problem. Neprinol works to break down and eliminate the offending Peyronie’s plaque fibrous material that causes the bent penis for which Peyronies is so well known. Neprinol contains a high concentration of nattokinase, serrapeptase, bromelain and Coenzyme Q, and related co-enzyme factors. Confusion exists about Neprinol because it is actually a high potency combination of several different systemic enzymes, rather than just a single enzyme like so many other products.

    These are the basic highlights about Neprinol as it relates to Peyronie’s disease treatment:

    1. The nattokinase and serrapeptase in Neprinol are in much higher concentration than in the separate pills containing just nattokinase and serrapeptase. Therefore, a lower dose of Neprinol is needed to reach a higher level of these two enzymes, as when lower concentration enzymes are used separately.

    2. Taking Neprinol makes taking separate doses of nattokinase and serrapeptase unnecessary, although some men still take Neprinol plus additional nattokinase and serrapeptase products to diversify the sources and varieties of these enzymes. PDI sells a separate nattokinase product call Nattokinase 1500 and a separate serrapeptase product called Fibrozym. Both of these great products can be used successfully in Peyronies treatment. But, Neprinol has more of these same enzymes in it than these separate enzyme products.

    3. Dosage of Neprinol – like most other Peyronies treatment products – is based on ability of that product to make a positive change in the condition of the Peyronies plaque or scar. While the bottle of Neprinol might say to take six capsules daily, the effective dose for each man will be different. After working with PD treatment since 2002 I know that some men respond with a dose of four capsules of Neprinol daily, while others might take 20 for the same results. There is no magic dose of Neprinol. It is something than must be determined by continual trial until a favorable change is noted in the condition of the Peyronies scar material. Safety is always an issue, so it is necessary when anyone is taking more than six Neprinol daily to take a period rest from this therapy, by simply stopping usage for several days every few weeks.

    4. A single bottle of Neprinol is comparatively expensive for a few reasons: the bottle is three times larger than the average enzyme product, (Neprinol comes in a bottle of 300 pills, while the separate Nattokinase and separate Fibrozym enzyme products often are sold in bottles of 100) and each Neprinol pill contains a more concentrated dose of nattokinase, serrapeptase, bromelain and coenzyme Q than are found in any other enzyme product. Besides, PDI sells Neprinol through our sister-site, Natural Complementary Medicine Products, for $135 a bottle of 300, the best price on the Internet. Neprinol represents a better value in the long run since you would need to take fewer or them, and the bottle is simply larger so you buy fewer of them.

    5. For a $10 discount we offer for Neprinol, just type in the discount code word “Neprinol” in the appropriate discount offer area, bringing your cost down to $135 for the Neprinol 300 size.

    To read more about the use of Neprinol and other systemic enzymes in Peyronie’s disease treatment, go to the Peyronie’s Disease Institute discussion about systemic enzymes at Peyronies treatment with Enzymes and Neprinol

    Neprinol and Peyronie’s treatment

    Because Neprinol is heavily promoted for Peyronie’s treatment, some men develop the mistaken idea to only use Neprinol in their Peyronies treatment plan. I advise against this. Not because Neprinol is not an effective way to reduce foreign fibrin from the Peyronies plaque and scar material, but because Peyronies disease is such a stubborn problem to treat successfully. PD almost always requires large and complex treatment for a considerable length of time. I rarely hear of cases in which Neprinol does more than reduce penis pain associated with Peyronie’s disease. But when it is combined with other effective forms of Peyronies treatment, the results can be dramatic.

    Effectively treating Peyronies is all about doing all that you can to create synergy with multiple therapies designed to increase your ability to heal and repair the Peyronies plaque or scar. It is never as easy as popping a few pills – even as great as Neprinol – and getting the kind of results we all want.

