Is it best to take Neprinol on an empty stomach?

Hi Dr. Is it best to take neprinol on an empty stomach ?

 

Greetings,

Yes, it is best to take Neprinol at least 90 minutes before or ninety minutes after you eat.

If you are only taking Neprinol as a Peyronies treatment you are likely making a mistake.   Neprinol works best when taken as the primary component of a larger aggressive treatment plan.

You are also making a mistake by buying your Neprinol from people who do not know about Peyronie’s disease and cannot guide you and give you advice for care.  When you purchase Neprinol form PDI you will be given a great amount of information that will tell you how to use this product – and all the other products you will need to take  –  correctly.   Our prices cannot be beat and out PD help is second to none.   TRH

Peyronie's treatmet using compression

Greetings Again and Happy New Year, Dr. Herazy …

Thank you once again for your helpful reply.

While discussing further options to mitigate my Peyronie’s with my urologist today, he shared that a colleague had successfully treated a Peyronie’s patient with PRP (“Platelet-Rich Plasma”) injections …. which you may readily recognize as the treatment administered successfully to Tiger Woods about a year ago for a knee injury. My urologist, though, hastened to advise me that this procedure is clearly experimental, non-FDA approved, and not covered by health insurance. Anyway, I was wondering if you’ve heard of this procedure as a Peyronie’s treatment; and, if so, what are your thoughts, concerns, cautionary advisories, etc.?

Also, speaking of non-conventional Peyronie’s treatment regimens, I read something recently about the use of “compression”, whereby the penis is rubber-banded in the area of curvature with the intent of breaking up the plaque. I believe this procedure had been tried with some success in India or elsewhere in SE Asia. Have you heard of such a procedure?  Is there any basis for the possibility of plaque being mitigated by a compression technique …. be it rubber-banding or other like technique?

Thank you for weighing in on the above.

Phil

 

Greetings Phil,

Give me a little time to investigate PRP and I will get back to you.

Compression of the penis, because it is such a soft mass of tissue, would work like a tourniquet to greatly reduce blood circulation to the point that significant tissue injury could occur – leading to more Peyronie’s disease.   In fact, many men who have used a device known as a “cock ring,” that is designed to block blood flow in the penis, have reported that they developed PD afterward.  This is a dangerous idea when applied to the penis that i would advise against.  TRH

Have you any knowledge about serrapeptase or nattokinase for Peyronie's treatment?

Hi, I just ordered your massage CD.

Have you any knowledge on the product serrapeptase or nattokinase?

They are in a category of systemic enzymes which are fibrolytic — fibrolytic enzymes break down fibrin and reduce or prevent scarring. Examples of these are serrapeptase and nattokinase. So, more precisely, could a fibrolytic enzyme like serrapeptase possibly reduce the fibrosis in the penis?

Best to you,

Michael

 

Greetings Michael,

Certainly.  Since 2002 PDI has advocated the use of the fibrinolytic enzymes, nattokinase and serrapeptase to treat Peyronies disease.  You may learn more about them here Enzymes (Neprinol, Nattokinase and Fibrozym) for Peyronie’s Treatment.   TRH

 

I need real complete information on what Peyronies treatment to use

I have a minor nodule on the forward 1/3rd of my penile shaft. It causes a twist up and mostly to the left when erect. I have been taking two 400 vitamin E caps a day and essential oil application once a day.  My Dr. suggested using the vacuum cup but I’m not convinced that this product is affecting the source of the problem. After reading some of the blogs here, I’m seeing that there’s more meds or supplements involved that may or may not have real effects on my condition.  I need real, complete info on what peyronies treatment regimen I need to adopt to affect a positive result. Your opinions/suggestions please.

Ralph
age 67

Greetings Ralph,

You need to spend some time reading the PDI website to educate yourself in this method of using Alternative Medicine to increase your ability to remove the Peyronie’s  plaque or scar from your shaft.  We have literally over 500 of pages of information telling you how to help your Peyronie’s disease.  I suggest you start at least with these few pages from the PDI website:   Start Peyronie’s Treatment and Dosage for Treatment of Peyronies Disease There are many others that you can use to get grounded in Alternative Medicine treatment, but these two are a good start. 

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

Will a combination of Neprinol and vitamin E be effective for my Peyronie's disease?

Do you think that a combination of Neprinol and vitamin E will be effective in helping my Peyronie’s disease?

Greetings,

There is no way to tell ahead of time if any Peyronie’s treatment plan will be effective.   No matter what plan you start with, it is always a guess to know at the start of care if it will help.   The eventual treatment plan a man uses to eliminate his PD is determined by its ability to influence the PD scar.  Each person has different needs, and this prevents one treatment idea from being the solution for everyone.    It is necessary to evaluate the effectiveness of any plan by looking for changes in the size, shape, density and surface features of your scars while you following your treatment.   You can start with any type of plan you believe might help you, but it is the response of the  scar tissue that guides and determines type of therapy that is used and at what dosage.

Your question tells me you have not spent much time on the PDI website.   You really should go over the PDI home page and follow the links you will find there.  If you are interested in recovering from your PD it is a great way to get an education how Alternative Medicine can be used to increase your ability to heal and repair the Peyronie’s plaque that is causing your bent penis.

Using Neprinol and vitamin E is a small combination that is far too limited to reach into the problem of Peyronie’s disease.  I have never heard of anyone who used this combination and got results.   As an example, if you look at the PDI small plan you will see there are seven different ingredients in that plan – and it is called small.   I am fully aware that many men can have financial problems that limit the amount of therapy they use, yet these same men also want a Peyronie’s treatment plan that gets results.

You see, it is not really what I think about using Neprinol and vitamin E that is important.   All I can tell you is that no one has ever told me that taking only these two therapies has helped his PD.    Usually, the plan must be larger to be effective.   How large does your plan have to be?   I don’t know.   You have to figure that out for yourself while you are working with your problem.  I suggest you start here  Start Peyronies treatment  to  learn how this is done.   TRH

Can my urologist prescribe PDI Peyronies treatment so my insurance covers it?

Can my urologist prescribe products from your catalog so my insurance covers it?

Greetings,

While your idea makes a lot of sense, you must realize that insurance companies do not make decisions based on what makes sense; they decide based on popular medical thinking; insurance company policy is dictated by standard medical ideas.   Your urologist can prescribe anything he/she wants to do, however that does not mean your insurance company will have to pay for it.  Insurance coverage does not work that way.

Using nutritional therapy products to increase your ability to heal and repair the Peyronie’s plaque might make a lot of sense to you and me, it is not standard medical thinking.   Standard medical thinking is to allow the curved penis caused by the Peyronie’s plaque to get so bad that it is treated by a $30-40,0000 Peyronie’s surgery.  Rather than attempt a brief therapeutic trial of natural vitamins and enzymes over 3-4 months that might cost less than a $1000, the insurance company would rather spend a lot of money to cut on a man’s penis and run the risk that it could make his problem worse.

I suggest you talk to your urologist to see if he would be receptive to your idea.  Who knows?   It might happen that you get lucky with your insurance company, and you get your Peyronie’s disease treatment reimbursed.   Strange things happen.   Let me know how it turns out.  TRH

Would Neprinol work on my Peyronie's disease?

Hi,

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

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

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

Thanks.  Any suggestions would be a great help.

Greetings,

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

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

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

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

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

What is the best Peyronie's treatment?

Hello,

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

Greetings to you in Dubai,

I am sorry to learn about your problem.   

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

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

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

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

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

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

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

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

Question about Whey Protein Supplement and Peyronie's treatment

Hello Dr. Herazy,

I avoid mild and eggs and soy products so that I can further help my body heal my Peyronie’s issue. However, I enjoyed the body building benefits of these foods and now I am in search of a body building product that will allow me to increase my protein intake. Most of these kinds of products include milk, egg, and soy. I used to use the Gold Standard 100% Whey Protein but, alas, it contains milk, egg, and soy (lechitin). Is this Whey Protein product as harmful to me as I think or can I go ahead and use it as a protein supplement?

 

Greetings,

I suggest you use a small amount of your Whey Supplement powder to determine what effect, goodor bad, it might have on the size, shape, density and surface features of your PD scar.  TRH

How high can I increase each product beyond the instructional use to see improvement?

I ordered your medium plan.. I was just wondering in relation to the sulfur, Fibrozym and Nattokinase is better to take each one of these separately at different times of the day or should I combine them for better results..I’m cautious to combine because one might negate another’s effectiveness. Also under the instructional dosage I have had limited results.   How high can I increase each product beyond the instructional use to see improvement?

 

Greetings,

Each therapy product should be started at the dosage recommended on the label, just as you were instructed by the various papers that came with your order.   If that dosage, when combined with the other therapy products in your plan, proves to cause your PD to improve you simply continue to stay on that dosage until your scar is absorbed by the body.  If that dosage, however, has no positive or beneficial effect on your Peyronie’s disease, then the dosage is slowly increased according to the directions sent to you when you placed your order.  Men usually do not have to go very high to see positive changes, and seldom near the upper end of safe dosages since they are combing other therapies.  The most common problem from taking a higher dosage following the PDI plan is that of nausea or diarrhea, that is usually mild and easily controlled.  

You can take your MSM (sulfur) product at the same time you also take your Nattokinase and Fibrozym.  No need to separate the time you take them.   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

Herbal products to help with ED associated with Peyronie's disease?

I believe I got PD using ED drugs been married 30 yrs & need some erection help. Have stopped using the drugs, can you suggest something herbal I can use to replace them. Thanks Dave

Greetings Dave,

What you report is rather common.  I have communicated with hundreds of men who tell me their Peyronie's disease started after using PDE5 inhibitor drugs (Viagra, Cialis, Levitra); this can happen after just one use or repeated uses.  For more information see Peyronie's disease and Viagra, Levitra and Cialis and Peyronie's treatment and Cialis.

If you go to the PDI shopping cart and scroll about 3/4 the way down until you see BetterMAN and about 5-6 other sex stimulant products. The most important of the group is a product called Stimulin. You would definitely want to include Stimulin with whatever else you use.  

All of these herbal products are much more gentle than your drugs and will not worsen your PD problem.   Many men use them while undergoing their natural Peyronie's treatment plan.  TRH

What is a good vitamin E for Peyronie's treatment?

I was diagnosed with Peyronie's several years ago and my doc told me to take Vitamin E. In a few weeks, the symptoms cleared up. My problem is that I've developed PD again, have seen another urologist who also suggested Vitamin E. The PD seems much worse this time around. My question..if I choose to simply take Vitamin E, can you recommend the exact(and very best) brand, dosage, etc. I'm still sexually active, but it is affecting my sex life and is very stressful. Any help you might offer would be greatly appreciated. Also, I have read/researched at great lengths on your site and may return if you cannot offer a possible solution based upon the info I've provided. Thank you very much, Bobby

Greetings Bobby,

Sorry to hear of your Peyronie's problem.

Vitamin E is one of the cornerstone Alternative Medicine therapies recommended by PDI.  You can read about using vitamin E for Peyronie's treatment on the PDI website.  However, it is not all that is usually needed to recover from this problem.  So often it is required that a man assemble a group of therapies to take all at the same time to finally increase the immune response of the body against this problem.

PDI has a shopping cart from which you can order a great vitamin E product that we have used for over ten years.   Feel free to contact me if you have additional questions about helping yourself with natural therapy.   TRH 

Cost to continue the large or best Peyronie's treatment plan?

Dear Dr.Herazy I have a question. 

I purchased the video of the stretching of the PD from you and would like to purchase the large plan but this has also comes with the video. Can you sell it to me without the video and give me some credit?

Also for how long last the products for the treatment? How much is the additional monthly cost to continue the treatment for one year?? My Urologist put me on pentoxifylline and I taking it already for 2 month but I have seen no improvement. I would like to try your treatment. Thank you.  Please let me know.  Mr. Jetter

 

Greetings Mr. Jetter,

The gentle PDI Manual Penis Stretching CD is not the same video that is included in the large or medium plan; they are two different videos.  The large and medium Peyronie's treatment plans have the Massage & Exercise video that is different than the stretching video.   To follow the large or medium plan you would still need the Massage & Exercise video. 

When you order the large Peyronie's treatment plan you will never have to purchase the Genesen pointers or the Massage & Exercise video again,so they are a one-time expense.  Also, because you will use such as mall amount of PMD DMSO, Super CP Serum and Unique-E oil for each application, most men only order these three therapy items once every three months or so.  The other items (Vitamin E 400/400, Maxi-Gamma, MSM, Nattokinase, Fibrozym, etc.) are usually reordered every 4-6 weeks, or so.  I estimate that the average man spends about $95-$115 each month resupplying his large plan.  This is just a little more than the estimated $90-110 monthly cost to resupply the medium or better PD plan.  

Please let me know if I can help you during the course of your treatment.  TRH  

 



Questions about the Large (Best) Peyronie's treatment plan

Dr. Herazy,

I just ordered the BEST plan from your website. I know there's no way for you to know my exact condition, but do you recommend how many BEST plan I should purchase to stay aggressive. I'm concerned about the cost. I might only be able to purchase this one once.  Thank you for your help.


Greetings,

I think you misunderstand about the best or large Peyronie's disease treatment plan, and probably all the other plans. 

You only need to purchase the large or best plan once. After that first purchase you will only have to repurchase what you have used – not everything. 

You will never again have to purchase the Genesen pointers or the Massage & Exercise video.   You will likely only use the PMD DMSO, Super CP Serum and Unique-E oil once every three months or so.  The other items (Maxi-Gamma, MSM, Fibrozym, etc.) you will restock as you use them, about every 4-6 weeks.  I estimate that the average man spends about $95-$115 each month resupplying his large plan.  This is just a little more than the estimated $90-110 monthly cost to resupply the medium or better PD plan.  

Please let me know if I can help you during the course of your treatment.  TRH  

How about using ultrasound as Peyronie's treatment?

What are your thoughts on using ultrasound technology to treat minor Peyronies scaring?  Thanks


Greetings,

After reading a little about using ultrasound physiotherapy to treat Peyronie's disease I was not sure I was getting a full or accurate explanation about treatment results and effectiveness.   for this reason I contacted two of the largest manufacturers of ultrasound equipment for their opinions.   Neither could say it has been adequately tested or proven to work, and suggested that if I wanted to use it I should be the one to do the research for them. 

In view of this lack of interest and lack of clinical background using ultrasound for Peyronies, I have not pursued this subject further.  TRH

Would you like me to send you pictures of Peyronie's disease?

Dr. Herazy,

I am not concerned with sex right now and I have no pain, except I have depression from my Peyronie's disease.

It seems I have only two problems. 1) a failure in the integrity of the wall of my penis on the left side. This is at a specific point rather than so much at a curve, even though that is there also when it is more erect. My penis doubles over to the left because of the failure in the shaft wall when not erect. 2) When erect my penis wants to hug the trunk of my body towards the left side.

Would you like me to send you pictures?

 

Greetings,

it is very common for men with Peyronie's disease to feel depressed for a variety of reasons.   For many men this depression arises from the (false) idea there is little you can do to help yourself with your Peyronie's disease and that your life will never be the same.  I suggest you begin spending more time reading and studying the PDI website to overcome this feeling of helplessness that seems to come from the idea that no drug has been found to help PD.  You need to know that the body reverses and corrects PD in a fair number of cases, and for this reason your energy should be focused on increasing and supporting your natural ability to overcome your PD.   Once you understand there is a lot you can do to increase your odds for self-repair and learn more about Peyronie's disease you will feel less scared and depressed.   Once you begin to actually do something to improve your physical condition you will feel empowered and in control of you situation.

There is a great technique I use to help men with their depression, called EFT.   Please go to the PDI website to the page about using EFT for distressing emotional states.  I have worked with many PD men using this technique and the results are often rapid and gratifying. Contact me directly for an EFT session when you are ready to feel better. 

What you describe as a failure of the integrity of the wall of the wall of the penis on your left side is not at all uncommon for men with PD.  This is commonly called a ding, dent,, hinge or pivot.  It can be caused in one of two ways, or a combination of both.  The first is by the abnormal internal tissue tension or pulling from within the shaft by the fibrous PD scar located in the tunica albuginea.  The second is by leaky veins within the shaft that do not close completely because the presence of the PD scar.  You can think of the PD scar acting almost like someone putting his foot in the doorway and preventing door from closing.  In PD the scar prevents the veins from closing, thus no pressure is built up within the shaft.  Without trapping of blood in the shaft the needed hydraulic pressure never develops to create a completely strong erection.  This can happen in just one small area of the shaft that creates the small dent in the side of the penis.   

Your left leaning erection is probably related to both the scar and weak erection on the left side of the shaft. 

There is not any need to send pictures at this time, since PD treatment is not based on the distortion or curve of the shaft.  Treatment is guided by the size, shape, density and surface features of the PD scars that create the distortion.   You must develop an exact knowledge of these characteristics in order to help your PD.   Once you reduce your scars, you will improve the distortion pattern that  bothers you so much.  This physical improvement will greatly help your sense of depression. 

So, i suggest you get busy.  Please get started with a reasonable Peyronies treatment plan that you can find on the PDI website.   If you need help with this, please let me know.  TRH 

Can masturbation cause Peyronie's disease?

Dr. Herazy, I know you are a busy man, but if you can recommend something specifically for me, then I would greatly appreciate it to boost my confidence. I struggle with a very black depression from my Peyronie's. Here is my status: when not erect my penis is just fine/when about 30% erect I have the beginning of an hour glass shape/when about 70% erect the curve is on the left side/when fully erect it hangs to the left and has a curve on the left side. Also, question: can masturbation cause this to have happened? Thank You

Greetings,

If you are like most men, i believe the primary reason you are so depressed is that you do not realize how much you can actually do to help yourself recover from PD.  A large part of your emotional state is due to feeling helpless and depressed, and these start with not understanding Peyronie's disease.  Therefore, once you begin to learn more about the problem you will feel less scared and alone, as many men do with PD.  Once you begin to actually do something to improve your physical condition you will feel empowered and in control of you situation.

There are three things you can do right now to help yourself:
1.  Go to the PDI website to the page about using EFT for distressing emotional states.  I have worked with many PD men using this technique and the results are often rapid and gratifying. Contact me directly for an EFT session when you are ready to feel better. 
2.  Get my book, "Peyronie's Disease and Sex" to develop a better understanding of yourself and how women relate to your condition.  Men usually make their situation worse by assuming that women will automatically reject a man who has PD; this is often not the case when the man knows how to effectively manage his sexual problems.  This book can help you in this area.   
3.  Get started on the most aggressive Peyronies treatment plan you can sustain for a few months to hopefully begin to make positive changes in your physical condition.   As part of your PD education you should read, "Peyronie's Disease Handbook."  

Masturbation, by itself, will not cause injury that can lead to Peyronie's disease.  However, very rough or physically abusive masturbation practices can cause injury to the tunica albuginea that leads to PD.   All masturbation to be safe should be as gentle and well lubricated as sexual intercourse.   TRH 


Does this Peyronie's treatment really work?

Dr. Herazy, I am 43 years old with this condition. It sucks my erections are not as good as they used to be. I have also lost some of my length and width. The curve is upward,it has been 3 years now and I need some aggressive treatment that WORKS…REALLY WORKS….BOTTOM LINE DOES YOUR TREATMENT THERAPY WORK… AND CAN IT REALLY HELP ME. I am taking Peyreton at the moment and really questioning the herb. I do not feel its doing anything. If you can help please respond.


Greetings,

If you think about your basic question and what you are asking of me, I cannot respond either way.  No one can know ahead of time if any valid treatment will help any health condition.   You are asking for a guarantee, and I cannot do that for you; no one can do that for anything in life. 

No doctor can say that any blood pressure medicine will work, no surgeon can guarantee results, and you will note that not even the makers of aspirin can guarantee results.  Your request shows me you do not understand the Peyronie's treatment concept that is taught on this website. 

What I can tell you is that I receive anywhere from 10-12 emails and phone calls telling me of positive results and good success reducing the size, shape, density or surface features of the PD scar and subsequent improvement of penile curvature for every one email or phone call saying there is no progress under the PDI treatment. 

I can also tell you that the way you ask your question, "…can it really help me" is asked as though you want me to take the responsibility for your recovery and you are somehow not involved.  That is not the way this treatment works.  With the Peyronie's treatment concept you find on this website I offer ideas and suggestions to increase your ability to heal and repair the Peyronie scar, and you do the work.  You must take responsibility to learn, to understand and to apply these concepts to increase your ability to heal the PD scar; it works well for a high percent who work aggressively and diligently.  I have no way of knowing how you will apply what I teach, so I cannot guarantee any results for you.  

You bought your Peyreton because of the wild promises you read in their ad.  Not only did they guarantee you results from one or two bottles of their product, they made it sound as though the treatment is as easy as popping a few magical herbs and if it did not work they said you would get your money refunded to you.  Good luck with that one.  Over the years I have tried to communicate with the makers of Peyreton and I have yet to receive a single response from them.  I have offered to sell their product on my website if it is as good as they say, and they ignore my requests for information about their product and their company.  Many dozens of men have communicated with me over the years who say they got no help from Peyreton and were cheated on the promise of a refund from this company.  You should have known better.  I cannot make any promise to you because recovery from Peyronie's disease is never easy, it is never as rapid as anyone wants, and not everyone does it the right way.  You seem to want things easy and fast and guaranteed, and I cannot do that for you.  Your request for a guarantee suggests you do not understand the treatment concept that is taught on this website. 

if you want help getting over your PD I suggest that you spend some time reading about how this works for a lot of men.   If you really want to recover you will do this and you will contact me if you have questions.  Here is a good page to get started.  Just read the entire first page to get a better idea of how this Peyronie's treatment really works; you might even click on a few links that interest you. You will find that I will do all that I can to help you do the work of recovering from PD to the best of your ability.   TRH

What type of Peyronie's treatment should my husband try?

Dr. Herazy,

My husband has been struggling with accepting he has Peyronie’s disease.  The purchase of your book has really helped inform us about this disease. He is also a diabetic. What type of treatment should he try to help with his condition? He has not tried anything yet due to the fact of feeling like there is nothing that can be done or that will work. His case does not seem to be severe. We would appreciate any advice/support.
 
Thank you!

 
Greetings, 

Your husband should start with the most aggressive therapy plan he is comfortable following so he will get the best results possible. If he is inclined to want to do everything possible to help himself, then perhaps he 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. 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.

For a starting point for treatment, go to Peyronie’s treatment help starts here.

However, there is a larger issue, isn’t there? If he has taken the word of people who have played with using vitamin E for their Peyronies, or dabbled with taking Neprinol, and found that their results were not good, then he is in trouble. So many people love to get on the Peyronie’s disease forums and write, “I tried PABA (or something else), and it did not work. Nothing works!” I know from many hundreds of cases I have dealt with each year since 2002, that when someone writes something like that they have not gone about their treatment in the correct way. Using a single therapy is not the way to get results with PD. Their lack of good results is not surprising.

We are not conducting formal research, nor is it possible to collect meaningful research data based on the way that I have no way to monitor how people are following their plans. What I can tell you is that I receive 10-12 phone calls and emails telling me of Peyronie’s progress and improvement, for every one phone call and email I receive saying nothing is happening. That is a good rate of success. When I learn what these men who say they are not progressing are actually doing, it is easy to understand their lack of progress.    

If your husband is waiting for some Peyronie’s treatment that comes with a guarantee, then he is in for a long wait. No PD treatment works all the time or works well in every case.

It could be that he is in a state of depression and denial about having Peyronie’s disease. If you think that might be the case, please suggest to him that he calls so I can speak to him. I will be happy to do what I can to help him.   TRH


Can I treat Peyronie's disease after 16 years?

I have had PD since I was 57. I am now 73. Is there anything I can do at this point or has the time for treatment passed?


Greetings,

Yes, there is a lot you can do and this might make you feel good about yourself for the first time in a long while.

From my experience in working with men who have Peyronie's disease, most stop looking for information and help after just a year or two.  These men are defeated by the negativity they encounter on most Peyronie's forums.  The great majority of men who contact PDI for assistance have had their problem for less than five years.  Occasionally someone will contact me who has had PD for 10 years.  The longest standing case I have worked with previously was 12 years old.  Your 16 year old case of PD puts you in a special category.

While working with these men whose problem is older than average, I have always been impressed with the ability of the Peyronie's plaque or scar to still respond favorably.   As with those whose PD is still in the common five-year range, the response to Alternative Medicine treatment still seems to be in direct proportion to the aggressiveness and faithfulness of care provided. 

There is no way for me to predict or anticipate how anyone will respond to non-drug and non-surgical Peyronie's treatment.  I think the healthiest and fairest way for you to approach your decision if you should attempt treatment is to first learn what is involved in the Alternative Medicine approach to recovery from Peyronie's disease.  Then decide what is a reasonable length of time you should be willing to devote to an aggressive and faithful program of care; maybe 4-6 months.  If it all makes sense to you, then begin care with the attitude that you will do your very best.  

After so long living with this lousy problem, I commend you for not being beat down by all the negativity and hopelessness that surrounds Peyronie's disease. 

A good place to begin learning about this unique PD treatment is start Peyronie's treatment.   Let me know if I can assist you in any way.  TRH

Is it possible for the Peyronie's scar to be that small?

Hello,

Please allow me to explain what's going on with me and advise on if I should proceed with treatment.

