I am new to PMP and this forum, and after reading several threads I've already gotten some helpful information.
I thought it might be helpful to new forum readers to have more of an "experiential" perspective, so that others who are just starting their Peyronies journey would have more of an idea of what to expect in the coming months.
I'll be posting every couple of weeks, or when there's a relevant bit of news.
First, a bit of background: I'm a 65 year old USA guy who has been experiencing mild Peyronies for about 15 years. The main symptoms are really frustrating: shrinkage, and a bit of pain during sexual activity, due to
plaque development throughout the shaft. Over the years, I have lost easily 30% of my not-so-hot length and some
girth as well. My penis was always a "grower", and I suspect that this made it more susceptible to
plaque. My urologist 15 years ago said "nothing you can really do about it" other than take vitamin E. Did that, and the shrinkage gradually increased. I went recently to a different urologist to explore the newer treatments, and he said "about the only thing you can do about it is a PMP" -- so I bought that and started taking 5 grams of L-citrulline a day (the powder tastes
really nasty, but if you are able to get it right in the middle of your tongue you won't taste it). The vitamin E and the citrulline both help with blood flow, hopefully to promote healing of the tissues.
Got the PMP from Germany, and initially found it very frustrating, as it would not draw in the glans. Interacted with their customer support who had me investigate all kinds of wild-goose-chases...I discovered entirely on my own that the sluice had a pin-hole in it that prevented development of a proper vacuum. This is how it came, straight from the factory: obviously, not a great QA experience for me. Their support folks said, "great, glad it's working" -- didn't offer to send a replacement sluice or anything else to compensate for their slip up. Not a great support experience, either (although---in the category of "what do you expect from a flunkie...").
I found the user manual to be not all that helpful, although it has a reasonable amount of info in it. The PMP videos were also helpful, but could be better.
My urologist had said to wear it for as long a period as could be tolerated, at a low pull level: he indicated that best results would be overnight. That's not in the cards for me, so I wear it in the daytime. I tend to go for 3-hour sessions with less than 500 g of
traction. This may not be enough, but I certainly don't want to risk any additional damage. After the first 20 minutes, I use the adjustment screws to keep the
traction up.
Initial results -- I don't really notice any, even temporary, but I've been at it only for 4 days. Given my age and the amount of
plaque, it's probably going to take a long time.
I tend to split the time between facing downward and facing up -- to improve circulation and effectiveness. If your pants have an elastic waist, you can do this when sitting or walking around.