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  • Long, Larger, Overextended Flaccid Updates and Advice

    Hi PEGym I don't have Long Flaccid. I just decided to study this disease. And try to help you find a cure.

    Warning: This text is about Long Flaccid! This text is NOT about Hard Flaccid! Hard Flaccid sufferers, this text is NOT for you!


    Long, Larger, Overextended Flaccid


    Most likely cause: Stretch-Induced Pudendal Nerve Neuropathy (Neurapraxia)

    Introduction:
    1 - Parasympathetic Nervous System - triggers Erection

    2 - Sympathetic Nervous System - triggers Ejaculation. And also inhibits Erection. That is why, when we are stressed and anxious ( + Sympathetic, - Parasympathetic), we have Erectile Dysfunction and Premature Ejaculation.

    3 - The Pudendal Nerve has 3 types of nerve fibers:
    - Sensitive (Afferent) - transport skin sensations from the penis to the brain
    - Motor (Efferent) - transport the motor stimulus (from the brain) to the IC muscles, BC muscle and External Sphincter muscle of Urethra.
    - Sympathetic - trigger Ejaculation

    4 - The Pudendal Nerve does NOT carry the Parasympathetic stimulus (erection) to the penis. The Parasympathetic stimulus is carried by a network of small nervous filaments (from the Sacral Plexus/Pelvic Splanchnic Nerves), which surround the Pudendal Arteries. Which irrigate the Corpora Cavernosa, allowing Erection.

    5 - The Hard Flaccid (contracture of the penile smooth muscle inside the Corpora Cavernosa) is caused by the contraction/pathological contracture/protective contracture of the IC muscle.

    6 - If the Long Flaccid has the opposite appearance (long and soft), then it is impossible that it is caused by a tense pelvic floor (tension in the IC muscle). It is just the opposite. There is an excessive relaxation of the IC muscle and, consequently, a hyper-relaxation of the penile smooth muscle, consequently, originating the Long Flaccid - an elongated, loose, soft, larger, spongy, dis-attached, hanging, rubbery jellied, floppy penis.


    Symptoms and Explanations:
    1 - Muscular weakness (Paresis). Inability to perform Kegels. Very weak kegels. (Examples: “I can't flex/clench the penis, or move it up and down easily like before by kegel move, I can't make it "Jump" anymore, flaccid or erect, it doesn't react or react weakly when I flex BC muscle. I also cannot pump blood into my penis like i used to, no matter how hard I try. Only my PC muscle moves during kegel. I can't contract my BC at all, it seems dead. It is more difficult to stop urinating. I seem to be only able to clench and move the PC muscles around the anus but the ones you use to hold an erection I can't. When I ejaculate, I feel my anus contract instead of my BC/penis muscle. I have a total lack of BC muscle control AND INSTEAD I have this CONSTANT sense of anal muscle control/feeling that is extremely uncomfortable, over-exaggerated.”)

    - This symptom is caused by a decrease in the Motor (Efferent) nervous stimulus (from the brain to the IC and BC muscles), carried by the Pudendal Nerve.
    - In Hard Flaccid, this symptom is explained by the compression of the Pudendal Nerve and because the muscles are already contracted (Kegel). It is difficult to contract a muscle that is already contracted.
    - In Long Flaccid this symptom is explained by dysfunction/direct damage/neurapraxia of the Pudendal Nerve. A nerve damage has occurred in the nerves that carry the Motor nervous stimulus.

    https://www.pegym.com/forums/members...iosus-male.jpg
    Bulbospongiosus-Male.jpg

    - Why can patients do Kegels (and feel the contraction with manual palpation of Zone 1) in the posterior area of ​​the pelvic floor (Back Kegel, Levator Ani muscle, PC muscle) but can't do Kegels (nor feel the contraction with manual palpation of Zone 2 and 3) in the anterior area of ​​the pelvic floor (Front Kegel, BC and IC muscles)? Because the Motor (Efferent) stimulus for the Levator Ani muscle (“PC muscle”) is NOT performed by the Pudendal Nerve. The Sacral Plexus (which originates the Pudendal Nerve) originates the collateral nerve for the Levator Ani muscle - Levator Ani Nerve - before originating the Pudendal Nerve (which innervates the remaining pelvic floor muscles). Muscle dysfunction will only occur in muscles innervated by the Pudendal Nerve. What you feel in zone 1 is not the BC muscle. It is the PC muscle and the External Anal Sphincter muscle.