I've been having painful erections for 6 months now. It was an immediate progression and the pain has not subsided at all. It begins as i'm getting erect and the pain is quite substantial for the first few minutes after which it subsides quite a bit. There is additional pain when I squeeze/flex it…like you would if you tried to stop peeing midstream. This leads me to believe that it's something with the blood stream. The range of motion is extremely limited and is very painful whenever it's moved too much. I'm now at the point where i'm not getting as hard as I used too and part of it is a mental block because I know it's going to hurt. I haven't been able to achieve a full hard erection on my own for a couple months now.

I've gone to my general practitioner and a urologist and left without a resolution. I've searched tirelessly for an answer and peyronie's is the only thing that even remotely fits my symptoms. I've been checked for STD's, did a urine and blood sample, and everything checked out. My hesitancy with the diagnosis is I have no deformity with my penis and I'm unsure of any plaque buildup. There is a very small hardness in the center of my penis when flaccid that is a little painful when I press it. I would relate it to the size of the tip of a ballpoint pen. But it's not rock hard because it still feels somewhat squeezeable. Is it possible for it to be that small?

Could I be in the beginning stages and still feel this much pain? Is it safe for me to treat myself as if I have it to see if works? I keep reading about where this could lead and it's quite scary. My experience with traditional doctors has been very frustrating and expensive. The urologist didn't even consider peyronie's until i mentioned it but both doctors checked for it and neither felt any buildup. He said to take some vitamin E and that should fix it. I've been taking an extensive amount for 2 months now and nothing has changed.

'm 32 years old and in great health with an active sex life. I'm extremely concerned with these issues and i feel completely lost in finding a solution…please help.

 

Greetings,

Your story creates a picture of some poor care. 

First some basics about a few statements or observations made about Peyronie's disease in general and your situation in particular.  I will just respond back to what you have mentioned:

  1. Peyronie's symptoms can be rather variable from one man to the next.  You are having more pain, and more consistent pain, than most men experience with PD, but that does not mean it is not PD.   Some men have no pain with their PD condition.  
  2. Not having the advantage of having examined you, I can only speculate about the source of your pain.  My educated guess is that it is not coming from a blood vessel but from the PD scar pressing on the tunica albuginea and another layer of penile tissue called Buck's fascia which is rick in pain fibers.  If you had constant pain, or if your pain coincided with your heart beat I would then consider it could be related to a blood vessel.  Both of these tissues I mentioned could be irritated and stimulated enough to generate pain when being squeezed.
  3. You say you left two medical offices without resolution, meaning they did not come up with the diagnosis of PD.  What did they speculate could be your problem.   Did they just leave you hanging with no ideas, no follow up?  So it is you who has come to this possible conclusion of Peyronie's disease on your own after doing some reading on the internet.  The fact that you mention your blood work was negative makes a case for not having a serious or life threatening problem going on, my speculation is that this supports PD as a possible diagnosis.  Personally, I have to suggest that you go to a third doctor to see if you can find a doctor who will take your problem more seriously than the first two.
  4. Peyronie's disease does not always cause a deformity, especially as early i the problem as you could be at six months duration.  Do not expect all cases of PD to demonstrate deformity, or to have it so soon; some do, and some do not.
  5. The small area of hardness you feel when flaccid that is the size of a ballpoint pen tip, could be your PD scar.  Did you show the MDs this area?  What was their response?  Many times a rushed medical examination will miss a small lesion like this.  You should have shown it to both of them, and demanded more time and attention to your problem. 
  6. Not all PD scars are rock hard. Some are so soft as to be almost undetectable.  This is why so many are missed on examination.
  7. Yes, you could have this much pain in the early stages of your problem.   It is amazing to me that you could have seen two doctors about your PD and not have been given this basic information. 
  8. Considering you were told you have Peyronie's and they only extended vitamin E as a treatment option, it is up to you to determine how you wish to proceed.  It is also up to you to determine the safety and appropriateness of undergoing a therapeutic trial of care for Peyronie's disease using Alternative Medicine  I cannot make that judgment; you have to take that responsibility for yourself.   I have had many men take this approach and were glad that they did.
  9. The PDI website is full of information for you to read and learn.   I suggest that you go the PDI and look at this link to learn how to start Peyronie's treatment if that is what you decide to do.  

Good luck to you and let me know if I can answer any questions as you look into this further.    TRH

Will either of these treatments also help with energy?

Will either of these treatments also help with energy? I am  thinking of ordering the Best Plan because of the curve.  My erectile dysfunction is really bad without taking a pill.

Greetings,

You did not mention any Peyronie's treatment in particular to know how to answer your first question. Since all metabolic processes in the body require the use of vitamins and minerals as found in all of the PDI therapy products I am sure you could say that using any of our plans would be helpful for energy conversion in the body.

The PDI Best plan is becoming our most popular of the three because it is so broadly based and aggressive in design.  It does not cost much more than the PDI Medium plan to resupply every month since the greater cost of the PDI Large plan is due to the one-time expense of the Genesen Acutouch therapy pens.  

Many men with PDI fall into the trap of erectile dysfunction since there are so many emotional issues related to dealing with PD.  Additionally, the Peyronie's plaque is notorious for disturbing the ability of the penile veins to close, and thus prevent blood being trapped in the penis as it should to create an erection.  

Let me know if I can help you in any way with your Peyronie's therapy.  TRH                                                                                   

Start with the large plan and other Peyronie therapy later?

Dear Dr Herazy,

I have had PD for about 9 months and I am about to start the full PDI therapy programme, based on the advice you give in your book “Peyronie’s Disease Handbook”.  I received the PD Treatment Plan-Large, but I now notice that some of the recommended supplements were not included: Acetyl-L-carnitine, PABA, Neprinol, etc.

Can I assume that you recommend getting started with those supplements in the Large Plan and add others later?

Thanks Peter (based in France)

 

Greetings Peter,

The large Peyronies treatment plan does not include all available therapy items that could be used.  There are 12 different forms of therapy contained within the large plan, and as you correctly point out there are several that are not included. There are several reasons the large plan is limited to these particular therapies:

1.  Additional therapies might not be needed beyond what is in the large plan.  Many men do quite well on the large plan just as it is, and do not need to spend more time, energy and money using more therapies than these current 12.

2.  The wide variety of therapies in the existing large plan allow for enough opportunity to experiment with treatment dosage to take several months of active work.  If the large plan provides insufficient, then there are additional therapies to include at a later time for further experimentation.

3.  The large plan is time consuming to use as it is currently designed.  Making it larger would only place an unreasonable burden on men who might not need to spend additional time and effort taking an even larger number of pills.

4.  The large plan is expensive at the current level.  Expanding the number of therapies would only prevent men from affording the higher cost of entry.

Stay focused with that large plan; you will be busy.   TRH

Do you think using vitamin E by itself will help my Peyronie's disease?

Greetings Doctor,

My urologist recommended taking 400 I U of vitamin E daily when he first told me I had Peyronie's disease, although he was not too specific about the quality or type of vitamin E I should use, or anything else for that matter.  Before he ran out the door he did not say what the next step would be if that did not help me, but he did stress that I should return in six months for another visit. 

Thank you for the helpful information about vitamin E on your Peyronies website.  At least I know now how to do it, and I will get mine from you so I know I will be taking the best vitamin E for this purpose.  I will try my doctors recommendation of just using vitamin E by itself and keep my fingers crossed.  Do you think using vitamin E  by itself will help my Peyronie's disease?   Paul

Greetings Paul,

No, I do not.  Vitamin E for Peyronies treatment is great, but it needs a lot of support from other kinds of therapy to get the job done.  And finger crossing has nothing to do with successfully treating your Peyronie's disease.  

Success is based on hard work, determination, dedication and focus to a broad based Alt Med plan that will increase your body's ability to heal and repair the Peyronie's scar.  I suggest you do all you can during these next six months to learn about your PD and the process of natural correction. The PDI treatment protocol has a high degree of success when it is done correctly.  The problem is that many men try to bastardize the PDI treatment protocol to save a few bucks, or is too lazy to do what is required, or is always looking for the easy way out.  I trust you are not that way.

Go ahead and follow your urologist's idea of using vitamin E as a solo therapy.  I have never heard of anyone who has been successful with this idea – and neither has your urologist.  He is just telling you to do that because that is what the text books tell him to say and he cannot get into trouble for repeating what is accepted current medical thinking. What is probably on his mind is that at your next office visit in six months he will be able to follow the same current medical thinking and tell you that you need Peyronie's surgery because the vitamin E did not work. They have a great thing going for themselves. 

I suggest you spend a little time on the PDI website educating yourself about the non-drug and non-surgical treatment of Peyronie's disease.  If you need any more information please let me know.  TRH     

 

 

If you miss a treatment dose does it matter?

Hi Doc,

If you miss a dose with either a therapy product that should be taken with a meal, or 1-2 hours before or after meal, does it matter?  Can you make it up?

Thanks for all your help.  

Bud

 

Greetings Bud,

Sure it matters. Can you make it up? No, not really.

So don’t forget.  That is what I mean when I say, “Stay focused.” You will get out of this what you put into it.

It does not take too long to learn that following an aggressive Peyronie's treatment plan is work, and it can be boring.  believe it or not, this is what makes some men so down on treating their PD that they quit after a few weeks.  Do not be one of those men.  TRH 

Should I add Neprinol to my Peyronies treatment plan?

Hello doctor,  My bottles of Fibrozym and Nattokinase from my first order are almost finished.  I am already beginning to see my scars getting smaller and softer so I am really encouraged.   You had recommended replacing these two with Neprinol when I reorder my other therapy products.  Is this the best time for that order of Neprinol, or should I reorder Fibrozym and Nattokinase and also add Neprinol to my plan.  Thanks,  Larry

 

Greetings Larry, 

You are very early in your care and you are already seeing some positive changes, so I will assume that more change and progress is possible once you determine the best therapy plan for your particular problem.

Everyone must work to figure out what is the best therapy plan for himself.  I suggest you should think about doing this, based on your response to your current strategy: try using only Neprinol for awhile, and see what happens.  Experiment a bit and see what happens. 

Take the Neprinol in a slowly increasing dosage based on the general information you receive when you order from PDI. If taking Neprinol as the only enzyme therapy causes your positive changes to regress or slow down, then it is a mistake and you should go back to Fibrozym and Nattokinase – but it really should make a greater improvement. If taking Neprinol as the only enzyme therapy causes further positive changes, then stay with that for a while.  After a month or two of good changes on Neprinol only, then continue using Neprinol but add Fibrozym and Nattokinase back into your plan so you are taking three enzyme products. See what that does to your scar reaction.

EVERYTHING gets back to how your scar responds. You and I can make up all kinds of treatment strategies, but you must test any of them against what they do to your scar.  It does not make any difference what you and I think might be helpful to reduce the PD scar.  You must prove to yourself that what you are taking is working by actually measuring positive changes in your PD scar.  This is the PDI treatment philosophy that makes sense to everyone.   

Your scar is the enemy – destroy it – and it will tell you exactly what it will take to do the destroying if you know what to look for in scar behavior.  However, you must be paying very close attention to what it is telling you in order for you to learn from it.  TRH

Looking for helpful Peyronies treatment information

I am seeking any information I can get that is helpful.

Thank you,

Susan

 

Greetings Susan,

The PDI website is huge.  Men have told me they attempted to print out the whole website, only to stop after 500 pages with still hundreds of pages to go. 

With that kind of information about Peyronies treatment readily available, what more can I offer to you?  A good place I send a lot of people is How to Start Peyronie's Treatment .   Just follow all the links.   

If you have a specific question perhaps I can answer it.   TRH


Do you suggest SSKI (potassium iodide) as a Peyronies treatment?

Do you suggest using Potassium Iodide (SSKI) as a Peyronies treatment online shows good results from using iodine for scars?


Greetings,

Yes, there is information online about using SSKI (potassium iodide) for treatment of Peyronie’s disease.  That information comes from the website of Jonathan V. Wright, MD of the Tohoma Clinic. He has some interesting things to say about it.  He is an intelligent and provocative author. I like Dr. Wright's work. 

However, concerning the work of PDI, there is a problem with the idea of using SSKI for PD:  Dr. Wright is the only one saying it. 

His concepts and opinions might very well be correct, and SSKI might be the best therapy imaginable for PD.  But I doubt it.  Why?  Because, from what I can determine, there has been absolutely no research or study of SSKI for treatment of PD or DC by anyone at any time.  It is all conjecture and theory, even if it is interesting and might make sense, it is still unfounded at this time.  It is a far more unfounded idea than anything you will find on the PDI website.  

The intent of PDI is not to present all Alternative Medicine therapies for your review simply because they are non-medicinal in nature.  We do not advocate Peyronie's therapies simply because they are “natural” or easy to acquire without a prescription.  Those therapies you find on the PDI website are there because of research (often a lot of it) that supports the use of that particular Alternative  Medicine therapy for PD, in spite of the contradictory research.  We take the position to only use those therapies that have satisfied an adequate percent of researchers to suggest the possibility of therapeutic efficacy.  If taken as a group, in aggressive doses and high combinations, these therapies stand a good chance of creating sufficient synergy to initiate a healing response to correct the Peyronie's plaque. 

SSKI does not fall into that description.  It has not been studied.  When it is studied and receives a positive review from several independent sources we will likely consider adding it to the lineup. 

Keep reading Dr. Wright’s articles, he has a lot of good information for all of us.  TRH

       

Does DMSO cause infertility?

Does DMSO have any long term side effects i.e does it affect fertility in any way?

 

Greetings,

There are no reports or studies that connect the use of DMSO and infertility in humans whether related to Peyronie's treatment or other health problems.  There are reports of veterinary medicine using DMSO to treat infertility in horses and dogs related to fibrosis of tissues that are a part of the reproductive system.   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

What are the best two choices to treat Peyronies?

Hi again.  Between PMD DMSO, Super CP Serum and Unique E oil what are the best two choices to treat Peyronies?   How do I go about using them?    Monty

 

Greetings Monty, 

You are asking a question no one can answer.  You must apply these therapies to yourself to learn exactly which is most effective for you.  The PMD DMSO is always used because it will bring the other two deep into the tissue; therefore the choice is between the Super CP Serum and the Callisto oil.  Because of the low cost, most men use all three of these.

From your question it is obvious you are trying to approach Peyronies treatment from a minimal standpoint, and this is doomed for failure.  You must treat PD treatment aggressively and with a broad approach.   Also, using only external therapies (PMD DMSO, Super CP Serum and Unique E oil) only is also not a good idea; you must also use internal therapies (vitamin E, vitamin C, MSM, PABA, acetyl-L-carnitine, etc.). 

How any or all of them is actually used is provided when you receive your order.  You are given everything you need to be successful.  TRH

 

   


What can PDI do for my 20 year old Peyronie's disease?

hi, what can your method do for me and my 20 year old pd that started because of a sex accident?  bill 


Greetings Bill,

Thanks for the question.

Since you have given me no details of your problem, I can only answer with generalities. The longest standing PD case with which I have been involved was a fellow who had it for 12 years. You see, most of the men I work with are usually in the 18 month to 3 year time range with their Peyronie's disease.  I think this is so because the average person who has dealt with PD for several years tends to just give up on himself and his situation, and assumes there is nothing out there for him.  The MDs eventually convince them to stop trying to get help because they do not have any drug for Peyronies treatment, and that is a shame.

Folks like you usually are not looking for help and answers – unfortunately.  But in the early phase of PD, a guy will really burn up the Internet wires looking for answers to his unsettling predicament. Having explained all that, it is my opinion that based on the favorable changes in the 12 year PD problem I worked with, and several others in the 3-8 year range I have worked with, your 20 year old problem stands as much a chance to improve as these others.

A long time ago I learned to never doubt the ability of the body to heal.

Many men, and myself, were able to get back all lost dimensions and eliminate any detectible scar formation, so I know it can be done. I assume you have just started to look at the large PDI website. Bear in mind what we propose is really different in the past in two important ways:
     1. Synergy – grouping several therapies together at the same time.  If you are like most men who go the medical route, you probably used synthetic vitamin E for a short while and then did some POTABA or verapamil drug use later.  PDI approach is different because we advocate a combined treatment approach with many Alternative medicine therapies.
     2. Quality and quantity of Alternative Medicine
most men do not appreciate the need to hit these two factors fairly hard. I can guide you in this respect to perhaps a better conclusion than you had in the past. In addition to a few vitamins, we also propose several other concurrent therapies for your PD that you have not used. These are very important to achieve the desired end result. The more you do, the stronger your synergy, the greater your odds for some success.  If you want to broaden your thinking about Peyronie's treatment with natural methods see natural Peyronie's treatment.

If you want some help to do this right, and I assume you do, send some specific questions about treatment.  PDI has a different website from anything else you will find anywhere because we have a reasonably optimistic attitude and track record with this problem, and because we actually know and care about men who have this lousy problem. I am retired now from active practice, and since overcoming and curing my own Peyronie's disease, I have pretty much devoted myself to this cause in appreciation and gratitude for the gift that was given to me.

When you are ready to do something good to help yourself, let me know.   TRH

Where is DMSO gel applied?

Dr. Herazy,

My order arrived last week, and today I started the treatment.  I'm very upbeat that I made the right decision. I have carefully reviewed all the documentation and explanations that came with my order.  It is very impressive how well you prepare your customers to work with their Peyronie's treatment products. 

The one item that I'm most confused about is the PMD DMSO gel.  Exactly where is this gel applied?  My instructions say that the topical therapies should be applied over or on top of the location of the Peyronie's plaque or scar. I do not have any scar. I don't have a problem shaving as described but I do not have a scar either on the part to be shaved or the penis. Or, when they mention scar, do they mean the part of the penis that is abnormally hard?  Please advise.  Randy

 

Greetings Randy,

Actually, if you have Peyronie's disease you do have a plaque or scar.   However, the scar is not external or superficial, it is internal and below the surface. It is located under the skin surface and within the tissue of penis called the tunica albuginea.  The scar or plaque is not visible from the surface; you cannot see it.  The closest you can come to actually seeing it is if the scar is so large and thick that it raises or elevates the penile skin above it and you can see the raised lump of tissue because of the large scar below the surface.  

In order to be successful you really want to get to the point that you know the size, shape, density, and surface quality of your scar(s). If this is a new concept to you, I suggest you get the 1st book I wrote “Peyronie’s Disease Handbook.” It will help you immensely.

Scar location is sometimes a complicated topic, especially in the case of multiple scars or plaques. You can expect to find at least one scar at the point of greatest concavity of your distortion. Again, this is a topic of such concern and importance that you really should get at least that one book so that you know what you are doing in regard to monitoring your scar. The physical change in your scar is going to guide your therapy; it will direct you to the best use of your therapy plan. to assist you with this subject, please go to Difficulty Finding the Peyronie's Plaque.

To answer your question about where to apply the DMSO gel and related external therapies, they should be applied directly over the area of Peyronie's plaque or scar.  You do not need to apply these external therapies to the entire shaft, unless, of course, you have a wide spread pattern of scars over most of the penis.  TRH    

What can I expect from POTABA in my Peyronie's treatment?

I  WANT TO KNOW ABOUT THE PEYRONIE'S TREATMENT I HAVE BEEN PRESCRIBED.  I HAVE JUST SEEN A UROLOGIST WHO DIAGNOSED ME WITH PEYRONIE'S DISEASE. HE HAS PUT ME ON 400IU OF VITAMIN E THREE TIMES A DAY AND 12 GR. OF POTABA PER DAY.   IS THIS A GOOD COURSE OF TREATMENT?  WHAT CAN I EXPECT FOR A SUCCESS RATE?

THANK YOU

BOB

 

Greetings Bob,

In my opinion you should do a bit of online readying about POTABA. I think you will find a lot of controversy and reports of non-effectiveness about it.  From my experience there are fewer and fewer MDs using POTABA in the last few years because of high cost, limited results, and poor compliance because most men find they cannot tolerate the severe abdominal pain it causes even with the initial usage.  I am surprised your urologist did not mention this to you; I am sure he knows all about it. 

Did you ask the urologist what kind of success rate he has with this prescription?   I would be interested to know his response.

POTABA is one of the limited number of drugs available for prescription by an MD in the treatment of PD, although there are many MDs who do not prescribe POTABA  because they find the trouble their patients encounter while taking it does not justify the limited potential benefit.

Now, POTABA is nothing more than a simple B vitamin – PABA – that has a molecule of potassium added to it, or to say it another way, POTABA is a potassium salt of PABA.

PABA has been shown years ago in medical research to be successful in treatment of PD, but the medical profession likes to use drugs (POTABA) whenever it can, and refuses to use something as simple as a B-vitamin.  POTABA causes a host of gastric symptoms, for which reason few men complete their course of therapy with it.   PABA works just as well, and has no side-effects.  However, neither PABA or POTABA produce results as good as PABA when combined in a more aggressive therapy program as you see presented on the PDI website.

You should know this is a rather limited course of therapy.  No one can predict whether it will help you or not, you must follow if for a while to determine if it will improve the size, shape, density or surface quality of your Peyronie’s plaque.   You would be wise to get the book I wrote, “Peyronie’s Disease Handbook,” about dealing with Peyronie's disease on a daily basis to improve your chances for recovery. 

The Peyronie's Disease Institute has offered PABA to its visitors since 2002 for treatment of Peyronie's disease without a single report of inability to use it because of gastric problems.  To learn more about successful Peyronies treatment  TRH

 

Is there someting I am missing about Neprinol?

Dr. Herazy,

It is my understanding that Neprinol contains everything that the Fibrozym and Nattokinase supplements contains and is more potent, thus making it redundant to add Fibrozym to a program that already includes Neprinol.  Am I missing something?

Greetings, 

No, some men want assurance they are not missing anything in their Peyronies treatment plan, and they intentionally use the redundancy of getting the nattokinase and serrapeptase from two different sources.

Men use Neprinol both ways – as a total substitute for the other enzyme products, or in addition to them (usually with the Neprinol being the primary enzyme source and the others being used as a minor role).  The choice is yours. When I successfully treated my own scars that is what I did – I used the Neprinol as the primary and largest supply of systemic enzymes, and then added in a few of the others per day.  

I would consider trying just the Neprinol by itself, and see how it works for you and your scar.  If that is not enough to get your scar to change favorably, then bring back the Fibrozym or Nattokinase, or Quercetin/Bromelain if you are also using it, or all of them.  You must keep experimenting to learn what makes your scar respond favorably and then continue with that.   TRH  

Does anyone know the best treatment for Peyronie's disease?

Does anyone know the best treatment for Peyronie's disease? I want to know how do I cure myself in the fastest way I can before this problem ruins my life and pushes me over the edge.  My doctor does not seem to care at all how this problem is affecting me.  He actually told me to do nothing for six months, and then he would decide if I needed surgery. I really need to know how to get back to feeling like a normal man again.

Greetings,

Before I give you the best and most honest answer I can, I want you to know that I had Peyronie's disease and cured myself of it in 2002.   That is how this website got started and how all of this information was put together.  When I first developed Peyronies I felt really terrible inside just like all men do when they lose this part of their lives.  I know how rotten and scared you are feeling because I felt that way and so did hundreds of men I have worked with over the years.  Many of us, just like I did, were thinking the same terrible black thoughts you are thinking right now.  You cannot let yourself lose control of who you really are and what is really important in life.  You must not let PD win over you because you are more than just a penis, and you are stronger and more important than this problem.

Every week I get emails and phone calls from men from around the world who are making improvement with their PD scars and their curvatures.  Some get a little help, some get a tremendous amount of help, but almost everyone who works hard and follows a few simple ideas about Peyronie's treatment earns some level of improvement of this PD. 

You will not know if you can help yourself until you decide to try.  Right now you are letting PD control your thoughts and feelings, and this is not good.  You are making the mistake of allowing yourself feel like a PD victim.  Just because your MD did not spend time talking with you and did not have answers for you does not mean you cannot take care of yourself.  You can be in control of your situation if you make that decision.  It all comes down to deciding to be bigger, stronger, tougher and more determined than your PD.  Once you do that you will be in control of your feelings and you will get busy helping your body eliminate your Peyronie's plaque to the best of your ability.

This will not take you more than 15 minutes:

1. Read Peyronie's Disease and a Man Whose House is on Fire.

2. Read Peyronie's Treatment Options.

3. Send me an email with your phone number.  I will call you and we can talk about anything you want to talk about.

TRH

Peyronie's treatment safety issue when applying moist heat

Hi Dr. Herazy,

The use of an electrical heating pad was suggested in last month's Peyronie's Disease Institute newsletter for the moist heat therapy. I am curious as to whether or not the immense heat and warmth provided by this electrical pad would be detrimental to the testicles. The pad it hot but does not seem hot enough to scald the penis. Thank you! 

Greetings,

To reduce possibility of excess heat being applied to penis and testicles you should:

     1. Reduce heat setting on the control of the heating pad so that the heat is not "immense" but only comfortably warm
     2. Place a small moist wash cloth between your skin and the heating pad to act as a buffer or spacer, thus reducing heat to the penis
     3. Position yourself so that your testicles are not in contact with the heating pad
     4. Place a dry wash cloth between the scrotum and heating pad to act as a buffer or space, thus reducing heat to the testicles

This suggestion for using an electric heating pad was submitted by one of the PDI Warriors and was presented in our last newsletter as an alternate way to apply moist heat to the shaft of the penis.  The original method that has been suggested by PDI is to use a hot water bottle wrapped with a moist towel and positioned to heat the shaft of the penis.  This method has the safety advantage of staying warm for 15-20 minutes before slowly losing heat.

Thank you for your observation.  TRH

How do I find my Peyronies scar?

Hi, I'm twenty four and I think I got Peyronie's disease from an accident when I was in my early teens. It is naturally the most annoying thing I have to deal with. How do I find my Peyronies scar? Also, the medications and vitamins you are selling, how often would one need to replenish the stock?