    Please send your questions about Neprinol and Peyronie’s disease to “Ask Dr. Herazy…”

    Peyronie's Symptoms

    Peyronie’s disease symptoms

    Peyronie’s disease symptoms can be extremely variable. In fact, one of the things that make Peyronies symptoms so difficult to put together into a diagnosis is the different presentation of this problem from one man to another. For this reason, Peyronie’s disease treatment is difficult.  Even pictures of Peyronie’s disease that show what the condition can look like, are also variable.

    This is why the Peyronie’s Disease Institute has worked for almost a decade to determine the best possible way to diagnose and treat this problem that often eludes effective care.

    Because of the wide variety of Peyronie’s symptoms, Peyronies treatment can be variable when using Alternative medicine.

    Peyronie’s symptoms of importance

    The onset of Peyronies disease symptoms can be sudden or slow, but most often will appear in less than a month after direct injury, sometimes taking just a few days to appear when injury is found to be the cause of onset.

    The severity of Peyronie’s symptoms can also be variable. Some men do not even know they have the problem because their Peyronie’s symptoms are so mild, while other men experience alarming Peyronie’s symptoms that they are unavoidable and shocking.

    Two most typical Peyronie’s symptoms:

    Distorted or curved penis

    When the penis is erect, it is very common to have the Peyronie’s symptoms of a deformity or distortion caused by the presence of internal fibrous or “scar’ tissue within the tunica albuginea of the curved penis. The penis may be:

    • Bent, or curved, upward, the most common deformity, or bent down or to one side; not often in will bend down
    • Distorted into an “hourglass” appearance, with a narrow band around the erect shaft that is complete or partial
    • Distorted into an “bottleneck” appearance, in which the base of the penis remains fairly well erect and normal for the individual, but the area above and away from the base remains small and non-erect
    • Distorted into a “hinge,” “dent,” “ding,” “niche” effect, in which the penis when erect has a small but distinct area of non-filling making it appear to have a small portion that remains soft and non-erect.

    Any of these Peyronies symptoms of curvature or other deformity may gradually worsen during the first six to 18 months. After a certain point, which is variable from man to man, the distortion will no longer worsen.

    Pain as a Peyronie’s symptom

    Pain most often occurs with an erection during the first six to 18 months after onset. However, pain associated with Peyronie’s disease may present itself in many ways:

    • Only during an erection
    • Only when not erect (flaccid)
    • Only during an orgasm
    • Only when the penis is touched

    Some men do not have any distortion or bend of the penis, or pain, making these two common Peyronie’s symptoms not totally reliable as a way to diagnose Peyronie’s disease.

    Other common Peyronie’s disease symptoms

    Scar tissue under the skin surface

    The scar tissue, also known as a plaque, associated with Peyronie’s disease can be felt below the surface of the skin of the penis as small elevated or flat beads, lumps, bands of slightly to greatly dense and hard tissue. Some of these are smooth or rough, with even or irregular edges. Some men can easily find their Peyronies scar and with other men it is never located even by a doctor.

    Less common Peyronie’s disease symptoms

    • Distortion or bending while flaccid
    • Difficulty achieving or maintaining an erection (erectile dysfunction)
    • Loss of penile size by either shortening of the penis, or loss of girth or circumference, or both

    For a more comprehensive discussion of Peyronie’s disease symptoms, go to the PDI website at Peyronie’s disease natural treatments.

    Peyronies Treatment and the Penis Stretcher

    Peyronie’s Curved Penis and the Penis Stretcher

    This blog report is about the hot Peyronie’s disease treatment topic of penis stretchers, or as they sometimes call an extender, and the long awaited announcement of our new, one-hour PDI Manual Penis Stretching Method© CD video.

    All of this work and the discovery of yet another way to use Alternative Medicine to treat Peyronie’s disease started because I receive so many questions about the penis stretching devices, and the sad fact that I hear so many bad stories about them. I got tired of telling people why these penis stretcher devices cannot work, describing the common potential dangers they create, their mechanical limitations of use, and the many horror stories I hear from men whose PD started after using a penis stretcher.  So, I started with a goal to learn if I could safely and effectively stretch the Peyronies penis, and I did.

