General

Although we are careful, my wife is experiencing difficulty with yeast infections. My PD curvature is about 90 degrees. Is PD the cause of this?

Dr. Levine answers: A 90-degree bend typically will result in significant compromise the ability to perform penetrative sex. It is also possible that it will put significant pressure within the vagina causing female discomfort. The development of yeast infections, I would not think is directly due to

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What is the best and the most accurate test to evaluate any scarring or scar tissue in the tunica to determine whether it is considered PD? Do you recommend chronic use of small doses of Viagra as an anti-fibrotic regimen? What do you think about using Trental in conjunction with nightly use of Viagra?

Dr. Levine answers: Probably the best noninvasive test today is to have an evaluation by an urologist who is familiar with Peyronie’s disease to determine whether there is evidence of a palpable plaque or scar in the tunica. To confirm whether this is PD, a surgical biopsy

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I am 38 and have a 30-degree ventral and 45-degree left curvature with moderate to severe pain and discomfort. I do not recall a time when I did not have this curvature and therefore believe I have a congenital curvature rather than Peyronie’s disease. It appears that men with congenital curvature rarely experience pain. Is it normal to have pain with congenital curvature, and is it possible and/or likely to have Peyronie’s disease and congenital curvature?

Dr. Levine answers: This is a good question which addresses a complex problem. Men who are born with congenital curvature or chordee typically have ventral, downward curvatures, but may have lateral or even dorsal curvatures. Depending upon the hardness of the erection and the pressures being placed

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I have heard a lot about Peyronie’s disease, but nowhere did it mention if this is a temporary or permanent condition. Is it possible for the body to dissolve the tissue that causes the curvature?

Dr. Levine answers: Peyronie’s disease is a disorder of wound healing with unclear cause. Typically when it occurs, it will be associated with a lump, occasionally pain and deformity. Natural history studies have suggested that about 50% of men who come to see a physician will worsen

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I’ve had Peyronie’s disease for about 6 years. I can still get adequate erections and achieve intromission. However, there appears to be loss of sensation on one side of the penis which makes it difficult to reach orgasm, causing frustration for me and my partner. Could this be treated and/or reversed?

Dr. Levine answers: Loss of sensation is an unusual complaint for men with Peyronie’s disease. But your situation may be because the deformity interferes with stimulation of the area on your penis which is important for sexual arousal. If indeed the curvature is responsible for the diminished

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My penis does not have a curvature. However, are these symptoms associated with PD — numbness and white spots on the tip of the glans and occasional numbness of the testicles. My erections are also not as stiff.

Dr. Levine answers: These are not symptoms of PD. A change in the sensation of the glans may be due to underlying medical problems such as diabetes which can affect the sensory nerves of the penis. Change in the color or pigmentation of the glans is usually

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I have an extreme case of PD, upward and back. I have used treatments ranging from Potaba to verapamil alone or with DMSO topically. Any advice you can give for this extreme case of PD and any other steps to consider?

Dr. Levine answers: If you have severe PD which is compromising your sexual function and you have not responded to these topical or oral therapies, I would suggest that you speak to an authority in the treatment to Peyronie’s disease. There is a list of suggested physicians

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