    - In addition, most of the Motor (Efferent) stimulus for the External Anal Sphincter muscle is NOT performed by the Pudendal Nerve. Once again, the Sacral Plexus originates another collateral nerve (Perineal Branch of 4th sacral Nerve) that innervates the External Anal Sphincter muscle.
    (Note: The External Anal Sphincter muscle is also innervated by the Inferior Anal Nerve (branch of the Pudendal Nerve), BUT it is NOT its main nerve (Levator Ani Nerve). In addition, sometimes (anatomical variation), the Inferior Anal Nerve is NOT a branch of the Pudendal Nerve. Sometimes it also originates directly from the Sacral Plexus.)
    - The above also explains why these patients have neither constipation nor fecal incontinence (symptoms related to passing stools). Because the External Anal Sphincter muscle and the Levator Ani muscle (“CP”) continue to be fully functional.

    2 - Erectile Dysfunction (Ex:“I can't keep my erection while standing up. I can’t maintain the erection without continuous manual stimulation.”)
    - Erectile Dysfunction in Hard Flaccid is caused by the inability to relax the penile smooth muscle, and due to the contracture of the IC and BC muscle. Erectile dysfunction in Long Flaccid is due to dysfunctional innervation (lack of innervation) of the IC and BC muscles.

    - However, patients are able to have partial erections. Why? As stated above, the Parasympathetic innervation (Erection) of the penis does NOT depend on the Pudendal Nerve. The Parasympathetic stimulus is carried by a network of small nervous filaments (from the Sacral Plexus/Pelvic Splanchnic Nerves), which join and surround the Pudendal Arteries. Which irrigate the corpora cavernosa, allowing Erection. That is why a Pudendal Nerve injury does NOT completely affects erectile capacity. It only affects the contraction of the IC and BC muscles, which are auxiliaries, stabilizers and erection elevators.
    - In most patients, Viagra does not work. Because this is a muscle/nervous problem. It is not a problem related to blood vessels.

    3 - Nocturnal Priapism (Ex:“Congested nocturnal erections, with strange shape and uninterrupted, that last for hours.”)
    - Let's talk a little about the sleep cycle. Especially the famous REM Sleep. During REM sleep there is a change in the brain systems that are activated - there is a greater cerebral Parasympathetic stimulation (which causes nocturnal erections) and less Sympathetic stimulation. After the end of REM sleep, the brain returns to dominant Sympathetic stimulation. However, as the Pudendal Nerve is damaged and the Sympathetic nervous stimulus to the penis is decreased, the erection does NOT disappear. Therefore, the nocturnal erection is maintained.
    - "Why is the shape of the erection strange?" Because the IC and BC muscles are not working properly (decreased Motor nerve stimulation). The penis is not stabilized by the accessory muscles of the erection. Its shape becomes strange.

    4 - Morning Priapism (Ex:“I have a higher number of morning erections after the injury.”)
    - Because as sleep progresses, REM sleep periods become more frequent. Therefore, there is a greater hyperactivation of the Parasympathetic Nervous System near the time of waking up.

    5 - Decreased skin sensitivity/pleasure in the penis. Hypoesthesia. Numbness (Ex:"Low sensitivity/numbness. I lost the feeling of pleasure of the outer skin of the shaft. It's like having 50x condoms on. Penis feels almost like rubber, even less sensitive than the skin on the arm. I can't feel the oral sex. I can’t feel if I have erection or not. I have difficulty getting and maintaining erections. I've lost sensitivity. It's supposed to hurt to bend your erect dick, but during my worst long flaccid I could move my erect dick around easily with no pain. I don't feel when I have erection that my penis is erected.”)

