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.

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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 more of a perceived problem, unless there are real lesions (ie ulcers, lumps) on the glans which should be examined by an urologist. I have seen men who have white spots, changes in color from purple to blue, white, and pink, which are within the realm of normal depending on blood flow. Glans color may be affected by external factors such as temperature and anxiety. The numbness of the testicles is another issue which I cannot explain, but may be due to the compression of the nerves in the perineal area. If you are an athlete who performs straddle sports such as bike riding this may affect these nerves. Lastly, your diminished penile rigidity may be an indication of erectile dysfunction and should be assessed by a urologist, this may be a vascular, neurogenic and/or psychogenic problem.

Previous My erections seem shorter than normal; the penis seems more slender and the head of the penis never gets hard or firm. I assumed I had Peyronie’s disease, but the doctor said there was no hard spot which apparently is typical. I am wondering if there could be another cause such as low testosterone.
Next 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?
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