    A few months ago I wrote in the PD Institute Newsletters that I would soon offer a process that would revolutionize the concept of penis stretching as an improved form of Peyronies treatment. Now, the brand new PDI Manual Penis Stretching Method© CD is complete and ready for your review on the PDI website.

    There are several very good reasons I looked into, and then developed, this entirely new concept in Peyronie’s disease treatment. Most of these reasons are well known to a large percent of men who have Peyronies treatment and have tried and failed with the commonly advertised mechanical penis stretcher devices, and should be well known to the rest of you for your personal benefit and safety.

    From my experience, those over-priced penis stretcher devices you see advertised so heavily as a Peyronies treatment are not effective, and are potentially dangerous to all men with PD.

    One aspect of the problem is the inability to wear the stretcher. Makers of these manual devices do not mention on their websites that you should not wear the device for more than two hours at a time – yet they want you to wear it for eight to nine hours a day to achieve results. If you could actually wear the stretcher for the full two hours, this would mean that you would put it on and take it off four or five times a day, with perhaps an hour or two rest periods between each wearing cycle. Most of your day would be spent tending to the stretcher, and you would have to do this for perhaps a year or more!

    However, after talking to many hundreds of men over the years I know that most men cannot wear one for longer than 10-15 minutes at a time because of the pain and injury they cause. The pain is not so much caused by actual stretching of the penis, but by the pinching and compression to the head of the penis (glans) that is needed to forcefully hold the penis while it is stretched. Now, I don’t know about you, but my penis does not have a handle on it, so there is no good or easy way for a mechanical stretcher to grab the penis in order to stretch it. Thus, it is necessary to apply a strong and constant pressure directly around and below the glans while the traction force is applied.

    I have met a few men who could wear a manual stretcher for up to an hour at a time, but not much more than that. If you are one of the men tough enough to wear one for up to an hour, this would mean most of your waking hours would be spent waiting in pain to either put the stretcher on or take it off. I have met men who had so much pain, tissue erosion and broken blood vessels that they never tried to wear it more than once. I have met men whose Peyronies started after a single use of a manual penis stretcher.

    The danger of bruising, blisters and tissue erosion are so common that the instructions that come with the stretcher devices discuss what you should do when – not if – these problems occur. If this level of injury happens to the outside of the penis, it can do similar injury to the delicate tunica albuginea where the real injury of Peyronie’s disease occurs. This is how men get into trouble.

    There are other practical problems with the stretchers. These involve common issues of daily living like wearing clothes, sitting down, working or urinating that make using a stretcher rather difficult or impossible. I guess these would not be a problem to men who do not wear clothes, do not sit down, do not work, and urinate wherever and whenever they wish. For the rest of us, the mechanical stretchers pose a real problem in the real world.

    There are other considerations about the stretcher devices. Have you ever wondered why most of the penis stretcher companies that advertise so heavily are located outside the U.S.? It could be that it is better for them to be located outside the bounds of U.S. law when it comes to customer complaints, product returns and refunds.

    Over the years I have been approached by many major manufacturers of these stretching devices, asking me to sell their products on the PDI website. When I ask a few specific questions of these people, something interesting always happens. I find that the person I am speaking to suddenly is not the correct person to answer my kind of question, and I am told that someone else will get back to me with an answer. When I do not get called back by the second person, for fun and curiosity, I call back to speak to the second person. The second person is never available, or is never in the office, and never calls me back. Never, in all the times and all the situations this has happened over the years, has anyone ever answered one of my questions. Remember, these are the people who want me to sell their product, yet this is the kind of help and service I receive. Can you imagine the help and service you would receive if you called with a problem after you spent your money?

    Did you ever wonder, if the stretchers worked as quickly and easily as the advertising says they do, why do they have to advertise constantly everywhere you go when you read about PD? There is a reason they are advertised so heavily, and it is not because of effectiveness.

    Yet, the concept of stretching soft tissue is interesting since Peyronie’s disease is a soft tissue problem.