    - This symptom is explained by the decrease in Sensitive (Afferent) nervous stimulus (from the penis to the brain) through the Dorsal Nerve of the Penis (final branch of the Pudendal Nerve).
    - In Hard Flaccid, this symptom is caused by compression of the Pudendal Nerve through the muscular contracture that exists in the pelvic floor.
    - In Long Flaccid, this symptom is caused by nervous dysfunction of the sensitive fibers of the Pudendal Nerve.

    6 - Long/Larger/Overextended Flaccid (Ex:“The penis becomes 3-4 times larger when Flaccid. Thicker and longer. The penis become elongated, bigger, loose, soft, larger, squishy, ​​spongy, dis-attached, hanging. It's easy to push it down while erect (no resistance), easy to bend it down. Penis feels disconnected from the body, too heavy while erect hanging. Like nothing supporting it. Erection angle pointing downwards while erect. The penis become rubbery jellied, floppy like water balloon all the time. Not hard flaccid at all. The normal of my flaccid state was shrinked all the time (Grower), now it's not.”)

    - In medicine, this condition is called Flaccid Paralysis and reduced muscle tone.
    - As explained above, Hard Flaccid (contracture of the penile smooth muscle within the corpora cavernosa) is caused by contraction/pathological contracture/protective contracture of the IC muscle.
    - If the Long Flaccid has the opposite appearance (long and soft), then it is impossible that it is caused by a tense pelvic floor (tense IC muscle). It is just the opposite. There is an excessive relaxation of the IC and BC muscles (due to the decrease in Motor stimulation for these muscles) and, consequently, a hyper-relaxation of the penile smooth muscle, causing the Long Flaccid - completely soft penis.

    - The entire (anterior) pelvic floor is hyper-relaxed. Because it is the pudendal nerve that carries the Motor (Efferent) stimulus to all muscles.
    - In addition, the hyper-relaxation of these muscles also causes a lack of support and stabilization of the erect penis.
    - Erections seem disconnected from the base of the penis because the IC muscle has lost its ability to contract. It has NO muscle tone.

    7 - Delayed ejaculation. Difficulty in ejaculation/orgasm (Ex: “Achieving an orgasm is possible, but difficult and requires abnormally heavy stimulation.”)
    - Symptom explained not only by decreased skin sensitivity, but also by the hypofunction of Sympathetic fibers (ejaculation) through the Pudendal Nerve. If Sympathetic nerve stimulation is decreased, it will take longer to ejaculate.

    8 - Erection does not go down after ejaculation (Ex:“My erections take much longer to subside and go back to the flaccid state. My penis stays semi erect for a long time before going back flaccid. One of my issues is no refractory period. It doesn't go down after ejaculation like it used to always go down afterwards. Eventually, it does, but it's like I can ejaculate over and over again without losing erection. Penis would not go down after ejaculation: I did go through a period where after having an erection and ejaculating, my penis would get EXTREMELY hard that it was painful. It took hours for it to go down.”)

    - Because it is the Sympathetic, post-orgasmic, stimulation that will compress the penile smooth muscle, causing the penis to become flaccid. If there is NO Sympathetic nerve stimulation, the penis remains erect for longer than usual. Just like what happens during sleep.

    9 - Urinary problems. Urinary retention. Weak urine stream (Ex:“My urine stream is weak. I can't push urine out like before. Peeing also became very weird. My pee stream is weak and sometimes shoots in different directions. I can't empty the bladder and can't squeeze or push all urine out.”)

    - A little more information: Our bladder is innervated by the Sympathetic and Parasympathetic Nervous System. Which does NOT occur through the Pudendal Nerve. The Sympathetic system dilates the smooth muscle of the bladder wall (for it to fill), promoting urinary retention. The Parasympathetic system contracts the smooth muscle of the bladder wall (for it to empty), promoting urination. So the Parasympathetic is activated when we urinate. And these systems are involuntary. We cannot control them with our will.

    - However, the External Sphincter muscle of the urethra (at the exit of the bladder) and the BC muscle are muscles that we can control. Which we can open and close in order to increase or decrease the flow of urine. And our ability to control them comes from their Motor (Efferent) innervation. Which is carried through the Pudendal Nerve.
    - Therefore, if the Motor stimulus for the External Sphincter muscle of the Urethra and for the BC muscle is decreased, we are unable to make the urinary stream stronger.

