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“Sex And Peyronie’s Disease”

Sexual diseases are hard to talk about with other people. Some may find it awkward to seek medical attention or an experienced surrogate as a solution. However, the alternative is far worse. Not dealing with the problem can lead to sexual frustration, an unhappy household or worse yet, no sex as all.

One of many diseases to discuss is Peyronie’s disease. This is a condition where a man’s penis, though erect, bends at an unnatural angle. Curvatures can be present at the top of the shaft and cause an upward bend, or at the bottom, causing a downward bend. In rare cases a hardening of tissue in the area called the tunica albuinea may cause the penis to shorten in length or diameter. Other problems associated with Peyronie’s disease include impotence or incomplete erections.

Not only can this be awkward, it can also be very painful during intercourse. Though not prevalent, (only 1% of the total male population suffer from this disease) it can affect many people of different ages. Though most men diagnosed are between the ages 45-60, it can also affect younger men. While Peyronie’s disease usually doesn’t prevent regular sex from happening, it’s concerning to think that many men would rather suffer through painful intercourse than seek solutions through medical attention or surrogate therapy.

What causes Peyronie’s disease? While there is no official cause, certain factors can play a part. For instance, any sort of injury or trauma to the penis can cause the disease to develop. Yes, it’s even possible that vigorous sexual intercourse can cause tissue in the penis to tear or scar. (So while rough sex can be fun, be careful not to be too rough)

The disease can develop as a result of a medical procedure. Peyronie’s disease can also be inherited.

However, a bent penis does not necessarily mean a person has Peyronie’s disease. Some men are simply born with a penis slant and may not even experience pain. Other causes of the disease include Vitamin E deficiencies, side effects of a drug called Inderal, Diabetes complications and severe vasculitis.

The longer a person waits to seek help, the worse the complications will be. The psychological impact of Peyronie’s disease can be devastating—especially if left untreated. If treatment for Peyronie’s disease starts quickly after diagnosis (say six months) then good sexual function can be restored.

The question is, should treatment be in the form of medical help or sexual therapy? In general when discussing alternative treatments to surgery, the aim is to reduce pain and restore sexual function.

Non-surgical medical treatments could include a complex substance of Vitamins E and B, steroid treatments, chemical agents that block calcium or enzymes that break down connective issue, or radiation treatment to reduce pain.

Peyronie’s disease has been known to resolve without surgery. Therefore, surgery is usually only performed after some given time (about two years) and only suggested in severe cases. Of course, surgery is a last resort because it can be complicated and dangerous. Skin grafts may be required, as well as penile implants and special medication that prevents erections from developing until the wound heals. Complications from surgery have happened before and have caused infections, impotence and other serious medical conditions.

This is why many choose to seek treatment for Peyronie’s disease without surgery. Sexual therapy can be of tremendous help. Sexual surrogates can offer counseling and treatment to help with sexual dysfunctions and disease. The goal of therapy would be to improve sexual function—something of which a doctor or non-sex trained therapist might have limited knowledge or interest in pursuing.

In terms of how a surrogate will treat the disease, each case will be different. Cases of Peyronie’s disease have been known to resolve with time (sometimes within a year) so maybe education about the disease and reassurance is all that will be needed. For the most part, unless the disease is preventing sexual intercourse entirely, or the pain is unbearable, surgery is usually not recommended.

Don’t let sexual dysfunction deprive you of the sexuality you need and deserve. Seek professional help.


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