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fugluten23

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Peyronies has receded
« on: January 09, 2017, 07:03:17 PM »

Hi all - I'm new here but let me tell you a little about my story. I'd love to hear some feedback, whether it be supportive or critical. This entire ordeal lasted only 7 weeks (there could be more but right now it has fully receded).

When did this start?

About 7 weeks ago I started to feel a pain in my erection within the center/bottom shaft closest to the head. I had never experienced any pain in that area - I'm only 29 - so when this happened I thought maybe it was an STD. I spent about a day or two frantically searching the internet for an answer. As the search continued for answers throughout those few days, the pain grew worse. I stumbled on the peyronies forums and the symptoms were an apples to apples match with what I read (no pun intended). I wasted no time and saw a urologist. He did an exam and found a hard lump in the area I was experiencing pain. He concluded that it was in fact peyronies disease and that I probably suffered an injury (he couldn't be sure when) and that this unfortunately resulted. Let's call this urologist doctor #1.

Here was doctor #1's suggested plan.

1. Prescription of ciprofloxacin 500mg twice daily for two weeks with one refill.
2. Anti-inflammatory (advil and such) daily with maximum dosage

Because of Doctor #1's limited experience, overly simple treatment plan and the discrepancy of what I had been reading online from the things he said - I quickly thought to myself that my answers were not to be found here. I ended up taking the antibiotic for two weeks but did not take any anti-inflammatory OTC.

What did I do after Doctor #1?

So I mentioned that I took the antibiotic for two weeks and you are probably wondering what effect it had if any. I'll get to that, but lets back up a little bit to the end of the first week of having this (I was diagnosed about 3 days after experiencing the pain). At the beginning of week 1 before the diagnosis, I was in mild pain but was able to have an erection. After the diagnosis and by the end of week 1, where I am now in this story, the pain had increased tenfold and was causing severe ED. The penis couldn't fully extend and there was a sharp downward curvature. The curve started closer to the end of the shaft and after the curve, the penis couldn't get hard and just kind of dwindled like it was broken. Very very painful.

I was a self taught nutrition counselor in one of my previous jobs and had much success in that area and I've had a lot of exposure to natural healing, physical therapy and other like fields in my life so I had a decent understanding and foundation to work with in this research endeavor. At the end of week 1, I was fully engulfed in the world of peyronies disease and researched countless supplement remedies, anecdotal evidence and patient testimonies in many forms. After a few days of researching (I'm a little into week 2 now) I formulated a full blown self developed treatment plan that including a bunch of oral supplements and as topical supplement.

Here is my self developed peyronies treatment plan that I started taking early in week 2. This doesn't include the antibiotic (taken twice daily) which I stopped taking at the end of week 2.

Morning -
1. L-Arginine 1000mg

Afternoon -
2. Coenzyme Q10 100mg
3. Acetyl L-Carnitine 500mg
4. Vitamin E Complex 200 IU (mixed tocopherols and tocotrienols)

Night -
5. PABA

Topical -
Organic Castor Oil (to be applied to lump area when waking up erect or after masturbating)

So let me just make this reminder. I had seen Doctor #1 already leaving with no confidence in his knowledge or treatment plan.
I named him Doctor #1 because there will be a Doctor #2 in this story down the road but I want to enter timeline mode to tell the story of the supplements and what happened over the course of the next 5 weeks (which includes Doctor #2 towards the end).

So week 1 was discovery, ddiagnosis and self-educational research. Week 2 was the beginning of the self developed supplement plan. At the end of week 1, the pain was very acute but manageable. At the end of week 2, the pain was more broad, more severe and caused ED and a severe curvature.

Week 3
Supplement plan continues...
I'm practicing abstinence to try and keep the pain. I try to masturbate a few times but to no avail with the problems still persisting that were present in week 2.

Week 4
Supplement plan continues....
Did I mention I'm 29? My urges got the best of me and I found a way to masturbate but with a softened penis. It wasn't fun but when I was able to ejecalate I had a full erection that kind of stretched the curvature into a straighter line but it was accompanied by extreme pain. The extreme pain existed after but not during the ejaculation. I thought I maybe made it worse and kind of panicked a little.

Week 5
Supplement plan continues....
I masturbated once in week 4 with an extremely painful result so I wasn't encouraged to try again. However, my urges again got the best of me. I tried again and to my surprise the pain was a tiny bit reduced but still very bad. The curve had straightened a tiny bit also and I was able to hold a harder erection for longer. I thought maybe I was just getting used to the pain and wasn't sure it was receding or not.

