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Author Topic: Totally confused ... Please help  (Read 254 times)

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Sten1

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Totally confused ... Please help
« on: January 12, 2020, 02:10:15 PM »

Hello again from me. I went through a Doppler test a few days ago. I was given Alprostadil and managed to get an erection of about 30-40%, which disappeared quickly. The fact was that I was extremely stressed and worried (although the doctor was great). When I got about 30% erection, the doctor went into the office and the study began. Then he left me again 2-3 times and finally told me that I had no problems with either arteries or veins. My question to you is -
how can it be understood that I have no problem with venous drainage after not getting an erection.
I saw a diastolic value of +12.0 (WOW) on the screen then it started to fall again to +2.0 and I didn't understand anything. At one time I saw -3.00, but briefly, then again some other values ......
Is there anyone who knows what this means
 
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41 years old. Penis fracture in February. After fracture - normal erections. Until July. Two fails with a girl from then severe depression.
2020 - already without depression, I'm just trying to get on the right way

TonySa

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Re: Totally confused ... Please help
« Reply #1 on: January 12, 2020, 02:30:25 PM »

I’d ask fir a copy of the exam and the doctors note, hopefully it explains more and then you could ask the doc further questions. 
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melting

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Re: Totally confused ... Please help
« Reply #2 on: January 13, 2020, 09:17:32 AM »

Yep, yep, the curious case of "venous leakage" it truly is confusing.
Why do you think you have "venous leakage"?
Do you have any peyronies plaque/scar?

Due to the natural function of the penis and erection the diastolic pressure will vary widely during the different stages. Highest when fully erect. But if you're not fully erect blood will "drain" through the veins.
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Hawk

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Re: Totally confused ... Please help
« Reply #3 on: January 13, 2020, 10:14:17 AM »

Keep in mind that what stopss the veins from draining the penis in a healthy penis is arteries dilating so they pump in the blood faster than the veins can drain it.   As the penis engorges it squeezes the veins to constrict them.  This further reduces the blood leaving the penis through the veins.  It seems like what is called a catch -22.  You need to get an erection to keep the blood from leaking out of the veins but you cant get that erection if the blood is leaking out of the veins.

In reality, the term "leak" is kind of misleading.  Veins are there to channel blood flow back to the heart and lungs.   It seems to me it is a fine line as to whether the veins are leaking or the arteries are not dilating to pump blood in fast enough to outpace the veins -> resulting in an erection that then constricts the veins.

All of this would take a prepared patient and a very good doctor who was willing to put time into the exam and the explanation.  Common sense and logic suggest that a cockring would solve most venous leak because the veins are close to the surface of the penis while the arteries run deep.  The ring would constrict the veins but allow arterial blood to flow in.   Plaque on each side of a vein or possibly under the vein could prevent constriction.  It is much like laying a brick on each side of a garden hose then driving a car tire over the bricks.  The tire cannot compress the hose because the bricks prevent the compression.
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melting

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Re: Totally confused ... Please help
« Reply #4 on: January 13, 2020, 02:38:09 PM »

Quote
It seems like what is called a catch -22.  You need to get an erection to keep the blood from leaking out of the veins but you cant get that erection if the blood is leaking out of the veins.
Perfectly said!

A seemingly high occurrence of this venous leak diagnosis with peyronies patients can also be - due to plaques sitting at the Tunica, preventing it from expanding, resulting in the veins not being constricted, allowing more blood to "leak". I would guess that in many cases, if there was no plaques there would be no venous leakage diagnosis. Just speculating of course..

To me much of the venous leakage stuff is like having a dam leaking and then working downstream to stop it.
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Sten1

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Re: Totally confused ... Please help
« Reply #5 on: January 13, 2020, 05:35:10 PM »