 

Greetings, 

Knowing where your scar is located – although not always easy or obvious – is essential to Peyronie's treatment.  Knowing your scar location and how to accurately describe it is not a matter of curiosity; you MUST know about the scar in as great detail as possible in order to know if you are making actual progress or not with your Alternative Medicine treatment.   If you do not know this, then you are guessing.

Before I go into this subject in some detail, I must remind you that the PD scar is best located while the penis is soft or flaccid – meaning not erect.  This will be true 99% of the time, so don’t bother to look unless you are flaccid. Also, it is important to know your scar is not located on the surface; it is located below the surface and cannot be seen.  Lastly, as a general statement the major scar you have that is causing a penile distortion will be found on the concave side of that distortion, usually at the lowest point of that concavity.

This problem of being unable to locate the PD scar is so common I wrote a blog post titled, "Can't find Peyronie's plaque or scar."  Check it out for more help.

PD “scars” or plaques are quiet variable.  Some men have an obvious scar and others could not find one if their life depended on it.   Often, when a scar is not found, but there is still pain and bending or any kind of recent penile distortion, a diagnosis of PD can still be made.  This is so, because the scar that is causing the pain or bending is either:

1. So small – it cannot be found

2. So very soft – it blends into the other tissue and cannot be detected

3. So deep – it cannot be reached or felt easily

4. So large and flat – that the edges are not easily determined, almost like trying to find the edge of a roll of plastic wrap.  When it is a large scar – as many of them are – it is something that is so close to you that you do not see it because you are looking far away and cannot see what is under your nose

5. So greatly different than what you think it is going to feel like that you miss it only because it does not meet your image of what it will be like

6.  The doctor’s lack of ability, experience or concern when he does the scar examination – that he simply misses what is actually there if he was better at this kind of thing – yes, I know, it is difficult to imagine but it is true.

Usually, when a scar 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.  From my experience with those who have an extremely difficult time locating their scar, it seems that #4 (so large and flat) or #5 (so different than what you expect) are the reasons for failure to locate the scar.  Keep this in mind when you search your landscape trying to locate the scar. 

Ultimately, if you have PD you must begin the search with the attitude the scar is there, and it is only waiting to be found.  Do not start with a negative attitude; you want to have a sense of high anticipation that it will be found within the next few seconds – this will help keep your senses alert.  You should use as many different tactics as you can to find your scar(s) because having a good knowledge of your scar situation will help your treatment effort. 

Hint:  Try to think in terms of your scar being much larger than you have previously imagined.  Allow yourself to mentally expand the size of the scar you are looking for.  Meaning, if you were looking for a “pea” before, start looking for a “peanut” size structure or even larger.  This changes your methods and your outlook about what you can detect.  

It seems that lately I have many men reporting that their scars are as large as the length of the shaft, and some are narrow while others are wider.  Image that your scar is that large.  If you are looking for a pea-sized scar it will prevent you from easily finding something much larger like a postage stamp.     

Do not be discouraged if the scar you have is large since it does not seem that the size has much to do with difficulty or time required to eliminate it.  Larger scars can take just as long as smaller scars to treat.

Try this:  forget about finding a “scar.”  Just try to find something – anything – within the mass of erectile tissue that feels unlike the other tissue.  Find something that is unlike the rest of the tissue.  When you find it, mark its location with a marker pen or something that will stay on the tissue for a day or two.  Go back each day to that area and re-think what you are feeling.  You are trying to see if it becomes easier to make sense of it.  It could be that you have an unreasonable expectation of what a “scar” should feel like, and you are missing what is really rather obvious only because your expectation is wrong.  Really, how could you know what a PD scar feels like if you have never had to do this before?  It is a common problem.

I have worked with well over a thousand men with PD, some mild and some severe cases, some just a few months and several that were more than 10 years old.  I had a pretty bad PD problem until I cured my condition using the procedures found in the book I wrote and the same Alternative Medicine ideas as on the website.  You will not feel like a victim once you start working to improve your health and immune response against the presence of this foreign tissue.

There is no clear answer to your question about how often one would need to replenish the therapy that is being used.  Some therapies need to be resupplied every month or so, some every three months or so, and some never need to be replenish.   As a general idea about replenishing your therapy supply, the average man spends about $90-110/month replenishing his medium size PDI treatment plan.   TRH

Is there any penis surgery procedure you could recommend?

Greetings,

I must admit that I am very embarrassed to send this message.

I'm 52 years old with what could be a fairly long 4.5 to 5" penis, but the curvature is painful and very very frustrating for my lover and me. I keep my pubic hair shaved to give the appearance of more mass, but he is not satisfied, nor am I.

Is there any penis surgery procedure you could recommend? I have been too embarrassed to mention this to our family practitioner (female).

What first steps can I do to improve my condition?

In His name, Peter

 

Greetings Peter,

After reading your email a few times I am not sure if you are more concerned about the pain and distortion of your Peyronie's disease, or by your loss of penile size since you developed PD. 

We live in a strange culture in which personal self-worth and value as a human being is based on penis size.  Your penis is attached to you; you are not attached to your penis. Think about that a bit. 

There is no need for embarrassment since developing PD is not a personal character flaw or a deliberate act that suggests an imperfection of who you are as a person; it is just an unfortunate  health problem.  No one should feel embarrassed for having glaucoma or asthma, not should you feel that way because of your PD.

From my experience in communicating with many hundreds of men since 2002 about penis enlargement surgery, I hear far too many horror stories of failed surgery.  Learn to enjoy what you have and who you are, or you might be left with little to enjoy.

If you want to actually treat your real problem I suggest that your go to the PDI website at Start Peyronie's Treatment to learn how to increase your ability to heal and repair your Peyronie's disease – which in turn could result in return of lost penile length and girth.   TRH

Why is it you do not offer any guarantee?

I have Peyronies disease now since I discovered I was getting a bent penis in November last year. My doctor prescribed potaba but it has done nothing in almost 4 months of treatment and in fact it seems to have got worse. I also am taking vitamin e and c that I got from the health food store but again it has done nothing.

My penis is bending sideways and upwards and seems to have an indent underneath at the head of the penis. All very upsetting psychologically also.

I found your web site and read your treatment options.  Why is it you do not offer any guarantee of your treatment?

Alex

Greetings Alex,

You must be using the correct vitamin products in the correct way to gain a positive response.  Just because you got your vitamin E and C from the health food store does not mean that they were good products.  It is estimated that over 25% of vitamin and herbal supplements sold on the open market do not contain what the label says. Many have inferior grade synthetic products.  Not all vitamin E products are created equal, and many are not what they say they are. If you are using an inferior product (without knowing it) you will not get good results. That is why I strongly encourage any one who wants to treat his Peyronie's disease with Alternative Medicine products to get them from PDI for a few reasons:

  • High product quality – these are the same products I used when I successfully treated my own PD problem
  • Great prices and discounts
  • Fresh products since PDI is the largest buyer of several of the products we sell
  • Proven effectiveness – results since 2002
  • Consultation about your treatment – I cannot discuss your treatment, or answer your questions, if I do not have experience or confidence in outside therapy products

Using only vitamin E and vitamin C is a very limited and poorly designed Peyronie's treatment idea.  I have never heard of anyone getting results with that kind of plan.   These two vitamins are great products and serve an important part in many of the plans we use, but they cannot do the total job to eliminate the PD scar. I would never suggest to anyone to try using only only vitamin E and vitamin C as you did.   

Most men who go about using their own ideas and get their own products like you are doing make very little progress with their Peyronie's disease problem.  This is a complicated and difficult problem.  You will have to admit you are guessing at a lot of what you have done and your are experimenting on yourself at a time when you should be actively treating yourself.  On the PDI website we provide a tremendous amount of free services and information like this constantly updated Q&A section and a Peyronie's treatment forum, along with private emails to men from around the world. We make these resources available to men to support their effort to correct their own PD.  If you work with the PDI system of treatment I can assist you when ideas, information and suggestions based on my experience; you will not be working alone.

You ask about a guarantee.

Who do you know in the healthcare field who offers a guarantee for any procedure or therapy? Aspirins do not come with a guarantee.  Jock itch spray does not come with a guarantee.  Toothpaste does not come with a guarantee.  Foot supports do not come with a guarantee.  Surgery does not come with a guarantee.  No one in healthcare offers a guarantee because of the complexity and difficulty of what we are attempting to do.  Everything in health care is completely unpredictable.   When you go to your dentist and he puts some Novocain in your gum, during your dental procedure he will ask you frequently if your mouth is still numb, right?  He has to ask you if your mouth is numb because he cannot guarantee the Novocain will work for you, or if he got enough in your tissue, or if he put it in the right location, or if it is not wearing off sooner than it should.  Nothing in health care can be guaranteed. 

Only people who are trying to fool you offer a guarantee for their unscrupulous products.  I see many international companies ( like in Pakistan, India, Romania) who try to sell secret herbal products and guarantee results in 30-60 days.  I hear frequently from men who bought those pills, got no results, and got no response from those companies when they tried to get their guaranteed refund.  

Be very suspicious when you see some treatment offered with a guarantee especially for Peyronie's disease.

If you are interested in trying to help your body heal the Peyronie's scars, please let me know.   TRH 

What is the daily dose recommended for Neprinol?

What is the daily dose recommended for Neprinol? Thank you.

Bill C.


Greetings Bill C.,

There are several things to say about dosage in general for Peyronie treatment, that applies to Neprinol dosage in particular

1.  The starting dosage for any therapy is often the one that is listed on the label for that product.  This standard starting point is used to see if the dosage recommended by the product manufacturer can bring about a favorable change in the size, shape, density and surface features of your scar.  Often it cannot.

2.  The ongoing treatment dosage that eventually proves to reduce the original size and shape of the scar, or soften the density, or alter the surface features of a Peyronies plaque will very often be higher than what is suggested on the label of each product. 

3.  No matter which therapy product you use, it must be taken in a safe and reasonable dosage.  All of this information is available to you in the treatment section of the PDI website.  Please read that information and adhere to it.  

4.  Dosage for any ONE therapy product that is actually going to help your Peyronie's disease is not easy to determine because you will be taking MANY therapy products at the same time.  You are juggling many balls at once and this requires some patience and the ability to keep good notes about what you are doing. 

Of course, if you are taking five different internal therapies (vitamin E, vitamin C, Neprinol, Acetyl-L-carnitine and PABA) each one must be individually determined.  An important part of your therapy plan are the external therapies you are using (Genesen Acutouch pens, gentle manual stretching, DMSO, etc.) While you do all the internal and external therapies that make up your total therapy plan you must monitor the size, shape, density and surface quality of your scar(s) to note at what dosage level changes begin in the scar material.  It is as simple – and difficult – as that.

5. No clear and specific treatment dosage numbers are offered to you since everyone uses different internal and external therapies, in addition to doing them in different ways.  In this sense, since each man is different, and each man follows a different plan, each man must determine what he must do to improve his scar behavior.

The procedure to determine scar size, shape, density and surface quality is explained in great detail in “Peyronie’s Disease Handbook.” The correct dosage of any therapy product is not determined from a chart. The chart that you receive with your first order only tells you the average range of what most men are doing. Your dosage should be what you need to take daily to cause changes in your PD scar. The dosage for you is what you learn works for you. I cannot tell you what you need to take. You have to determine that by your observation of the dose that makes the scar size, shape, density, and surface quality change. This vital information will guide your use of all the therapy products; it is the measurement that tells you if your plan is working or not. All of this is explained in great detail in “Peyronie’s Disease Handbook.”

Should I take Neprinol with other enzymes or by itself?

Hi Dr. Herazy, 

Should I take Neprinol with Fibrozym and Nattokinase, or just take it by itself?   Jerry 

Greetings Jerry,

Just so we are clear on what you are asking me, I know you are following a larger PDI therapy plan so I am confident you are also using other therapies besides the Neprinol, Fibrozym and Nattokinase you mentioned.   The way you asked your question I could get the idea you wanted to just use Neprinol by itself.  If that what you are thinking of doing, then I strongly advise against that.  I have never spoken to anyone who has earned good results by using Neprinol as a solo treatment for Peyronies.  You always want to diversify and broaden your treatment base with a variety of internal and external therapies, right?  

Men use Neprinol both ways – as a total substitute for the other enzyme products, or in addition to them (usually with the Neprinol being the primary enzyme source and the others being used as a minor role). The choice is yours.

I would consider using just the Neprinol as the only systemic enzyme, and see how it goes. If that is not enough to get the scars to change favorably, then bring back the Fibrozym, or Nattokinase, or Quercetin/Bromelain, or all of them into your existing therapy plan.

You must keep experimenting to learn what Peyronies treatment makes your scar size, shape, density and surface features respond favorably and then go with that.

What other therapies or supplements should I consider at this point?

Dear Dr. Herazy:

I just started following the medium or  "better" program for PD. What other therapies or supplements should I consider at this point?

I was thinking about the Genesen Acutouch acupuncture system. Do you think this is a good idea?

If you could give me any thoughts you may have, I would appreciate it.

Thank you for your time and care, your email was very informative.

Sincerely,

Charles


Greetings Charles,

My suggestion is that right now you should pay very close attention to the size, shape, density and surface features of your scar, and faithfully follow your current Peyronie's treatment plan.  You should do this for 10-14 days to determine if your medium plan is able to favorably influence your scar.

if it does change your scar then all you need to do is continue with the medium plan just as you are using it until the changes of scar stop or your scar goes away. 

If it does not change your scar then you need to modify your current plan – not add to it – in some way.  With the medium plan this is usually to increase the dosage of MSM, Fibrozym, Nattokinase or Scar-X.  Then you continue for another 10-14 days to see if this plan modification was able to makes changes to the size, shape, density or surface features of your scar.    

if it does change your scar then all you need to do is continue with the modified plan just as you are using it until the changes of scar stop or your scar goes away. 

If it does not change your scar then you need to modify your plan again in some way.  You continue with this slow increase of therapy for a few cycles.  If at this point you have run out of ideas, then please contact me and we can discuss your situation.     

Yes, the Genesen pens are a great therapy for several reasons.  Probably the first is the power of these pens to treat a wide variety of problems; a book is included that lists how to use the Genesen pens to treat over 100 different conditions.  Then you have the ability to duplicate a very expensive level of treatment without incurring a great expense.  Also, you can treat yourself and your acupuncture points more often than you could afford to do so if you were going to the office of a professional.  The Genesen pens are often the difference that boosts therapy results from so-so to significant.  You might consider buying them later if it becomes apparent that you need extra help. 

Let me know how I can help you.   TRH

What is the best combination of products for treatment of Peyronies?

You may not be the one to ask but what is the best combination for treatment of peyronies?  I have read and seen so much, my head is spinning. Thank you. Sonny

Greetings Sonny,

Probably a good place to start is by looking at the structure and diversity of the three Peyronies treatment plans (small, medium and large) that are shown and described at the top of the page of the PDI store

These different plans were put together so you can see how a balanced and diversified plan looks, and to make it easy for men to purchase a plan as a simple starting point for natural Peyronie's treatment.

Ultimately the best plan is the one that reduces the size, shape and density of your Peyronie's plaque.  This is determined over time by monitoring your PD scars while you are self-administering any plan you put together for yourself or have selected from the three PDI offers you.

To get to the point of your question about the "best": there is no best for everyone. You must search it out based on what works for you.

I think people come to the PDI looking for the "best" PD treatment in the same way they go to their doctor looking for the best drug to reduce their high blood pressure or the best salve for their rash.  In the PDI method of treatment we realize their is no one single Peyronie's treatment; we realize a combination of treatments are used at the same time to encourage and support the body to heal the PD plaque.  Further, we realize that this combination is different for everyone.   So each man starts out using the plan that he thinks might help him, and is prepared to modify it later if it does not make the necessary changes in his scar tissue.  This is why it is so difficult to answer the question "What is the best Peyronie's treatment?"   Each person must work that out individually.  I can help you with that process.  TRH      

Why is acetyl-L-carnitine not mentioned on your website?

I'm wondering why is Acetyl-L-carnitine not mentioned on your website for treatment of Peyronie's disease?  I have read some really strong research findings about acetyl-L-carnitine and am eager to try it out.  

Thanks, Bruce

Greetings Bruce, 

You are incorrect, Bruce, acetyl-L-carnitine is mentioned often. We have highly recommend the use of acetyl-L-carnitine since 2002. 

Please go to this large page on the PDI website that explains what you need to know about this excellent PD therapy,  Acetyl-L-Carnitine and Peyronie's Treatment.   For a bit more go to the PDI store to read Acetyl-L-Carnitine and Treatment of Peyronie's Disease where I refer to this therapy as an All-Star product. 

To learn how to use this therapy product, and others, for ideas and suggestions to put it all together, click Create a Peyronie’s Treatment Plan    TRH

Why are two different vitamin E products made available?

Why are 2 different Vitamin E sources (400/400 and Gamma E) suggested in your therapies?  What are the differences? Would only 1 suffice in an effort to help manage costs?

Greetings,

Your question about the reason for the two different types of vitamin E to treat Peyronie's disease is a common one.  Thank you for bringing it up again.

I cannot put an entire detailed answer to your question in this reply. Let me just comment that the Maxi-Gamma vitamin E is used because it provides a higher ratio of the Gamma type of vitamin E that is helpful in healing and removing scar tissue.  The other vitamin E product, Factor 400/400, is a balanced vitamin E providing all eight types of vitamin E that does not emphasize the Gamma type the way the other one does.   When used together they complement each other and work nicely to provide an excellent and highly concentrated source of vitamin E that will assist your body to correct your Peyronie's disease to the best of your ability. 

To get the full answer and to learn more about vitamin E in a Peyronies treatment plan, go to Vitamin E for Peyronies treatment

Sure, if you used only one type of vitamin E it would manage costs.  But, which one to use?  I do not have a clear answer on that one because I can make a good argument for both of them as being the one you should use if you were going to only use one. 

If you must use just one, then I suggest you experiment a bit by using one of the products in your overall plan to see how you respond, and then use the other one to see if you respond differently to it.  Of course, this is how I suggest that anyone approaches any of the therapies to see if it should be included in a therapy plan.  TRH

Should I continue penile injections for Peyronies treatment?

I have Peyronie's disease causing a bend to the left and downwards and it's closer to the tip then the base. I have seen a urologist who has injected it twice now. I haven't seen any improvement. both my doctor and myself have trouble finding any plaque. I'm 50 and in good shape….this just showed up a couple of months ago…there was no trauma…should I continue with the injections?  .

Greetings,

It is not my intention or desire to interfere between you and your urologist concerning your treatment or any other aspect of your relationship.  Nor will I answer your question directly if you should or should not continue with the injections you are receiving – I have no direct opinion or advice for your question.  That is a subject for discussion between you are your treating doctor.  My only interest and purpose in making this reply is to offer ideas, and pose questions to you, to broaden your discussion with the urologist about the progression of your care.

My opinion and ideas for you to consider are these:

    1. Any time you make a simple injection into the penis with anything, even sterile water,  you are physically traumatizing the thin tunica albuginea membrane where the Peyronie's plaque is located.  Many times when these injections are given at multiple sites of the tunica albuginea at one office visit, causing multiple trauma.  Yes, these are small needle holes, but they are holes none the less.  When given at multiple sites within a small area, and done on multiple occasions, that is still a lot of trauma (think of a shot gun blast which is just a lot of small holes). Your body has already demonstrated the tendency and ability to lay down excess collagen in the form of Peyronies plaque without any trauma or trauma so small that you do not remember it, so what will be its reaction when actually traumatized?  It is my opinion that any injection is a direct injury that could possibly cause more plaque or scar tissue to develop or worsen plaque already present. 

Avoidance of the trauma of needle injection is the reason that since 2002 I have counseled perhaps 20 or so MDs (of whom 2 were urologists) who had PD and wanted to avoid surgery, injections and drugs. 

    2.  The needle injection points are not the only potential trauma to the tunica.  Since you did not mention what drug was being injected by your doctor, I cannot comment specifically on that issue, but it is my opinion any drug has a potential to cause chemical trauma in the form of an allergic reaction, side effect or perhaps just a chemical irritation to the tunica in certain individuals.  If this is the case with you, this could result in additional irritation internally and further trauma to tissue that has already created Peyronies plaque for no apparent reason you recall.  It is my opinion that any drug reaction or unexpected side effect could possibly result in additional  plaque or scar tissue or further aggravate plaque already present.  

Unexpected drug reactions and unexplained side effects are a fact of life in medical practice.  This is such a large problem that there is a medical term for it, "Adverse Drug Reactions" or ADR.  In fact, a 1999 report in JAMA of a meta-analysis entitled "Incidence of Adverse Drug Reactions in Hospitalized Patients" by J. Lazarou concluded that

             "The overall incidence of serious ADRs was 6.7% (95% confidence interval [CI], 5.2%-8.2%) and of fatal ADRs was 0.32% (95% CI, 0.23%-0.41%)
             of hospitalized patients. We estimated that in 1994 overall 2216000 (1721000-2711000) hospitalized patients had serious ADRs and 106000
             (76000-137000) had fatal ADRs, making these reactions between the fourth and sixth leading cause of death.

             Conclusions.— The incidence of serious and fatal ADRs in US hospitals was found to be extremely high."

I am not at all suggesting that any penile injection could cause a fatal reaction, but I am suggesting that if in hospitals serious and fatal ADRs occur at the rate of 6.7%, the rate of less serious ADRs must be even higher.  All of this means that drug reactions occur at a seriously high rate, you are taking drugs directly into the penis, and you are already in a position in which you should be extremely careful because your penis will probably overreact if it is further injured.   

    3.  If you say that you and your doctor have trouble finding any plaque, then where are these injections being given?  If the exact location cannot be confidently identified by your doctor, then how accurate is the placement of these injections you are receiving?

    4. It is estimated that 50% of men who begin Peyronie's disease will self-limit or cure their own problem without any outside help or medical care.  The  Alternative Medicine treatment concepts of PDI is simply to do all that you can with natural methods to increase the natural healing ability of your own immune system to eliminate your Peyronie's plaque.  How to go about doing this is the subject of the large PDI website.  I suggest that you, and everyone else with Peyronie's disease, consider attempting conservative measures before undertaking more aggressive Peyronie's treatment that has potential for side effects and drug reactions.     

Good luck in discussing this subject with your urologist.   TRH    

Change Peyronie’s Treatment Dosage

How to change Peyronie’s treatment

Starting Peyronies treatment dosage can be easy if you start by taking therapy products at the manufacturer’s suggested rate – perhaps for the first 14-21 days.  If this dosage causes a change in the size, shape, density and surface qualities of your scar(s), then that simple and small dosage is adequate to provide you with the help you need to eliminate your Peyronie’s disease scar formation.   
 
This is a list of all therapy products available through Peyronie’s Disease Institute and Online Natural Healthcare LLC with the manufacturers’ suggested dosage:
1.     Vitamin E Factor 400/400 (60) – 1 or 2/day – with food
2.     Maxi-Gamma E (60) – 1/day – with food
3.     Unique E (180) – 1 or 2/day – with food
4.     Natural C 1 gram (100) or (250) – 1 or 2/day – with food
5.     Ascorbplex (90) or (180) – 1 or 2/day – with food
6.     Fundamental Sulfur (100) – 3/day, taken between meals, or if upset occurs, – with meals
7.     Acetyl-L-carnitine (60) – 1/day – with food
8.     PABA (100) – 1 or 2 daily – 1/day – with food
9.     Quercetin Bromelain ((100) – 1-8/day – between meals 
10. Fibrozym (100) or (200) – 2 tablets, three times a day – between meals
11. Nattokinase 1500 (120) – 2 tablets, two times a day – between meals
12. Neprinol (90) or (300) – 1-4 capsules with 8 0z of water – between meals
13. Scar-X  (1 oz) – 10 drops three time a day – between meals
14. PMD DMSO Gel (4 oz) – 1-3 times a day, depending on skin tolerance
15. Super CD Serum (1 oz) – applied to skin before PMD DMSO
16. Unique-E Vitamin E oil (1 oz) – applied to skin before PMD DMSO
17. HJG and KBG Honso herbs – 1-3/day
18. Genesen Pointers – used 15 minutes or longer, daily if desired
19. Massage and Exercise instructions – performed 2-4 times a week
20. Gentle Manual Penis Stretching Method © instructions – used 15 minutes or longer, daily if desired
21. Prosta-Support (120) – 4/day – with meals
22. Omega T – 1 or 2 daily – with meals 
 
Dosage usually increases as care continues.  Later intake of therapy is often increased in an effort to determine what dosage is needed to make the Peyronie’s plaque respond in a desired way.   Time and scar response eventually determine dosage.  

Peyronie's treatment dosage example

Let us say that you decide you will take PABA at a dose of 2/day. After doing this for a reasonable time – maybe 10-14 days – you do not notice any change in your plaque or scar at the 2/day dose. In this case you probably should consider increasing dosage until your scar responds to your therapy.  The usual method is to simply increase the dosage by one capsule or pill to the total every few weeks until you notice change in the size, shape, density or surface features of the scar.  

The process is made more complicated by the fact that you should be taking multiple therapies, but that is necessary to achieve results.

Peyronies dosage determined by scar response

To know exactly how to modify your dosage it is necessary to compare the size, shape, density and surface features of your scar from the onset of treatment. This critical information enables you to recognize positive changes when they occur. If you do not know how to determine and record the size, shape, density and surface features of your scar you will have to refer to chapter 4 of the “Peyronie’s Disease Handbook” to learn about scar measurement.   