Week 6
Supplement plan continues.
I masturbated once in week 5 with more progressively successful results but no where near normal. I found the pain when waking up with an erection was subsiding quite drastically which I thought was attributed to me just being too sleepy to really feel it (or again, just me getting used to it more).

Here, in week 6, is when I saw a second urologist. This time, the doctor was world renowned urologist practicing out of Memorial Sloan Kettering in NYC. The doctor was definitely one of the best doctors I have ever met with but he wasn't without faults. I'm pretty skeptical of doctors if you haven't caught that yet with me so it is tough for them to convince or impress me.

I explained to Doctor #2 everything that had occurred over the last 5-6 weeks. After a much more thorough examination then what doctor #1 had done, Doctor #2 concluded the same diagnosis but couldn't understand why the doctor before me prescribed the antibiotic. He was also baffled by my supplement plan and referred to is as garbage and scam induced. He explained the science and it made sense but didn't leave me feeling completely confident in my understanding (or maybe because his science had some holes in that I couldn't prove). Either way, he prescribed a traction device to be used 4 hours a day for a month and then we would take it from there. He told me surgery was probably in the cards and that he wanted to do a curvature test with an erection induced by injection after that month.

I never ordered the traction device and thought to myself that he seemed way to quick to dismiss a holistic treatment plan and replace it with a surgical one (one that would probably cost upwards of 12k). I explained to him how things had gotten slightly better but he hesitated and dismissed my claims. I believed him and was convinced this would maybe return, but I was not convinced to stop taking the supplements. They couldn't hurt me so why not keep taking them, right?

Week 7
Supplement plan continues....

Week 6 was a big week. I saw progress and Doctor #2 refuted it and wanted to replace my self prescribed treatment plan for a traditional surgical plan. This was a world renowned urologist and at one of the best hospitals in the country. I didn't trust him though.

I know you are probably thinking, why am I giving a timeline in a week by week fashion when this will most likely go on for another year or so maybe? Well, that is the amazing part. My story ends here. I woke up and tried to masturbate at the end of week 7 and the pain and curvature was 100% gone. I couldn't believe it and still can't. I'm not sure if this is a temporary recession but I never once saw a fluctuation in pain, just a steady increase or decrease but zero fluctuations. I'm not going back to either doctor and I am now moving on with my life happily.

You might be thinking to yourself also, this has to be one of the rare 10% of cases where spontaneous remission occurs. I would argue this wasn't spontaneous or random. I've also had severe IBS issues (also celiac) over the last 8 YEARS and have done everything I can to aid it with a picture perfect diet and other remedies. I've always had daily rotations of constipation or
diarrhea but have rarely had good bowel movements. Around week 4-5 of this peyronies disease story is when my IBS started to dissipate. By now, week 7, both my IBS and my peyronies disease is completely gone. I've now gone three weeks of clean and perfect bowel movements when the longest stretch of good bowel movements I've had in the last years stretched maybe a day or two if I was lucky. I've now gone 3 weeks of clean bowel movements which has improved my mood, energy and health drastically. I can't eat gluten still (celiac) but my diet has expanded greatly since my IBS has improved. I've been eating foods that typically would really flare up my IBS but I'm digesting and processing like my intestines are made of iron now.

I don't believe that the healing of these two conditions at exactly the same time are any coincidence. The probability is near impossible (at least I think so) that this occurred randomly and at the same time as each other. The supplement plan is the only common denominator I can think of.

I'm going to continue the supplement plan and I'll post back a progress check in a few weeks to keep anyone who follows this updated. But I'm healed for now on both fronts and couldn't be happier. If anyone has any feedback, insight or even criticism into any element of what I posted, feel free to respond as I am always eager to learn more or share more details of this experience to help others.



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Jaystuart

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Re: Peyronies has receded
« Reply #1 on: January 09, 2017, 07:43:07 PM »

I appreciate you sharing your experience. I am still looking for the right combination. I see my urologist #3 next month. Keep us posted.
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NeoV

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Re: Peyronies has receded
« Reply #2 on: January 09, 2017, 08:07:30 PM »

Thanks for the post, but why no traction? Traction does not only straighten your penis and stretch out the scar tissue, it actually reduces inflammation in the cells of the penis including tgf-beta. I agree, it's hard for any of us to believe anyone who has a quick "remission," since even Tom Lue, the world's top Peyronie's expert has misdiagnosed the disease for mondor's or vascular / lymphatic inflammation! If you read the literature, you will find that it is VERY hard to tell what is scar tissue and what is vascular or lymphatic.

