Something changes, and suddenly your body doesn’t respond the way it used to. It starts small. A slight curve, a bit of discomfort, something easy to ignore. But over time, it becomes harder to brush off. You may even start avoiding situations where you used to feel confident, without fully understanding why this is happening.
In this episode, you’ll begin to uncover what’s really going on beneath the surface. Learn what could be causing these changes and why so many men experience this but rarely talk about it. More importantly, you’ll hear that there are real, practical steps you can take before things get worse.
Tune in now to get the clarity you’ve been looking for and take the first step toward fixing it.
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Key Takeaways
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Resources mentioned:
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For all links and resources mentioned on the show and where to subscribe to the podcast, please visit https://truongrehab.com/peyronies-disease-treatment-guide
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If you notice that your erection has started to curve little up,
Speaker:little down, maybe to the side, and you don't know why, and if
Speaker:sexual activity is becoming a little difficult, maybe a little
Speaker:bit painful, or something you're starting to avoid because of it.
Speaker:And if you looked at it and maybe something's wrong, but I
Speaker:don't know what to call it, this video is for you. What you are
Speaker:likely experiencing has a name. It's called Peyronie's disease.
Speaker:It is more common than almost any man realizes it is not
Speaker:permanent and it is not your fault sometimes.
Speaker:This podcast is for you, the Modern Man. I'm Dr Anne Truong,
Speaker:your host. I'm an intimate health medical doctor and best
Speaker:selling author of the book, Erectile Dysfunction Fix. I'll
Speaker:do a deep dive into sexual health and performance and how
Speaker:it affects men of all ages and backgrounds. So let's get
Speaker:started, and be sure to visit my website at
Speaker:sexualhealthformenpodcast.com for more information and
Speaker:resources from the show. See you on the inside.
Speaker:So now I'm going to explain exactly what Peyronie's disease
Speaker:is, how it happened, why it lead to ED, and specifically how the
Speaker:penis pump, used correctly, can be of help for the curvature. So
Speaker:stay with me. This is the conversation most men never get
Speaker:to have, and they need to.
Speaker:So let me start with Peyronie's disease. What is it at the
Speaker:tissue level? So inside the penis there is a layer. So think
Speaker:of the penis muscle, and you have two on both sides that's
Speaker:the corpus cavernosum, a wrap around the corpus cavernosum, is
Speaker:a layer called the tunica albuginea. And think of it as an
Speaker:outer sleeve of the penis muscle. Think of it like a
Speaker:sausage, and you have the wrapping around the sausage, is
Speaker:what contain the blood inside the muscle during an erection,
Speaker:and it gives the penis the shape and the structure. So in a
Speaker:healthy penis, the tunica albuginea is the elastic. It
Speaker:stretches evenly on both sides as it fills with blood. And
Speaker:during an erection, it create a straight, firm result. So
Speaker:Peyronie's disease happens when scar tissue develop inside the
Speaker:tunica albuginea. So think of it like a scar tissue that gets
Speaker:developed on that wrapping, and it developed the scar tissue and
Speaker:then called a plaque. And scar tissue does not stretch. So when
Speaker:the rest of the tunica albuginea. stretches during an
Speaker:erection, the side with the scar tissue or the plaque stays
Speaker:rigid. So that means that the penis bend towards the scar like
Speaker:a balloon that have the patch of tape on one side, the elastic
Speaker:side expands, the tape side doesn't, and the whole thing
Speaker:curve. Does that make sense?
Speaker:So how common is Peyronie's disease? So Peyronie's disease
Speaker:affects somewhere between six to 13% of men. Many researchers
Speaker:believe the actual number is probably higher because men are
Speaker:probably not talking about it or going to the doctor about it too
Speaker:much. It's such a personal problem. In my clinic, I see it
Speaker:constantly. Men would have this for years and quietly stop
Speaker:having sex, and no one talk about it at all, and almost
Speaker:every single one of them said the same thing. When I finally
Speaker:name it, they thought, "Well, I wasn't the only one. Thank God,
Speaker:it's not something weird. I don't have cancer." So you're
Speaker:not the only one. So what's happening in your body has an
Speaker:explanation and a treatment pathway, and it has an
Speaker:explanation and a treatment path. Men always asked me, Dr
Speaker:Anne, how did this happen? The other answer is, is one of three
Speaker:ways.