    10 - Absent Bladder Sensation (Ex:“Now I can hold it even 3-4 hours without urgent feeling. I cannot feel my bladder getting full like I used to and when emptying my bladder I can't control the stream. When I try to stop it, I feel that the muscles are very weak and when I push, the urine stream doesn’t get stronger which is definitely not normal to me.”)
    - Because the Sensitive (Afferent) stimulus (between the bladder and the brain), is also decreased. What nerve carries this Sensitive message? The Pudendal Nerve.

    - The Pudendal Nerve carries pressure sensitive information (pressure created by the weight of urine) in the External Sphincter Muscle of the Urethra. The weight of the urine creates pressure on this muscle, which is then sent to the brain (by the Pudendal Nerve) and which tells us that the bladder is full.
    - Why DON'T patients have urinary incontinence? Because (1) Sympathetic and Parasympathetic stimulation for the entire bladder, Internal Urethral Sphincter and External Urethral Sphincter does NOT depend on the Pudendal Nerve. And because (2) the External Sphincter of the Urethra is also composed of many muscle fibers of the Levator Ani Muscle, whose innervation also does NOT depend on the Pudendal Nerve (but rather on the Levator Ani Nerve).

    11 - Weak ejaculation (Ex: “Ejaculation does not shoot. Ejaculation dribble.”)
    - This symptom is explained by the decrease in the Motor (Efferent) stimulus for the BC muscle, NOT allowing greater jet propulsion. (Less Kegel contraction capacity)

    - In addition, during orgasm, Motor nerve stimulation to the External Sphincter muscle of the Urethra closes this sphincter. It is an automatic reflex that prevents Retrograde Ejaculation (to the bladder). If there is NO motor stimulus, the percentage of retrograde ejaculation increases. So, probably, part of your sperm is traveling to the bladder.

    12 - Loss of the Bulbocavernosus Reflex
    - If there is NO Sensitive stimulus (Afferent) or Motor stimulus (Efferent), there will be NO Bulbocavernosus Reflex.

    13 - Most prominent penis veins
    - Due to circulatory dysfunction, caused by muscle and nervous dysfunction.

    14 - Low Libido
    - Lack of daily contractions and pleasurable sensations on the pelvic floor and penis.
    - Anxiety/stress due to the disease (Long Flaccid).

    15 - The penis does not shrink with stress, nor with cold
    - Anxiety, stress and cold (Sympathetic nerve stimulation) shrink everyone's penis. Why doesn't Long Flaccid get back to normal with stress, anxiety or cold? Because the Sympathetic nervous stimulus is NOT reaching the penis.

    16 - Pain in the pelvic floor
    - It's a rare symptom.
    - Most likely these patients have some degree of Pudendal Neuralgia/Pudendal Nerve Entrapment/Alcock Canal Syndrome.

    17 - Tingling, vibration, tremors, itching, sensation of electric shock or needles on the pelvic floor and at the base of the penis
    - Typical symptoms of nerve dysfunction.

    18 - Sudden onset of the disease ("overnight") and with little or no improvement over months or years
    - Typical temporal evolution of nerve injuries.
    - The nerves take months/years to heal.


    Causes of Long Flaccid:
    - Aggressive masturbation - nerve stretching (ho1985, tomcruz, Pc1985, Gonna Heal)
    - Prone Masturbation - nerve stretching (johnproctor, faloo)
    - Extreme penile stretches - nerve stretching
    - Erect/Extreme Jelqing - nerve stretching (Closed035, Sprat??, bunnybug??)
    - Penis pumps with high pressure - nerve stretching (rxaxa, MRG91)
    - After taking the antibiotic Ciprofloxacin (WorkToResolve and closed278) - Fluoroquinolone-induced Pudendal Neuropathy
    - Overtraining Reverse Kegels, in and out of sex (Jay1983) - Hi Jay! Are you sure you don't remember any traumatic event that could cause nerve stretching?... I think Reverse Kegels are not intense enough to cause Neurapraxia...
    - After taking the drug Finasteride (nasa01??) - Finasteride-induced Pudendal Neuropathy (Post-Finasteride Syndrome)
    - After taking Saw Palmetto and Astaxanthin (lasthope1)