Regardless, I take what you wrote very seriously and I appreciate it. The supplement dosage is a bit low, and be warned about PABA, your liver may have a hard time with it so drink a lot of water.

I am also very interested in your IBS or celiac disease. Peyronie's may be very well linked to a lot of the same things that cause those issues, including blood sugar issues and gluten to a degree. Now, tell that to some of our members and they will back lash pretty hard at you, telling you that even with a perfect diet their penises were destroyed by the disease! But hey, this isn't about absolutes, all things have to be considered, and we should NEVER throw the baby out with the bath water. Please continue to post here about your case, we all would appreciate it and love more discussion.
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fugluten23

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Re: Peyronies has receded
« Reply #3 on: January 09, 2017, 09:19:31 PM »

The only reason I didn't do the traction is because the recommendation for it came too late and my recovery happened too quickly for it to make a difference or have a real impact, at least right now. If I still had a curve I would absolutely add this to my treatment plan but since it is gone now (at least right now) I don't see a need for it.

I agree that the remission seems oddly quick for peyronies and I can't fully comprehend it (partly why I posted here beyond just wanting to share my experience and help others). The thought occured to me that maybe I was misdiagnosed but the curve was pretty drastic early on (I didn't measure it but if I had to guess maybe 20-30 degrees) and the pain and lump were pretty evident. It all seemed to match peyronies and the doctors after their exams fully agreed and gave me the diagnosis but I'm skeptical as well.

As you said though, regardless I definitely want to share this experience and vet it fully with others and maybe gain a clearer understanding if possible.

Regarding my IBS, I've gone to countless doctors of all kinds and have never gotten good help from any of doctors I've seen. I believe after this supplement treatment plan results that they are connected somehow. The celiacs is what it is unfortunately and I just stay away from gluten entirely and have been better off since I eliminated it from my diet fully years ago. But my IBS always raged on until 3 weeks ago when both that and my peyroines disease cleared up. I'm actually enjoying a batch of gluteb fre buffalo wings tonight, something I could never eat with my IBS. I've eaten it twice in two weeks and have had no adverse effects whatsoever. If I ate that 2 months ago or two years ago I would have severe intestinal issues and be in a cloudy foggy bad mood for days until my intestines recovered. No issues now whatsoever.

I'll make sure I post back any updates on my recovery and/or progress. Thanks for the posts and insights so far. This is a great and informative forum and I'm excited to learn from you guys.
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NeoV

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Re: Peyronies has receded
« Reply #4 on: January 09, 2017, 09:24:09 PM »

That all makes good sense to me. I'm glad your IBS and celiac is better too. There is a link between IBS and erectile dysfunction, and I don't see why Peyronie's would not be included!

I've had bad pelvic pain for years which is a bit better when I'm off carbs or gluten too. Anyway, happy for ya!
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james1947

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Re: Peyronies has receded
« Reply #5 on: January 10, 2017, 02:05:14 AM »

Quote
...this has to be one of the rare 10% of cases where spontaneous remission occurs
A big YES

James
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Paolo

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Re: Peyronies has receded
« Reply #6 on: January 10, 2017, 04:03:42 AM »

fugluten, thanks for your story, hope you continue to see improvements.

Can I suggest a supplement for you, it has done wonders for my digestive health, that being Udo's choice digestive enzyme blend, quite expensive, but for me they work. I take 3 caps a day (one before each meal)  :)

I am taking 5-LOX Inhibitor as an experiment for a Month or so, amongst other things it helps with Crohn's Disease, ulcerative colitis, and other digestive Issues ... It has the ability to inhibit 5-LOX and help stop the inflammation it can cause. I don't recommend it yet as only been on it coming up for one week, but signs are it's doing good things.