All dosage increase is done slowly and carefully over a period of time to allow the body the opportunity to respond to a favorable change in therapy. If the dosage is changed too rapidly or too often it will not be possible to determine what factor caused a favorable response.  If you develop any unusual symptoms or change in body behavior or appearance while increasing dosage, simply stop taking the product for 48 hours after that problem/symptom disappears. Restart after 48 hours or when the new symptoms clear up, using the next lower dose.  From this point forward, once again begin the process of increasing dosage to promote favorable scar change. After reaching a higher dose at which changes are noted in the scar, remain at that dosage level for a few weeks.  Your correct dose is discovered by accompanying improvement in scar size, shape, density or surface quality.

Discuss your PD therapy plan with your family doctor or urologist so he/she is fully aware of what natural Peyronie’s treatment you are following.  You should consider this discussion about dosage strategy after getting final approval from your doctor. 

Does Peyronies last forever?

Does peyronies last forever, or is their an estimate to how long it lasts? Thanks.

 

Greetings,

Here are your short answers:    Peyronie's disease can last forever, but in a large percent of cases it does not have to if the man actively and aggressively works to increase his healing ability against PD.   And, PD can last a life time in those men who do nothing about it.

In about half of the cases of Peyronie's disease, the disease will be self-corrected or eliminated without doing anything about it.  The body heals and eliminates the PD problem naturally like it heals and eliminates thousands of other health problems. jeale.  In the other half of persistent cases, the problem tends to continue indefinitely unless it is treated with Alternative Medicine methods that increases the body's ability to self-correct and heal the Peyronie's plaque.

For those men whose Peyronie's disease does not go away on its own, they tend to be very active and motivated to get help for their problem.  But after talking to a few MDs, reading a few online websites or asking a few questions on Peyronie's forums, they eventually learn the standard medical answer that there is nothing that can be done for Peyronie's disease – that there is no cure for PD.  After learning this from multiple sources they tend to get depressed and discouraged and stop looking for help.  Since they accept defeat, and never start to assist their natural recuperative abilities, their PD tends to either stay the same or slowly worsen over time.  Some men report slow gradual improvement of their PD while other men report slow gradual worsening, the opposite.  These contradictory reports of long term outcome of what eventually happens in Peyronie's disease is consistent with the extremely variable and contradictory nature of this problem.

So in this sense, I suppose you could find different opinions about how long Peyronies lasts.  Given the variable and contradictory nature of PD, most men agree that they do not want to risk that their PD will get better in 10 or 20 years.  They get active and they get started working a PD treatment plan as we discuss throughout the PDI website.  A good place to start learning about Peyronie's treatment is start Peyronie's treatment.

When and how do I make changes to my Peyronie's treatment plan?

Hi again Dr. Herazy,

Just one more question. I am beginning to see changes in my scar, like softening and reduction of the scar. . What I want to know is, when and how do I make changes to my plan?

Jeffery C.

 

Greetings Jeffery,

Progress or lack of progress with your Peyronie's plaque is what determines when you change your plan and what changes you make to it.  As I have said so many time before, "The scar dictates treatment." 

If you are currently making satisfactory changes in your scar, do not change anything.  If you are not making satisfactory changes in your scar, you should think about making a positive change to your plan.

Do you have the 1st book I wrote, “Peyronie’s Disease Handbook”?  If you do not have it, then you will not know about monitoring your current condition.  If you have it, then you can use this information to guide you to increase or decrease your plan as your PD dictates. 

For you to know for sure that a recent treatment plan modification is effective you will have to notice some positive change in your scar (softening, fragmentation, smoother edges, etc.) within 10-14 days of the change in your plan, perhaps faster.  I would make some logical change (usually an increase of an existing therapy item or a new therapy item if your plan is small) and then wait at least 14 days before looking for a change to occur in the size, shape, density or surface qualities of your scars, before considering another change.  

In the beginning of care it might be necessary to only add or increase one therapy if you are at a lower level of therapy (just starting to take the medium plan).  In the early stages of therapy modification you will likely keep slowly adding to your plan, one therapy (only PABA or only MSM or only Neprinol only or whatever single item you decide to increase) at a time, by adding 1-2 pills per day.   It is not wise to go too quickly from one level to another (like taking Neprinol at 6/day, and then jumping to 14/day; this is too fast and you might not need to take so many for good changes to occur).  After a while, when your total number of pills is getting to a point where you might think you simply do not want to take more pills/spend more money, then at that point you might consider this a good strategy:  modify your plan by decreasing one therapy slightly as you increase another therapy slightly.  This way you are not overwhelming your system with unreasonable loads of pills and you are not spending an extreme amount of money. 

Be gradual with your changes.   Keeps good notes about your scars.  Let me know if this did not answer your question.   TRH      

Question about Peyronie's CD video

I also forgot to ask I had previously ordered the video … However I want to order the medium package but I do not need the video again…do you offer a discounted price if I do not need the video….just curious appreciate your help…Thanks

Greetings,

I will answer your question in two ways.  The first answer will be based on the error I think you have made in your question, and the second will be an answer as you have asked your question. 

First, based on an error I think you made:  There are actually two CDs that PDI has available.  There is an Exercise and Massage CD — that is a part of the Medium and Large PD plans.  And there is a Manual Penis Stretching CD — that is not part of the Medium and Large PD plans.  It is rare that anyone orders the Exercise and Massage CD by itself.  Most everyone who orders a CD by itself will order the Manual Penis Stretching CD.  This is what makes me believe you ordered the Manual Penis Stretching CD — which is not included in the Medium Plan you want.   You really should get and use the information in the Exercise and Massage CD because it is an important part of any good Peyronie's treatment plan.  I encourage you to get the full Medium Plan so that you will be able to go about following the treatment as you should.

Second, the way you asked the question:  No, there is no way within the way the system is set up to add a discount to an already discounted item, such as the medium plan. if you want to order everything in the medium plan except the Massage and Exercise CD (meaning the Maxi-Gamma and Integral E 400/400, MSM, nattokinase, etc)  then you will have to order them separately.  

Please let me know if I can help you with your Peyronie's treatment questions.  TRH

Do you give any discounts for repeat customers?

Do you give any discounts for repeat customers?  Thank you.

Greetings,

Yes, we do offer discounts, but they are available to everyone — repeat customers and new customers.   These discounts are available each time you place an order with PDI.  Some are automatic and some you must enter a discount code.

We attempt to offer the very lowest prices for our pharmaceutical grade therapy products to everyone who orders from PDI, and our sister-website for Dupuytren contracture at DCI. 

Everyone is concerned about discounts and keeping costs down lately, and Peyronie's treatment can be expensive. 

Our prices are already the lowest you will find anywhere for the high quality product line of pharmaceutical grade therapies.  Please bear in mind that not only are our prices outstanding and our products have been shown to be effective with PD when used as suggested, but our SERVICE is even better – and it is service, information and experience to help with your treatment that you must consider when you are treating your Peyronie's disease.   What you are receiving from PDI – even more than great products at a great price – is the time and effort given to you to provide the experience and insight into successfully treating your PD.   

If you decide to purchase your different therapy products elsewhere based only on price you will be using untested and unknown brands that right not actually contain what their label claims.  This is always the problem with purchasing based only on low price. 

These are the discounts PDI offers:

            1.  Standard and automatic 10% discount for all Small, Medium and Large Treatment Plans. 
            2.  TRH10 — $10 off each order of $200 or more
            3.  "neprinol" — $9.99 discount for a 300 count bottle of Neprinol 
            4.  "neprinol90" — $25.04 discount for a 90 count bottle of Neprinol

Let me know if I can help you with your Peyronie's treatment plan in any way.   TRH   

Pentoxifylline, Niacin and Peyronie’s Disease

Pentoxifylline is not an approved Peyronie’s disease drug

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

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

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

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

Pentox preferred simply because it is a drug

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Read a few testimonials that show what the PDI concept of Alternative Medicine treatment of Peyronie’s disease can do.

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

How to Change Peyronie’s Treatment If Not Effective

In 2002 I started working exclusively with men who have Peyronie’s disease.  Since that time I have noticed a common pattern with men about 6-8 weeks after the start of their treatment with Alternative Medicine.  This pattern occurs no matter the size of the PD treatment plan a man uses, or even with some personalized modification of a standard PDI plan based on personal needs.

It seems that after seeing some initial changes in the size, shape, density or surface quality of their scars at about 6-8 weeks of treatment, improvement and progress will often level off or plateau.  It seems that most men assume that all recovery and progress remains on a level and constant course, like putting your foot on the accelerator of a car.  When they begin to notice their improvement has slowed down or stopped, they are stumped about what to do next.  They will not know what to do with their current plan to improve it or modify it to assure continuation of those early positive changes.

Time and again I have seen this pattern:  Start care, make progress, slow down or stoppage of progress.  What must be done is some modification of the initial treatment (usually increase of treatment in some way) to again stimulate the healing capability of the tissue.  This can be expressed as: Increase care by increasing current therapy or adding new therapy, re-stimulate immune response, make additional progress, monitor for next slow down.  What happens after the next slow down or stoppage can be expressed in the same way:  Increase care again in a same or different way, re-stimulate immune response, monitor for next slow down, and so on.

This process of exactly how to slowly modify Peyronie’s treatment to increase activity of the immune response against the PD scar is where the day-today challenge is found – and it is not easy.

Peyronie’s treatment plateau of progress

It is common for a man who experiences his first plateau of progress to think only in terms of adding more therapies to his treatment lineup to re-energize his recovery.   If he has gotten good results from a medium size PD plan, he will assume he must add one or more therapies that are not part of his current plan – like PABA, or the Genesen pointers, or acetyl-L-carnitine, or Unique-E vitamin E oil as an external application or the gentle manual penis stretching technique, etc.  However, this is usually not necessary and not the best course of action.

From my experience, to help you get off your plateau and begin progressing again toward additional recovery it is best to work within the same group of therapies that was good enough to create your initial improvement.  This is usually accomplished by slowly and carefully increasing the dosage of one of those therapy items a little at a time.  If you develop any unusual problem/symptom while increasing your dosage, simply stop taking the product for 48 hours, and restart from the next lower dose.  When you reach the highest dose where you had no problem or symptom, stay at that dosage level for a few weeks.  After 2-3 weeks without problems, then slowly increase the dosage until you are at the desired level.  You will know you are taking the correct effective dose when you begin to see improvement in your scar size, shape, density or surface texture.

Modify slowly and deliberately

If no improvement or change occurs in the features of your scar after being on the increased dosage for about 14 days, then increase the dosage again.  Repeat this process until you begin to note improvement in your scar size, shape, density or surface texture.

Only after you have attempted to increase all therapies singly, and have attempted to increase several therapies together as a group, and all have shown to be unsuccessful should you then consider expanding the number of different therapies you use – like adding in PABA, or the Genesen pointers, or acetyl-L-carnitine, or Unique-E oil as an external application or the gentle manual penis stretching technique, etc. to your Peyronie’s treatment plan.

Peyronies Treatment and Attitude

Peyronies care improved with right attitude

When someone starts Peyronies disease treatment using Alternative Medicine there is always a sense of heightened anticipation about how fast results might occur, and how quickly sexual function and lost size might be restored.  Often this attitude of expectation is so intense that an unreasonable anticipation develops that can only lead to disappointment, frustration, and ultimate failure.   This is unfortunate since so much of this self-inflicted problem is totally avoidable.

The best attitude to have while starting Peyronie’s treatment is a simple combination of determination, honest curiosity and low expectations.  Your determination should stem from the fact that there is no known Peyronies cure, other than the fact that 50% of men get over their PD solely because of natural healing and repair of their immune system.   This should serve to make you determined to be one of those 50% of men who corrects his own PD problem.  Honest curiosity should arise from learning about your particular case of Peyronie’s disease in terms of the size, shape, consistency or hardness, and surface features of your plaque or scar formation.  You should also be curious to learn what you use and what you can do to make your scar go away on its own.  Keep your expectations low and allow yourself to the surprised and delighted by whatever progress you can achieve on your own.  Reasonable expectations reduce your stress, and stress slows and inhibits your progress.  Contribute to your recovery with the right mindset that leads to the success you are looking to earn.

Contributing to your ultimate success is to keep in mind that Peyronie’s disease follows almost no pattern of behavior or similar findings or reaction from man to man for comparison.   It seems that each case of Peyronies is different in small and large ways.  And for this reason it is also difficult to anticipate the course of recovery for anyone.  You must be willing to accept the uniqueness of your situation, including how long it will take to begin to see improvement and the eventual elimination of the Peyronie’s plaque that plagues you.  Peyronie’s disease us unlike any other health problem you have ever dealt with, so do not make the mistake of using past experiences to anticipate PD progress.

Lastly, you should not expect to gain good results against your Peyronie’s disease with a half-hearted or minimal effort.  Over and over again I see that men who do little, gain little, and men who do their best, achieve the best.  Stay focused and work hard to eliminate your Peyronie’s plaque and you stand the best change of ridding yourself of this terrible problem.

Vitamin E as Peyronie’s Treatment

About once a month we receive an order from a new customer who purchases only vitamin E.  Often these are one-time orders; these people order their vitamin E only once and we never hear from that person again.  When these orders appear I always assume it is from someone who has not taken the time to learn about correct Alternative Medicine treatment, and is simply following his MD’s suggestion to “try some vitamin E.”

Using vitamin E as a single therapy with no other support therapies to develop synergy, from my experience in over 10 years of work with Peyronie’s disease, is never effective.  For this reason it is the policy of PDI to always include a note with that order to explain the limitation and problem of using vitamin E by itself.

I have talked to many of these men who order only vitamin E to learn a bit more about their thinking, and how they come to believe this is all they have to do to recover from Peyronie’s disease.  Usually these men tend to take their health for granted, they do not use Alternative Medicine for their health problems and generally are not interested in knowing about this kind of treatment.  They place their vitamin E order simply because they were told to do it.

During this conversation I will also learn that they are reluctant about taking vitamin E because they say “I recall that taking vitamin E can be dangerous.”    This is usually a minor objection that can be explained easily with the information from the PDI blog post, “Peyronie’s Disease Treatment and Vitamin E.”   Once the facts are presented there is no real reason to be fearful about using vitamin E in general or in a well designed treatment plan for PD.

To be really successful using an Alternative Medicine to reverse the tissue changes of Peyronie’s disease requires that a man use multiple therapies to develop a synergistic effort to improve the ability of the body to heal and repair the Peyronie’s scar.   to learn how to do this, see Start Peyronie’s Disease Treatment.

Poor Peyronie’s Disease Treatment Results

Every few months I will receive a telephone call from someone who asks why he has not had any improvement after using his Peyronie’s treatment for a while.

Usually the first and last question I ask is, “What is the size, shape, density and surface texture of your scar?”  The typical response I receive is at first silence, and then the caller will admit he does not know the answer to the question.  At that point I will explain that if he does not know the current size, shape, density and surface qualities of his  scar and he did not have that information when he  started his treatment, there is no way to know for a fact that he did not progress.

Basically, these men are comparing minimal information to minimal information, and conclude that nothing has changed.

Further, I also get emails and calls from men who complain that they have not made enough progress to justify continuing with their treatment plan.  My line of questioning goes like this:

1.  What products and therapies are you using now?

2.  What is your dosage for each?

3.  Honestly, how faithful are you to your plan; how often do you forget to do what you are supposed to do?

4.  What kind of change to your PD therapy plan have you made recently?

5.  What was the size, shape, density and surface quality of your PD scar before treatment started and what is it now?

As you can imagine I usually learn they have not been following the PDI plan, but picking and choosing to do a few things that suit their fancy.

Most often the men who do not respond well are those who use no more than 1-3 different therapies.  Sometimes the products they use are not from PDI but they use something recommended by someone at a local vitamin store. Compliance on a day to day basis for taking their products is “not great”.  I learn they have not read the book I wrote but were trying to base all their therapy on the information only from the website.  Along the way I might also learn they have been using Viagra while following their modified PDI plan or that they have received a series of Verapamil injections within the past few years.  These men also seem to naturally eat all wrong for PD based on the suggested diet in “Peyronie’s Disease Handbook.” In short, they are their own worst enemy.

If any of this describes how you approach your Peyronies treatment, please consider changing your ways if you wish to get good results.

Please take your problem seriously, and take your treatment even more seriously.  The more you do the better your results should be.

Click here for information about Peyronie’s disease treatment.

Stay focused to your plan, and do not become discouraged.

Communication Vital for Peyronie’s Teatment Success

Saying you do not know might be the wisest thing you can do

The Peyronie’s Disease Institute has been working with men since 2002, offering the most effective therapy ideas and products we can find, and helpful information about successful Alternative Medicine treatment of Peyronie’s disease.

Usually within the first month of Peyronie’s treatment a man will enter into a critical point of his Peyronie’s treatment when he can become confused and doubtful.  Many men become unsure if they are using the correct treatment products or using them in the right way. Many times men want to change their plan but do not know how to do it.  If this describes how you are feeling about your treatment plan, you must let me know your questions and I will do my best to help you with all of this.

Please do not hesitate to send an email asking for help and information.   I would be happy to answer your questions, and offer insights and ideas gained after successfully treating my own PD, writing two books on this subject, and working with nearly a thousand men from around the world with their Peyronie’s treatment.

Contact Dr. Herazy at info@peyronies-disease-help.com

Pentoxifylline and Peyronie’s Disease Treatment

Pentox for Peyronie’s treatment is an off-label use

Every now and then I get an email asking for my opinion about using Pentox (Pentoxifylline) for Peyronie’s disease treatment.  Over time I have developed a few ideas about this controversial drug that is gaining some popularity as an off-label Peyronie’s treatment.

Those MDs who prescribe Pentox are still trying to figure out the best way to use it, not only for PD but for many other conditions.  While the primary use for Pentoxifylline is based on its ability to increase peripheral blood circulation, hence it is used to treat senile dementia and intermittent claudication, Pentox is gaining acceptance with the medical community for Peyronie’s treatment.

Some MDs who have learned the hard way that PDE5 drugs (Viagra, Cialis, Levitra) are not at all a safe or effective Peyronie’s treatment have instead begun to prescribe Pentox to increase blood flow in Peyronies.   But to have that make any sense at all you have to believe that PD is caused by reduced blood flow in the first place, or that merely increasing the blood flow will somehow help PD.  I can totally agree with that thinking if you have evidence that your penis suffers from reduced blood flow (it is cold and blue).  But if your penis is not cold and blue and bent, then you probably will not benefit from Pentox in the way that most people think.

It is my opinion that when Pentox is said to help men with PD it is because as the blood flow is increased to the periphery, it also brings in an increased flow of nutrients to assist the healing process.  Further, when Pentox helps a case of PD it is because of the totally secondary benefit of increasing the body’s ability to heal and repair the PD plaque when there are more nutrients in an area of the body.   It is a small point, perhaps, but a vitally important point to understand that it all comes down to the body healing the PD scar – not the Pentox having some curative ability by itself.   If Pentoxifylline can increase general circulation more safely than Viagra, Cialis, and Levitra, then great I am all for that.  But you have to consider that if you do not have a circulatory problem in the first place, then why take any of these drugs at all?

If the benefit of Pentox is to bring more nutrients into the tissues, to assist healing and repair of the PD plaque or scar, that is wonderful.  If it is beneficial to bring more nutrients into the tissue, would it not be a more logical and effective Peyronie’s treatment to intentionally and intelligently supply a wide variety of nutrients at a higher than average dosage to the body to assist the healing process?  After all, that is what PDI has been doing since 2002 and it works in a great percentage of cases when it is done correctly.

Since extremely few men actually have any evidence of a circulatory problem in the pelvis, taking Pentox or even Viagra, Cialis, and Levitra, will not make a difference because that is not the problem that is going on with PD.   If the problem is that you did not heal your tunica albuginea injury because of poor nutrient availability then I suggest it would do you a lot of good to increase the nutrients directly, not indirectly by playing with the circulatory system when there is no circulatory problem.

You notice that I do not say, “Do not take Pentox,” I only say it is new so use caution.  I also say that when Pentoxifylline helps it probably does so only because it helps the body work better by increasing available nutrients, not because it specifically increases blood flow.  If you want to help your pelvic blood flow:

1.    Wear boxer shorts

2.    Uncross your legs when you sit

3.    Do some Kegel exercises

4.    Put a moist hot pack on your privates when you watch TV

Most MDs are taking the attitude that while they do not know if Pentox helps PD, or why it helps when it appears to help PD, at least they currently have no evidence that it makes PD worse – so what the hell, take it and let’s see what it does for you.  This is how many medical patients get hurt in the long run with such a cavalier attitude about drugs.

I say better to take an Alternative Medicine approach to your problem to help your body heal and repair the Peyronie’s pathology naturally.

Viagra Peyronie's Disease Connection

Greater Viagra use and increase of Peyronie’s disease

In a 2002 article in the International Journal of Impotence Research about possible causes of Peyronie’s disease, authored by Sikka and Hellstrom of Tulane University, these two medical researchers observed that with the increased use of Viagra, Peyronie’s disease also increased.

In my work with the Peyronie’s Disease Institute, while corresponding with six to 10 men daily who have Peyronie’s disease concerning various aspects of their problem, I have also made this observation – that with greater use of Viagra, Peyronie’s diseases clearly increases.  The difference between Drs. Sikka and Hellstrom’s and my explanation why Peyronie’s disease is becoming more common as the use of Viagra – and other PDE5 drugs like Cialis and Levitra – increases around the world.

Their explanation, quoting Drs. Sikka and Hellstrom’s report:

“Peyronie’s disease usually affects 13% of males between the ages of 40 and 70, and the number of patients with such lesions have increased since the advent of oral sildenafil (Viagra, Pfizer) either because more men are becoming manifest and/or not hesitant anymore to come to clinics for such evaluations.”

In other words, these two Tulane researchers say the only reason PD appears to be increasing is that more men are willing to talk about it, now that men are talking more about erectile dysfunction with the greater awareness brought about with the frequent TV and magazine ads about this problem and drug solution of it.

While they offer the simple explanation that because men are becoming less hesitant to talk about their sexual problems, they assume more men are inclined to enter medical clinics asking for help – like asking for a prescription for Viagra, Cialis and Levitra.  That is certainly a possible explanation of perhaps some merit.   But that does not match my experience in talking with men who actually  have Peyronie’s disease.

Peyronie’s and Viagra

Men I talk to about starting Peyronie’s treatment still ask about how the mailing package will be labeled and if the return address will mention “Peyronie’s disease,” lest their letter carrier will learn they have PD.   I am asked if the credit card statement will mention that their therapy products are for treatment of PD, lest someone at the credit card company will learn they have PD.   I am asked by men how to explain the problem of Peyronie’s disease to a new girl friend so that she will not be scared away from a relationship with someone who has a disease of the penis.  I talk with men who do not want to talk at work about their PD lest someone overhears the conversation.  I learn from men that the worse thing about PD is not the pain associated with the scar development, but the loss of penile girth and length – something that most men would seem hesitant to tell the world about.

I do not doubt for an instant that men are more relaxed and casual about admitting to a problem with erectile dysfunction, and more willing to ask for a Viagra prescription than they were a few years ago.  This is a more sexually open society – for good or for bad.  Yet, I doubt that men are just as willing to admit that they have Peyronie’s disease in which their penis is shockingly smaller than average or that can be so distorted as to be incapable of entry to engage sexual intercourse.

Erectile dysfunction is one problem related to advancing age that perhaps has some dignity related to it and hope of easy drug solution, but Peyronie’s disease might not be seen in the same way since it is associated with permanent deformity and reduction of the size of the male organ.

My opinion is that Drs. Sikka and Hellstrom are reluctant to discuss the possibility that these PDE5 drugs sporadically, irregularly and without warning cause severe injury to the tunica albuginea by extensive over-inflation of the corpora cavernosa of the penis.  The mechanism of this possible route of injury was discussed on 8-17-09 in the Peyronie’s Disease blog under the title, Peyronie’s Disease Treatment and Viagra, Cialis and Levitra, and again on 8-1-10 under the title Viagra, Cialis and Levitra Use with Peyronie’s Disease.

These doctor’s hesitance to discuss or speculate that the increase of PD parallels the increase use of these drugs due to yet another drug side-effect of yet another group of drugs itself can be speculated upon.   Each man with PD must make up his own mind if this possibility makes sense to him, and if it is further reasonable to avoid the use of these drugs if he wishes to avoid further injury to his penis.     

Peyronie’s Disease Treatment and Insanity

Einstein and Peyronie’s treatment

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

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

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

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

Hello Dr. Herazy,

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

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

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

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

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

For the last ten weeks this is what I take:

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

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

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

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

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

3.    Consider increasing the vitamin C intake

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

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

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

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

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

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

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

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

Thanks for your time and help.

BXXXXXXX


I hope reviewing this email exchange was helpful.

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

Peyronie’s Treatment at the New Year

As this New Year begins it is a good time to stir your commitment to success in your Peyronie’s treatment.

When you consider that your odds for success against Peyronie’s disease are not very good if you do nothing, it is important that you do something to help yourself.  We specialize in doing all that you can to help you to heal this problem of PD.

Good luck to you.  Let me know what I can do to help you along on your path to successful Peyronie’s disease treatment.