He told me that I couldn't get a normal erection because my heart rate was probably more than 120 and I was extremely stressed. He told me I had a blood flow that was well above normal and that I had no venous leak. He said that the arteries were very good and also wide enough, even above normal. I don't understand anything anymore
The other thing he told me was that there was nothing stronger than my brain and the need for the body to transfer blood to other places than the penis. Ie ..... no shot or pill to end a man in an erection if they shoot him with a gun or push him from the 8th floor :)
He is sure i have not problem.
And here I see answers that are the opposite of what I heard. ie that Trimix can give you an erection after jumping WITHOUT a parachute from an airplane ..... (Figuratively speaking)
The weirdest thing is that when I am with a girl I can get a good erection (95%), I can walk, take off my clothes, go to bed, jump , walk , stays on knees and the erection is good BUT... and the moment penetration begins ..... 2 min then the erection drops. It is also strange that during masturbation ( watching porn ) I can get a maximum of 50-60% erection, which does not last long.
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41 years old. Penis fracture in February. After fracture - normal erections. Until July. Two fails with a girl from then severe depression.
2020 - already without depression, I'm just trying to get on the right way

melting

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Re: Totally confused ... Please help
« Reply #6 on: January 13, 2020, 06:01:26 PM »

Quote
arteries were very good
That's very good cause the arteries are responsible for filling your penis with blood which then results in "clamping" off the veins to keep blood from leaving through the veins.

An erection in first place only starts when the smooth muscles are relaxed due to a chemical release via arousal.
Then the blood fills the relaxed/open penis tissue via arteries.
The body can't do that if you are in a stressed mood. Parasympathetic vs. sympathetic nervous system activation.

Another thing can be your pelvic floor. If it's tight(cause of stress..) it can prevent blood flow in(through arteries).... and if it's not balanced or strong enough won't help to keep blood in during an erection(Ischiocavernosous muscle). There's a lot of matierial on the web about it.
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Hawk

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Re: Totally confused ... Please help
« Reply #7 on: January 13, 2020, 09:15:44 PM »

A simple almost obvious question, have you tried a good cockring?

Also, he either misspoke or you misunderstood him.  Oral PDE5 inhibitors require sexual stimulation (psychological or physical).  Penile injections do NOT.  Maybe a rush of adrenalin could kill them but it would have to be a hell of a rush.  I injected for many months a few times per week.  once the company came over and my erection lasted just like it would having sex.  Another time I had to go to the store at midnight to take a handful of Sudafed to try to kill a prolonged erection.
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Re: Totally confused ... Please help
« Reply #8 on: January 13, 2020, 09:26:04 PM »

So what's the exact physical state of your penis? Are your erections straight, bends, hourglass? How are morning erections?
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Sten1

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Re: Totally confused ... Please help
« Reply #9 on: January 14, 2020, 03:41:32 AM »

Thank you all . The erections are straight, I have a sign of surgery after a fracture, but all the doctors say it's not Peyronies Disease and no damage from the surgery. I did an MRI and he showed the same. I have no clocks. After severe depression in the summer, morning erections are not as strong as they used to be, but I have them every day. No pain.
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41 years old. Penis fracture in February. After fracture - normal erections. Until July. Two fails with a girl from then severe depression.
2020 - already without depression, I'm just trying to get on the right way

Sten1

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Re: Totally confused ... Please help
« Reply #10 on: January 14, 2020, 03:46:45 AM »

I also have some twist of the penis (not like Peyronies Disease) at the base. ie instability and twisted. When I push him to the left in an erection, he backs sharply forward, but when I push him to the right he stays there. The weird thing is that I get an erection with a pin, and 50-60% with masturbation alone.
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41 years old. Penis fracture in February. After fracture - normal erections. Until July. Two fails with a girl from then severe depression.
2020 - already without depression, I'm just trying to get on the right way

Hawk

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Re: Totally confused ... Please help
« Reply #11 on: January 14, 2020, 09:12:03 AM »

Again, have you ever used a cockring?  If so, what was the result? 

Have you ever used an oral PDE5 inhibitor like Viagra?  If so what was the result?

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Hawk - Updated 10/27/18 - Peyronies Society Forums

melting

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Re: Totally confused ... Please help
« Reply #12 on: January 14, 2020, 12:41:39 PM »

Quote
When I push him to the left in an erection, he backs sharply forward, but when I push him to the right he stays there
The whole penis or just an area forward on the penis? Specific muscles like the ischocavernosous(google images) are responsible to keep the penis in position. If one side is weak or injured such instability could happen. Totally possible that you have problems in the pelvic floor that influence your erections.
You mentioning several times depression and being stressed is surely something that will influence your erections and can lead to chronic tensions. Try to get some sort of movement based therapy or "sports" going.
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Hawk

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Re: Totally confused ... Please help
« Reply #13 on: January 14, 2020, 04:56:18 PM »

Depression, stress, or depression meds can all have a profound effect on erections.