NeoV I will keep you updated on the 5-LOX Inhibitor as my hands and feet are improving, as our my joints overall  :)
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fugluten23

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Re: Peyronies has receded
« Reply #7 on: January 10, 2017, 01:53:00 PM »

Quote
...this has to be one of the rare 10% of cases where spontaneous remission occurs
A big YES

James

The only thing that makes me believe this wasn't a "spontaneous remission" as opposed to a total recovery is the fact that my IBS improved drastically to the point where it is non-existant right now. If I were to chart the progression of healing of each issue and the timing (peyronies and IBS) on a graph and compare side by side they would be almost identical. I've been dealing with peyronies for only about 2 months and I've been dealing with IBS for almost 8 years. Without the IBS component to this story, I'd chalk it up entirely to spontaneous remission but the evidence points me in another direction - but I admittedly don't know enough to draw any strong conclusion.
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fugluten23

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Re: Peyronies has receded
« Reply #8 on: January 10, 2017, 01:56:02 PM »

Please don't quote unnecessarily. Moderator

I'll definitely look into this digestive enzyme blend. It seems very promising for me and digestive health has always been an issue of mine so this is great to hear. Thank you for the recommendation.

The 5-LOX looks promising also from what you are describing. My father has ulcerative colitis and I'm sure I have colitis in some form also but haven't had a colonoscopy or any testing to prove it.
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fugluten23

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Re: Peyronies has receded
« Reply #9 on: May 13, 2017, 08:50:17 AM »

lol at the quote edit above. Didn't know that was unnecessary.

I was asked to post an update of my peyronies status which I'm very happy to do. Since the time of my posting, I'm still free and clear of peyronies.

My focus entirely has been on my IBS, which I believe if in check will also keep peyronies in check and so far everything has been great on both ends. I've been supplementing regularly with strong probiotics to promote regular and steady bowl movements. After masturbation I apply castor oil to the penis as a precaution but have not had an issue with peyronies or IBS in many months. I don't take any of the supplements that I took during my treatment anymore and didn't have much success with digestive enzymes (they just made me bloated and actually made it harder for me to pass stool cleanly). I choose to stick with my tried and true probiotics, which if I don't take regularly then my IBS does come back in small ways (I've tested this).

I'm not sure if this is a phantom feeling (in my mind) but if I masturbate anymore then 1x a day then I do feel like peyronies has the potential to come back. It's a tiny feeling in both my mind and my shaft that evaporates rather quickly but I always feel like the potential is there. It actually forces me to be more selective in the girls I have sex with as well because my feeling is if peyronie's does come back somehow from rough foreplay or rough sex then I'd rather it come back with someone that is worth it and not just some random hookup. Again, this may all be in my head but it is definitely a paranoia I must live with after this experience.

I must comment though that after all this time I have reflected a lot on my experience and my un-trained thinking really leads me to still believe that the two biggest contributor supplements (although some probably believe this is just spontaneous remission - I don't) were PABA and Acetyl L-Carnitine but more specifically the timing of when I took these supplements. The more I read about IBS and diseases of this nature, the more I see evidence stacking towards certain Vitamin B deficiencies and PABA seemed to help restore that temporarily but to a point where clean eating and dieting took the baton and continued to run the race. Again, I'm not a doctor and don't pretend to be an expert on these things but that is just my feelings on the matter based on my individual research and experience.
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rjl88

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Re: Peyronies has receded
« Reply #10 on: May 25, 2017, 11:13:06 PM »

