My pain and scar are gone.   However the curvature remains.  Is there a treatment to improve the curvature?  Thanks.

Greetings,

I am happy for your apparent progress over Peyronie’s disease, although I think you are assuming too much. 

When you ask this kind of question it tells me that you think of your scar and penis curvature as two separate things.  That is not the case.  The scar and curvature are directly related; the scar is causing the curvature, and without the scar you would not be bent.    The very best treatment, and the one that makes most sense to improve your curvature is to get rid of the cause.  In this case, the treatment to improve the curvature is to get rid of your Peyronie’s scar.  

While I am sure you are correct that you have noticed reduction of your scar, and perhps you are not even able to find your PD scar any longer, in order for your shaft to still display a curvature there still must be some remaining scar material present within the tunica albuginea.   Sometimes the scar that remains is so greatly reduced or perhaps deeper than you can easily locate, but something must be causing the penile deformity that you still exhibit.   If you did not have some Peyronie’s plaque or scar still in the penis, there would be no explanation for the curvature. 

I suggest you stay on your treatment plan to get rid of your bent penis.  Perhaps vary your treatment a bit while still following the basic outline that brought you the significant reduction of the scar, so that you can totally eliminate the remainder of it and completely reverse your curvature. 

If you need help modifying your current plan to clean up the last part of your scar please send me the complete details of your current Peyronie’s treatment plan and i will be happy to make a few suggestions to improve what you are doing.  TRH

hello -

at 43 yrs old, i had no Peyronies symptoms. i injured my hand, and it required surgery to insert a couple of screws. when the cast was removed, i noticed a bump in the palm of my hand. about a month later, i noticed Peyronies plaques/scarring.

my primary care physician diagnosed me with Dupuytrens and Peyronies.  have you ever heard of this being triggered this way? i don’t think it was a concidence – not sexually active – no trauma occurred in that area. i had extensive swelling in my arm immediately after surgery from a nerve block that was used, and i can’t help but think that might have played a role. my primary care doctor thinks the surgery triggered some sort of systemic fibromatosis condition.

wondering what your thoughts are on this. this occured 3+ yrs ago, and there really has been no change.

thank you

Greetings,

Yes, I have heard of this sudden and widespread type of onset in which both Dupuytren contracture and Peyronies disease start at the same time from trauma.  In a few cases the trauma was to the upper extremity and once to the penis.  You might also have developed these two problems due to drug side-effects.  Since you did not mention your drug intake history I can only speculate, but there are certain medications that are know to cause both DC and PD; certain blood pressure, tranquilizer and a few other categories of medication can trigger a similar systemic fibromatosis.

If you have not noticed any change in three years with either problem you probably will within a short time since both conditions are progressive, although the rate might be slow.

Your real concern at this time should be directed toward elimination of these problems.  Please review the DCI and PDI sites for Alternative Medicine treatment options to increase your  ability to heal and repair these tissue changes.   TRH 

I’m 18 years old and I have PD. I think I had it for 2-3 years, really not sure. It curves up from my pelvic bone to the middle and curves down from the middle to tip. So it kind of looks like an arch or rainbow. It also looks really dark, I’m white Italian and it shouldn’t be really dark like that.

I really don’t want to go to the doctors, I asked to go to the urologist but kept getting questioned why. I came to the conclusion that I’m probably not going to go so I want to help myself.  I want to buy “Vitamin E: Unique-Oil – 1 oz pump bottle”, “DMSO – PMD DMSO Gel”, and “Super CP Serum”.  I been using vitamin e capsule gels and using the gel inside as a moisturizer with baby oil for the past few days.

I want to know how to use the vitamin e properly for your mixture. Do I mix them all together and put it on? Do I use them one at a time? Do I have to be flaccid? Do I use after shower I get out of shower and leave on overnight? Also, how do you rub it in and for how long? Will the box definitely be “Discreet Shipping” even if I don’t buy a plan and just those 3 bottles?

I live with my parents and my brothers, sister and my friends are constantly over so I don’t want anyone to see the box if I don’t get it first. I can just tell my mom the stuff is for my scar and my face because I used to use the capsule gels for that.

Also, how long do you think until it fixes it and how long until I see any improvement? I want to get with a girl and embarrassed to get close to her because of it.

Thank you

Greetings young man,

You need to get over your embarrassment and seek out a medical opinion and have your condition formally diagnosed. 

Why are you mixing vitamin E with baby oil?   Please use the products as instructed when you receive your order from PDI; all products come with complete and correct instructions for use to treat Peyronie’s disease. 

Using only DMSO, vitamin E oil (Unique E) and copper peptides  (Super CP Serum) is a very limited and lopsided approach to good Alternative Medicine treatment; good treatment usually demands both internal (PABA, vitamin C and E, systemic enzymes), as well as external therapies.