“The secret of success is constancy to purpose.”  — Benjamin Disraeli

“Genius is divine perseverance. Genius I cannot claim nor even extra brightness but perseverance all can have.”  —  Woodrow Wilson

Don’t be discouraged.  It’s often the last key in the bunch that opens the lock.    — Ralph Waldo Emerson

“History has demonstrated that the most notable winners usually encountered heartbreaking obstacles before they triumphed. They won because they refused to become discouraged by their defeats.”  —  B.C. Forbes

“The price of success is hard work, dedication to the job at hand, and the determination that whether we win or lose, we have applied the best of ourselves to the task at hand.”   —   Vince Lombardi

Don’t be discouraged.  It’s often the last key in the bunch that opens the lock.   —   Ralph Waldo Emerson

“Desire is the key to motivation, but it’s determination and commitment to an unrelenting pursuit of your goal – a commitment to excellence – that will enable you to attain the success you seek.”  — Mario Andretti

“The difference between the impossible and the possible lies in a man’s determination.”   —  Tommy Lasorda

He conquers who endures.   —   Persius

“Adhere to your purpose and you will soon feel as well as you ever did. On the contrary, if you falter, and give up, you will lose the power of keeping any resolution, and will regret it all your life.”   —   Abraham Lincoln

“The difference between a successful person and others is not a lack of strength, not a lack of knowledge, but rather a lack of determination.”   —  Vince Lombardi

“Always bear in mind that your own resolution to succeed, is more important than any other one thing.”   —   Abraham Lincoln

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.”

Improving Peyronie’s Disease Treatment Results

One small skill makes Peyronie’s treatment more effective

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

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

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

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

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

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

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

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

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

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.

Detoxification during Peyronie’s Disease Treatment

Consequence of systemic enzymes like Neprinol for Peyronie’s treatment

When using any of the systemic enzyme products (Neprinol, Nattokinase 1500 or Fibrozym) in a Peyronie’s disease Alternative Medicine program, it is not uncommon to go through a detoxification reaction.   Avoiding a detoxification reaction, and what to do if you have one, is the reason anyone who orders these particular products receives specific suggestions for their use.

Any of these systemic enzymes will destroy foreign fibrin in the body, regardless of the location of the fibrin material.  Over time as Peyronie’s plaque and fibrin is destroyed the greater the problem for the body is to eliminate the fibrin protein break-down products and tissue debris.  Like when you clean the attic – you must  find a way to get rid of all the accumulated junk.

When starting to use the systemic enzymes in a Peyronie’s disease treatment plan, this can amount to a flood of break-down debris that possibly can overwhelm the ability of the liver and large intestine for removal.  The end result is often nausea and diarrhea that are caused by this “housecleaning” that performed by the systemic enzymes.

Besides being no fun, the nausea and diarrhea problems that detoxification causes will also make absorption of nutrients more difficult and inefficient.   It is difficult for the body to absorb nutrients through the bowel wall while diarrhea is taking place.  For this reason I suggest that you stay at an enzyme dose high enough to just border on digestive distress (light occasional diarrhea and nausea, but definitely controllable), but less than having bad out-of-control problems.  This way you are attempting to still push for the benefits of detoxification without losing nutrients because your system is in a state of irritation from toxic overload.

Peyronie’s treatment personal and specific for the individual

There is no one who can tell you the exact dosage to go about detoxification without developing a lot of diarrhea; you have to figure out how to do it; no one can do it for you. I suggest you not stay on a constant or level dose of enzymes.

Let’s say you wish to try a 6/day dose of your enzymes (either Neprinol, Serrapeptase or Fibrozym).  I suggest you start at 3/day and over a 7 day period slowly work your way up the level you wish.  If you notice a slight case of diarrhea starting, drop down to one less pill per day for a few days but do not totally stop taking the enzyme because you then interfere with your body’s tendency to adapt to and tolerate that product.  After a few day go back up to the dose that had caused a little diarrhea and you will likely have no problem.

As an option for those who want to take – as an example – 6/day of a systemic enzyme consider this effective variation.   Play with that 6/day dose by taking 5/day and 7/day on alternate days; or even 4/day and 8/day on alternate days.  This way, on the high days you are pushing yourself for detox but this is followed by a day of relative “rest” with the lower dose of enzymes so that you your gut does not stay irritated for a long time. This method also has the advantage you are not stopping your program; you are staying with it but modifying it for maximum benefit to you.

If you are taking these enzyme products you might consider trying this pattern of taking them for a few weeks.  I found I was experiencing toxic overload when I was taking about 12/day of Neprinol in addition to other systemic enzymes.  I did this higher/lower pattern and it really seemed to help.  Eventually I got to the point I could take up to 18/day of Neprinol with no problem at all.  This higher level of systemic enzyme therapy can be a little complicated, but it was definitely worthwhile for me.

A Peyronie’s disease treatment plan requires planning, work, and dedication to be successful.   Read the testimonials of the Peyronie’s Disease Institute from those who do did it the right way and learned how to avoid detoxification problems.

Guide for Peyronie’s Disease Treatment

How to know if your Peyronie’s treatment is working

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

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

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

Specific Peyronie’s treatment information

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

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

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

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

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

Peyronie’s Disease Handbook

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

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

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

How to Increase Peyronie’s Natural Recovery

Peyronie’s natural treatment is not like using drugs

“What is the very best way to treat my Peyronie’s disease?”  That is the million-dollar question, my friend.

When I developed Peyronie’s disease in 2002, my basic strategy for recovery was this:   50% of men get over their Peyronie’s disease without any outside help – in effect they experience a Peyronie’s disease natural cure.  If this is true – and it is – then it seems most logical to do everything possible to increase my ability to heal my problem like the men in that lucky 50% group.

Even from the start I felt like my Peyronie’s disease it was a problem I could beat since the odds for recovery are good at 50/50.  All I had to do was consistently support and promote my natural ability to heal in this particular area of the body over a period of time, knowing that this would increase the capability of my body to heal itself.   I believed then – and know now – that Peyronie’s natural treatment is often just a matter of time and persistence.

I studied the problem of Peyronie’s disease diligently, I worked even harder, I was always faithful to my plan, and I used myself as a guinea pig for every idea that seemed to have merit.  In less than six months I was free of all traces of the PD scar, all penile distortion was gone, and all lost dimensions returned.  I succeeded.

How to increase Peyronie’s disease natural healing

Everyone comes to the PDI website expecting to see a clear and direct answer, a logical 1-2-3 set of instructions that explains how I beat my Peyronie’s disease, and how you can do it also.   But, that is not the way it works.  There are no magic 1-2-3 steps to success.  Each case of PD is as different as the man who has the problem.  Therefore, every man must work out his own Peyronie’s treatment plan – using all the information and ideas I can supply to you. The lack of specific treatment rules is what frustrates men with PD – as if they do not have enough to be frustrated about already!  But that is just the way it is.

The entire PDI website (if you printed it out, you would have over 400 pages of information), is devoted to Peyronie’s natural treatment.  Even so, all I can give to you is an outline and the basic ideas of how to increase your ability to heal and repair the Peyronie’s plaque.  The “Peyronie’s Disease Handbook” is essential in your recovery from PD; it explains in great detail how to monitor and define the size, shape, density and surface quality of your scar(s) – the most important skill you can develop to speed your recovery. While I freely offer you whatever guidance and ideas you might need, and answer all your questions based on considerable experience with Peyronie’s disease natural treatment, you are still in charge of the way you treat yourself.   This is the way it must be because you must monitor the size, shape, density and surface qualities of your scar(s) to directly judge how your body is responding to your treatment plan.

I present the basic ideas of Peyronie’s treatment, but you must jump in and do your best to determine which of these ideas works best for you.  This is not an exact science, and these are not drugs used for treatment with exact dosages.

For most men it often comes down to deciding how much time and energy you have available to treat your PD each day, and how much money you can afford to spend each month; this is realistic.  You might want to do much more for yourself, but can only afford a little. Do your best – whatever that is. Men who get the best results are those who do the most to increase their ability to heal.  Do as much as you can to get this problem behind you.  Many do very well with the Medium Plan, or some variation of it.  Maybe that will be a good way to start your recovery from PD.

I get reports of success and progress weekly from men who use this approach for Peyronie’s natural treatment.  You will only know if it can help you if you give yourself a chance. I will help you in any way I can to be successful.

Peyronie’s and Verapamil

Verapamil and Peyronie’s disease treatment

Verapamil is used in Peyronie’s disease treatment by injection directly into the Peyronie’s plaque or a topical Verapamil cream is applied to the skin over the Peyronie’s plaque.   For more information about this method, see Peyronie’s disease treatment via direct drug injection.

Verapamil is a calcium channel blocker of the phenylalkylamine L-type.  It works by relaxing the muscles of the heart and blood vessels. Verapamil is an anti-arrhythmic drug approved by the FDA in 1981 to treat hypertension, angina, cardiac arrhythmia, and recently, cluster headaches.  No oral or transdermal Verapamil is approved for Peyronie’s disease treatment.  Most used for Peyronie’s treatment is in the form of a topical Verapamil cream that is applied twice daily for many months.

There are many different companies that compete against each other with their own unique patented Verapamil formula, creating difficulty to know what to believe about the use of Verapamil for Peyronie’s disease treatment.

With so much competition among companies and unsafe practices of illegal companies, some even resort to making inferior and dangerous topical Verapamil cream products.  As a result, Peyronie’s patients who use counterfeit Verapamil have reported:

  • Changes in blood pressure, causing dizziness, fainting, heart beat irregularities, often requiring changes in other medications to become stabilized
  • Severe skin irritation
  • Skin burns and blistering

Peyronie’s Verapamil connection

As with many popular medications, the exact way Verapamil is supposed to benefit Peyronie’s disease is not entirely known.  Keep this in mind when someone says they do not know how vitamin E or acetyl-L-carnitine or PABA helps Peyronie’s disease.

It is proposed that long term use of Verapamil blocks calcium from entering into the Peyronie’s plaque or scar.  Another theory s that Verapamil increases fibroblast activity to make more collagenase that breaks down the Peyronie’s plaque or scar. However, calcium is an essential mineral that must have free access and movement in all tissues and hundreds of different normal and healthy chemical, enzyme and hormone functions of the body.  The body needs calcium to function normally and healthfully, and it does not do well when it is blocked by a drug like Verapamil.

Peyronie’s disease and Verapamil side effects

When taken topically or orally for Peyronie’s, Verapamil can cause side effects that may impair thinking or abnormal organ function because of calcium metabolism interference.   Care should be used when driving a car, operating dangerous equipment, or any skill in which mental alertness or memory is needed.

Verapamil and Peyronie’s disease warning

Men treating Peyronie’s disease with Verapamil must deal with extreme fatigue, loss of energy, blood pressure problems and skin reactions that often occur.  Also, if Verapamil is stopped suddenly any side effect or problem for which it is being taken (like Peyronies) may become worse.

You should not use Verapamil if you are allergic to it, or if you have:

  • Serious heart conditions, especially “sick sinus syndrome” or “AV block” (unless you have a pacemaker)
  • Low blood pressure
  • Recent heart attack

Personal experience with Verapamil and Peyronie’s disease

After attempting to treat my own Peyronie’s disease with topical Verapamil cream for eight months, my overall health suffered from weakness, fatigue, memory failure and low blood pressure caused by the Verapamil in my blood stream.  However, worst of all, while using Verapamil my Peyronie’s disease worsened.   The size of each Peyronie’s plaque increased and my Peyronie’s curve doubled.

Shortly after using Alternative Medicine to eliminate my Peyronie’s problem, I started the Peyronie’s Disease Institute with my MD colleagues I was working with at the time.  With this organization I communicate with dozens of men daily about their problems with PD.  Considering the information outlined above, it seems fewer and fewer medical doctors use Verapamil for Peyronie’s disease management.

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.

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.

Potaba and Peyronie’s Disease Treatment

Potaba for Peyronie’s treatment based on PABA, a vitamin

PABA, or para-aminobenzoic acid, with a formula of H2NC6H4CO2H, is a white crystalline substance that is slightly water soluble.  POTABA is simply PABA with a molecule of potassium added to it.

PABA has been referred to as Vitamin Bx because it is an intermediate step in the bacterial manufacturing of folate or folic acid in the intestinal tract.  Some bacteria in the human intestinal tract, such as E. coli,require PABA for proper metabolism. Humans require folate since we lack the enzymes to convert PABA to folate, hence it is made available via the bacterial flora.  Sulfonamide drugs are similar to PABA in their chemical structure, and their antibacterial activity is due to their ability to interfere with the conversion of PABA to folate by the enzyme dihydropteroate synthetase.  In this way bacterial growth is restricted through folate deficiency without effect on human cells.

Medical use of Potaba (potassium para-aminobenzoate)

Potaba inhibits abnormal fibroblast proliferation, thus it can reduce formation of scar material early after injury.  It is speculated that this POTABA anti-inflammatory activity is dependent on initial biotransformation that starts with granulocytes that are stimulated through the initial injury.  It also inhibits abnormal fibroblast proliferation, acid mucopolysaccharide and glycosaminoglycan secretion that occur during the normal inflammatory process.

POTABA has been used to treat a variety of conditions characterized by chronic inflammation and fibrosis; this list includes scleroderma, dermatomyositis, morphea, pulmonary fibrosis and Peyronie’s disease.

A POTABA research study was conducted by Carson who retrospectively reviewed 32 patients who were treated with 4,000 Mg of Potaba three times daily, for at least three months and later were followed for an average of 14.4 months.   Carson reported reduction of penile pain in 44% of those studied,  plaque or scar size reduction in 56%, and improvement of penile angulation in 58%. Complete reversal of penile distortion and angulation occurred in 26% of those studied. The average interval to improvement was 4.2 months, and younger patients with a shorter duration of disease were more likely to respond to therapy.  Even thought Carson’s study did not have controls, it suggests a possible role for POTABA in the medical therapy of Peyronie’s disease.

Unfortunately, the results of Carson’s retrospective and uncontrolled research were not reported as an intent-to-treat study.  Further, the number of research subjects who started therapy but stopped because of severe abdominal symptoms prior to three months has never been disclosed.

Because of the expense of POTABA, the need to take POTABA three or more times daily, and frequent occurrence of severe gastrointestinal side-effects (burning pain, abdominal cramping, and bowel irritability0, make it very difficult for the average man with Peyronie’s disease to follow the treatment guidelines for even a short time.  Yet in order to be effective, the length of POTABA therapy is variable, but sometimes lasting 12-24 months of active care.

Medical use of PABA

When a single potassium molecule is added to PABA, it results in what is called a potassium salt; this combination of potassium and PABA is called POTABA.  It is used as a drug against fibrotic skin disorders, and as such it can be used in Peyronie’s disease treatment.  PABA is also occasionally used to treat Irritable bowel syndrome to and related gastrointestinal symptoms, and in nutritional epidemiological studies to assess the completeness of 24-hour urine collection for the determination of urinary sodium, potassium, or nitrogen levels.

Despite the absence of any recognized syndromes of PABA deficiency in humans, many benefits are claimed for PABA as a nutritional supplement.  PABA is said to improve fatigue, irritability, depression, weeping eczema (moist eczema), scleroderma (premature hardening of skin), a patchy pigment loss in skin called vitiligo, and premature gray hair.

Peyronie’s disease:  POTABA or PABA?

The first Peyronie’s treatment work involved PABA, the vitamin.  When this was shown to be successful, work was then done to show that POTABA, the drug, could be more successful.  The interest is working with POTABA – the drug – was greater than with PABA – the vitamin – because the drug is more profitable and is easier to control use and distribution through the medical profession.

The reason PDI promotes the use of PABA for Peyronie’s disease treatment is because it has almost no side effects, is much less expensive to use, does not require a prescription and it combines well with other Alternative Medicine therapies.

For more information about the many ways to use Alternative Medicine to promote tissue repair and reversal of penile curvature, go to Peyronie’s Disease Institute.

Diagnosis of Peyronie’s Disease

Poor welcome to the world of Peyronie’s disease

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

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

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

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

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

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

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

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

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

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.

Thacker’s Formula – Other Peyronie’s Treatment Questions

Thacker’s formula and other Peyronie’s disease treatment questions

Perhaps a few times a month someone emails a question to me about Thacker’s formula.  This legendary Peyronie’s treatment – called Thacker’s formula because of the Dr. Thacker who is said to have created it – contains a specific ratio of Castor oil, DMSO and apple cider vinegar.  Although I know the exact proportions to make this Peyronie’s treatment I will not disclose this information here because I can not provide in this space all the details for correct use that are necessary to use it correctly and safely.

Along a similar line, I am sometimes asked if I know anything about using various things like herbs for herbal Peyronie’s disease treatment (ginkgo biloba, echinacea), a micronutrient (Coenzyme Q, EPA), or some type of old home remedy (garlic, Castor oil, olive oil) that might be used as a Peyronie’s disease cure.   They want to know what I would think about using the Thacker’s formula or other treatment, and why don’t any of these types of treatment appear in the PDI lineup of therapies?

In order for any therapy or procedure to be included in the PDI lineup of 14 potential Peyronie’s treatments, it has to have either been applied specifically in treatment of PD in a series of scientific studies and proven at least 50% effective in several trials (even though it might have done poorly in others), or it must have demonstrated good success and acceptance within the scientific community for treatment of other unrelated health problems (acupuncture and homeopathy).  With this simple criterion we establish some level of scientific credibility for those therapies in our PDI lineup, and further increase the possible effectiveness of therapy when several of these are united in a synergistic program of care.

There are probably some really good Peyronie’s disease treatment ideas that could be actually very effective.  But who among us wants to spend his time, effort, money, and most importantly, his opportunity to get over his Peyronie’s disease by experimenting with theories that have absolutely no proven ability to influence the body to promote healing? I did not want to waste my time on theories of questionable merit, when I knew there were many available that had already achieved some level of success.  This last group seemed to be a better place to look for answers, than chasing unproven ideas.

Edgar Cayce’s castor oil pack might indeed be an effective Peyronies’ disease treatment, but for one reason or another it has not been subjected to even minimal scrutiny for PD.  The goal of recovering from Peyronies is too great to use an untried treatment, when there are so many others of higher credibility and logic to work with.

Thacker’s formula does not meet Peyronie’s treatment guidelines

PDI was started on the basis of using treatments of some level of known and proven merit, and uses this standard today to determine what additions will be recommended and used in future therapy plans.  Rumors, stories, and speculation you read about on a Peyronie’s forum are not enough.  Alternative Medicine employs early science to see through the maze of superstition and learn the truth of what may or may not work to regain health.  These are the principles used to formulate the current Peyronie’s disease treatment strategies you have learned about.  We are already working on the outer rim of established medical practice, but we must be careful to not go too far away from common sense and valuable scientific information that will help us achieve our health goals.

Usually, my suggestion for someone who wants to use such a new Peyronie’s treatment is to do it in combination with several other known and better proven therapies already in the Peyronie’s Disease Institute lineup.  This way there is back-up treatment, and the total effort will create a therapeutic synergy.  Never is it suggested to use only the one therapy of any type, proven or unproven.

So, if you are just adding in an extra type of therapy because you read about it on a Peyronie’s forum, I say, all the more power to your curiosity and sense of adventure, but please do not use it exclusively as the treatment you provide for yourself.

While there is no reason to believe there is any potential harm in using Thacker’s formula correctly, and perhaps great therapeutic benefit,  at this time I cannot endorse the use of Thacker’s formula because it is essentially untested and unproven in any meaningful way.  There is a lot of good information about sensible Peyronie’s disease treatment, with reasonably good results in research testing, that should be used in a broad based  rehabilitation program.

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

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.

Peyronie’s Disease and a History Lesson

Peyronies Disease and Important Lessons from History

This discussion is about a terrible sickness that appears in the news occasionally, with an interesting application to Peyronie’s disease natural treatment.

Throughout history great epidemics have occurred, killing huge numbers in a given population. However, it is rare to find evidence that an epidemic – no matter how devastating – killed an entire population.  In fact, it is not known if an entire population has been lost to a disease epidemic. This is a simple fact that has great importance to Peyronie’s treatment.

That the human race survived the ravages of many deadly epidemics tells us something about ourselves, and our ability to defend against disease and heal tissue.  You must remember that in every epidemic that has ever occurred some of us recover after becoming sick − or never even get sick at all − while others become severely ill and die. From this we learn our bodies, for the most part, do a great job of defending, mending and repairing, even in the face of great health challenges.

As an example, a smallpox epidemic will typically kill 30-50% of the people who are exposed. Yet, did you ever wonder if a small pox epidemic is so bad that 30-50% of a population will die, what about the other 50-70% of people who survive the small pox epidemic? Why do these 50-70% survive? Why don’t 80%, 90% or all of those exposed to smallpox die from it? What is so special about the 50-70% who survive? What do they do, or not do, that keeps them from contracting the disease or dying? No one knows exactly how those who survive such an ordeal do it. But, we can at least assume that those 50-70% who survive an epidemic have a healthier immune system and were able to maintain better function of body chemistry and physiology. There is another way to say it that sounds a little silly, but is true: We can generalize that people do not get sick after exposure to a disease like smallpox because they are healthier than those who get the disease. Some bodies function better in some way to heal, repair and survive than the others who get sick, or die. The same can be said of any health problem, even Peyronie’s disease – if your body is working at its highest level, you stand a better chance of avoiding or surviving a health problem. This is where the PDI theory about PD comes in.

We all have scars on our body. Sometimes a minor injury heals with a major scar, while on the other hand, some major injuries heal without a scar. Some scars from childhood injuries fade as we get older. These are important points to consider, since scar formation of the tunica albuginea of the penis is central to the problem of PD. If scar tissue doesn’t always develop after injury, and is reversible in 50% of the men with PD, what about you? Do you really have to be stuck with a scar and a permanently bent penis? Our interest at PDI is to determine why this reversal of scarring happens in 50% of PD cases, and how to assist scar reversal for more PD sufferers. We think we are on the right track with our efforts, and we offer our ideas to you for your consideration.

We all have seen from our everyday observations and experience that scarring is not always inevitable and is sometimes reversible. At the Peyronie’s Disease Institute we simply attempt to create a favorable environment in which scarring of the tunica albuginea is minimized to the best of each man’s ability, and maybe even eliminated, by enhancing and supporting the normal healing response of the tissue to injury. Remember:  no epidemic killed everyone, so we know our body has an amazing ability to repair and heal.   History proves this to us.

Just as we have seen from history that not everyone who is exposed in an epidemic of a fatal disease gets it, PDI is working with the theory that the scar of Peyronie’s disease might be avoided or minimized if you can improve your tissue health and immune response.    If you work a bit to increase your ability to repair and heal your problem, you might even be able to avoid Peyronie’s disease surgery, wouldn’t that be nice?

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

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.

Peyronie’s Disease Treatment Question

Common question about Peyronie’s treatment

Every now and then someone emails a question to me about an herbal Peyronie’s disease treatment (ginkgo biloba, echinacea), a micronutrient (coenzyme Q, EPA), or an old home remedy (garlic, castor oil, olive oil) that might be used as a Peyronie’s disease cure.  Along a similar line, I am sometimes asked if I know anything about a legendary Peyronie’s treatment known as Thacker’s formula, what I would think about using the treatment, and why does this treatment not appear in the PDI lineup of therapies?

In order for any therapy or procedure to be included in the PDI lineup of 14 potential Peyronie’s treatments, it has to have either been applied specifically in treatment of PD in a series of scientific studies and proven at least 50% effective in several trials (even though it might have done poorly in others), or it must have demonstrated good success and acceptance within the scientific community for treatment of other unrelated health problems (acupuncture and homeopathy).  With this simple criterion we establish some level of scientific credibility for those therapies in our PDI lineup, and further increase the possible effectiveness of therapy when several of these are united in a synergistic program of care.

There are probably some really good Peyronie’s disease treatment ideas that that could be actually very effective.  But who among us wants to waste his time, effort, energy, money, and most importantly, his opportunity to get over his Peyronie’s disease by experimenting with theories that have absolutely no proven ability to influence the body to promote healing? I did not want to waste my time on theories of questionable merit, when I knew there were many available that had already achieved some level of success.  This last group seemed to be a better place to look for answers, than chasing unproven ideas.

Edgar Cayce’s castor oil pack might indeed be an effective Peyronies’ disease treatment, but for one reason or another it has not been subjected to even minimal scrutiny for PD.  The goal of recovering from Peyronies is too great to use an untried treatment, when there are so many others of higher credibility and logic to work with.

PDI was started on the basis of using treatments of some level of known and proven merit, and uses this standard today to determine what additions will be recommended and used in future therapy plans.  Rumors, stories, and speculation you read about on a Peyronie’s forum is not enough.  Alternative Medicine employs early science to see through the maze of superstition and learn the truth of what may or may not work to regain health.  These are the principles used to formulate the current Peyronie’s disease treatment strategies you have learned about.  We are already working on the outer rim of established medical practice, but we must be careful to not go too far away from common sense and valuable scientific information that will help us achieve our health goals.

Usually, my suggestion for someone who wants to use such a new Peyronie’s treatment is to do it in combination with several other known and better proven therapies already in the PDI lineup.  This way there is back-up treatment, and the total effort will create a therapeutic synergy.  Never is it suggested to use only the one therapy of any type, proven or unproven.

So, if you are just adding in an extra type of therapy because you read about it on a Peyronie’s forum, I say, all the more power to your curiosity and sense of adventure, but please do not have that constitute the majority of what you do for yourself.

Try not to become so desperate that you grab at straws. There is a lot of good information about sensible Peyronie’s disease treatment I can offer if you need help with your rehabilitation program.

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.

Treatment for Peyronie’s Disease with Drugs

Medical Peyronie’s disease treatment

Medical treatment for Peyronie’s disease is basically limited to simple reduction of pain and hope for some level of sexual function.  Since no known medical treatment of Peyronie’s disease exists, several experimental approaches are used with only half-hearted enthusiasm by the average medical doctor.