Speaker:One, acute trauma. It's a sudden injury to an erect penis during
Speaker:sexual activity or maybe we even a fall, or maybe in an accident
Speaker:that causes like little tears in the tunica albuginea. So the
Speaker:body responds to this tear like as with any wound, it starts to
Speaker:put scar tissue into it, and because of that, it forms a
Speaker:rigid, inflexible scar.
Speaker:Number two, repeated micro trauma. Many men with Peyronie's
Speaker:disease cannot identify a single injury. That's because the
Speaker:plaque can form years before the injury, maybe a little
Speaker:aggressive sex, and most of the time, this happened in a cowboy
Speaker:position, where the woman's on top or bending during an
Speaker:erection or repeated friction, each one creating a tiny
Speaker:inflammatory response that makes the body deposit more scar
Speaker:tissue over time. Number three, this is something you may not
Speaker:know, the connection that nobody talked about, and it's
Speaker:critically important when a man has untreated ED, the penis
Speaker:muscle is not receiving regular blood flow, so without blood
Speaker:flow, the corpus cavernosum or the penis muscle along the side
Speaker:here, begin to atrophy or shrink and stiffen. So as the tissue
Speaker:become less elastic, scar tissue start to form within it. This is
Speaker:why ED and Peyronie's are often found together. ED doesn't just
Speaker:coexist with Peyronie's. In many cases, untreated ED is what
Speaker:create the condition for Peyronie's to develop. There's
Speaker:also a genetic component, so men with a condition called
Speaker:dupuytren's contracture, where you have scar tissue that
Speaker:happened on the fourth finger here, like a big scar tissue
Speaker:that make your finger bend like this, that's called dupuytren's.
Speaker:Well, if you have dupuytren's, you're more at risk to getting
Speaker:Peyronie's as well, too. And age plays a big role. Testosterone
Speaker:decline reduces the elasticity of the corpus cavernosum and
Speaker:lower estrogen in men often coincide with lower testosterone
Speaker:also affect the collagen quality. So the tunica
Speaker:albuginea, or the wrapping, becomes less forgiving, so more
Speaker:susceptible to scarring with each passing decade,
Speaker:particularly after the age of 40.
Speaker:So the scar forms in two phases. The first phase is acute phase,
Speaker:where it's forming, it's hot, it's tenders, inflamed. This is
Speaker:when you have pain with intercourse. Phase two is more
Speaker:chronic. This is like 12 months plus, right where inflammation
Speaker:has resolved. The plaque has become calcified, and is
Speaker:stabilized and the curve is fixed. So this does not mean
Speaker:it's untreatable. It just means that the curve is fixed at this
Speaker:point.
Speaker:Where can you get the penis pump? You can get the penis pump
Speaker:at ED No More.com or check the link down below this video to
Speaker:get the penis pump so you can start exercising your penis
Speaker:again. Remember, you are only one pump away.
Speaker:So what does it mean if Peyronie's is left untreated?
Speaker:Well, the plaque become calcified and hardened and
Speaker:become effectively permanent if you don't have clinical
Speaker:intervention. So the curvature can worsen over months or over
Speaker:years, making penetration very, very difficult. And pain
Speaker:sometimes during erection, which sometimes are more common in the
Speaker:acute phase, and ED worsen alongside with Peyronie's,
Speaker:because the scar tissue restrict blood flow to the corpus
Speaker:cavernosum, or the penis muscle. And then there's the
Speaker:psychological impact, right? The shame, the avoidance,
Speaker:embarrassment and then the depression. And men who wait
Speaker:often find their options have narrow and that your only option
Speaker:is really surgery. So you have two choices. You can have the
Speaker:injection, where they dissolve the collagen, or surgery. But
Speaker:let's talk about something that you can do without the injection
Speaker:that if you're starting to notice maybe low curvature, that
Speaker:you can do on your own. And that's called the penis pump,
Speaker:the vacuum erection pump. The vacuum erection pump, or penis
Speaker:pump, used as a medical rehab device, not a sex toy. It's one
Speaker:of the most accessible and consistently supported tools for
Speaker:managing Peyronie's disease, but it's good when you start early.
