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

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


    Greetings,

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

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

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

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

    How can I correct a congenital penis curvature?

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

    Greetings,

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

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

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

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

    What is the success rate of PDI Peyronies treatment approach?

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

    Greetings John,

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

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

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

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

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

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

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

    Greetings Dr. Herazy,

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

    Greetings G.H.

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

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

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

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

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

    Fix Penis Curvature

    How to straighten curvature of penis

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

    Peyronie's Syndrome

    Peyronie’s disease defies classification

    Technically, Peyronie’s syndrome is not the correct way to refer to Peyronie’s disease.  Actually, calling it Peyronie’s disease is not correct, either, but more on that later.

    First, the term Peyronies syndrome.   A syndrome refers to a group of several essential and clearly recognizable clinical signs, symptoms and characteristics of a health problem that often occur in association or together.  In the situation in which a syndrome occurs, the presence of one feature, sign or symptom would alert a doctor to the possibility a particular syndrome was present, so he/she would automatically look for other features, signs and symptoms that normally occur with it.  If those additional findings are detected, then  a diagnosis of that syndrome could be made.

    Peyronie’s syndrome is not a valid term because the characteristic Peyronies symptoms are actually too few, and they do not usually form a tightly bound set of features that suggest this particular health problem. The few symptoms and signs associated with PD are actually vague by usual medical standards. Since there are typically only three such standard features or clues associated with Peyronie’s disease  (penis pain, distorted or curved penis, and the common Peyronie’s plaque or scar), this set of presenting characteristics is not large enough or strongly suggestive of the condition, hence syndrome is not a good term to use.

    Peyronie’s syndrome is not a disease, either

    Then we come to the term Peyronie’s disease, which is not all that accurate either.  A disease refers to any condition that causes extreme pain, significant organ or system dysfunction, social problems, and even death, and is usually acquired through direct or indirect transmission or communication from one person to another.  Of course, there are many definitions and ways of looking at what constitutes a disease, but that is generally acceptable in most cases.

    Since Peyronie’s disease seldom causes extreme pain, and sometimes no pain at all, it does not fulfill that requirement.   Since the genitourinary system of which the penis is only a part continues to function, and the penis continues to carry urine and oftentimes is still capable to function sexually, it does not fulfill the requirement of loss of function.  While having a bent penis plays havoc with the man who has it, and the woman or women he is sexually active, it does not affect society as a whole, the way actual diseases like the flu or measles, syphilis, tuberculosis or alcoholism do.  Peyronie’s disease is not fatal, except to some couple’s sex life, so it also does not fulfill that part of the requirement.  And lastly, this problem is not communicated or transmitted from one person to the next; you cannot catch Peyronies.

    When referring to Peyronie’s disease it is more accurate and fair to use other terms like “condition,” or the more descriptive terms that follow in this list.  These are more clinically accurate names that have been collected and were taken from the PDI website:

    1. Indurato penis plastica
    2. Chronic cavernositis
    3. Fibrous sclerosis of the penis
    4. Fibrous cavernositis
    5. Fibrous plaques of the penis
    6. Penile fibrosis
    7. Penile fibromatosis
    8. Penile induration

    This list of descriptive terms was taken from the PDI website where the basics of Peyronie’s disease are discussed at length.  If you wish to learn more about this condition, called Peyronie’s disease, please review this additional information.  But whatever you do, do not call it Peyronie’s syndrome, OK?

    Peyronie’s Disease and How to Avoid Infidelity

    Marital stress caused by Peyronie’s disease

    If having Peyronie’s disease was not stressful enough on a relationship, it has been reported by The New York Times that more men and women than ever are cheating on each other.

    This blog article does not intend to plant the seeds of anxiety, doubt, or suspicion about an unfaithful mate, because these thoughts have likely occurred within the first hour for any every man who learns his curved penis is caused by Peyronies disease.  This blog post is offered to address that common fear and anxiety, and offer advice for what you can do to increase your ability to keep your relationship solid and strong.  So read on, since this is additional reason for men with a bent penis to be interested in improving their romantic talents and sexual skills.    In a recent newspaper article, The New York Times commented that University of Washington researchers discovered more men and women are cheating today than in the past.  What is termed the lifetime rate of infidelity is greater for both sexes; for men over 60 infidelity is now at 28 percent, up from 21 percent. The frequency of infidelity has tripled for women, with infidelity now at 15 percent.

    Apparently it is the temptation offered by the modern age, in the form of cell phones, e-mail communication and instant text messaging that allow people, including women who work at home, to create intimate relationships with those who are not their traditional partners.   Pepper Schwartz, Ph.D., author of Prime: Adventures and Advice on Sex, Love and the Sensual Years, believes women are more inclined to wander and experiment with others is because of growing independence and ease of maintaining private communication with different people.  Dr. Schwartz notes that if a person was sexually active while single or unattached, that person is more likely to be dissatisfied and roam if their current relationship develops problems.