Current experimental medical approaches used to treat Peyronie’s disease:

  • COLLAGENASE – Currently being researched as an injection directed into the scar tissue to enzymatically digest and eliminate it.   It is found that repeated injections into the penile tissue can cause Peyronie’s disease, and hence the long term outlook for this method is questionable.
  • POTABA – This is PABA, a B vitamin, with a potassium molecule attached.  PABA is a safe form of Peyronies treatment, but the addition of potassium to the B vitamin requires a large dosage often resulting in severe gastric pain and digestive problems.
  • COLCHICINE – This is a standard gout medication that is used to treat Peyronie’s disease because it is supposed to reduce inflammation and scar formation.  Not many reports of success are evident in the literature, and for this reason this drug is not a very popular Peyronie’s treatment.
  • INTERFERON – A protein that is used because it is thought to disrupt the production and promote the breakdown of collagen.  Of all medications used, this is the least popular Peyronies’ disease treatment.
  • VERAPAMIL – A drug normally used to treat high blood pressure. Can be administered topically in gel form over several months, or is directly injected into the plaque in a series of 8-20 shots into the penile tissue. This drug, in either form, is also less popular than it was when first introduced several years ago due to poor clinical results.
  • STEROIDS – This is the same common drug used for many conditions, basically because of its anti-inflammatory ability.
  • RADIATION – In low dosage thought to reduce pain, and no other benefit to Peyronie’s treatment.   Can lead to other problems of excess radiation.
  • SURGERY – Because the body does spontaneously resolve about 50% of Peyronie’s disease cases without any treatment or medical intervention, surgery should not be considered for at least one or two years following onset of signs and symptoms of the disease.  Peyronies surgery is used only in severe cases, because it is not uncommon for surgery to make Peyronie’s disease worse or lead to complications that are worse than the original problem.

Most men who contact the Peyronie’s Disease Institute have already tried one or more of the above treatments, and are still looking for Peyronie’s help.  The philosophy to treat Peyronie’s disease is simply to treat the man who has the Peyronie’s scar so he is better able to eliminate and correct his own problem – just as happens with the 50% of men who spontaneously heal their own Peyronies scar without any help from anyone.

The basic approach used by the Peyronie’s Disease Institute is to use as many well-researched Alternative Medicine therapies as possible so as to support the natural healing ability of the body.  This can be done with vitamin E and C, acetyl-L-carnitine, PABA, dietary guidance, gentle manual soft tissue stretching of the scar tissue, DMSO, copper peptides, and others.   For more details click Treatment for Peyronie’s Disease and you will see how easy it is to take control of your future.

Peyronie’s Treatment Sensations

Strange reaction to Peyronies therapy

Every now and then I get a question about the variety of unusual sensations and reactions that men notice during Peyronie’s treatment, or immediately after, a particular therapy used in Peyronies treatment.  These are the Peyronie’s disease therapies most often associated with this kind of response:

  1. Genesen Acutouch Pointers
  2. Manual stretching method found on the CD
  3. DMSO PMD formula
  4. Super CP Serum copper peptide ointment

Most often the sensation is described as a “tingling” or “aching” or “electrical” sensation in or near the area of treatment.  It can be felt during or within the hour any of these therapies are applied.  The intensity can be variable from time to time it is felt; sometimes very mild and hardly noticeable, and at other times enough to wake a person from a sound sleep. Sometimes the response occurs each time the treatment is done, and for other men the reaction occurs every now and then at irregular times.

If you experience this kind of reaction in the area of your Peyronie’s scar, do not become alarmed. It is common and usually signals some good response to your Peyronie’s treatment as changes are occurring in the condition of the scar.

This is not something that has been studied much in the scientific literature since those researchers prescribing drugs or standard medical procedures for PD do not get the kind of reactions and responses that occur while following the Peyronie’s Disease Institute therapy principles.  They do not report this kind of reaction because they do not make the kind of rapid changes that are seen in men using the PDI protocols.

Therefore, there is no research that has been done to explain this phenomenon.  It is my theory that these reactions are due to the rapid changes that take place in the tissue in and around the scar material.  During or after a particular Peyronie’s treatment a change may occur in the tension and length of the otherwise contracted scar material of the penis.  These alterations of tension and position of the tissue layers could easily explain the unusual sensations that occur. I find from my own treatment experience, and that of other men who have had improvement in their Peyronie’s disease, that these “moving” or “tingling” or “aching” sensations appear when the scar is undergoing some level of change (improvement).  Many men come to count on the appearance of these changes to herald improvement of their scars from time to time.

It is most probably NOT just one therapy or just the one product causing this usual sensation.   It is closer to the truth to say that these sensations are the sum total of all the synergistic efforts that are included in your therapy plan. The problem (a good problem) with using so many of these therapies together is that you will never be able to accurately say which one did the most or least for you.   A synergistic Alternative Medicine therapy plan is a group effort, with all therapies making some contribution to whatever happens to you.

Please email your questions about Peyronie’s disease treatment to this blog.

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 and the Erection

Peyronie’s treatment and how to care for erections

An important consideration of Peyronie’s disease treatment concerns how the ability to develop a normal erection will be influenced.

While erections can be difficult to develop on demand during a sexual situation, paradoxically, an erection can be difficult to stop, especially when it develops while asleep.  Nocturnal (nighttime) erections occur for a reason, and they are important for the overall health of the spongy tissue of the corpora cavernosa and corpora spongiosum (deep tissues of the penis that fill and trap blood to create the erect state).

It is as though the body takes the opportunity to develop an erection during the night when there is little other activity going on, to assure that the penile tissue is stretched and used in this particular way for its own benefit.  The problem with a nocturnal erection in Peyronie’s disease is that confinement and binding of the erection can be sustained against the penis for a long period of time at the risk of additional injury.  Be especially careful about getting an erection during a time when the penis has no comfortable place to go – do what you can to avoid an erection while wearing tight underwear or pants.

For this reason it is important to not wear tight clothing to bed in order to avoid this problem.

For the most part, a normally occurring erection that can simply “stand on its own” with no pressure against it, is not going to bind or stretch out the penile tissue to any great excess that is going to be detrimental to the penis. Where you can get into trouble is in creating a drug-induced (Viagra, Cialis, Levitra) or artificial erection, during which an abnormally great amount of blood is drawn into the penis by more soft tissue relaxation than normal.  So in this way we see that a naturally occurring erection is safer than an artificially created erection.

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

Sexual activity is NOT to be avoided if you have Peyronie’s disease, but rough, aggressive, hard sex could really hurt you.  Developing and using a natural erection is not to be avoided either in PD.  Just keep your wits about you and do not go wild during sex.  The emphasis should be on an easy, smooth and gentle sexual encounter.  Anything that causes pain should be avoided.

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

Peyronie’s Disease Treatment Question

Peyronie’s treatment that are not mainstream

Every now and then someone emails a question to me about an herbal Peyronie’s disease treatment (ginkgo biloba, echinacea), a micronutrient (coenzyme Q, EPA), and old standby like vitamin E, or an old home remedy (garlic, Castor oil, olive oil) that might be used as a Peyronie’s disease cure.  Along a similar line, I am sometimes asked if I know anything about a legendary Peyronie’s treatment known as Thacker’s formula, what I would think about using the treatment, and why does this treatment not appear in the PDI lineup of therapies?

How is a Peyronie’s treatment method selected by PDI?

In order for any therapy or procedure to be included in the PDI lineup of 14 potential Peyronie’s treatments, it has to have either been applied specifically in treatment of PD in a series of scientific studies and proven at least 50% effective in several trials (even though it might have done poorly in others), or it must have demonstrated good success and acceptance within the scientific community for treatment of other unrelated health problems (acupuncture and homeopathy).  With this simple criterion we establish some level of scientific credibility for those therapies in our PDI lineup, and further increase the possible effectiveness of therapy when several of these are united in a synergistic program of care.

There are probably some really good Peyronie’s disease treatment ideas that that could be actually very effective.  But who among us wants to waste his time, effort, energy, money, and most importantly, his opportunity to get over his Peyronie’s disease by experimenting with theories that have absolutely no proven ability to influence the body to promote healing? I did not want to waste my time on theories of questionable merit, when I knew there were many available that had already achieved some level of success.  This last group seemed to be a better place to look for answers, than chasing unproven ideas.

Edgar Cayce’s castor oil pack might indeed be an effective Peyronies’ disease treatment, but for one reason or another it has not been subjected to even minimal scrutiny for PD.  The goal of recovering from Peyronies is too great to use an untried treatment, when there are so many others of higher credibility and logic to work with.

PDI was started on the basis of using treatments of some level of known and proven merit, and uses this standard today to determine what additions will be recommended and used in future therapy plans.  Rumors, stories, and speculation you read about on a Peyronie’s forum is not enough.  Alternative Medicine employs early science to see through the maze of superstition and learn the truth of what may or may not work to regain health.  These are the principles used to formulate the current Peyronie’s disease treatment strategies you have learned about.  We are already working on the outer rim of established medical practice, but we must be careful to not go too far away from common sense and valuable scientific information that will help us achieve our health goals.

Usually, my suggestion for someone who wants to use such a new Peyronie’s treatment is to do it in combination with several other known and better proven therapies already in the PDI lineup.  This way there is back-up treatment, and the total effort will create a therapeutic synergy.  Never is it suggested to use only the one therapy of any type, proven or unproven.

So, if you are just adding in an extra type of therapy because you read about it on a Peyronie’s forum, I say, all the more power to your curiosity and sense of adventure, but please do not have that constitute the majority of what you do for yourself.

Try not to become so desperate that you grab at straws. There is a lot of good information about sensible Peyronie’s disease treatment I can offer if you need help with your rehabilitation program.

Peyronie’s Treatment and Cialis

Peyronie’s and Cialis (Tadalafil) and PDE5 inhibitors

Peyronie’s and Cialis are both on the rise – no pun intended, and there is a reason for that.

Cialis it is not a Peyronie’s treatment; Cialis is used to treat erectile dysfunction (impotence).   Some MDs use Cialis in Peyronies treatment because they think it will help the patient achieve a stronger erection  since Peyronie’s disease and impotence or erectile dysfunction often occur together.    But    This practice is is coming under close scrutiny because Viagra, Cialis and Levitra (all the PDE5 inhibitors) can make Peyronies worse if they cause a very extreme erection that the body is not built to handle.  This can cause damage to delicate tissue and more Peyronie’s plaque formation.

Peyronie’s and Cialis Usage

Every man should know each package of Cialis contains information warning that men with Peyronie’s disease should use Cialis with great caution because of possible side effects that include damage to the penile tissue that can actually cause Peyronie’s disease if you do not already have it.

MDs write orders for their patients with Peyronies and Cialis is a commonly prescribed drug.   The MD will explain that the Cialis will increase the blood flow to the penis and this makes it beneficial to Peyronie’s disease.  I think this is nonsense.

An erection is created when blood is TRAPPED inside the penis, causing the spongy tissue to fill up and expand with about 2-3 tablespoons more blood than is normally in the penis.  This additional 2-3 tablespoons of blood become TRAPPED inside the penis, just like when you blow up a balloon and tie a knot at the end of the balloon.  Sure there is more air inside the balloon, but it does not circulate freely – it is stagnant air. And the additional blood also does not circulate freely in the penis.  That is why the penis is darker when it is erect – the blood does not have much oxygen in it, making the tissue darker.  This just goes to show how little many MDs think about what they are doing when they write a prescription.

Cialis is a popular erectile dysfunction drug, but it does not make sense to use it for treatment of Peyronie’s disease. When a man goes to his doctor for his Peyronie’s and Cialis is prescribed, he should understand the reason for the prescription does not make sense.

Cialis and Peyronie’s Connection

While I hate to spoil the fun for those whose sex life is enhanced by Cialis, but over the years I have had a disturbing number of men inform me they now have Peyronies and Cialis use was the cause.  Any of the PDE5 inhibitor drugs (Viagra and Levitra are others) can increase pressure within the penis that  can be greater than normal.  Injury to the tissue can lead to Peyronie’s disease.

If it were possible to take a drug that would allow you to lift a truck above your head and keep it there for an hour, should you do it?  That would be an interesting, and very impressive to the ladies, but is that reason enough to subject your body to the potential risk that would be involved?   The fact is that the body is not built to be used that way.  Lifting a great amount of weight causes internal pressure on tissue and organs that were not meant to bear that kind of weight.  Great injury would occur to internal organs, your spine, knees, hips, shoulders, blood vessels, and so on.  The same relationship exists between Peyronies and Cialis, and the rest of these PDE5 inhibitors.

All of this is so unfortunate because there are far safer methods for Peyronie’s disease treatment.

The increased occurrence of Peyronies and Cialis use also increasing is not a coincidence.  There is a reason that more and more men are getting Peyronie’s disease at the same time that more and more men are using Cialis and the other PDE5 inhibitors.

Penis Stretching for Peyronie's Disease Treatment

Penis stretcher in Peyronie’s disease treatment

Here is a post that I recently entered on a Peyronie’s disease forum in response to a man’s comment that he wore a particular penis traction device for three months and noticed no change in his condition.   This information about this manual therapy that works well with other Peyronie’s disease natural treatments found on the PDI website.

Greetings estep32002,

I have read your post about the penis stretching or penis traction device for Peyronies treatment.

Previously, I have written to this forum in the negative about these penis traction devices. I have done so because of repeated communications I receive from men who have Peyronie’s disease, who tell me of their lack of success. They tell me of their inability to wear these penis stretcher devices because of built-in design flaws, and their experience of being injured by these stretchers. All that I learn tells me they do not help Peyronie’s disease as the sellers say they do.

Actually, I think you are somewhat unusual in your ability to have worn or used one for three months. Men tell me they cannot stand to put one on for longer than a half hour. They say they get bruised and develop sores after a few minutes or a few hours of use.

One fellow recently told me he wore his expensive model for ten minutes and never put it back on again. Another poor guy admitted to me he has three of them sitting in a drawer, and they all hurt him badly. He thought if bought a better and more expensive one, he would eventually find one that he could use. Three stretchers later, no such luck.

If you could wear such a device long enough to actually stretch the soft tissue of the penis, that does not mean the more rigid and more dense tissue of the Peyronies plaque would also stretch. When I was first introduced to the idea of using a penis traction device to treat Peyronie’s disease, it did not make sense to me. I figured that the only thing that could eventually happen – if all went well – would be that the penis would be larger, but it would still exhibit the PD plaque with the related curvature that it causes. Let me explain.

Just as a chain breaks at its weakest link, a penis that has a Peyronies plaque in it will primarily stretch from the normal, healthy tissue. The normal tissue will stretch sooner and farther than the plaque material can respond to the stretching force. Think of it this way: A roll of toilet paper tears at the perforations because that is a point of weakness in the paper. Here’s another example: Remember when automobile tires had inner tubes? Remember what would happen if you blew it up with air, if it had a weak spot in the rubber wall of the inner tube? Sure. The weak part would bubble up or swell up because it was weaker than the normal strong part. The weaker part would stretch under pressure before the strong part of the rubber had a chance to stretch.

In Peyronie’s disease stretching the weaker tissue is the softer normal tissue, while the stronger tissue is the plaque that contains all the dense fibrous materials. When someone with PD stretches his penis, most or all of the lengthening will come from the more flexible and weaker tissue, not the scar tissue. The scar will not be altered because it cannot participate in the stretch, because the traction force is used up by the normal tissue.

When I ask these traction device makers a few simple questions exactly how their penis enlargement products can help Peyronies, I never receive answers back from them. I ask about the pain and tissue erosion created by the pressure that is applied to hold onto the penis head, and again I get no reply. I think this says a lot

There are safer and more effective ways to stretch the penis, to reduce the PD plaque material, than applying a mechanical appliance that smashes down on the glans to hold the penis. Peyronie’s disease is a complicated and stubborn problem to treat. I have been personally involved with PD for about seven years now, since having the happy experience of developing a pretty nasty case of it. In that time I have learned a lot and helped many men along the way. My advice is to be very careful with these mechanical penis stretcher products. TRH

What I did not mention in that Peyronie’s disease forum response is that the safer and more effective way to stretch the penis was developed by me while working with 10 men who I knew who were customers of the Peyronie’s Disease Institute. If you are interested in learning about this gentle and effective way to treat your Peyronies, go to Peyronie’s penis stretching.

Peyronie’s Pain

 

Peyronie’s disease pain is different with each man

Peyronie’s disease symptoms – even Peyronie’s pain – can be extremely variable. In fact, one of the things that makes Peyronie’s pain so undependable as a factor on which to create a diagnosis of Peyronie’s disease is that the penile pain is a different presentation from one man to another. Because of the wide variety of Peyronie’s disease pain symptoms, Peyronies treatment can be equally variable when using Alternative medicine.

Peyronie’s pain symptoms

The onset of Peyronie’s pain symptoms can be sudden or slow, but most often will appear in less than a month after direct injury. Often the pain related to Peyronie’s disease is worse at the beginning of the problem, and then gradually improves over time – perhaps in a few weeks or months. Other men have a delayed onset of Peyronie’s disease pain. For all these reasons it is not a reliable way to judge the severity of the condition or to use to calculate the time necessary for eventual recovery.

For many men the pain associated with the actual injury that causes the problem to begin can be greater than the daily Peyronie’s pain that is associated with living with the condition. For others, the pain associated with the actual injury is mild and brief compared to the daily Peyronie’s pain they experience. Again, all of this is related to the variable nature of all Peyronie’s disease symptoms.

Peyronie’s disease pain patterns

Peyronie’s 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

Peyronie’s pain originates in Buck’s fascia

The scar tissue, also known as a plaque, associated with Peyronie’s disease and the variable pain it can cause can often – but always – 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. These soft tissue masses are located in a layer of soft tissue in the tunica albuginea. However, the scar in the tunica albuginea does not cause the actual Peyronie’s pain. The pain originates from the many pain fibers found just below the tunica albuginea in another layer of soft tissue called Buck’s fascia.

Apparently, when a man experiences intense or frequent Peyronie’s pain, it is because the scar is large enough or deep enough to press down deeper from the tunica albuginea into Buck’s fascia. And when pain is not as great a complaint, it is because Buck’s fascia is not being irritated by the scar or plaque material.

For a more comprehensive discussion of Peyronie’s disease pain, local penile anatomy and Peyronie’s disease treatment you can start searching the Peyronie’s Disease Institute website at Peyronie’s disease introduction.

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.

Peyronie's Breakthrough

Non-drug Peyronie’s breakthrough

When someone thinks of a Peyronie’s breakthrough most commonly a miracle drug, like Xiaflex for  Peyronie’s disease treatment might come to mind.  Yet, the Peyronie’s Disease Institute has brought several key ideas and therapies to the Peyronies community in the last few years, any one of which could be called a Peyronie’s breakthrough.

Peyronies breakthrough treatment concepts

Several different and new Peyronies treatment ideas and products developed by the Peyronie’s Disease Institute since 2002, in addition to improvements over existing concepts known to the medical community.

A genuine Peyronies breakthrough is the Peyronie’s Disease Institute Manual Penis Stretching Method© The basic idea of stretching the Peyronie’s scar to straighten the bent and contracted tissue is not new. Because there is considerable profit in this devices, the idea has been overrun by copycats who use a mechanical penis stretching device to make the penis straighter in spite of the Peyronie’s plaque. After talking to many men who were injured by these ineffective and dangerous mechanical penis stretching devices, the Peyronie’s Disease Institute investigated the subject. After a two year research project, PDI developed a safe, effective and affordable technique that is very effective when combined with a traditional aggressively designed PD therapy plan.

The CD for this new Peyronies breakthrough treatment clearly demonstrates how to gently stretch the thickened fibrous tissue inside the shaft of the bent penis – something totally new in the world of Peyronie’s disease treatment – to improve the six basic types of PD deformities:
1. Twist
2. Curve
3. Bend
4. Dent (also called a ding, depression, or hinge)
5. Hourglass
6. Bottleneck
Further, additional information is included that explains how to successfully stretch a combination of distortions, since very often two or more penis distortions appear together.

Peyronie’s breakthrough research

The PDI research group to develop the idea of a safe and effective manual stretching technique consisted of 10 men, all of whom:

1. Were 40 to 72 years of age,

2. Had PD four to eight years,

3. Had penile curvature from 40° to100°, that had not changed in over six months,

4. Stayed under medical supervision during the project,

5. Failed with at least two different medical therapies without help (POTABA, verapamil, cholchicine, cortisone, etc.),

Within six months, of the 10 research participants:
8 – saw moderate to significant improvement of curvature,
2 – saw no progress with their curvature, and
10 – (100%) saw moderate to marked improvement of sexual ability.

Those eight participants who earned moderate to significant correction of their Peyronies distortion, also used an aggressive PD therapy plan of vitamins, minerals, herbs, PDI Massage and Exercise program or Genesen Acutouch Pointers during the penis stretching research. None just stretched the penis; that would only result in penis enlargement, and that is not the PDI goal. All men added the Peyronie’s Disease Institute Manual Penis Stretching Method© into an already large and actively pursued Alternative Medicine therapy plan designed to reverse and eliminate their PD scar. As a result, eight of 10 men noticed an abrupt and significant objective and subjective improvement of their symptoms.

For those interested in learning about a true Peyronie’s breakthrough treatment, go to Peyronie’s Disease Institute Manual Penis Stretching Method©

Peyronie's Disease Self Treatment

PDI – the leader in Peyronies disease self treatment

Every now and then I get an email from someone wanting to know if I know anything about Peyronie’s disease self treatment.

This is always surprising since it is so obvious to me that the major topic of the entire Peyronie’s Disease Institute web site is all about using Peyronies natural treatments that every man can manage for himself.

The way that PDI helps someone learn about and work with Peyronies disease self treatment is by first explaining about the different therapies, then offering detailed information about putting together an effective Peyronies treatment plan, and lastly by being available to answer questions and make suggestions if problems arise during care.

The general topics of discussion and product availability that are part of a larger Peyronies disease self treatment plan include:

1. Natural supplements taken internally (vitamin E, vitamin C, PABA, acetyl-L-carnitine, enzymes, herbs, etc.)

2. Homeopathic medicine (Scar-X)

3. Natural supplements taken externally (vitamin E, copper peptides, DMSO)

4. Energetic medicine (professional grade non-invasive acupuncture therapy equipment, a video about gentle manual stretching of the PD scar, or an additional educational program that is a video about a gentle massage and exercise program)

5. Books (“Peyronie’s Disease Handbook” and “Peyronie’s Disease & Sex”)

For anyone who is interested in Peyronies disease self treatment, it is safe to think that PDI has what you need. PDI has provided help to those who want to help themselves get over their Peyronies since 2002.  If you have any questions about the topic of Peyronie’s disease self treatment, please contact Dr. Herazy at info@peyronies-disease-hlep.com

New Peyronies Treatment

Many New Peyronie’s Treatment Available

There are several totally different and new Peyronies treatment concepts recently developed by the Peyronie’s Disease Institute. These Peyronie’s disease treatment concepts are improvements over existing ideas and information known within the medical community.

The first new Peyronies treatment is the most exciting, and this has to do with the professionally produced CD video that presents the Peyronie’s Disease Institute Manual Penis Stretching Method©. After talking to so many men who were injured by those ineffective and dangerous mechanical penis stretching devices, I decided to investigate the subject. The basic idea of stretching the Peyronie’s scar to reduce the tight and contracted tissue is interesting. So much so, that after a two year research project, PDI developed a safe, sensible, effective and affordable method that actually works and is safe. With this new Peyronies treatment it is possible to manually stretch the scar material because it goes about it in a way that is different from the mechanical penis stretchers.

The CD for this new Peyronies treatment clearly demonstrates how to gently stretch the thickened fibrous tissue inside the shaft of the bent penis – something totally new in the world of Peyronie’s disease – to improve the six basic types of PD deformities:
1. Twist
2. Curve
3. Bend
4. Dent (also called a ding, depression, or hinge)
5. Hourglass
6. Bottleneck
Further, additional information is included that explains how to successfully stretch a combination of distortions, since very often two or more penis distortions appear together.

Synergy as a new Peyronie’s treatment

Another new Peyronies treatment concept first presented by PDI is the concept of using a combination of several Alternative Medicine therapies together at the same time to increase the effectiveness of each one. This is a concept called synergy. This new treatment approach to Peyronie’s treatment is the foundation of the Peyronie’s Disease Institute therapy approach. To read more about this concept, go to synergy.

Diet as a new Peyronie’s treatment

Next in the way of a new Peyronies treatment is the idea of using diet in the management of PD, that developed from the ongoing research project conducted for almost eight years by Peyronie’s Disease Institute. The dietary treatment approach for Peyronies treatment centers on the idea of closely reducing wide swings of the acid and alkaline balance of the blood. This diet is explained in some detail in the book written by Dr. Theodore Herazy, “Peyronie’s Disease Handbook.”

Actually, most of the information presented on the website of the Peyronie’s Disease Institute falls into the category of a new Peyronies treatment because in the past, before PDI came into being, only drugs and surgery were considered a serious Peyronie’s disease treatment. Now, many areas of Alternative Medicine are being successfully applied.  PDI has opened wide horizons for new Peyronies treatment.

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 Treatment with Genesen Acutouch Pointers

Genesen Acutouch pens for Peyronie’s treatment

So many readers of the Peyronie’s Disease Treatment Blog use the Genesen Acutouch therapy pens and report good tissue changes after Peyronie’s treatment with them. For this reason this blog commentary will focus on basic techniques and concepts for their correct use.  Please recall that these Genesen Acutouch pens are the same professional quality instruments used to deliver acupuncture treatment for Peyronie’s disease.