    So, I recently completed this experimental trial that lasted a little less than two years, in which I worked with 10 men who were customers of PDI and NCMP. From this effort I was able to devise a totally new concept in manually stretching the Peyronies plaque or scar. Our results showed that 80% had moderate to marked reduction of curvature and/or scar formation, with each and every man experiencing an improvement of sexual function.

    I encourage you to visit the PDI website to learn more about this method to safely, painlessly, comfortably, and effectively reduce your PD scar, reduce your PD curvature, and improve your sexual ability in 80% of the cases. I ask that you understand that the same concepts of Alternative Medicine, logic and common sense you see throughout the PDI website also applies to the strategy and methods taught in the new PDI one-hour stretching CD.

    If, after watching the brief demonstration video, you still have questions about the procedure then just send me an email at info@peyronies-disease-help.com You know I will answer your questions.

    Bear in mind that the primary principle behind all PDI treatment concepts has always been synergy, and it always will be. Therefore, you need to understand that the PDI Manual Penis Stretching Method© is not a stand alone method.

    Manual penis stretching was used in our tests in conjunction with standard Peyronie’s Disease Institute treatment plans as an additional method to increase synergy of care. No one used just this gentle manual penis stretching technique. In each case, greater progress occurred after using the Peyronie’s Disease Manual Penis Stretching Method© than without it; each man who followed the system saw better progress from his PDI therapy plan after adding the stretching technique. It seems that the PDI Manual Penis Stretching Method© increased effectiveness of our current treatment concept in eight out of 10 in our little study group.

    Yes, Peyronies is a lousy problem and I wish I could tell you that this is a magical cure – just like the people who make the mechanical penis stretchers or the herbal products, but I can’t. Effectively treating Peyronie’s disease is still work.

    While I can report that 80% of the group saw improvement, that means that 20% did not. I came to learn that those who did not do well with the manual stretching method were those who used very small therapy plans or did not follow their plans faithfully. So, there is room for improvement with this manual Peyronies treatment method. I would hope so. We are just learning how to apply this concept, so it will be necessary to share our insights, experiences and ideas with each other.

    Please check it out. I believe you will be impressed and intrigued with the PDI Manual Penis Stretching Method©.

    Peyronie’s Disease and Sex Safety Concerns

    Safety with a curved penis

    Couples are always concerned if they can safely engage in sexual activity, especially during the early phase of Peyronie’s disease treatment.

    The short answer is, YES.   Sex is good on may levels for you as individual people and as a couple, so go for it. You can and should engage in as much sexual activity you are comfortable with and desire, during treatment and in spite of your Peyronie’s disease.

    The longer answer is, YES, but you must be careful and cautious in exactly how and what you do during sex.   Careful, gentle, non-stressful sex is certainly the safe and smart goal fore care of the erection. As the owner of the Peyronie’s curved penis, it is important to stay in control of yourself, and your partner should do the same, without becoming so carried away that you injure yourself further.  You are the only one who is going to suffer further if you bend or jamb yourself during sex, so it is your ultimate responsibility to be careful.

    If any sexual activity or position causes ANY amount of pain or distress to either of you, it should be stopped.  Pain is your signal that something is wrong.  Do not do anything further to even slightly injure your penis while you are spending all this time, effort and money trying to get well.   Figure out other ways to enjoy sex without generating a pain response, and you will do fine.

    Slow and careful does not mean dull.  It should mean more passionate sex, taking more time doing what feels good, all based on better communication between the two of you.

    Please make sure that you do not attempt sexual entry too early, if she is too dry or otherwise unprepared for intercourse.  If you usually do not need to use any external lubrication (water-based lubricant like K-Y jelly), it is simply a smart thing to start using it now. This is a vital step to prevent further injury, since a second injury could be catastrophic.

    Do not use positions and techniques in which the man does not control movement and activity.  Rear-entry sex positions are usually safer to use since they allow the man more control, but caution is still needed.