    Diagnostic Tests:
    - Electromyography (Which I would like all of you to do, and report the result, so that we can confirm the diagnosis)


    Treatment of Long Flaccid:
    - Extraordinary healthy eating - lots of proteins, fruits and vegetables.
    - Important supplements: B Complex vitamins, Alpha Lipioc Acid (ALA), Benfothiamine and Acetyl-L-Carnitine (ALC)
    - Other supplements: Ginkgo Biloba, Ginseng, L-Arginine, Fish Oils, BioPQQ, Vitamins C, D and E, Zinc, Lion’s Mane Mushroom, Curcumin, N-acetylcysteine (NAC)
    - Have a healthy body weight (BMI between 19 and 25)
    - Sleep 8 hours a day.
    - Do not smoke! Do not drink alcohol! - both cause nerve damage
    - KEGELS - Jay1983 was the pioneer of this approach. And I think it makes a lot of sense. Thanks Jay! How do we heal nerve injuries (spine, arms, legs, etc)? How do we sometimes get paraplegics patients (or patients who have had a stroke) to walk again? We offer nerve stimulation. Through physical therapy that tries to move the muscles innervated by that nerve. In this case, being the pelvic floor, what we want is Kegels. Kegels is the contraction of the muscles innervated by the Pudendal Nerve. The best way to rehabilitate a nerve that has been injured is to stimulate it, trying to move the muscles that the nerve innervates. With physical therapy to the legs, in the case of a paraplegic. With physical therapy to the pelvic floor (Kegels and Reverse Kegels) in the case of a Long Flaccid.
    - Reverse Kegels (to balance the effect of Kegels). You can even do them at the same time: K, RK, K, RK, K, RK, K, RK ...
    - Soft massages, all over the pelvic floor: muscles, scrotum, penis, everything. To stimulate each sensitive and motor nervous branch of the pudendal nerve.
    - Transcutaneous electrical nerve stimulation (TENS)
    - Pulsed radiofrequency
    - Thermal therapy, with hot-cold variation. (For example: alternate a hot rice sock with an ice pack). To stimulate the skin sensation.
    - Masturbation. 1 day ON, 1 day OFF. 15 min of Edging, with Ejaculation at the end. - To stimulate all types of sensations of the Pudendal Nerve. VERY, VERY LIGHT! It’s not supposed to worsen the injury, by stretching the nerve further! And you are not supposed to masturbate 10 times a day! Remember that it was extreme masturbation that caused the injury in many of you! And NO PORN! Pornography desensitizes your penis even more.
    - Always place a pillow under your buttocks when sitting. A hard surface impairs healing.
    - Drugs: there are no drugs to accelerate nerve healing... (There is a drug that is having some positive results in recent studies in patients with spinal cord injury. But these are still very preliminary conclusions.)
    - Sports/Physical activity/Physical therapy/Exercise. Which one? It doesn't matter... Jogging, swimming, calisthenics, yoga... Anything you like. Just move. You have nerves to heal. You have to be the healthiest person (physically and mentally) you have ever imagined.

    Warning: If you experience increased pain, intense sensation of electric shock, "needles", or increased numbness, in any of the exercises, it is because you are doing the exercise too intense, which can impair healing. If this happens, you have to decrease the intensity.

    Warning 2: If you have an acute (recent) injury, do NOT masturbate. It is just to REST completely. Acute (recent) injuries, which have this type of symptoms, is to give the penis absolute rest for at least 1 month.



    Conclusion:
    - Hard Flaccid is a muscle injury that contracts the pelvic floor. The pathological contracture compresses nerves/arteries and contracts the penile smooth muscle.
    - Long Flaccid is a nerve injury, which relaxes the entire pelvic floor. And causes the dysfunction of everything that is innervated by the Pudendal Nerve.

    UPDATES:
    post 55 - The same symptoms, caused by drugs and medication, whose side effects include nerve dysfunction.