    “If things aren’t great, they are more open to reliving some of the sexual passion and high points of their single days,” Schwartz says.

    At what point in a relationship do things become not great?  “[People] get bored or feel like, ‘Is this all there is?’ ” Schwartz says. “[The reasons] for men and women are the same: They need reassurance and they’re feeling unappreciated.”   So, notice here that Dr. Schwartz is not replying that a woman becomes unfaithful because she is not receiving adequate sexual activity, or that she is unhappy with the number of orgasms or the size of his penis.  This is an extremely important point.  It has been my observation that men with Peyronie’s disease develop relationship problems more because of how they behave on the emotional relationship or social level, than on the sexual physical level.

    Dissatisfaction in a romantic relationship usually revolves around something any man with Peyronie’s disease can always provide, in spite of a bent penis – he can always offer her respect, reassurance and appreciation.  Keep in mind that the real dissatisfaction in a romantic relationship is often more about emotional issues than physical issues.  Even when the woman expresses sexual dissatisfaction with her mate, they come to the surface only because of deeper and larger problems that are emotional in nature.  Men tend to think of a relationship more so from the purely physical aspect, while women tend to think of a relationship more so from the purely emotional aspect.  This is the wonderful, and problematic, difference between the sexes.

    A man with the bent penis of Peyronie’s disease thinks he has a problem in his relationship because of the physical problems with sex.  This is often not true.  A man would think this way, while a woman doe not.  For a woman the real issues of highest importance are the critical personal human issues of respect, reassurance, appreciation, and an emotional bond that is strong and frequently satisfied.  I have seen that if a woman is emotionally satisfied, she is far, far more likely to willingly accept her mates reduced physical limitations.

    I spend a great amount of time discussing all phases and aspects of this exact issue that arises in Peyronie’s disease between a man and a woman in my book, “Peyronie’s Disease & Sex.”  This book has saved many marriages and relationships over the years.  I urge you to read it if you are having relationship problems because of your Peyronies.

    Peyronie’s disease and romance

    On a daily basis, with so many interferences and stresses that separate a couple, romance is difficult to maintain.  However, there many easy and fun things any man with Peyronie’s disease can do, no matter how badly his penis curvature interferes with usual sexual activity.   These are five positive and pleasant steps you can take, even if you cannot engage in intercourse, that will assist you greatly to keep her interested and close to you:

    1. Spend more time together. A good relationship requires time together and alone with that special person.  Give her the attention she craves.  Go out with her to do things that you previously avoided.  Go grocery shopping together.  Tag along when she does a few errands, or to her work functions you usually avoid. Help her with some chores that you can share together.  Be a friend to her in ways that you did not see before.  Dr. Schwartz advises, “You can’t do it all, but even if you’re there sometimes, it will remind her that she’s part of a great couple instead of an individual out there on her own.

    2. Keep your relationship fresh and fun. See where you have fallen into a level of dullness in your lives, and make some changes.  While you might simply see a schedule, she might see a rut.  Eating at the same restaurant, doing the same things each evening after work, being far too predictable, or not adding variety to your lives together can take the edge off a relationship.  Even sex can become part of that predictable quality that becomes less fun and boring.  Suggest a “nooner,” then meet her back at the apartment for lunch in bed. “Rent an erotic movie, go shopping for a sex toy, buy her a sexy teddy,” Schwartz suggests. “Make her believe no one could be as romantic or as much fun as you are.”    Go to http://www.natural-complementary-medicine.com/ index.asp?PageAction=VIEWCATS&Category=7 Here you will find a few things to spice up your sex life.   With Peyronie’s disease putting limits on your sexual activity, it is important that you compensate by improving those elements of your personal and romantic relationship that can be improved, no matter how far your penis is curved.

    3. Deal with all that sudden anger. Men with Peyronie’s disease are notorious for their anger.  I will write a blog post about this problem soon, but for now let’s just agree that your temper lately has gotten out of control far too often and far too extreme.  Do not use anger as a way to avoid the problems of Peyronie’s disease.  Take the issues and problems you now face, and discuss them directly with her because she needs to know what is going on with you – your fears, your embarrassment, your feelings about your masculinity, your insecurity about your relationship with her, all of it.  Many men cannot talk about these things, so they explode.  ”Anger is like a termite—you don’t see it, but it’s eating the walls and the structure of the house you’re living in,” Dr. Schwartz says. “The house is the relationship, and if you don’t handle it, the termites will ultimately destroy that bond which keeps someone loyal.”   You did not ask to have Peyronie’s disease, but it is your decision and your ultimate fault if you allow your anger to erode your relationship.