Many people ask about treating the Peyronies plaque with them, wanting to know if it is better to use the holders that come with the pens or to just hold both pens manually.

The answer is that either methods will work for Peyronies treatment, depending upon each person’s particular response to the therapy. While there is a lot of research behind the development and use of the Genesen Acutouch Pointers by the Korean manufacturer, I would start out closely following their guidelines. Most men find using the Genesen pen holders is more comfortable and convenient, although some say the rigid distance that the holders mandate is not as effective for them as a slightly greater/lesser distance.  Each user must feel free to experiment with the Genesen Acutouch instruments or pens – be creative – and use the approach that delivers the greatest “reaction” that is described on the PDI website.

Some men get confused about pen tip placement around the Peyronies scar. It is important to remember to keep the pen tips 1/8 to ¼” from the edges of scar.  If a scar is ¼” in size, that means your pointers are rather close to each other, and if a scar is 3” in size your pointers are considerably farther apart.  The idea is to get the pens to deliver the current through the substance of the scar – whatever its size.   Since the manufacturer’s holder keeps them 1 1/2 inches apart, I would work with that distance too, especially if the scar is smaller than 1¼” in size.   Even if it is pea-size, try keeping the pens in the holder and stay farther away than the 1/8 to ¼” distance from the edges that I just mentioned.  You see, there are no rules, just guidelines that should eventually result in greater reactivity.  Break most any rule I give you about the Genesen pens, to see if you can generate a stronger or more dependable reaction.  Stand on your head in the corner, if it seems to give you the greatest response.

The Genesen pens are extremely popular for good reason; they are effective, easy to use, inexpensive compared to going to an acupuncturist at $90-$125 a visit, and very convenient to use in the privacy of your own home.

Each set of Genesen pens comes with my own 10 pages of notes that I created for the treatment of Peyronie’s disease. These outline some very common and popular treatment protocols. Any of these could be used by an acupuncturist who might easily needle these for you. The big advantage of the Genesen pens is that you can treat yourself in this very same manner, any time of the day or night, and several times a week, as you wish.  You can really concentrate your treatment with frequent care for best results, without going broke.

Consider adding the Genesen Acutouch pens to your therapy lineup if you are not seeing the kind of results you want.

Peyronie's Disease Treatment to Bring Back Lost Length and Girth


Here is a very brief but informative email exchange about Peyronie’s disease treatment I had just today with a man who I know has a fairly advanced case of PD.

From: XXXXX, XXXXXXXX [mailto:XXXXXXX@XXXX]
Sent: Friday, September 04, 2009 10:52 AM
To: herazy@sbcglobal.net
Subject: QUESTION

Hi Dr. Herazy,

I have noticed decrease in length and girth.  Can this be brought back to original size?  Can the remedies you recommend help change this back?

What do you suggest in terms of remedies or therapies?  I look forward to hearing from you.

Thanks,

XXXXXXXXX

Greetings XXXXXX,

Men note partial or complete recovery from lost dimensions when using:

1. General Peyronies treatment from the PDI when applied in an aggressive and faithful way often brings back a good part of lost dimensions, sometimes complete.

2. PDI Gentle Manual Penis Stretching Technique© video. This is a very direct way to stretch the Peyronies plaque material and reduce the contraction that causes lost length especially.

3. The Erektor external penile support device when used with some regularity during intercourse.  See the link at http://peyronies-disease-help.com/impotence-erectiledysfunction-erektor.html

Regards,

Theodore Herazy, DC, LAc
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Tricks for Successful Peyronies Treatment

Hints for better results with Peyronie’s treatment

Here are a few little tricks that I developed and discovered when I was actively treating my own Peyronie’s disease.  While none of these are earth-shaking or terribly ingenious, these ideas can make your life easier and your Peyronie’s treatment plan just a little more effective in the long run.

See if these strategies fit into your way of doing things:

1.      Keep a bottle of enzymes on your bathroom sink.  When you get up to urinate in the middle of the night, it is a good time to take an extra 1 or 2 or 3 Neprinol pills or other enzymes.  This will keep your blood level  saturated while there is no additional food in your system for several more hours.  Night time is a good time for Neprinol enzyme treatment.

2.      Get in the habit of watching TV at night with a hot water bottle on top of your scar.   Make your TV time productive so you can d some simple Peyronie’s treatment while you are relaxing.

3.      Get in the habit of watching TV at night while you are doing some of the soft tissue massage you learned from the “Massage and Exercise” video.  Make your TV time productive.

4.      Keep your vitamins and enzymes away from heat and sunlight.  Don’t keep them in the car when it is warm outside.  Even a few hours of exposure can reduce potency.

5.      A large “X” written on top of the therapy bottles you take with food will help you to quickly pick them out from the others.  A large “O” written on top of the therapies you take on an empty stomach will do the same for your enzymes.

6.      Place your vitamin case or your bag of enzymes out in the open, on top of your desk at work, or in a place where you will easily see it, to keep you from forgetting to take them as you should.

7.      Sort and divide up all of your vitamins and enzymes once a day, in different containers or small plastic bags you can take with you.  It is more efficient than opening and closing all those bottles two or three times a day.

8.      If you find that you have a difficult time swallowing a large number of pills at a time, or that your throat is getting irritated by the frequent swallowing of pills over a period of time, try this. Instead of using cold water to wash the pills down, try using warm water. It seems to be more relaxing to the muscles of the throat and does not cause a tightening of the esophagus the way cold water does.  Try it.

9.      Incorporate the use of a water-based lubricant (like KY) into your sexual activity, even if you do not think it is absolutely necessary.  This will protect you from possible friction injury.

10. In the missionary position, place a pillow below her hips/pelvis to raise her up a little.  This changes the angle of entry if you have a curvature problem.  It can sometimes make a significant difference.  If you are having a lot of sexual problems, go “Peyronie’s Disease and Sex”  to learn about improving your love life.

11. Go to the PDI website to learn about the Erektor external penile support device.  If you have ED or erectile dysfunction because of your Peyronie’s disease, or if your curvature or distortion is so bad that you are afraid to try intercourse because it might injure your penis again if you penis bends or buckles during insertion, then you definitely need the help and support of an Erektor device.  Learn more about the Erektor at www.NaturalEDSollutions.com These are wonderful custom-made supports that will open up a whole new world of sexual activity for you if you find yourself denied by the limits of Peyronie’s disease.

Peyronie's disease and women

Peyronie’s disease affects more than one person at a time

Any woman who lives with a man who has Peyronie’s disease knows that her life is affected – drastically and to the core.

Shortly after starting Peyronie’s Disease Institute in 2002 I noticed an interesting phenomenon that was very much a surprise to me.  Initially, I never imagined I would deal with women in relation to any direct aspect of Peyronie’s disease, even though I knew that women are greatly and adversely affected by it in so many ways.  Knowing how my own wife had to struggle with my initial bad behavior and personal weakness that was brought to the surface by Peyronies, I knew full well how a woman’s life could be stressed deeply in this way.  But, yet, I initially thought that women would stay in the background in regard to designing a Peyronie’s treatment plan and dealing with the many questions that come up during actual therapy.  I thought it would be rare that I would come into contact with these ladies.  How wrong I was.

Consistently, around 5-15% of orders placed for various Peyronie’s treatment products are placed by a woman.  As I began to offer online answers to Peyronies questions, I soon found that about 5-10% of first-time emails asking basic questions or ordering information was being sent by women. This is the way it has started, and continues to today.

It is my first impression that there were a few possible reasons for the large percent of women who communicate with me about a totally male health problem:

  1. The man with Peyronie’s disease does not have access to, or does not know how to operate, a computer.  Fair enough, he is computer illiterate and she helps him out because he cannot do it.  That makes sense.
  2. The man is on the road so often, as with a truck driver, or his work is so intense, demanding of his time or so fatiguing that she again simply helps him out by communicating instead of him.  That is easily understood.
  3. The woman’s work involves computers and she is far more comfortable than him, so she does it because she is just better at it. Perhaps her schedule is far more flexible also, in her career, so once again she pitches in and this also is easy to understand her involvement is one of simple convenience and ease.

While all of these are possible reasons, and they do come up, I have come to learn these reasons and explanations are actually the exception.  In fact, they are the rare exception.   While speaking to or emailing with these women who deal indirectly with Peyronie’s disease I have learned these women are only taking over because the man with the problem is so devastated by his bent penis, by his penis that has become smaller, or because of  Peyronie’s disease impotence that he refuses to engage in anything related to his Peyronie’s problem.  He often will not talk to her about his problem, and will refuse to discuss starting or following a Peyronies treatment plan.

So deep and intense is his withdrawal from a problem he feels so shamed and humiliated, that he is often is not even interested in learning how to help himself.  Thus, it is his mate who will step forward to help in whatever way she can.  This, of course, exposes her to tirades of anger, bitter refusals, endless arguments and frequent rejections that circle around his idea that she does not leave him alone, that she is bothering him, that she does not understand, that she doesn’t know what she is doing, and endless tactics of self-sabotage and self-hatred.   I hear these things often, and I must admit I was guilty of many of these tactics myself when I was at the depth of my despair with my Peyronies.

Peyronie’s Disease Treatment Forum

Why do I now mention all this on the woman’s side of the Peyronie’s Disease Treatment Forum?   All of this background information and insight is mentioned here, so that any woman reading this will know she is not alone.  She will know she is not genuinely as much at fault as he claims she is.  That she will feel empowered to know she is doing what any good person does when the person she loves is in trouble; she pitches in, she helps in whatever way she can, and she forgives him for being a jerk because she understands he is greatly disturbed by the trouble he is in.  She stands by him as best she can, because it is the right thing to do, because her love for him makes her strong to do more than she thought she could do.  And, having read this, perhaps she will feel better and her burden will be a little lighter.

There is much more that can be said about this complex and destructive way that Peyronie’s disease reduces his interest in intimacy.  This takes up a large part of the second PD book that I wrote, “Peyronie’s Disease & Sex.”  Another helpful book is “Peyronie’s Disease Handbook” that discusses more treatment aspects.

Please accept my invitation to comment on this post, and to ask questions about the way that Peyronie’s disease influences men in strange and powerful ways that are often not pleasant.  I stand ready to assist any woman who lives with Peyronie’s disease.

Peyronie's desease

Peyronie’s disease misspelled commonly – Peyronie’s desease

Peyronies disease is commonly misspelled as Peyronie’s desease. There is so much basic information that people lack concerning this problem that even the name is confusing to some. Other than Peyronies desease, the most common way I find people referring to this problem is to shorten the name and avoid the apostrophe and just call it peyronies, without even capitalizing the first letter, and peyronie, by dropping the final letter altogether.

Just as a basic review, it is important to know that Peyronie’s disease is most well known for the Peyronie’s plaque or deposit of fibrous tissue (also called a scar) that develops within the deeper layers of tissue of the penis.  This fibrous material often, but not always, will cause a Peyronie’s curved penis and pain in the penis.

This Peyronie’s plaque or scar material itself is benign, meaning it is always non-cancerous. It is a common fear among men when first learning they have Peyronies desease to wonder if it could develop later to become something more serious.  This is not the case.  You can rest assured that Peyronie’s disease will not develop or progress into a worse or life-threatening condition – Peyronie’s disease is bad enough.  It does not need any help to make a person’s life miserable all on its own.

Peyronie’s disease typically occurs in men around their mid-50s, however,  even teenagers can develop it.  The cause of Peyronie’s disease and its natural progression or development are not well understood because the course of the disease is so variable.  In my experience while researching Peyronie’s desease and in discussion with hundred’s of men every years concerning all aspects of this problem, it is rare to find two cases that share a remotely similar history or course; each case is unique in small and large ways.  This great variability is what makes this condition so difficult to diagnose, treat, and live with.  While many researchers believe the Peyronie’s plaque often develops in response to some type of trauma, either minor or significant, that results in localized bleeding within the internal tissue of the penis.

Sexual problems associated with Peyronie’s desease can also be variable, since there are such physical and emotional differences among couples, to say nothing of the variability of sociological factors that also can disrupt a couple’s physical and a stressful emotional relationship. The goal of Alternative Medicine Peyronie’s treatment is to keep a man and woman who deal with this problem as happy and whole as possible.   Peyronie’s disease surely affects all the people whose life it enters, even if you happen to spell it Peyronie’s desease.

Peyronie's treatment

Peyronie’s disease treatment in detail

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

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

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

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

Peyronie’s disease treatment critical point

Regardless of how a person attempts to increase their immune response to eliminate the nasty Peyronie’s plaque, it is not as important how you start treatment, as it is how you progress and eventually finish your Peyronies treatment.   There are many ways to rationalize and calculate how you will go about treating your PD problem.  There are many good ways to help your body eliminate the Peyronie’s scar and restore penis health.  That is the reason I have assembled three different size sample treatment plans, go to http://www.natural-complementary-medicine.com/index. asp? PageAction =VIEWCATS &Category=2 I have repeatedly said that these three plans can be increased or decreased in an effort to help your body heal your Peyronies.

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

Peyronie’s treatment is like a football game

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

You can do one of two basic things:

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

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

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

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

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

Peyronie's treatment, vitamin E, PABA and U.S. government

Vitamin E and PABA Used for Peyronie’s Treatment

Here is interesting vitamin E, PABA and Peyronie’s treatment information from the National Kidney and Urologic Diseases Information Clearinghouse, an important arm of the prestigious National Institute of Health, found at http://kidney.niddk.nih.gov /Kudiseases/pubs/peyronie/index.htm

This information about  Peyronie’s treatment and vitamin E is not exactly new, because frankly, there is not much that is  new in the search for a Peyronies cure.  Even so, what makes this section worth reading is that it is interesting and immensely informative in a different way.  What is important to know about Peyronies treatment from a medical standpoint is not what is revealed, but what is not  mentioned about Peyronie’s treatment – in this case concerning the use of vitamin E.

This following paragraph is copied under the NIH’s discussion of “Experimental Peyronie’s Treatments”:

“Some researchers have given vitamin E orally to men with Peyronie’s disease in small-scale studies and have reported improvements. Yet, no controlled studies have established the effectiveness of vitamin E therapy. Similar inconclusive success has been attributed to oral application of para-aminobenzoate [PABA], a substance belonging to the family of B-complex molecules.”

It is important to know that this is as far as the discussion concerning the use of vitamin E and PABA goes in this government article.  It reports that “small-scale studies…have reported improvements. Yet, no controlled studies have established the effectiveness of vitamin E therapy.”   So, if there was some improvement noted when vitamin E and PABA were used in Peyronie’s treatment, exactly why have there been no additional controlled studies conducted to prove or disprove that these early initial positive reports were factual?  If it looked like these two experimental, but natural, non-drug Peyronie’s treatments were helpful, how can it be that no further testing has been done in this direction?

Isn’t the drug industry, or the AMA, or the government, or some private research group out there supposed to be interested in finding a Peyronie’s cure?   If some natural Peyronie’s therapy like PABA or vitamin E showed some initial promise, why has no one looked into it further?   If something comes along that is naturally occurring, easy and inexpensive to produce, safe to take compared to drugs, and readily available in the marketplace, and happens to look like it could help men with Peyronie’s disease, why has it not been investigated further?  Why, indeed!

Vitamin E as a Peyronie’s treatment, or not

The answer to this natural question is found in the second sentence, in which it is mentioned, “no controlled studies have established the effectiveness of vitamin E therapy.”  This means that without these additional higher-level controlled studies, the effectiveness of vitamin E and PABA remain conveniently unproven. Therefore, vitamin E and PABA remain only at the experimental forever.  Exactly where the drug industry wants them to remain.  So long as they continue to ignore vitamin E – to not give it a legitimate opportunity to prove or disprove it’s value to assist in Peyronie’s treatment – the medical community and the drug industry can correctly say it is “unproven.”   This keeps vitamin E, and PABA, and other Alternative Medicine therapies out in the cold, where they would like them to remain.

It appears that the drug industry does not want to know if Peyronie’s disease can be treated with vitamin E.  If it were known that vitamin E, or PABA, or the PDI treatment concept of synergistic use of multiple Alternative Medicine therapies, are actually effective Peyronie’s treatments, then the entire argument against their use would crumble.  No one has stepped forward to conduct controlled studies because of fear that vitamin E, or PABA, might actually help the body heal the Peyronies plaque.

So long as the necessary tests are withheld, it is perfectly honest and legitimate to say that these natural therapies are “not proven” by controlled research.  This is a great discussion stopper, isn’t it?  Yet, no one goes the next step to ask, “And, exactly why have these necessary controlled studies not been performed in view of the small-scale studies that indicated these simple measures were effective?  Why the delay?  Why the lack of interest?”

Well, I guess we all know, and it should not surprise anyone, that the answer is the importance of profit over humanitarian interests.  It is unfortunate but apparently true, since I have found no reasonable answer to explain why this testing has not been conducted.   You can assure that if small-scale testing of a new drug showed the same improvement, that vast sums of additional funding would be forthcoming for controlled studies.  In this way, once that new drug could be proved or disproved, its march to the marketplace and profitability would be hastened.

Lastly, if you think the use of vitamin E or PABA might not be a reasonable kind of therapy to use because they are “unproven,” now you understand that this state of being unproven is a convenient strategy of those who help themselves more than they want to help you.

Perhaps this will help you to understand, and feel differently about, the use of vitamin E, PABA, and the rest of the Peyronie’s Disease Institute program to treat this male scourge.   For more information about the use of vitamin E in the treatment of Peyronie’s disease, go to Vitamin E, and to learn about the use of PABA in the treatment of Peyronie’s disease, go to PABA.

This is why it is necessary for each man to look out for himself and become the master of his own Peyronie’s treatment, since there is no one as interested in your welfare as you – and the Peyronie’s Disease Institute.

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 philosophy

Peyronie’s disease treatment is effective because it is different

The Peyronie’s disease treatment philosophy of PDI is not accepted within the medical community at this time.  You should know the opinions and philosophy of PDI are not current mainstream medical thinking, although PDI has assisted perhaps a dozen or more MDs with their own Peyronies problem in the last few years.

The Peyronie’s Disease Institute philosophy for Peyronie’s treatment is different from standard medical thinking in two fundamental ways.

1. PDI recommends using mainstream Alternative Medicine therapy products (vitamin E, copper, DMSO, enzymes, etc.), and procedures (a special manual stretching technique we have developed, manual penis stretching,  along with exercise, massage and acupuncture).  These are recommended even though they have not fulfilled the testing standards usually required of medication.  The use of stretching, exercise, massage and acupuncture are included because of their longstanding use in medical care for a wide variety of health problems; they have stood the test of time.

2.  PDI has found after seven years of review and research that taking multiple therapies, all at the same time, in sufficient quantities as described on its website, often stimulates or supports an improved ability to heal and repair the famous Peyronie’s plaque or scar.  The scientific term for this phenomenon is “synergy”.

The specific therapy products used by PDI are well known and generally accepted as important, and often essential, for health and well being, such as vitamin E, MSM, acetyl-L-carnitine, etc.  However, what is unique is that PDI advocates these therapy products are used in combination and in significant number for maximum potential effect and benefit.  This synergistic concept of therapy used by PDI to treat PD takes advantage of the affect of synergy – a concept that is very well known in medical practice. Synergy is the ability of two or more substances to work together to produce a total effect greater than what each individual therapy could produce by itself.

This Peyronie’s disease treatment concept is based on simple observations about this problem:

  • Why do some men completely recover from Peyronie’s disease without treatment?  You know, this happens in about half of the case.
  • Why do some men get worse and need surgery, no matter what treatment they try?
  • If the Peyronie’s plaque is similar to scars like I have on other parts of my body, why does it seem to change so much – not only the size, shape, and density of the scar, but also the location?
  • If it’s actually the same problem among all the men who have it, why does Peyronies vary so much from one man to the next?
  • What’s the difference between the two groups of men whose Peyronie’s disease goes away on its own, and the other in which it only gets worse no matter what they do for it?
  • What is the fundamental difference between these two groups of different responses?
  • How can I join the group that repairs and eliminates the Peyronie’s plaque and reverses the bent penis of PD?

Certainly, no one has complete or easy answers to these questions – yet.  However, I think it makes perfect sense that the man whose Peyronie’s disease simply goes away on its own has a better healing capacity, than another man whose PD never improves.  It cannot be a mater of luck; nature is just not that way.   It is my opinion that you can increase your healing capacity and become healthier in some yet undetermined way so you are able to heal your Peyronie’s scar and reverse your Peyronie’s bend to the best of your ability.

The fact that some men are able to recover better than others, must mean there is variable − not static − capacity to healing and repair among men.  Common sense and generally accepted knowledge about health, nutrition, and the healing process offers you and I the foundation for a treatment concept and philosophy that should improve your chances to recover from Peyronie’s disease better than if you did nothing to enhance your ability to heal.  It is really as simple and direct as that.  The Peyronie’s plaque found within and on the tunica albuginea can be seen as an expression or extension of the overall health and healing potential of the body in which it occurs.  Similar to an ulcer, a Peyronie’s plaque or scar can be thought of as the result of abnormal body chemistry and physiology.  As such, treatment of Peyronie’s disease should attempt to improve that distressed or abnormal chemistry and physiology of the penile tissue in which the plaque is found.

All therapy products, nutrients, techniques and ideas presented by PDI are all directly or indirectly intended to improve the chemistry and physiology of the body in general and plaque elimination in the tunica specifically. The end result of this effort should be a healthier person with healthier tissue that can heal better. That is the reason all Peyronie’s therapy items are selected on the basis of their potential to improve or normalize the chemistry and physiology of the tunica of the penis and the foreign plaque material.  Peyronie’s Disease Institute adopts the judgment of Mayo Clinic concerning Peyronie’s disease when it stated. ”early stage disease [of Peyronie’s disease] is reputed to respond better than well-established plaques, an early trial of inexpensive, safe and well-tolerated oral therapy is often initially recommended. … With advances in the molecular biology of inflammation and wound healing, the management and understanding of this frustrating disease will no doubt improve.”

With this statement in mind, I strongly recommend that any man, in any stage of Peyronie’s disease – no matter how chronic or advanced – should at least investigate the use of synergy created by the combination of several simultaneous non-invasive treatment measures selected on the basis of the best understanding of your problem and the information that is available to you.

Peyronie’s disease treatment is variable from one man to the next. Because the Alternative Medicine therapies used in Peyronie’s disease treatment are intended not to treat the disease but to support and strengthen the man who has the problem, so he can heal and repair it to the best of his ability.  Since we are all different, each man must approach his own search for a Peyronies cure on an individual basis.

The PDI website is full of helpful information about Peyronie’s disease treatment to increase your ability to heal and repair PD, just as it naturally and spontaneously happens in 50% of the men who develop this condition.   Keeping this in mind should change the way you look not only at Peyronie’s disease, but also the way that you consider your relationship to the problem and how you hope to eventually overcome it.

Biggest Peyronie’s Disease Treatment Mistake You Can Make

Learn from others about Peyronie’s treatment

What’s the biggest fundamental mistake I see men make while undergoing conservative Peyronie’s treatment?  This is a good question, because if you are making this mistake it could be sabotaging your success right now.

Men with Peyronie’s disease say they want to recover.  They all say they will do anything to get their lives back in order again.  I hear it all the time.  Yet, when I suggest things to do, additional ideas or strategies that often make a difference, I get a different reply from these same men.

As we communicate, I often hear and see a lot of indecision and lack of commitment to getting well.  What I really see in my dealing with a wide variety of men is that they want to get over their Peyronie’s disease, if it is:
1.  Easy
2.  Fast
3.  Guaranteed
4.  Inexpensive
5.  Convenient

Of this list of five reservations, the one that always interests me the most is #3, the one requiring that any PDI treatment must be “guaranteed.”  I ask myself, “What in all of medicine can be realistically and honestly guaranteed?” and the answer is absolutely nothing.

I had some dental work the other day to extract a badly cracked tooth.  I asked the dentist if he thought he could get the entire tooth with roots out of the socket.  He said, “No, I can’t say that. I just don’t know ahead of time.  If that root breaks off, you will need a dental surgeon to have the jaw opened to remove that nasty little root.”  Did you ever notice that when you get some work done by your dentist, he asks you repeatedly how numb you are?  Your dentist does this because he/she has absolutely no way to guarantee the exact effectiveness of a simple Novocain shot. You must be asked continually how much numbness was created, and how much pain you are having, because something as simple and direct as a Novocaine shot represents an unknown outcome, with no guarantee.

I doubt you can find an MD alive who would guarantee that the high blood pressure prescription – or even an aspirin – he prescribes for you will work.  Since this is a Peyronie’s disease forum, I doubt you can find a surgeon alive who would guarantee before surgery that your curvature would be straightened, or that your Peyronie’s disease would not return in a few years.   No doctor guarantees any outcome of treatment for a specific tissue response because the body does not operate that way.

Yet, because of all these goofy advertisements that surround Peyronie’s disease, you and I are all bombarded with “guarantees” of how effective a secret herb from India is to “cure” the Peyronie’s plaque.  Especially bad are all the mechanical penis stretchers that “guarantee” to reverse a bent penis.  These mechanical penis stretcher companies are a great lot.  They come and they go.  They offer a simple solution, but from my observation and reports I get every day, most men simply cannot use these stretchers for more than a day or two before giving up because of the pain they cause.

One of the surest signs of a phony setup in Peyronie’s disease treatment is when you see a guarantee of results offered.  when it comes to guarantees, caveat emptor, buyer beware.