    ------------------------------------------------------------------

    Disclaimer:
    On PEGym, my thoughts, impressions, ideas, opinions and advice are NOT your definitive diagnosis.
    You should always seek a complete medical examination, medical tests and other opinions, with other qualified health professionals and medical doctors outside the online world.
    Last edited by Romero MD; 11-20-2020, 11:41 AM.
    On PEGym, my thoughts, impressions, ideas, opinions and advice are NOT your definitive diagnosis.
    You should always seek a complete medical examination, medical tests and other opinions, with other qualified health professionals and medical doctors outside the online world.

  • #2
    Your term paper was not due to be submitted until Oct. 15th, however we'll let that slide,

    Where's my box of chocolates ?

    Well done, on including lots about the nervous system/interface with body parts.
    Last edited by Dangler; 09-29-2020, 01:05 PM.
    Valued Member of 11 years at the PEGym
    Looks are deceiving, mirrors don't lie.

    Comment


    • #3
      Originally posted by Dangler View Post
      Your term paper was not due to be submitted until Oct. 15th, however we'll let that slide,
      Where's my box of chocolates ?
      Well done, on including lots about the nervous system/interface with body parts.

      Thank you, Boss

      Originally posted by Dangler View Post
      Where's my box of chocolates?
      When I visit North Texas, I will offer it to you, in person
      Last edited by Romero MD; 10-01-2020, 04:39 PM.
      On PEGym, my thoughts, impressions, ideas, opinions and advice are NOT your definitive diagnosis.
      You should always seek a complete medical examination, medical tests and other opinions, with other qualified health professionals and medical doctors outside the online world.

      Comment


      • #4
        Originally posted by Romero MD View Post
        Hi PEGym I don't have Long Flaccid. I just decided to study this disease. And try to help you find a cure.

        Warning: This text is about Long Flaccid! This text is NOT about Hard Flaccid! Hard Flaccid sufferers, this text is NOT for you!


        Long, Larger, Overextended Flaccid


        Cause: Stretch-Induced Pudendal Nerve Neuropathy (Neurapraxia)

        Introduction:
        1 - Parasympathetic Nervous System - triggers Erection

        2 - Sympathetic Nervous System - triggers Ejaculation. And also inhibits Erection. That is why, when we are stressed and anxious ( + Sympathetic, - Parasympathetic), we have Erectile Dysfunction and Premature Ejaculation.

        3 - The Pudendal Nerve has 3 types of nerve fibers:
        - Sensitive (Afferent) - transport skin sensations from the penis to the brain
        - Motor (Efferent) - transport the motor stimulus (from the brain) to the IC muscles, BC muscle and External Sphincter muscle of Urethra.
        - Sympathetic - trigger Ejaculation

        4 - The Pudendal Nerve does NOT carry the Parasympathetic stimulus (erection) to the penis. The Parasympathetic stimulus is carried by a network of small nervous filaments (from the Sacral Plexus/Pelvic Splanchnic Nerves), which surround the Pudendal Arteries. Which irrigate the Corpora Cavernosa, allowing Erection.

        5 - The Hard Flaccid (contracture of the penile smooth muscle inside the Corpora Cavernosa) is caused by the contraction/pathological contracture/protective contracture of the IC muscle.

        6 - If the Long Flaccid has the opposite appearance (long and soft), then it is impossible that it is caused by a tense pelvic floor (tension in the IC muscle). It is just the opposite. There is an excessive relaxation of the IC muscle and, consequently, a hyper-relaxation of the penile smooth muscle, consequently, originating the Long Flaccid - an elongated, loose, soft, larger, spongy, dis-attached, hanging, rubbery jellied, floppy penis.


        Symptoms and Explanations:
        1 - Muscular weakness (Paresis). Inability to perform Kegels. Very weak kegels. (Examples: “I can't flex/clench the penis, or move it up and down easily like before by kegel move, I can't make it "Jump" anymore, flaccid or erect, it doesn't react or react weakly when I flex BC muscle. I also cannot pump blood into my penis like i used to, no matter how hard I try. Only my PC muscle moves during kegel. I can't contract my BC at all, it seems dead. It is more difficult to stop urinating. I seem to be only able to clench and move the PC muscles around the anus but the ones you use to hold an erection I can't. When I ejaculate, I feel my anus contract instead of my BC/penis muscle. I have a total lack of BC muscle control AND INSTEAD I have this CONSTANT sense of anal muscle control/feeling that is extremely uncomfortable, over-exaggerated.”)

