Dr. Levine answers: This is a complex situation that you describe and given your youth it is likely that your curvature is a congenital one, but may be due to a progressive scarring that may be associated with Peyronie’s or just thickening due to the repetitive trauma. It is less likely that you have PD because you have no palpable plaque. A diminished intensity of orgasm is not unusual in the older man, which appears to be a natural change that occurs with aging, but in the young man this problem may be due to underlying neurological deficits but most commonly it is a psychodynamic problem. Unfortunately, once a man starts having sexual dysfunction the attention to that problem becomes intensified and this can result in further reduction or inhibition of one’s sexual response. The best treatment for this may be seeing a local sex therapist who may be able to help identify the triggers which inhibit your sexual response and may then result in an improved overall experience with time. It is also reasonable to have your testosterone checked as this can be associated with reduced libido and ejaculate volume.
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