    “Peyronie’s Disease and Sex”

    The topic of sex in relation to Peyronie’s disease is immense.  When I began writing my first PD book, I intended to combine the topics of Peyronie’s disease treatment and sex all in one book.  When it became apparent how large this sex topic is, I simply decided a separate book would have to be written; it eventually became “Peyronies Disease and Sex.”

    Any questions about sex and Peyronie’s disease?   Send them along at the heading on the right column, “Ask Dr. Herazy…”

    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.

    Peyronie’s Disease and Stressful Emotions Related to Sex

    Stressful emotions and Peyronie’s disease

    Peyronie’s Disease Institute has for many years written about the various emotional issues closely associated with the bent penis disease.

    Even though Peyronie’s disease is said by some to occur in 3-9% of all men, surprisingly very little is known regarding the psychological or emotional disruptions to the sexual well-being of those afflicted with this problem. In a 2008 research project, reported in the Journal of Sexual Medicine, 2008;5:2179-2184, Smith JF, Walsh TJ, Conti SL, Turek P, and Lue T, attempted to determine the source of emotional and relationship problems in Peyronie’s disease. In addition, this study attempted to identify risk factors associated with psychosocial difficulties in men with PD.

    Of 245 men in this study, the mean age was 54.4 years, ranging from 19.4 years to 75.6 years; of these men 62% were married, and 59% presented within 2 years of disease onset. The overall prevalence of emotional and relationship problems that were attributable to Peyronie’s disease was 81% of the married men, and 54% of the unmarried men. Among those men who reported to experience relationship problems, emotional problems were noted in 93%.Loss of penile length and inability to have intercourse were strongly identified as the cause of a very high percent of emotional problems reported in this study.

    Peyronie’s disease has physical and emotional aspects

    Studies like the one mentioned above prove what every couple who deals with Peyronie’s disease knows all too well:  living with PD is not easy and it puts a lot of stress on any marriage or relationship.

    It is obvious to any Peyronie’s disease couple who must daily deal with the reality of this problem, that Peyronie’s disease can quickly and easily become a source of great mental and emotional stress to both partners.  Having Peyronie’s disease should not be seen as a reflection of a man’s self-worth, masculinity, or virility.  In all cases of Peyronie’s disease in which a loving couple is involved, improved communication skills make a great difference in how the stress is managed and how the couple survives on a daily basis.

    If Peyronie’s disease advances it sometimes causes occasional or permanent erectile dysfunction.  This inability to achieve an erection strong enough to allow for penetration is often seen as a sign of diminished masculinity by the man, and diminished sexual desire by the woman.  It is most important that every man with Peyronie’s disease takes special effort to reassurance his sexual partner that this limit of sexual function is purely physical and not a refection of reduced interest and desire.  Conversely, every woman who is involved with a man with Peyronie’s disease should assure him that his physical limit is not a true or valid reflection of her respect, love, or desire for him.

    For additional insight into dealing with the complex emotional issues between loving partners, please review “Peyronie’s Disease and Sex” at Peyronie’s Disease and Sex.   Since this topic is so large and complex, referring to the more detailed information of this book would be most helpful to couples who are experiencing sex problems as a result of the Peyronie’s  curved penis.

    Peyronie’s disease treatment: changes to look for

    Know what to look for in early 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 in 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 Peyronie’s curved penis 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.    See Peyronie’s picture of curved penis.

    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 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 the curve; 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 say “My penis is curved!”, but ignore the curve and keep checking the condition of the Peyronie’s disease  plaque.  How do you check your plaque?  Go to my book, “Peyronie’s Disease Handbook” on the PDI website,  to review information about the 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.   For some men it is complete recovery and full return to normal, and for other men it is a variable percent of improvement.

    No one can accurately anticipate or tell what level of improvement will happen even after an intense effort of Peyronie’s disease treatment.  Some of the worse cases make the most recovery, and some of the mildest problems improve the least.  You just have to do your best and do all that you can to regain your life in the best way you can.

    If you want to know more about what you might be experiencing right now with your condition, let me know.  Ask a question on the blog, and I will be happy to explain what I can to you.   TRH