Speaker:You don't want to wait until years of having curvature and
Speaker:trying to use the penis pump, because anything over 25 degrees
Speaker:are going to be very hard to use the penis pump for. Let me
Speaker:explain why it works at the tissue level. Remember when I
Speaker:said the plaque develop because of the micro tears causing the
Speaker:curvature? The collagen has one vulnerability. It respond to
Speaker:sustained, gentle mechanical tension. Think of it like a
Speaker:leather shoe, stiff when it comes out of the box. But if you
Speaker:But I want to be clear about something, though. So the pump
Speaker:wear it every day, become flexible. You stretch it and
Speaker:is not an overnight fix. Scar tissue does not dissolve in the
Speaker:week. But it does remodel with consistent work, all right? But
Speaker:soften, it can form. It become more pliable. This is what
Speaker:if your curvature is more than 30 degrees, you probably need to
Speaker:go a urologist and maybe consider having surgery. Pump
Speaker:consistent pumping does to the penile plaque. Every time you
Speaker:should be less than probably 25 degrees at this time. The main
Speaker:thing, guys is that you're starting to see some curvature,
Speaker:use the pump, you create a negative pressure that draw
Speaker:even just a little bit. Use the pump. Use it consistently. You
Speaker:blood into the penile tissue, and it stretches the corpus
Speaker:may even reverse it. You don't want it to get it worse and
Speaker:worse. So it's not magic. This is the biology responding to the
Speaker:cavernosum, including the area where the scar tissue was
Speaker:right input. Just think of it like that. I want you to know
Speaker:that if you are having a more severe curvature, that's more
Speaker:formed. This daily stretch put gentle, sustained traction on
Speaker:than 30, then you probably need to look at getting surgically
Speaker:corrected. But there is an option, if you're less than
Speaker:the plaque. And over weeks and months, this mechanical traction
Speaker:that, you're starting to see some curvature, or anything. You
Speaker:start early, you're going to get more result with. So just know
Speaker:signal to the scar tissue to soften and to remodel and become
Speaker:that you can reverse it and that you can even, like, bring in
Speaker:less organized, less restricted. The result the pull towards the
Speaker:more blood flow to it. And if you have an ED, this will also
Speaker:help with the erection.
Speaker:So the bottom line is, the penis pump is a medical device. It's
Speaker:scar tissue during erection lessen. The curve begin to
Speaker:FDA approved for rehabilitation of the penis, and sometimes when
Speaker:straighten. So you want to use the pump like I discussed
Speaker:you can even combine this with a traction device as well too. So
Speaker:you can use the traction device for about 30 minutes along with
Speaker:before, and check out the video here and how to use the pump.
Speaker:the penis pump as well. You can get the penis pump at Modern Man
Speaker:But essentially, the pump just create negative pressure that
Speaker:Crib store at ED No More.com. So just think that there is
Speaker:something that you can do. And I hope that I enlighten you on
Speaker:stretches the penis tissue and brings in oxygen and bring in
Speaker:Peyronie's disease. I get this question a lot.
Speaker:And if you find this helpful, put in a comment. Let me know
Speaker:blood flow, and it soften up the scar. So how often should you
Speaker:what you think it'll mean the world to me if you subscribe and
Speaker:get notification to the channel, because I do this to be helpful
Speaker:use this? You should do this twice a day, use the penis pump
Speaker:for you guys, to be a resource as well. And if what I say
Speaker:and leave the erect penis in there for about 10 minutes. And
Speaker:resonate, and if you want to get rid of ED, let's apply to see if
Speaker:we can work together so we can get you performing again. But
Speaker:you should do it every day consistently for six weeks. And
Speaker:then, always know there are options, and you are not alone
Speaker:and you are not broken. And I will see the next episode,
Speaker:you will see the curvature improving. You will see more
Speaker:Modern Man.
Speaker:Okay, Modern Man, you are not alone and you don't have to
Speaker:firmness as well too.
Speaker:suffer anymore. ED can feel isolating, frustrating, and even
Speaker:defeating. The endless guessing, the quiet shame, the weight of
Speaker:not feeling like yourself is exhausting. But here's the
Speaker:truth, you are not broken. You are not alone. You don't have to
Speaker:figure this out alone anymore. The Get Wood Now Boost Program
Speaker:is your step by step, path to sexual confidence and
Speaker:restoration. No more suffering in silence, no more trial and
Speaker:error, just real solution, real result and the confidence you
Speaker:deserve. It's time to take back your power on your term. Let's
Speaker:get this journey started together. Check out the course
Speaker:great for you and I would love to give you the most incredible
Speaker:at getwoodnow.com. I'll see you there.
Speaker:free gift designed to help you improve performance quickly. Go
Speaker:to my website at sexualhealthformenpodcast.com to
Speaker:get the book, The Five Common Costly Mistakes Men Make When
Speaker:Facing ED. I would appreciate if you subscribe, leave a review on
Speaker:Apple podcasts or wherever you listen. And just know that you
Speaker:can have sexual vitality for life. I appreciate you until
Speaker:next time.