        - This symptom is caused by a decrease in the Motor (Efferent) nervous stimulus (from the brain to the IC and BC muscles), carried by the Pudendal Nerve.
        - In Hard Flaccid, this symptom is explained by the compression of the Pudendal Nerve and because the muscles are already contracted (Kegel). It is difficult to contract a muscle that is already contracted.
        - In Long Flaccid this symptom is explained by dysfunction/direct damage/neurapraxia of the Pudendal Nerve. As with a paraplegic person, who cannot move his legs, because a nerve damage has occurred in the nerves that carry the Motor nervous stimulus (from the brain to the legs).

        https://www.pegym.com/forums/members...iosus-male.jpg

        - Why can patients do Kegels (and feel the contraction with manual palpation of Zone 1) in the posterior area of ​​the pelvic floor (Back Kegel, Levator Ani muscle, PC muscle) but can't do Kegels (nor feel the contraction with manual palpation of Zone 2 and 3) in the anterior area of ​​the pelvic floor (Front Kegel, BC and IC muscles)? Because the Motor (Efferent) stimulus for the Levator Ani muscle (“PC muscle”) is NOT performed by the Pudendal Nerve. The Sacral Plexus (which originates the Pudendal Nerve) originates the collateral nerve for the Levator Ani muscle - Levator Ani Nerve - before originating the Pudendal Nerve (which innervates the remaining pelvic floor muscles). Muscle dysfunction will only occur in muscles innervated by the Pudendal Nerve. What you feel in zone 1 is not the BC muscle. It is the PC muscle and the External Anal Sphincter muscle.

        - In addition, most of the Motor (Efferent) stimulus for the External Anal Sphincter muscle is NOT performed by the Pudendal Nerve. Once again, the Sacral Plexus originates another collateral nerve (Perineal Branch of 4th sacral Nerve) that innervates the External Anal Sphincter muscle.
        (Note: The External Anal Sphincter muscle is also innervated by the Inferior Anal Nerve (branch of the Pudendal Nerve), BUT it is NOT its main nerve (Levator Ani Nerve). In addition, sometimes (anatomical variation), the Inferior Anal Nerve is NOT a branch of the Pudendal Nerve. Sometimes it also originates directly from the Sacral Plexus.)
        - The above also explains why these patients have neither constipation nor fecal incontinence (symptoms related to passing stools). Because the External Anal Sphincter muscle and the Levator Ani muscle (“CP”) continue to be fully functional.

        2 - Erectile Dysfunction (Ex:“I can't keep my erection while standing up. I can’t maintain the erection without continuous manual stimulation.”)
        - Erectile Dysfunction in Hard Flaccid is caused by the inability to relax the penile smooth muscle, and due to the contracture of the IC and BC muscle. Erectile dysfunction in Long Flaccid is due to dysfunctional innervation (lack of innervation) of the IC and BC muscles.

        - However, patients are able to have partial erections. Why? As stated above, the Parasympathetic innervation (Erection) of the penis does NOT depend on the Pudendal Nerve. The Parasympathetic stimulus is carried by a network of small nervous filaments (from the Sacral Plexus/Pelvic Splanchnic Nerves), which join and surround the Pudendal Arteries. Which irrigate the corpora cavernosa, allowing Erection. That is why a Pudendal Nerve injury does NOT completely affects erectile capacity. It only affects the contraction of the IC and BC muscles, which are auxiliaries, stabilizers and erection elevators.
        - In most patients, Viagra does not work. Because this is a muscle/nervous problem. It is not a problem related to blood vessels.