Thats interesting that u said "I've also had severe IBS issues (also celiac) over the last 8 YEARS and have done everything I can to aid it with a picture perfect diet and other remedies. I've always had daily rotations of constipation or
diarrhea but have rarely had good bowel movements. Around week 4-5 of this peyronies disease story is when my IBS started to dissipate. By now, week 7, both my IBS and my peyronies disease is completely gone""My focus entirely has been on my IBS, which I believe if in check will also keep peyronies" because the other day i finaly realized iv been dealing with CP/CPPS since i was 18 (im about to be 26 next month) that was causing this burning feeling in my penis and pelvic pain which im sure was caused by an very tense pelvic floor muscle (iv read that therapy for CP/CPS can be stretches on these overtensed muscles in the pelvic area) Now if you go to on Wikipedia https://en.wikipedia.org/wiki/Chronic_prostatitis/chronic_pelvic_pain_syndrome and scroll down to diagnosis "Men with CP/CPPS are more likely than the general population to suffer from Chronic Fatigue Syndrome (CFS),[44] and Irritable Bowel Syndrome (IBS)" This pelvic floor imbalance of tense muscles i believe is what eventually caused my original peyronies (before the fracture) i had been searching the forums to see people on here dealing with the same stuff i was dealing with pre peyronies which is prolonged nightime erections (painless ones but were painful in the early acute phase of my peyronies after my fracture which also leads me to believe its not low flow (ischemic) priapism)(my uro said the same thing that some of theirs said which is "its psychological") that wont go away unless you urinate which is a bad thing because if they go longer then 4 hours that is a priapism. the first time it happened i had an erection for over 8 hours because i didnt know it wouldnt go away and it went untreated because back then i didnt know it was a bad thing (iv messaged some of these members to see if they ever got it to go away and never got a reply from any of them) (there are also members on here that iv seen have gotten peyronies from a priapism) now if u go here https://www.ucsfhealth.org/conditions/priapism/ and click on see more it says "This type of priapism is not as common or painful. It is usually caused by an injury to the penis or perineum, the area between the scrotum and anus. The injury causes the artery within the erectile body to rupture, and thus pump large amount of blood to the penis continuously." that area between the scrotum and the anus that they are talking about im pretty sure is the pelvic floor. I believe the reason why these erections go away after you urinate is because its related to the kegel muscle which they say u can find when u hold your pee. Now where im going with this is lately iv been having to do reverse kegels to relax this muscle which they say feels like your pushing out of your a$$ or like your farting or defecating. So to me it sounds like your pelvic floor imbalance was the opposite of mine which is probably a too relaxed pelvic floor or your pelvic muscle that is literally located more towards your butt is too tense which was causing your Irritable Bowel Syndrome and i myself over the years have not had any problems with bowel movements but the opposite where i have to pi$$ all the time. Iv read that a too relaxed pelvic floor can cause INCONTINENCE and poor EQ and i believe even venous leak. so to me it seems like once you got your pelvic floor balanced out you also got your peyronies to go away and IBS. iv seen other members iv seen post in this Improvements Sections talk about kegels or pelvic floor Huge success with the basic treaments!! - Peyronies Society Forums this guy talks about strengthening them "Heavy barbell squats and deadlifts for strengthening pelvic muscles and glutes (very important!!)" So i will most definitely be focusing on trying to balance out my pelvic floor. iv heard of people getting rid of hard flaccid with them to so to me it seems like having a balanced pelvic floor is CRUCIAL to improvements or reversing your peyronies. i know mine is too tense because iv had the symptoms of that which is pre ejaculation and they got too damn tense to the point where iv been dealing with CP/CPPS so the opposite of that from a too relaxed pelvic floor can actually cause and some of you wonder well why dont u try abstinence. iv tried abstinence many times for weeks and even sitting and sleeping in positions that my penis would be more relaxed and it didnt relax my pelvic floor at all instead i believe it made it worse because it would stay tense and then stay burning for even longer but then when i would have sex or masturbate it would go away for a bit then come back. it was so bad that i would sometimes get pre ejaculation from a spontaneous erection and it would start burning again since it used those muscles let off some ejaculation and basically put me in a loop for the last 7 and a half years which makes sense why abstinence hasnt worked and reverse kegels has helped me so far with that problem and with pre ejaculation and iv only been doing them a few days (started a little before that but was doing them wrong) it seems the best results have been from reverse kegels while masturbating i use to think i didnt really clench my kegel muscle during sex or masturbation and maybe i wasnt but they were too toned and like i said now that iv been doing RKs during masturbation i can actually feel it more relaxed and less pelvic pain afterwards and even less hard flaccid. maybe the l-arginine u took might have helped u out since its a vasodilator and i myself before peyronies would get relief from vasoconstrictors like pseudoephedrine and would help me stay flaccid because iv had a problem staying flaccid and have semi erections a lot u would wonder well why is that a bad thing well when it stays semi erect like that for so long i start to get like a different rubbery texture to my penis and it will sometimes start bending more and have veins flexing. it also seems like the blood maybe isnt getting as oxygenated as it would as full flaccid and causes damage similar to a priapism lasting over 4 hours that can cause problems.
There is a link between IBS and erectile dysfunction, and I don't see why Peyronie's would not be included!
https://en.wikipedia.org/wiki/Pubococcygeus_muscle If you go here (link to a muscle in the pelvic area) and scroll down it say "Kegel exercises have been prescribed to ameliorate erectile dysfunction due to venous leakage and to help men control premature ejaculation[4] and to treat urinary incontinence in both sexes" so this makes me wonder if Gollam (a member on here who didnt have peyronies but ED who passed away earlier this month) could have been able to maybe do this to help him out because obviously the sclerotherapy made him worse (which im pretty sure he made pretty clear) to the point he took his own life. i believe i read he said he had been dealing with it his whole life but maybe hes been in a loop his whole life like iv been in a loop the last almost 8 years.
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Christopher1

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Re: Peyronies has receded
« Reply #11 on: May 27, 2017, 05:36:13 PM »

I agree with James.