Sorry to say, nothing about ANY Peyronie’s disease treatment from any source is easy, fast, guaranteed, inexpensive or convenient.  It is tough work because Peyronie’s disease is one tough problem, and it is most stubborn to treat.  That is why there is no formal Peyronie’s cure at this time. The trick in treating Peyronie’s disease successfully is that it requires you to personally be more stubborn and tenacious than your problem.  It takes a made-up mind, with a high level of commitment to be successful over Peyronie’s disease.  If you truly have one of those determined minds and you are prepared to do some serious work to help yourself, you are far closer to success with your Peyronie’s disease treatment plan.

Must go all out to get Peyronie’s help

A half-hearted effort will get you nothing – I can guarantee you that!   You must approach your treatment plan knowing it will not be easy, and any good progress will take time and dedication.  Dig in for the long road, and you will avoid discouraging yourself.  On the other hand, you must also be realistic in your expectations concerning how long it will take to see results and your anticipated degree of eventual improvement.

You need to remember you are working to make yourself healthier and stronger so you can correct your own Peyronie’s disease problem, you are not looking in vain for a Peyronie’s cure.  It’s as simple as that.

If you are truly serious about correcting your Peyronie’s disease, you must be ready to commit to  work hard to strengthen your immune response.  Give your body the time and opportunity it needs to heal like the 50% group whose Peyronie’s disease corrects on its own.  Without true commitment and dedication to the task, it is almost impossible to succeed.

To help you put your plan together, I would be pleased to answer your questions about Peyronies treatment.  Please write your question to me under the heading, “Ask Dr. Herazy…”    TRH

Peyronie's Disease Treatment and Skin Cancer

How Peyronies treatment can be evaluated

This is not the usual kind of information I enter on the Peyronie’s Disease Treatment Forum blog.  However, it is important to discuss because the cancer  information you will read is important for any age audience, especially with the large number of seniors who are registered.

Even though this is not totally a Peyronie’s disease treatment topic, there is a strong PD message at the end.

If only Peyronie’s disease was this easy to figure out

A little over a year ago, my wife asked me about the black mole on the back of my left shoulder. Like in many of my conversations with her, I replied, “Huh?”

Twisting and stretching around, I examined myself in the mirror.  To my surprise I saw a flat black mole, slightly oval and right at ¼ inch across, that seemed to have come up overnight.  Good grief, Peyronie’s disease audience, what does that remind you of?

I knew that this flat black mole had the potential to become a melanoma, a malignant skin cancer, so I was concerned.

Melanoma skin cancer facts

The primary sign of a melanoma is any change in size or color of a mole or other skin growth, such as a birthmark.   A melanoma may even grow within a mole or birthmark that you already have, but they usually grow in previously normal and unmarked skin anywhere on the body.  Most often, they appear on the upper back (like mine) of men and on the legs of women.

Melanoma usually looks like a flat, brown or black mole with uneven edges, and  an irregular or asymmetrical shape.  When a melanoma is irregular or asymmetrical, one half of it doesn’t match the other half. Mine was nicely even or symmetrical.   Melanoma are not small, meaning they are usually in the larger range of those funny thngs that sometimes appear on the skin, ¼ inch or more.

However, I knew that a melanoma in its very early stage can look like a mole.

Moles are harmless skin growths that can be either flat or elevated in one or more areas.   The color of a mole can vary from pink flesh to dark brown or black.  The number of moles that a person has depends on the genetic nature of the person and the amount of sun exposure during childhood. I was in the sun a lot; getting at least one or two bad bouts of sunburn was just something that seemed to happen most every year I can remember.  Moles sometimes appear in clusters and groups in different areas of the body, especially during the early teen years. It is rather rare that a mole will eventually become cancerous.

A skin doctor or dermatologist looks for “the ABCD’s” to make a diagnosis of melanoma:

1.  A – Asymmetry – any two halves of the mole do not look the same

2.  B – Border – edges irregular, not perfectly round and smooth

3.  C – Color – not a solid color, but many different shades

  1. D – Diameter – larger than ¼ inch across

Also, if you notice that at any time a mole is becoming active and changing more than your other moles that you have, it should be checked by your doctor.

If you have ANY ONE of the above findings, you should see a doctor about the mole, because it could be a melanoma.

I was good with all of these, except maybe the diameter issue, so I decided to see a dermatologist.  After waiting almost a month for an appointment, the dermatologist moved and spoke like a man who was totally bored and did not want to be in the office.  I got the impression he felt like he was a factory worker who had long ago lost interest in what he was doing.

After a very brief examination and scraping of the tissue, I was told that my mole was a mole, and nothing more.  He said it must be removed, so it could not at a later time become a melanoma.  I was given just two options for in-office removal: scalpel surgery ($$) or laser surgery ($$$).  No other information or treatment was offered.  When I asked if there were other options, I received a curious and wrinkled look as though I had asked something really stupid, and he just shook his head “no.”

I told him I would think about it.  And I did think about it – for 10 seconds.

I remember reading that in many parts of the world, bloodroot paste has a high rate of success and is used to remove moles, melanomas and other skin lesions.  When I got home I Googled “bloodroot paste” and found a very interesting and informative site from South America that sells a small jar for $9.95 plus shipping.  Within two weeks I started to apply it, using the directions that were included.

In less than two weeks the mole fell off, and left the cleanest and nicest little crater of skin where the mole used to be located.  It is now in the process of healing, and filing up nicely.

On top of that, I still have an almost full jar of bloodroot paste left over.  Of the original $10 jar, I figure I have used less than 25¢ worth of the paste.   A pretty good deal.  I wonder if the insurance companies know about bloodroot paste?

Peyronie’s disease connection

The message of this blog post that I write today is not that you should treat your moles with bloodroot paste.  No; that is what I did.  You should do what you and your doctor decide to do if you have a mole or you think you have a melanoma.

The message today is that this is another great example of how a medical doctor sees and thinks in a certain way, and leads a patient in that one direction only.  The tunnel vision of the doctor allows him or her (and you) to think in one direction only. I guess you would not expect the Ford car salesman to sell you a Chevy, anymore than you would expect a Chevy car salesman to promote a Ford.

So, when you see the urologist about Peyronie’s disease, he will give you the usual patter:  “Yep, you have Peyronie’s disease.  No one knows much about it; there is no known cause and no cure.  Surgery is the only sure cure for it.  Yep, if it gets so bad you cannot have sex any more like a lot of men with this problem, I’ll just cut on you and that will take care of it.  Let’s wait a year to see if your Peyronie’s disease clears up on its own, or it gets so bad that you need surgery.  In the meantime, yep, try not to worry.  And, oh, by hte way, you might become impotent, yep.  If that happens, don’t worry, I can give you a few drugs that sometimes work. If you want to try some vitamin E, you can do that, but it really doesn’t help.  And remember not to worry, OK? See you next year. And don’t worry.”  End of discussion, and out the door he goes. And you sit there deep in worry, with your head spinning, wondering if the last two minutes were a dream.

I did not get information about my mole from the dermatologist, and I sure did not get options other than two choices of surgery.  I am glad that I knew about these things before I walked in because the conversation was more about the two choices of scalpel or laser, like it was my choice of coffee or tea.

The medical doctor lives in a very nice world in which he or she thinks there is nothing outside of medicine and surgery.  The drug industry, the hospital industry and the insurance industry all work together to make sure all patients know that there is absolutely no one that knows anything about your body, your wellness, your sickness and disease, and your eventual death, more than your friendly MD.

Everyone says it is so important to get a second opinion, because, you know, two heads are better than one.  But, the drug industry, the hospital industry and the insurance industry, all doctors, nurses and others who work in the health care industry know that it is not acceptable – and dangerous – to say or do anything that contradicts the primary care doctor. You could get sued. There is that mysterious power of “How dare you! That is MY patient!” that serves to control and limit a patient’s access to different ideas.  In this way, a typical patient only knows what the doctor wants the patient to know.   How convenient to keep a patient under control.

When a person goes for a second opinion, it is actually very difficult to get a true second opinion about the situation.  It turns out to be an exercise in which the second doctor is usually given a chance to say that the first doctor is correct.  This is the famous buddy system.   Did you ever notice that for the second opinion, the second doctor wants to read your chart so that he or she can see what the first doctor did and said about you?  This is done so that the second doctor knows the direction to go with your problem.  All of this happens so that the patient is not made to lose confidence or faith in the medical doctor.  Is this not true?  Does society agree with this arrangement?  Sure.  Is this a good arrangement for different ideas and information to be given to the patient who would like options?  No.

So much for exchanging information or learning anything new, or challenging the established way while looking for a better, safer, less drastic form of health care.

And thus we have a different way that I decided to treat my mole, and a different way that I decided to treat my Peyronie’s disease. If I did not think in a different direction I would still have Peyronie’s disease.

Largest Peyronie’s Disease Treatment Mistake

Do Peyronie’s treatment correctly for best results

What’s the biggest fundamental mistake I see men make while trying to treat their Peyronie’s disease?  This is a good question, because if you are making this mistake it could be sabotaging the success of your Peyronie’s disease treatment right now.

Their mistake is that they will only undergo an Alternative Medicine treatment of Peyronies if it is guaranteed.   They never stop to think or realize that no doctor in his right mind will guarantee any form of treatment, especially Peyronie’s disease.

Most men say they want to recover from their Peyronie’s disease.  They say they will do anything to get their lives back in order again.  I hear it all the time.  Yet, when I suggest things to do, such as additional ideas or strategies to follow that often make a difference, I get a different reply from these same men.

When we communicate, I often hear and see a lot of indecision and lack of commitment to getting well.  What I really see in my dealing with a wide variety of men is that they want to get over their Peyronie’s disease, but only if the therapy is:
1.  Easy
2.  Fast
3.  Guaranteed
4.  Inexpensive
5.  Convenient

Of this above list of five reservations, the one that always interests me the most is #3, wanting to know if the Peyronie’s disease treatment ideas of PDI are “guaranteed.”

When I hear this question, I ask myself, “What in all of medicine can be realistically and honestly guaranteed?” and the answer is absolutely nothing.

I had some dental work the other day to remove a badly cracked tooth.  I asked the dentist if he could guarantee if he could get the entire tooth and roots out of the socket.  He said, “No, I can’t.  If that root breaks off, you will have to go to the dental surgeon to have the jaw bone opened to remove that nasty little root.”  Because he could guarantee the exact effectiveness of the Novocain shots he put into my jaw, he had to continually ask me how much numbness was created and how much pain I was having.  He asked, because he did not know, because even something as simple and direct as a Novocain shot represents an unknown outcome.  You see, a dentist cannot guarantee the effectiveness of a simple Novocain injection.

I doubt you can find an MD alive who would guarantee that the high blood pressure prescription – or even an aspirin – he gives you will work.  Since this is a Peyronie’s disease forum, I doubt you can find a surgeon alive who would guarantee before surgery that your curvature would be straightened, or that your Peyronie’s disease would not return in a few years.   No doctor guarantees any outcome of treatment for a specific tissue response because the body does not operate that way.

Yet, because of all these goofy advertisements that surround Peyronie’s disease, you and I are all bombarded with “guarantees” of how effective a secret herb from India is to “cure” the Peyronie’s plaque.  Especially bad are all the mechanical penis stretchers that “guarantee” to reverse a bent penis.  These mechanical penis stretcher companies are a great lot.  They come and they go.  They offer a simple solution, but from my observation and reports I get every day, most men simply cannot use these stretchers for more than a day or two before giving up because of the pain they cause.

One of the surest signs of a phony setup in Peyronie’s disease treatment is when you see a guarantee of results offered.

Sorry to say, nothing about ANY Peyronie’s disease treatment from any source is easy, fast, guaranteed, inexpensive or convenient.  It is tough work.  Peyronie’s disease is one tough problem, and it is most stubborn to treat.  That is why there is no formal Peyronie’s cure at this time. The trick in treating Peyronie’s disease successfully is that it requires you to personally be more stubborn and tenacious than your problem.  It takes a made-up mind, with a high level of commitment to be successful over Peyronie’s disease.  If you truly have one of those determined minds and you are prepared to do some serious work to help yourself, you are far closer to success with your Peyronie’s disease treatment plan.

A halfhearted effort will get you nothing – I can guarantee you that!   You must approach your treatment plan knowing it will not be easy, and any good progress will take time and dedication.  Dig in for the long road, and you will avoid discouraging yourself.  On the other hand, you must also be realistic in your expectations concerning how long it will take to see results and your anticipated degree of eventual improvement.

You need to remember you are working to make yourself healthier and stronger so you can correct your own Peyronie’s disease problem, you are not looking in vain for a Peyronie’s cure.  It’s as simple as that.

If you are truly serious about correcting your Peyronie’s disease, you must be ready to work hard to strengthen your immune response.  Give your body the time and opportunity it needs to heal like the 50% group whose Peyronie’s disease corrects on its own.  To help you put your plan together, I would be pleased to answer your questions about Peyronies treatment.  Please write your question to me under the PD Blog heading, “Ask Dr. Herazy.”

Peyronies treatment and the penis stretcher

Peyronies treatment and the penis stretcher

This blog report is about the hot Peyronie’s disease treatment topic of penis stretchers, or 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 elongating devices, and the sad fact that I hear so many bad stories about them. I got tired of telling people why these mechanical penis stretching 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 now complete and ready for your review on the PDI website at Manual Penis Stretching Method©

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 PD 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 period 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 PD 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 Natural Complementary Medicine LLC. 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 PDI 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 DI 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©. Go to Manual Penis Stretching Method© and let me know what you think.

Peyronie's Disease Treatment Philosophy – General Comments

The Peyronie’s Disease Institute treatment philosophy for dealing with Peyronie’s disease is not accepted within the medical community. You should know the PDI opinions and Peyronie’s disease treatment philosophy are not current mainstream medical thinking, although PDI has assisted a dozen or more MDs with their Peyronies problem in the last few years.

The Peyronie’s Disease Institute philosophy for Peyronie’s treatment is different from standard medical thinking in two fundamental ways.

1. PDI recommends using mainstream Alternative Medicine therapy products (vitamin E, copper copper, DMSO, enzymes, etc.), and procedures like a special gentle manual penis stretching technique we have developed, and acupuncture). These are recommended even though they have not fulfilled the testing standards usually required of medication.

2. PDI has found after seven years of review and research that taking multiple therapies, all at the same time, in sufficient quantities as described on its website that it often stimulates or supports some degree of improved ability to heal and repair the famous Peyronie’s plaque or scar. The scientific term for this phenomenon is “synergy”.

The specific therapy products used by PDI are well known and generally accepted as important, and often essential, for health and well being, such as vitamin E, MSM, acetyl-L-carnitine, etc. However, what is unique is that PDI advocates these therapy products are used in combination and in significant number for maximum potential effect and benefit. This synergistic concept of therapy used by PDI to treat PD takes advantage of the affect of synergy – a concept that is very well known in medical practice. Synergy is the ability of two or more substances to work together to produce a total effect greater than what each individual therapy could produce by itself. 

This Peyronie’s disease treatment concept is based on simple observations about this problem:

· Why do some men completely recover from Peyronie’s disease without treatment? You know, this happens in about half of the case.

· Why do some men get worse and need surgery, no matter what treatment they try?

· If the Peyronie’s plaque is similar to scars like I have on other parts of my body, why does it seem to change so much – not only the size, shape, and density of the scar, but also the location?

· If it’s actually the same problem among all the men who have it, why does Peyronies vary so much from one man to the next?

· What’s the difference between the two groups of men whose Peyronie’s disease goes away on its own, and the other in which it only gets worse no matter what they do for it?

· What is the fundamental difference between these two groups of different responses?

· How can I join the group that repairs and eliminates the Peyronie’s plaque and reverses the bent penis of PD?

Certainly , no one has complete or easy answers to this questions – yet. However, I think it makes perfect sense that the man whose Peyronie’s disease simply goes away on its own has a better healing capacity, than another man whose PD never improves. It cannot be a mater of luck; nature is just not that way. It is my opinion that you can increase your healing capacity and become healthier in some yet undetermined way so you are able to heal your Peyronie’s scar and reverse your Peyronie’s bend to the best of your ability.

The fact that some men are able to recover better than others, must mean there is variable − not static − capacity to healing and repair among men. Common sense and generally accepted knowledge about health, nutrition, and the healing process offers you and I the foundation for a treatment concept and philosophy that should improve your chances to recover from Peyronie’s disease better than if you did nothing to enhance your ability to heal. It is really as simple and direct as that.  The Peyronie’s plaque found within and on the tunica albuginea can be seen as an expression or extension of the overall health and healing potential of the body in which it occurs. Similar to an ulcer, a Peyronie’s plaque or scar can be thought of as the result of abnormal body chemistry and physiology. As such, treatment of Peyronie’s disease should attempt to improve that distressed or abnormal chemistry and physiology of the penile tissue in which the plaque is found.

All therapy products, nutrients, techniques and ideas presented by PDI are all directly or indirectly intended to improve the chemistry and physiology of the body in general and plaque elimination in the tunica specifically. The end result of this effort should be a healthier person with healthier tissue that can heal better. That is the reason all Peyronie’s therapy items are selected on the basis of their potential to improve or normalize the chemistry and physiology of the tunica of the penis and the foreign plaque material.

This Peyronie’s treatment philosophy is not offered as though we have an absolute Peyronie’s cure, not at all.   While we have a high success rate, it is not an absolute cure in that sense. It is merely presented as a way to treat the man who has Peyronie’s disease, because  we all know this happens in 50% of the cases – so it can be done, and it is being done.  PDI is merely offering a way to increase your potential to join the ranks of the men whose Peyronie’s plaque is healed naturally.  The only difference is that you are doing specific things in a deliberate and methodical manner to heal yourself better than you did the first time around.

Peyronie’s Disease Institute adopts the judgment of Mayo Clinic concerning Peyronie’s disease when it stated. ”early stage disease [of Peyronie’s disease] is reputed to respond better than well-established plaques, an early trial of inexpensive, safe and well-tolerated oral therapy is often initially recommended. … With advances in the molecular biology of inflammation and wound healing, the management and understanding of this frustrating disease will no doubt improve.”

With this statement in mind, I strongly recommend that any man, in any stage of Peyronie’s disease – no matter how chronic or advanced – should at least investigate the use of synergy created by the combination of several simultaneous non-invasive treatment measures selected on the basis of the best understanding of your problem and the information that is available to you. Peyronie’s disease treatment is variable from one man to the next. Because the Alternative Medicine therapies used in Peyronie’s disease treatment are intended not to treat the disease but to support and strengthen the man who has the problem, so he can heal and repair it to the best of his ability.  Since we are all different, each man must approach his own search for a Peyronies cure on an individual basis.

When you look at the different therapy products on PDI website, realize that they are intended to increase your ability to heal and repair PD, just as it naturally and spontaneously happens in 50% of the men who develop this condition.   Keeping this in mind should change the way you look not only at Peyronie’s disease, but also the way that you consider your relationship to the problem and how you hope to eventually overcome it.

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.

Peyronies Treatment and Breast Cancer

Peyronie’s disease treatment information to use

Here is an some interesting information about Peyronie’s disease treatment from an unlikely source:  breast cancer research.

German researchers who track breast cancer rates of progression have proposed the controversial notion that some forms of breast tumors found in mammogram studies might naturally disappear – or heal – on their own if left undetected.   Archives of Internal Medicine November 24, 2008;168(21):2311-2316. Mammography and manual breast self-examination for tumors have become the standard methods for early detection of breast cancer during the last 20 years.Dr. Per-Henrik Zahl and colleagues examined highly invasive breast cancer rates among nearly 120,000 women age 50 to 64 who had a mammogram examination over a six-year period. They compared the number of breast cancers found in another group of approximately 110,000 women who were screened only once at the end of the same six-year period.

Dr. Zahl expected to find no differences in breast cancer rates.  However, he found 22 percent more invasive breast tumors in the group who had mammograms every two years, raising the possibility some cancers somehow disappear naturally.

This landmark cancer study suggests that some cancer can go away on its own, something that most doctors and  oncologists would never consider.   Prior to this study, when a cancer disappears without treatment, it is typically dismissed as an error of diagnosis or a fluke.  But this German study suggests that even highly  invasive cancers not only may go away without active medical treatment, but that they do more often than previously imagined.This supports the Peyronie’s Disease Institute concept that our body’s have the remarkable capacity to heal, and that ability is determined largely by our lifestyle – including and primarily your nutritional intake.  If you eat well, exercise, get enough sleep and sun exposure and address your emotional stress, your body has the best opportunity to maintain a healthy balance toward correction of many health problems like Peyronie’s disease.  Is this an infallible method of health care?  Of course not.

People still need medical intervention and need to visit their medical doctors.  But they also need to remember that the body can heal itself when given the opportunity, and that opportunity must be promoted by following reasonable things that promote health as we discuss on the PDI website.

If you are interested in information that will help you understand how to promote your best possible chance for a natural Peyronie’s treatment, then go to the website of the Peyronie’s Disease Institute.

If the body can cure an invasive breast cancer, it can do many wonderful and miraculous things when given the opportunity.  PDI gives you information about promoting that opportunity for the best Peyronies treatment possible.

The SINGLE most common question about Peyronie's disease treatment

Peyronie’s treatment basic question

For sure the most common question I receive – sometimes several times a day – goes something like this:  “I was just told by my medical doctor that my bent penis is caused by peyronies desease.  He did not tell me much about this problem so I looked around the internet, and I just found your helpful website. What can I do to help my peyronies?  Thanks for any information you could send to me.”  Yes, with no background information about himself, this person has asked, “What can I do to help my peyronies?” as though there is a single and simple answer.

Actually most email questions I receive ask directly for a solution to Peyronie’s disease, as though it was just that easy.  Sometimes the words change a bit:  “What works that will cure my Peyronie’s?” or “Can you help me get rid of my PD?” or “How can I cure my curved bent penis?”   All these questions suppose there is a simple and direct way to help the body heal the Peyronie’s plaque or scar.    My response is always polite, and I always try to be helpful and courteous, but I sometime wonder with almost 200 pages of detailed Peyronie’s disease treatment information on the PDI website that is freely available, what additional information a person could want.  Since everyone seems to write their email questions to me through the PDI website, I assume they have seen the wealth of information that is there to read and study at their leisure.   But I assume the real problem is that they are simply overwhelmed and frightened not only by the knowledge they just recently learned their penis has a “disease,” but by the sheer number of pages of information about treating this problem.

You will also notice that the average email – asking me for help about Peyronies treatment – does not tell me anything about the problem that is going on with the person.   Like asking someone “How do I fix my car?,” without telling them anything about the car or the problem you are having, it is important to give me as much information about yourself as possible, so I can give you reasonable assistance in response.       What I usually respond back is to suggest they spend a bit more time learning about PD and the  work of the Peyronie’s Disease Institute.  I will remind them that whatever they might want to know about the Alternative Medicine cure of Peyronie’s desease can be found on the approximately 200  pages of information of the PDI website I encourage them that everyday I communicate with at least a dozen men who are taking control of their PD situation and making improvement when nothing else has helped them, and they have done all of this with the information found only on the PDI site.

What we propose at PDI is not so earth shattering or extreme in concept.  All we are doing is attempting to figure out why your PD did not correct like about 50% of the men who develop this problem.  If half of the men “cure” their own PD, why not you?  That is all we are attempting to address with our therapy concept.  It is really not so far out as some of the other things you find on the Internet.

I suggest that the safest and most logical Peyronie’s disease treatment is to attempt to join those 50% of men whose PD is resolved naturally.  All standard medical information about PD clearly states that in half of the cases, the PD “goes away on its own.”   Well, all we do with the PDI approach is to work with body to prepare it to heal on its own, just as it should happen.  It is really not such a crazy or extreme idea.   We advocate an aggressive application of multiple conservative alternative Medicine therapies as outlined in our website.

Almost always I suggest that they try the simplest and easiest route to learn more their Peyronies problem by reading a book that I wrote that gives much information about day-to-day treating and living with Peyronie’s disease.  This book, called “Peyronie’s Disease Handbook,” was written because of new and unique things that PDI  has discovered a man can do to easily make changes in basic living habits that could help Peyronies heal naturally.   It would be good to become familiar with some of the treatment concepts that are found in the book, found at Peyronie’s Disease Handbook The information and instruction found in the book is different in many ways than the information on our website; there is no duplication of information between the book and the website.

Also I inform each man that it is most usual for men who follow the largest and most aggressive therapy plan to usually get the best results.  Each man who is interested in doing all that he can to help himself to the maximum is told to consider using what is called the “Large (Best) Plan” for personal treatment, found at our PDI store The Medium Plan is perhaps the most popular of the three plans.  In treatment it is very common for men to substitute Neprinol in place of the two smaller products, Nattokinase and Serrapeptase in any of the plans.  There is a smaller plan that is well designed.   All can be modified to suit individual thinking and unique situations that make therapy a little different for each person.

Over the years I have worked with hundreds and hundreds of men over the years with Peyronies and helped them recover from PD.  Some of these cases were mild and some severe, some just a few months and a few more than 10 years old.  As readers of the PDI website know, I had a pretty bad PD problem until I cured my condition using the procedures found in the book I wrote and the same Alternative Medicine ideas as on the website.  It is not necessary to feel like a Peyronies victim if you are working to improve your health and immune response against the presence of this foreign tissue.

Each email and phone call I receive each day asking for help with Peyronie’s disease treatment is special and unique.  All are answered with courtesy and respect, keeping in mind how shattered and confused each man can be when he hears the words “Peyronie’s disease” for the first time in his life.

Ask me your questions about Peyronies disease natural treatments with Alternative Medicine, and I will do the best I can to help you in any way that I can.  Please tell me as much about your condition as possible, so I have a good background of information to use in making a reply.