– Firm, flaccid penis – No nocturnal or morning erections – Lack of spontaneous erections (only get one when watching porn) – Difficulty urinating/ weak urine stream – Lack of sensation in penis shaft and glans – Loss of sexual desire/libido.

I did see some improvement when I used Gingo Biloba, but they are hard to get a hold off. I still masturbate about once a week now, which is down from the 3 times a day I did for a few years before the injury. My GP is clueless and prescribed me Risperdal for the anxiety. Please Dr. Has anyone recovered from this? And is it reversible? I just want to know if there is hope for me!

Many Thanks

ANSWER
Jelqing, if not backed up with sufficient elasticity prostaglandin E1 E3 and Nitric Oxide levels, as well as proper androgens levels and serotonin-GABA nervous modulation on inflammatory response, will result in excessive collagen scar tissue release for an ongoing erectile dysfunction problems. Note that in a state of imbalance and heightened prostaglandin E2 levels even masturbation may result in abnormal inflammatory reaction for excessive collagen tissue release.

Retracted firm flaccid penile tissues and lost sensitivity are common. If that is the case, one may expect to observe further penile shape alterations and erection abnormalities (after several months), such as penile bending and an hourglass penile shape at 60-70% erection.

Firm flaccid penis condition and lost sensation may be contributed purely to insufficient androgens, elasticity prostaglandin E1 E3, and Nitric Oxide, even without any collagen scar tissue release. However, abnormal levels of the listed above make ones penile tissues highly succeptible to injuries of any kind (even through masturbation alone), so one may have to be quick to react.

“Has anyone recovered from this? And is it reversible?”

Yes, it is usually completely reversible. Note that varicose veins (if observed) will lessen in size and become healthy but will never fully disappear. One may even recover without any assistance through different gene expressions and individual neurohormone levels. However, the process of recovery could be significantly shortened if properly addressed.

The post Injury Questions – Injured Penis appeared first on Cure ED.

I’m 19 years old, I had intensive sex life since 15. Problems with urinating started year ago. I can’t keep urine too long, It’s harder to urinate, even though I want to urinate, so I keep pushing it, and after that it still feels like some urine is still left, but it wasn’t such a big problem before, it started to get worse just recently. I started to notice pain in my pubis, besides my erection is not hard enough, I can’t live my sex life I lived before. Even if I manage to have harder erection and have sex, sometimes my testicle (left one to be more precise)feels sore, and it takes another round of sex to make it disappear (what is very hard, because of erection problems i told you before). Well first, that comes to my mind is prostate, but is that really it? I mean I’m very young.

However I sometimes have a pain in my lower back. I’ve been lifting weights, so pain in my back can be caused by it), but just to make sure I want to ask is it possible that these problems are one big problem, that causes my so much discomfort. What options I should choose in order to get rid of these problems?

ANSWER
Yes, it is very possible that you’re suffering from minor symptoms of sexual exhaustion. The unfortunate fact is that the road to sexual exhaustion is an individual feature and is dependable on many, many factors, including genetics and lifestyle.

Abnormal neurotransmitter and neurohormone levels may negatively impact the action of arginine vasopressin and lead to frequent urination. Inflammatory response may also swell your prostate (not permanently enlarge it) so even at such young age one may still temporary suffer the effects of an enlarged prostate.
It is highly probable that the back problems are related to the condition. Weight lifting discontinuation would prove to be indicative of the actual cause.

You may consider:
1. Sexual activities discontinuation for a month.
2. A combination of Alpha-Amino, Alpha-AGH, Multi-Alpha, and Ultra-Purified-FishOil to better nervous and endocrine functioning, increase androgen hormones, stabilize vital neurotransmitter levels, aid nervous modulation on inflammatory response, and increase prostaglandin E1 E3 and Nitric Oxide for healing.
3. Testicular cooling solutions are to be considered to additionally increase androgens.

The post Erectile Dysfunction and Sexual Exhaustion appeared first on Cure ED.

ANSWER
Drake, I’m sorry to hear about your problems, especially since they could have been avoided with little more information on the matter. You are experiencing symptoms of sexual exhaustion.

The probable penile injury is a combined result of biochemical occurrences and the mechanical damage itself (that induced massive collagen and Prostaglandin E2 release). You’ve overstretched your penile tissues. If insufficient levels of prostaglandin E1 E3 for elasticity are observed, the tissues may become highly prone to injuries. However, even if sufficient prostaglandins E1 E3 levels are observed, one may still injure the penis through vigorous overstretching. An internal collagen scar tissue will be then observed. If there is intravenous collagen release, you will experience varicose veins soon after, although one may suffer varicose veins later due to the inability of the corpus spongiosum to pinch the veins properly, resulting in over-stretching and damage. The scar may take months to fully develop.