    4. Learn how to use time. Dr. Schwartz advises that time can be used to diffuse and calm a tense situation.  “What you don’t want to do is have a fight when you’re mad. Say, ‘Look, you’re upset, I’m upset, let’s meet tomorrow at breakfast and talk about this. I’m not in the best shape to deal with it right now.’ ” Talk about your problems, sure, but only do so when you are levelheaded and in control of yourself.  If you are not, the chance is good that you will only make things worse.  Use time to work in your favor to solve your relationship problems.

    5.  Create, or take advantage of, romantic moments. Even though it can be extremely corny and uncomfortable for a man, let’s just assume that all women really enjoy those Hallmark moments:  sitting by the fireplace, reading a book together, washing her hair or doing her nails, sending her an email that tells her in simple language how much you love her, or just holding hands while you walk.  Women think of these small things as great foreplay, and that is why they appreciate it when a man holds open a door, or takes care of her in small but important ways.  Dr. Schwartz says, “The less [of these moments] you have, the more she’s thinking how it used to be, or how nice it would be to have a man offering to fly her to a cabin in the woods.”  Make sure you are the one she is fantasizing about, by creating foreplay with simple acts of consideration, reassurance that you value her, and appreciation for who she is and what she does.   “You don’t have to do it all the time, but if you can’t remember the last time you did any of this, it’s way too long,” Schwartz says.

    Even if you do not have Peyronie’s disease, these things will improve and deepen your relationship.  But if you have Peyronie’s disease these things become all the more important.  You must do all that you can to support and strengthen your relationship with her, now that one element of your physical ability to satisfy her is diminished.

    Peyronie’s disease does not destroy a relationship; it is allowed to die when the man who has PD does not understand what motivates his woman.  Wise up.

    Peyronie's Disease Treatment Success Stories – Big and Small

    Men do not like to discuss their Peyronie’s disease condition

    Each day I run into many examples of reluctance to talk about their Peyronies disease. A woman will tell me her husband has shut her out completely about his PD, and just clams up and walks away when she asks him about his Peyronies. I often write notes on the PDI order forms that go out to men when they receive their shipment of Peyronie’s treatment supplies; I ask, “Please write me a note and tell me how it is going for you.” I rarely get a reply, even when I learn later things are going great. Men send me an email, asking a question about their Peyronies treatment or something about their penis problem. In that email many of these men will often admit that it has taken them a few months to get the nerve to write to me.

    It seems that there is something in most men that they just do not like to address the problem of Peyronie’s disease – almost like by not discussing it, it does not exist. Whatever the reason, I hope that men will some how feel more comfortable using this blog to discuss their small and large successes using the Peyronies treatment ideas found on the PDI website. I trust that men will share the good news of reducing and eliminating pain in the penis or curvature, eliminating or reducing Peyronies plaque or scar material, regaining lost length, and improving or restoring sexual function.

    Please take a moment to tell others about the areas where you have had success and the things that have improved since you have begun using the Alternative Medicine treatment concepts to increase your ability to heal your Peyronie’s disease.

    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 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

    Peyronie's Disease Institute Manual Penis Stretching Method

    Curved penis manual stretching method

    A few days ago a man asked me about Peyronie’s treatment using the Peyronie’s Disease Institute Manual Penis Stretching Method.  He is one of those who has been using a Peyronie’s treatment plan from PDI for a few months, with only slight success at this point, and added the stretching program to his plan in early October so he could get faster results.   He said he thinks there has been some small change in his Peyronie’s plaque and curvature, but wants to do more with the stretching concept. So he described how he is doing his Peyronies stretching, and asked my advice.

    What disturbed me was that, because he spends many hours a day at his computer, he said he stretches his penis curvature while working on his computer.  I advised him not to do this.  If you carefully listen and watch the penis stretching video you will see that light touch and gentle stretching are continuously emphasized throughout the video program.  It is necessary to constantly think and pay attention to what you are doing so that this is done correctly.  You must pay attention to the immediate response of the tissue to the gentle stretching that is being applied.  In order to be really effective as every man would want it to be, this kind of Peyronies treatment is not something you do while multitasking.

    For successful Peyronie’s treatment, and to reduce the Peyronie’s disease plaque with manual stretching, you must have your mind on what you are doing.  Set some time aside a few times a day, at least 15 minutes each time, to stretch the plaque or scar material.  If you can find more time than 15 minutes, great.  Some men tell me they spend over an hour at a time while watching TV – now that is the kind of multitasking that will work in a Peyronies treatment plan.

    To learn the PDI manual penis stretching method, it must be demonstrated; it does not lend itself well to written or oral instructions.  If you want to know more about this process, and see some still pictures of what this stretching Peyronies treatment looks like, and a 30 second YouTube video that shows some clips from the actual penis stretching CD, go to Peyronie’s manual penis stretching

    Of course, men with Peyronie’s disease know about the dangers of mechanical penis stretchers, since this site has written about this many times.