Keep us updated though.

Toronto34

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Re: Peyronies has receded
« Reply #12 on: May 29, 2017, 04:37:26 PM »

rjl88, I am quite convinced that in my case pelvic floor issues and CPPS contributed to my Peyronies (or at least those two things are linked). I had my worst flare-up of CPPS in years the same week as I noticed my curvature. I don't quite understand the relationship but I am treating both Peyronies and CPPS at the same time. Also, this was all right after an intense lower body workout with squats, so I think something I did that day aggravated my pelvic floor and triggered all this crap.

Reverse kegels are great. They have helped with my CPPS symptoms and I think reduced my hard flaccid. Other factors may have contributed but reverse kegels are the only thing I've been doing consistently the last 2.5 months. My physio says I should not be kegeling at this point except to force out those last bits of urine and maybe to fill up an erection. Don't do kegels while masturbating or having sex to hold off an orgasm.

The cause of Peyronies is usually pretty mysterious and I think the symptoms we experience
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rjl88

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Re: Peyronies has receded
« Reply #13 on: May 29, 2017, 06:25:26 PM »

toronto34 thats interesting i guess im not the only one then i wasnt really sure i was guessing my original peyronies was caused by maybe both a priapism and CPPS though back then i didnt really have as much pelvic pain but more of the burning pain in the penis it can cause. I also read yesterday that PFD (pelvic floor dysfunction) can cause IBS i was trying to find the website right now but cant find it. ya i think those squats might have caused your kegel muscle to tense up and cause those problems. Its really crazy how much these muscles contribute to sexual function i didnt even realize it until about a week ago when i tried Reverse kegels during masturbation and didnt have that feeling of pre ejaculation which can also be caused by a tense pelvic floor. which also has me wondering at times if maybe i could been the 10-13% that get "spontanenous healing" already if i didnt suffer my fracture or if maybe its still possible to get that healing with a fracture.

did u have hard flaccid before CPPS?

ya the cause of peyronies is mysterious Propecia a culprit and significant improvement - Peyronies Society Forums if you go there (another post in the significant improvements section) that guy talks about getting peyronies from finasteride and having improvements after quitting finasteride. he wasnt the only person iv heard say that either.
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Toronto34

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Re: Peyronies has receded
« Reply #14 on: May 30, 2017, 03:24:04 PM »

Sorry my last message go cut off. I was gonna say Peyronies may just describe the presence of plaque and common symptoms but the causes might be many: major injury, built-up micro trauma, autoimmune disease, hereditary condition, low testosterone (propecia and finestride cause this), some combination etc.

My guess is I personally had a bad CPPS flare-up can cause an internal penis injury when the muscles get exceptionally tight. I would be treating my CPPS anyways but now I am doubly invested because I don’t want it worsening my Peyronies.

I’ve never had a hard flaccid before 3 months ago when Peyronies started and CPPS flared up but I’ve had CPPS for over 5 years (never too serious except for when it first showed up).

The weirdest thing I’ve had is my flaccid seems to be hanging longer by half-an-inch since the hard flaccid has begun to clear up. I guess it’s my “best” symptom. Either I did some ligament damage or as my doctor suggests, the pelvic floor exercises are letting it hang lower because they loosening after being so tight for so long. It’s rare to have benefits from Peyronies but I am hoping I am an exception and it’s not actually a sign of something bad!
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Steveo

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Re: Peyronies has receded
« Reply #15 on: September 12, 2017, 03:25:44 PM »

Yeah this all sounds like a problem OTHER than peyronies.  While peyronies symptoms may come on suddenly the underlying cause does not.  My initial peyronies curvature came on three months after its inciting injury.

A lot of erection quality is determined by the skeletal muscles surrounding the penis and what they can do not only to the suspensory ligaments but also to constrict bloodflow and cause ED or only partial inflation of the penis during erection.

Peyronies symptoms generally become more apparent at full erection. If you've got weird penis things that are happening but which disappear under full erection, either they're extremely weak and soft peyronie's plaques or they're something else entirely.
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