Retraction upon tension may be indicative of moderate androgen hormone levels, heightened inflammatory response, and improper neurotransmitter levels – backed by the fact that you are experiencing weaker erections.

The premature ejaculation may be a direct result of the PC muscle exercises. Contracting the PC muscle is usually the last resort of a man to keep a functioning erection. The contractions will promote excessive prostaglandin E2 release and will overexcite your prostate and local tissues for premature ejaculation.

The prostate might be slightly enlarged through the faulty modulation on inflammatory response that is frequently observed in similar cases, thus causing the urination problems. Also, excessive testosterone-DHT conversions and artery constriction may contribute to the condition.

There are several issues that have to be addressed. You should:
1.Discontinue sexual activities for 2 to 4 weeks.
2.Make a good use of the specially designed supportive SR-Cream – massage the penis 2 times a day. Also use hot wraps 2 times a day.
3. Make a good use of Alpha-Amino, Multi-Alpha, Alpha-AGH, 5HTP-Nettle, and Ultra-Purified-FishOil to better nervous and endocrine functioning, increase androgen hormones production, restore proper acetylcholine, serotonin, dopamine, and GABA levels, restore proper nervous modulation on excitatory and inflammatory hormonal releases, lower prolactin, better the libido, charge the parasympathetic nervous system, promote spontaneous erections and increase prostaglandin E1 E3 and Nitric Oxide for healing.
4.Numerous solutions will also prove to be effective in additionally increasing androgen levels.

UPDATE
So if i combine these products will I fully heal? I am a healthy, athletic 19 year old and I’m freaking out because I am afraid I may not ever heal or be able to have a happy family someday. Thanks again. You are the first doctor that seems to have any idea what is going on.
-Drake

ANSWER
Yes, your condition should improve dramatically. No need to fear such things, since you are just 19 years old.

Glad if I could help!

The post Firm Flaccid, Loss of Libido, Urinary Problems, Premature Ejaculation appeared first on Cure ED.

ANSWER
John,
Yes, the enlarged prostate is a symptom of sexual exhaustion. The arterial inflammation in conjunction with excessive testosterone-DHT conversions and increased levels of inflammatory hormones (especially prostaglandin E2) can inflame and enlarge one’s prostate. It should shrink eventually.
Glad if I could help!

The post Enlarged Prostate caused by Sexual Exhaustion? appeared first on Cure ED.

After about 8 months of this I had reached the BREAKING POINT. I was even starting to delve into cocaine (I used it 3-4 times because it was the only thing that would make me erect like the old days, NEVER again) and I literally had to be high on weed to enjoy masturbation. At this point EVEN after waiting 6-7 days without masturbating, my sexual power STILL wouldn’t return! I noticed my hair was thinning but I had a receding hairline for some time and most men in my family are bald so I thought nothing of it until I starting reading online to see that hair thinning was a symptom of sexual exhaustion/overmasturbation. I also started to have many of the other symptoms – sleepless nights, lower back/tailbone pain, and pain in my left leg and my feet where the arches are. My nerves felt and feel shot. I experience(d) difficulty urinating and could only go if I was alone. My urine would also kind of just drip after I thought I was done going – I have to often wipe my penis with a tissue after I urinate to be sure I don’t have any leak into my boxers after I re-buckle my belt. At this point I really realized I couldn’t continue my life like this and called my folks, left school, my apartment, and have vowed to never EVER masturbate or use marijuana again, and came back home to solve this life problem.

So there you have it – thinning hair, foot pain, tailbone soreness, general fatigue, and an inability to gain an erection without feeling pain in my prostate, feet, leg or somewhere in my body. I also have trouble concentrating. I am only 22 and I have been a “chronic masturbator” for only 8-9 months. I think the heavy weed smoking really made me suceptible or something. Either way, I quit all of my addictions on 2/14/2010 and will NEVER, EVER go back. I am now taking 5-htp, gingko biloba, ginseng, and fish oil supplements. After 12 days without touching my penis, taking these supplements and exercising daily I hardly notice a difference – my scalp is still itchy/thin and my peniile area still kinda hurts. I am still sexually attacted to women – I just can’t get it up to save my life and if I try it feels like lifting a 10000 pound weight. The sole difference I’ve noticed is that in the last 3 days I’ve started having weak nighttime erections again – I hope this is an improvement. What should I do!?!? Other than this i am a healthy gym-going young man! Before I finish university or do anything in my life I need to take care of this very serious problem – I will NEVER look at porn, smoke, or masturbate again until the day I die! Please help!