Yes, all products received from PDI come discreetly boxed, with no outside identification that would embarrass you.  However, inside the box we freely identify and discuss Peyronies disease.

There is no way ahead of time to tell you how long it will take to recover from your PD, or even if you will do so.  It is a very difficult problem to remedy. Get your parents involved in your treatment so you are not doing this alone and you are able to mount the kind of aggressive treatment that is usually most effective. TRH 

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

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   

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

Hi Dr. Herazy.

I don’t have PD, but do have a slight curvature to the left. I had a multitude of sexual problems at one time (needed penile revascularization operation for ED)  and as a result am very paranoid of developing a condition like Peyronies.

The testimonials on your website were very encouraging to read to say the least! I am wondering if there are any supplements I could purchase that would help prevent me from ever contracting the disease?

Best of luck to you in your continuing work to battle this terrible condition.

Thank you kindly,
Ian

Greetings Ian,

Prevention is an area that is not only completely untested, but next to impossible to prove.  As a suggestion I would consider trying Neprinol for a few months to determine if you can realize some indirect health benefits like improved circulation, increased stamina, reduced blood pressure, etc.   TRH   

Dear Dr. Herazy,

I’ve been all over your web site and read all the amazing testimonials. I’m 54 and I’ve been suffering with Peyronie’s disease for years. I have not been regularly intimate with my wife for years now, and she recently told me intercourse was too frustrating for her due to the challenges we deal with due to my condition. That was hurtful, as if I haven’t already lost all self confidence. Anyway, you may have heard of my doctor, Dr. Ridwan Shabsigh.

I have already been through three rounds of penis injections with little or no results. Dr.Shabsigh has told me to consider surgery.  I need to do something as I can’t continue to live this way, and my marriage is just about shot.

Dr. Shabsigh is considered to be knowledgeable in the area of PD & ED.  Do you know him?  Would he recommend I try your treatments? I really need help. Please let me know what you think.

Thanks very much,

Tom

Greetings Tom,

No, I have never heard of your doctor.  I have no idea what he would think of using Alternative Medicine.  However, if it is his idea to think that sticking multiple injections into a penis that already has Peyronie’s disease is a good way to treat this problem, then he is likely to follow the standard medical line of thought about treatment.  

If you want to really get some help beyond the standard medical concept of risking additional scar formation after surgery on a penis that has already demonstrated the tendency to create excessive scar formation , then I suggest you spend some time reading the PDI website.    The PDI website is full of useful information if you take the time to read it.  When you have a specific question about Peyronie’s disease treatment please  let me know.  TRH

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

I am taking 6 Neprinol capsules per day, along with 3,000 mg of vitamin C and 800 mg. of Vitamin E. Question: Can I take all Neprinol capsules at one time? I have been taking 3 in the morning and 3 in the afternoon on an empty stomach.

Greetings,

There is nothing basically wrong with taking six Neprinol at a time; many people do this without a problem.  The question is whether you, in particular, can or should be taking that many at a time.   For some people taking six Neprinol daily is excessive, while others can do it easily.  Most men who make progress eliminating and controlling their PD scars take around 10-16 Neprinol per day – always with a wide variety of other internal and external therapies.   But as far as Neprinol is concerned, the real question is if this is a good dose that you can tolerate while you attempt to eliminate your Peyronie’s plaque.   I suggest that you attempt to slowly work your way up to six Neprinol at a time, since you are only taking three at a time now.  How this is done has been explained to you in the instructions you were given when you placed your order for your PD supplies.

When you ask if you can take all six Neprinol capsules at the same time, I must ask you why you want to do take your entire daily dose at one time.  If you want to do this merely for reasons for convenience (getting it over with and not having to bother with them for the rest of the day), then I must tell you I do not think it is a good idea.  The problem is that by cramming all your Neprinol into one small part of your day then you are leaving a larger part of the day when you have no Neprinol in your blood stream; you want to always keep some Neprinol working for you all day long by taking it often throughout the day.   The question is how much that should be.   For this reason if you are going to be taking only 6/day, then I suggest you continue to take them as you are now doing it.    TRH

I was just told last week that I have pd..I have some pain that is light, no curving, but my erections are weak on the left side at the base with some mild ED. What do I start doing to prevent it from getting worse?  I saw my urologist who told me to take vitamin E 1000 IU daily.  Please advise me to help it not get any worse…thanks

Larry Baldwin

Greetings Larry,

I have never seen vitamin E by itself help anyone with Peyronie’s disease.  Vitamin E is a great therapy but it must be combined with a variety of other therapies to make a positive and helpful impact on a difficult problem like PD.  Besides that, you cannot just take a general or lesser grade of vitamin E and expect it to work for you;  a pharmaceutical grade is required.  PDI has two great therapeutic grades of vitamin E available on the website.