Are you on any meds?  If so, you should try Welbutrin since it has about the least sexual side-effects.
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Sten1

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Re: Totally confused ... Please help
« Reply #14 on: January 15, 2020, 05:06:57 AM »

Hello again from me.
HAWK:  I did not use a ring-ring in the exact sense of a ring. I tried the silicone ring as a ring but it does not have this feature. The effect was good, but does that mean I have a problem with the arteries or veins? Because this ring should be able to work well with any erectile dysfunction. Even with psycho. He simply stops the flow of blood and holds it in his penis.
I used 5mg Tadalafil for a while .... but didn't see much benefit. The strange thing is that after the 3rd day of use all the side effects have stopped. Does this mean that in just a few days my body is used to it and will not work?
In the beginning I had a stuffy nose, a headache ...... after 3-4 days everything was gone. I went on for about a month, but it had no effect.
I didn't take antidepressants because I'm no longer on this wave. I do not have depression, or at least not like summer.

Melting : The whole penis just stays on the left. Not just part of it. The whole is left and slightly down.
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41 years old. Penis fracture in February. After fracture - normal erections. Until July. Two fails with a girl from then severe depression.
2020 - already without depression, I'm just trying to get on the right way

Sten1

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Re: Totally confused ... Please help
« Reply #15 on: January 15, 2020, 05:12:58 AM »

The other thing I forgot to say is that ,after the ejaculation, something like a tortoise has a half-snuff. I get the feeling that my penis goes inwards into the body .... something like a chasm above its base is obtained. A recess which, after 1-2 hours, relaxes. I can add a photo.....
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41 years old. Penis fracture in February. After fracture - normal erections. Until July. Two fails with a girl from then severe depression.
2020 - already without depression, I'm just trying to get on the right way

Sten1

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Re: Totally confused ... Please help
« Reply #16 on: January 15, 2020, 09:01:14 AM »

https://imgur.com/a/9pfjD9f

I'm talking about this recess ....
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41 years old. Penis fracture in February. After fracture - normal erections. Until July. Two fails with a girl from then severe depression.
2020 - already without depression, I'm just trying to get on the right way

Hawk

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Re: Totally confused ... Please help
« Reply #17 on: January 15, 2020, 10:14:33 AM »

A cockring does NOT work with any kind of Erectile Dysfunction.  If the arteries do not dilate you will get no erection with a cockring.  The cockring is made for Venous leak and works best if you can get an erection or at least a good partial erection.  It will give a firmer erection and maintain it for as long as you wear the ring.

You can use one with other types of Erectile Dysfunction but then you have to use it with a VED.

As stated earlier the cockring does not constrict the arteries because they are deep in the penis, unlike the veins.
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melting

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Re: Totally confused ... Please help
« Reply #18 on: January 15, 2020, 02:27:49 PM »

Quote
I get the feeling that my penis goes inwards into the body
Quote
The whole penis just stays on the left. Not just part of it. The whole is left and slightly down.
This sounds and looks a lot like a pelvic floor issue. Probably tensing, cramping up so much inside that it draws your penis in..?
Quote
I have a sign of surgery after a fracture, but all the doctors say it's not Peyronies Disease and no damage from the surgery.
A penis fracture and surgery? But no issues at the site of the fracture? No bend, pain or hourglassing there?
When did the issues with the lean start? Before the surgery or after?

It's possible that you have no direct damage from surgery but if your body did take the surgery as a trauma your muscles might be hyper sensitive to/after intercourse or masturbation.
This also then kind of makes sense why you didn't get a trimix full on erection. I guess it's possible(not saying it's a fact!) to be so tense that it prevents it. You know, PF muscles cramping not allowing blood flow..

Any problems with bowel movement or around the anal area? Could be affected by a tense PF too..

I'm pretty sure you should consulate some physical therapist that knows about pelvic floor. If there's none near, you might need to inform yourself and take measures.. for example some people relaxed chronic tension with sitting or rolling on a tennis ball.
But who knows maybe a muscle isn't just tense but damaged inside..
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