ANSWER
I’m truly sorry to hear about your problems, especially since they could have been avoided with little true information on the matter.

The marijuana certainly contributed to the fast bio exhaustion of your organism by alternating the gene expression of D1 and D2 (dopamine receptors) and acetylcholine, serotonin, and GABA receptors in the head and internal pelvic organs. It also alternated enzyme expressions and burdened your liver function. With over-masturbation added, you harmed your liver system and hypothalamic-pituitary-adrenal axis, triggered tyrosine hydroxylase, dopamine betab-hydroxylase, protein kinase C and COX over-release.

The over-active sexual activities drained your organism of vital compounds and threw it in an everlasting cycle of inflammation, thus draining your CNS and locking your hypothalamic-pituitary-testicular function for less androgen hormones causing numerous symptoms that were described, such as: general fatigue, no more spontaneous erections, and low libido. Low testosterone levels with excessive stress and inflammation hormone levels will result in excessive DHT that will bind to your scalp and prostate causing numerous ill effects. This is an everlasting cycle of inflammation due to the inability of ones system to recharge itself. It is why just stopping masturbation won’t be sufficient, at least not in the next six months to a year.

My suggestion is:

1.Continue with the no-masturbation practice for 1 to 3 months.
2.Balance your diet.
3.Make good use of: Zeolite, Multi-Alpha, Alpha-Amino, 5HTP-Nettle, Ultra-Purified-FishOil, and testicular temperature regulatory solutions. These will: cleanse your burdened liver and fix its P450 detoxification system for better functioning, restore your proper nervous and endocrine functions, charge the CNS, increase androgens, unlock your hypothalamic-pituitary-testicular axis for strong spontaneous erections, restore the proper nervous modulation on excessive dopamine-norepinephrine-epinephrine conversion, and support your attempts to alter the negative neuroplasticity.

The post Sexual Exhaustion – Chronic Masturbation and Marijuana appeared first on Cure ED.

Since I did not have any trouble getting or maintaining erections, and the size and integrity of my erections was intact, I decided it would be okay to resume sexual activity. During sex with my girlfriend, my penis was pushed laterally very abruptly and we both heard a loud pop. There was no pain, and we continued to have sex, although ejaculation was uncomfortable, and has been since. After the pop, my penis has never been the same. The hard flaccid is no longer my worst problem. Gentle massages, heat, stimulation…nothing can get my penis to look normal again. Even when I get it to soften, I have lost a considerable amount of girth, almost like something is missing. I lost my libido for a while, but abstinence and a few supplements seem to have helped with that. Although I can still get fully erect, there has been a noticeable loss in erect length and girth (as if my max is not what it used to be), as well as an indent (for lack of a better term) just below the glans. This indent is most apparent when I am semi-erect. Also, my penis will curve slightly to the left in the semi-erect state, but it will straighten when I am fully erect.

Other symptoms include a feeling of a pressure in my testicles, pelvic tension, difficulty urinating while standing, and a my right testicle has started to hang strangely.

Any help you could provide would be greatly appreciated. I’m desperate and very worried.

ANSWER
The sound you heard is a de-location sound.

If you had a hard erection during the act, the damage is located around the roots of the corpora cavernosa and corpus spongiosum near the bulbourethral glands.

If you had a weak erection the damage should be just above the pubis.

It sounds as you tore your corpus spongiosum and the supporting ligaments in the base from the side, so a hematoma occured, which is now causing pressure. The torn corpus spongiosum is not inflating properly, that is why your penile shape altered. Since it can’t inflate properly, it cannot pinch the veins as it is supposed to, so you will have troubles maintaining an erection. It is probable that with a lot of manual stimulation and just before you ejaculate your penis will look healthier, but that is an indicative of the overall penile health.

These traumas are difficult to treat, since the ligaments and the spongy tissue have to heal properly. A second trauma will make a complete mess so you should be extremely careful.

You need a long-term repair to dissolve the collagen scars that are currently forming, heal the ligaments, and improve the penile blood circulation by stimulating the tissues to release more prostaglandin E1 and Nitric Oxide for healing.

You should act fast, before the collagen scar is fully developed or calcified. I suggest to:

1. Since sexual activities of any kind will burden your endocrine system and produce more stress and inflammatory hormones, I suggest you discontinue the practices for 1 to 3 months.
2. Massage your penis with SR-Cream.
3. Use hot wraps.
4. Additionally boost the nervous modulation on stress and inflammatory response (to break the ongoing inflammation in the area of the injury), promote production of NO and Prostaglandins E1 and E3, and increase androgens with Alpha-Amino, Multi-Alpha, 5HTP-Nettle, Ultra-Purified-FishOil, and L-Arginine 500, and testicle temperature regulatory solutions.
The accumulated effect of all of the above should promote enough healing power. You should observe notable improvements after 2 months, and complete recovery in 5-6. I think that covers it.