You should by reading about Peyronie’s disease on the PDI website, especially starting with the page Start Peyronie’s Treatment.   

When you have a specific question about treatment of Peyronie’s disease please let me know.   TRH

I've had a genetically caused curved penis all my life, but as far as I know, i don't have Peyronies scaring. Would your your penis stretching technique help my condition?

Greetings,

Please see my prior response to a similar question at, Stretching a Congenital Curved Penis.

In the last several weeks I have heard from a few more men who also have moderately bent penis they were born with – congenital curvature of the penis.  All have found improvement,e specially those who use Neprinol as part of the plan of care.   TRH

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

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. 

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

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

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

Been searching your site, have ordered Neprinol, but have not found the alternative product suggested for the synergy ‘maybe’ needed — besides Vitamin E, which I take.

Greetings,

Please read this page from the PDI website, “Synergy and Treatment of Peyronie’s Disease.”

In this discussion you will learn that synergy results from the combined use of several different therapies, but not any particular therapies.   For successful Peyronie’s disease treatment the more therapy and wider variety of therapy products that are used, the deeper and more effective your synergy will be – the more the merrier.

Synergy is a natural reaction when groups of similar things are combined.   Let’s take for example people.    If we combine a group of people who are slightly bad, when they get together they will tend to do things and behave in a way that is generally more bad than they would if they were not together.   In a similar way,  if we combine a group of people who are good, when they get together they will tend to do things and behave in a way that is generally better than they would if they were not together.  I suppose you can say that by combining similar things the natural tendency of those things is intensified. This is synergy. There is no limit to the number of things you can add for synergy to happen, and everything seems to be affected by it so you can use any Peyronie treatment you want to cause it to help you.

In the Alternative Medicine treatment of Peyronie’s disease we  use different therapies that have been shown to be slightly effective as a Peyronie’s therapy.  But when you combine them – the more the better – you get an increase of this ability to reverse  the Peyronies problem.

Further, since no one can tell which of the Peyronies therapies you need most and which you are lowest in, we approach treatment from a broad base that you supply all of those that could be helpful so that you are not missing any and this will also strengthen the effect of synergy on your problem.  Let me know if you have any more questions about the Alternative Medicine treatment of Peyronies disease. TRH

Dr Herazy, in practicing the Kegel technique,is it necessary to hold your breath and tighten your stomach muscles during contraction?

Greetings,

I assume you are referring to doing the Kegel exercises in treatment of PD, as described in video,  “Massage and Exercise for Peyronie’s Disease.”   It is not necessary to do either of these, although it is difficult not to do so.  What is essential is that you do not focus or center your attention to the abdominal muscles since these are not the muscles that you are interested in strengthening while trying to treat your PD.  You should be focused on contracting the deep pelvic muscles known as the pubococcygeus, or PC muscles.   If you are not contracting these important PC muscles then you are wasting your time and effort.    All of this is explained in the CD.  Perhaps it would be a good idea to watch it again.   TRH

Dear Dr Herazy,

I am a GP in the UK.   I have a patient with Peyronies, who has been following your advice (through your publications and web site) for some time. He is very happy with your advice and his results.  He asked if I could ask you some specific questions?

He has been using vitamin E for some time, and feels it does benefit him, however given the recent data from the SELECT trial, he is concerned if he should continue, he wondered what your advice might be.   Also, he wanted to know if you had any position on the use of fish oils ( omega 6-3) and activated vit D ( cholecalciferol) in the management of PD.

I have been trying to guide him through the available data. He would have contacted you directly but asked if I would do so, partly because I suspect he feels it is more ‘official’ through me and partly because I understand he does not have internet access at the moment.

I’d be grateful for any advice you can offer.

I would prefer that you do not use my name when you reply to this email, for confidentiality reasons.  

Best wishes.

Dr EXXX    SXXXXX
GP
Hurley Clinic

Greetings Dr. SXXXXX,

Of course.   Many people have been concerned about the findings of the SELECT trial of vitamin E, although if they knew a few details of that report they would be far less concerned.    They would understand that the conclusions they cite are misguided and based on several false premises that alter the conclusions that should be drawn.

Since this important topic bears a detailed explanation that I have already answered at length, allow me to direct you to my article, “Peyronie’s Disease Treatment and Vitamin E.” 

In regard to omega 3, 6 and 9 oils, we have always taken the stand that they are very helpful to Peyronie’s treatment, especially in the early stages to reduce and control the inflammatory process that often causes pain.  Please refer to the discussion of Omega T and the essential fatty acids.   TRH