2nd mri today

[Asdf1234]

Hi all, I had 2nd mri today. This time they done it with an induced erection. They injected me with 10 ml alprostadil. Is this supposed to induce a rock hard erection in a normal healthy person or is it just supposed to make you somewhat hard? The reason I'm asking is because after about 20 mins it got quite hard and then was sort of semi and it fluctuated. I don't know if I had a poor response to it but was completely away in about an hour. Does anxiety etc cause the alprostadil dose to become less effective?  

[shrunken_dick]

What was the result of the MRI?  

[Asdf1234]

I'm awaiting the results, although the radiologist did say it appeared to be normal from what he could see but I've to await the consultant report

[shrunken_dick]

So the MRI and cavernosography are the same thing?  

[Asdf1234]

Not sure? I think cavernsonography is more detailed with blood vessels etc? I just hope this comes back clear. My psych has told me that my problem is psychological. I'm just so convinced it's not and it's physical. I mean I never get erections ever. And down there feels numb. I explained this to psych and she told me this can be psychological and she has had people younger than me in the past with same symptoms and has cured them. This has really f'~c<+d my life up

[Pfract]

Asdf1234: have you read the guidelines on how erectile dysfunction is managed by doctors and how it should be approached in terms of diagnosis? What medications have you tried so far? Have you read online about the exam you were doing?  

[shrunken_dick]

@ASDF; It's a textbook answer that ED is psychological. My doctor says my ED is psychological
but he can't explain why did I lose length and girth.  

[Asdf1234]

Asdf1234: have you read the guidelines on how erectile dysfunction is managed by doctors and how it should be approached in terms of diagnosis? What medications have you tried so far? Have you read online about the exam you were doing?

I have took viagra but even then my penis isn't the same. It gets me hard but it's like a tight feeling in it and is uncomfortable. The erection isn't as thick or full as it was.

I haven't read the guidelines about how it's diagnosed no. But they have found no plaques from 1 mri and 2 dopplers. The last doc said mri is clear and upon examination nothing abnormal so this rules out Peyronie's disease he said. Surely something would be picked up, these are professionals at the end of the day right? I was then referred to professor Ralph and he has repeated the mri but this time with an erection. Does that mean the first time it was not done properly?  

All I know is I never get spontaneous erections from thought and have to stimulate to get somewhat hard but even then not full and it's unreliable. Even when I masturarbate I can't get fully erect and ejaculate sort of soft. The bend on it seems to be getting worse and it would appear I have also lost some length. Erections are not a "full" like it's a sort of hollow feeling and penis seems thinner. I don't get any electric feeling down there either as of a disconnect somewhere it's hard to explain. It seems to be getting worse by the day. I've thought about killing myself a lot just to get out of this nightmare but scared of how it will affect my family.

Can anyone shed some light on this, I want to believe my psychologist and what the docs are saying but surely this cannot be all in the mind? She has told me a lot can be in the mind and the more I think about it the worse it gets. Even when I'm alone not getting hard doesn't necessarily have a physical cause...

[shrunken_dick]

@Asdf ; your symptoms resemble to mine. I suspect I am developing corporal fibrosis, but I don't know which test to consider.  

[Asphyxia]

Probably better if you stop masturbating and checking erections
I get better erections when i dont ejaculate
Ive also thought about killing myself, my mom used to keep threatning me that if i do it she will too,  
Probably the only reason why i keep trying

[Asdf1234]

@Asdf ; your symptoms resemble to mine. I suspect I am developing corporal fibrosis, but I don't know which test to consider.

I did ask about corporal fibrosis and I was told they can spot it just from an examination and if not it would definitely show on the doppler or mri. They told me fibrosis is pretty obvious and i would get pain. Which I do not have.

[Asphyxia]

I first had a curvature without pain for a month, then started pain(after masturbating), still waiting for mri results though

[GaussRifle]

I understand how devastating it can be, I am going through a diagnosed case of peyronies but what you guys don't realize is how many men actually have it. It's not some super rare thing that happens to just a few. I strongly believe the cases are underreported especially amount young men. Even then, you have to be optimistic that there are solutions through surgical implants worst case scenario that will provide you with 100 percent rigid and reliable erections every time. I am not proposing to think about getting one straight away, but you need to move step by step, have a winner's mentality. Focus on therapies that will help you improve, if it's mental seek counseling. Exercise and give it time. Patience is key. Once you have exhausted all options, know that there are surgical implants available at your disposal.

[Asdf1234]

My results today...

"There has been a good response to Caverject. No wasting or irregularity of either corpus. No focal fibrosis. The tunica and septum do not demonstrate any focal thickening.
The imaged sections of the bladder prostate and rectum are normal. No lymph node enlargement or free pelvic fluid.
The testes are a normal volume"

[Asdf1234]

Yet another completely normal MRI

[Asdf1234]

Can someone reply to me please? The second mri has shown nothing and have been told by the Andrology state that it's 99.9% accurate. He said that it's extremely unlikely that I have peyronies or corporal fibrosis. But I still have erectile dysfunction and my penis seems to have changed shape. Does just Ed cause an actual change in the penis where it appears different?

[Asdf1234]

I'm now waiting on an NPT a scrotal ultrasound and another semen analysis to be done.  

[Pfract]

"Can someone reply to me please? The second mri has shown nothing and have been told by the Andrology state that it's 99.9% accurate. He said that it's extremely unlikely that I have peyronies or corporal fibrosis. But I still have erectile dysfunction and my penis seems to have changed shape. Does just Erectile Dysfunction cause an actual change in the penis where it appears different?"

I asked you if you read up on the guidelines, as it's very important and you said no. There, you will find all the answers about how this condition is diagnosed, how doctors are supposed to treat you based on evidence and what you should be doing. Right now, you look lost without knowing whats going on. Unfortunately.

https://www.auanet.org/guidelines/erectile-dysfunction-(ed)-guideline#x8064

https://www.baus.org.uk/patients/conditions/3/erectile_dysfunction_impotence

http://www.bssm.org.uk/wp-content/uploads/2018/09/BSSM-ED-guidelines-2018-1.pdf

https://uroweb.org/guideline/male-sexual-dysfunction/

I can help you, but you have to read up on these first. The sooner, the better for you.