Wish you a fast recovery!

UPDATE
previously i have posted about varicose veins on penis. it was like it is my only problem till that time but now i also have this rigid flaccid penis. it is not so hardly rigid but it is more than before. i also realized while i am getting an erection first the root of penis inflates and the middle of shaft seems very little (very weird look for me) after 3-5 seconds it gets into its normal shape. i also had recently a wound on the head of my penis in the path of varicosed veins.now seems getting better. before in that area i had red marks..i think there is an internal frequent bleeding because of varicosed veins and i should remove them right away?

I continue vitamin e,c and multivitamin as it seems it healed my pain a bit. also dont feel discomfort any more while i am urinating. and at last i cud quit masterbating and sex. it is my 7th day today.

Because of all these things i started smoking heavily. I smoke the cigarettes with lowest nicotine. But do you think i should totally quit it?

And really it can be ok after 6 months? I am really depressed and evening thinking of suicide.

ANSWER
There is an internal inflammation. The bleeding will be replaced by a collagen scar since body protects you from bleeding to death.

I would guess that an internal collagen scar is already forming so you experiencing the hourglass shaped penis.

You must quit smoking right away.

Yes, if you follow my recommendations you should heal in about 5 to 8 months.

Suicide is not the answer you are looking for, in fact it shows severe fluctuations in your nts. and hormonal levels.

The post Puzzling Penis Injury appeared first on Cure ED.

Firstly, I’ve been running around to Urologists/ER’s the past few months not even knowing what PSAS was. I am in NYC, and although I mentioned that I have a history of urine retention, and had a recent ileostomy (however, my rectum wasn’t removed)and all thought i was “nuts” when I told them I have constant sexual urges that come out of nowhere, don’t leave and only increase, with momentary relief if I do orgasm (since, I have been unable to achieve orgasm, and 6 days ago, I have to CATH every time i urinate, which is a nightmare, while excited. I was checked for Chlamydia, prostatitis, BPH…nothing, although I wonder now..as i feel a huge lump in pelvis.

Simulataneously, I had this ileostomy surgery almost a year ago…however, he didn’t remove my rectum and gave me a temporary “loop” ileostomy. I’ve complained to the surgeon about a severe pressure in sigmoid/deep rectum area 24/7 (can barely sit)…but he said, “not untilyou gain weight”. Unfortunately, I have a double herniated large intenstine, so when I get past 135 lbs (6’1″ tall), it feels as though my belly is ripping in two.

On my last visit…on the access-a-ride trip home, I became annoyingly stimulated. Since then, I have been waking up w/severe urges, I fear eating as i’m on BOOST Plus I mix w/Cranberry juice and soft foods…protein seems to really get me going. I stopped drinking milk years ago…and went on Soy, as I went on a diet a dropped from 267 to 179…then, I lost my ability to urinate and needed laxatives; developed “severe global colonic inertia’ (thus the ileostomy).

I will stop now, as I do not want to overwhelm you…but, let me just leave with this…I have never suffered like this in my life, and i fear awakening, I fear walking, because once an episode begins, it can go straight for 9 days, even w/ powerful narcotics for the pains from Avascular Necrotic Hips, knee and shoulder, Peri-Neuropathy and the double herniated intestine, and diverticulosis. Sometimes all the pains with the sudden addition of psas and cathing everytime I need to urinate, I want it all to end. And I’m 49 years w/a degree in Psychology.

If you have any suggestions for me, or would be willing to converse with my Doctor(s), please let me know. Unfortunately I’m on disability, but, I’ll do what I can.

PS…sice cox 2 is bad, and 1 & 3 are good…would adding Celebrex do anythng to relieve even a little bit of my episodes, as I Must travel to surgeon on Monday and try to convince him again to remove my colon/rectum and or fix my hernia.

ANSWER
Any kind of interventions in the pelvic area are very dangerous and can lead to numerous complications.

My guess is that the parasympathetic nerves were damaged or pinched. Pelvic Splanchnic Control is not working properly.

The bad news is that a mere fix in the biochemistry won’t deliver the results needed.

Cox 2 is not bad, it is vital for the proper functioning of the human body. However, everything in excess may prove to be harmful. Celebrex may bring some relief, but I doubt it will be a notable one.

The post 49 year old man w /severe PGAD/PSAS appeared first on Cure ED.