I was diagnosed with PD about 2.5 years ago. Today the pain is gone, and I have sex although my penis is never as hard as it was before. I was wondering what were the chances, if any, of the PD recurring?

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  • I was diagnosed with PD about 2.5 years ago. Today the pain is gone, and I have sex although my penis is never as hard as it was before. I was wondering what were the chances, if any, of the PD recurring?
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Dr. Levine answers: Erectile dysfunction is commonly found with Peyronie’s disease. In fact in my own practice, 90% of the men with Peyronie’s disease have reported diminished erections. Fifty percent of the time this occurs before the Peyronie’s disease occurs and the other 50% occurs after onset of Peyronie’s disease deformity. Evaluation to date has suggested that the erectile dysfunction is likely due to the same causes as erectile dysfunction in men without Peyronie’s disease. That is vascular insufficiency. Most of the time it is an arterial insufficiency, sometimes it is a venous insufficiency or mixed problem. Erectile dysfunction can also occur as a result of psychogenic inhibition, which is also associated with Peyronie’s due to the devastating psychological effects of this disorder. If the erections were found to be suboptimal for sex, then a PDE-5 inhibitor medication such as Viagra, Levitra or Cialis are reasonable treatments with a low risk of making the Peyronie’s recur or worse. Peyronie’s disease usually has an acute progressive course and then stabilizes, but rarely completely resolves. I have seen a few men who have had multiple episodes of Peyronie’s over their life. Therefore for the great majority of men once it stabilizes it does not recur.

Previous I was diagnosed in 2000 with PD. My original doctor suggested I let time pass and see what happens. Luckily, I listened to others and went to a specialist. I was treated with medicine for a year and the pain eventually went away. About 3 weeks ago, I began noticing a burning pain, but it had come from time to time as I healed, but I have no other problems. My question is, can the pain that I am feeling now be the result of some remaining scar tissue loosening, or am I headed for another bout of PD?
Next I’m 56 and was diagnosed with PD 9 years ago. I am diabetic, and was also diagnosed with Dupuytren’s contracture. In the last few years, my erections have really shrunk. I used to have about a 6-inch erection now my erections are about the size of my thumb (both in length and thickness). My wife and I haven’t had sex in about 6 years and I can’t even discuss this with her. Over the last 13 months I have added Plavix, Toprol XL, and Zocor to the insulin I take. Is there anything that can help me or is there something else coming along in the next year or two?
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