        3 - Nocturnal Priapism (Ex:“Congested nocturnal erections, with strange shape and uninterrupted, that last for hours.”)
        - Let's talk a little about the sleep cycle. Especially the famous REM Sleep. During REM sleep there is a change in the brain systems that are activated - there is a greater cerebral Parasympathetic stimulation (which causes nocturnal erections) and less Sympathetic stimulation. After the end of REM sleep, the brain returns to dominant Sympathetic stimulation. However, as the Pudendal Nerve is damaged and the Sympathetic nervous stimulus to the penis is decreased, the erection does NOT disappear. Therefore, the nocturnal erection is maintained.
        - "Why is the shape of the erection strange?" Because the IC and BC muscles are not working properly (decreased Motor nerve stimulation). The penis is not stabilized by the accessory muscles of the erection. Its shape becomes strange.

        4 - Morning Priapism (Ex:“I have a higher number of morning erections after the injury.”)
        - Because as sleep progresses, REM sleep periods become more frequent. Therefore, there is a greater hyperactivation of the Parasympathetic Nervous System near the time of waking up.

        5 - Decreased skin sensitivity/pleasure in the penis. Hypoesthesia. Numbness (Ex:"Low sensitivity/numbness. I lost the feeling of pleasure of the outer skin of the shaft. It's like having 50x condoms on. Penis feels almost like rubber, even less sensitive than the skin on the arm. I can't feel the oral sex. I can’t feel if I have erection or not. I have difficulty getting and maintaining erections. I've lost sensitivity. It's supposed to hurt to bend your erect dick, but during my worst long flaccid I could move my erect dick around easily with no pain. I don't feel when I have erection that my penis is erected.”)

        - This symptom is explained by the decrease in Sensitive (Afferent) nervous stimulus (from the penis to the brain) through the Dorsal Nerve of the Penis (final branch of the Pudendal Nerve).
        - In Hard Flaccid, this symptom is caused by compression of the Pudendal Nerve through the muscular contracture that exists in the pelvic floor.
        - In Long Flaccid, this symptom is caused by nervous dysfunction of the sensitive fibers of the Pudendal Nerve.

        6 - Long/Larger/Overextended Flaccid (Ex:“The penis becomes 3-4 times larger when Flaccid. Thicker and longer. The penis become elongated, bigger, loose, soft, larger, squishy, ​​spongy, dis-attached, hanging. It's easy to push it down while erect (no resistance), easy to bend it down. Penis feels disconnected from the body, too heavy while erect hanging. Like nothing supporting it. Erection angle pointing downwards while erect. The penis become rubbery jellied, floppy like water balloon all the time. Not hard flaccid at all. The normal of my flaccid state was shrinked all the time (Grower), now it's not.”)

        - As explained above, Hard Flaccid (contracture of the penile smooth muscle within the corpora cavernosa) is caused by contraction/pathological contracture/protective contracture of the IC muscle.
        - If the Long Flaccid has the opposite appearance (long and soft), then it is impossible that it is caused by a tense pelvic floor (tense IC muscle). It is just the opposite. There is an excessive relaxation of the IC and BC muscles (due to the decrease in Motor stimulation for these muscles) and, consequently, a hyper-relaxation of the penile smooth muscle, causing the Long Flaccid.

        - The entire (anterior) pelvic floor is hyper-relaxed. Because it is the pudendal nerve that carries the Motor (Efferent) stimulus to all muscles.
        - In addition, the hyper-relaxation of these muscles also causes a lack of support and stabilization of the erect penis.
        - Erections seem disconnected from the base of the penis because the IC muscle has lost its ability to contract. It has NO muscle tone.

        7 - Delayed ejaculation. Difficulty in ejaculation/orgasm (Ex: “Achieving an orgasm is possible, but difficult and requires abnormally heavy stimulation.”)
        - Symptom explained not only by decreased skin sensitivity, but also by the hypofunction of Sympathetic fibers (ejaculation) through the Pudendal Nerve. If Sympathetic nerve stimulation is decreased, it will take longer to ejaculate.

        8 - Erection does not go down after ejaculation (Ex:“My erections take much longer to subside and go back to the flaccid state. My penis stays semi erect for a long time before going back flaccid. One of my issues is no refractory period. It doesn't go down after ejaculation like it used to always go down afterwards. Eventually, it does, but it's like I can ejaculate over and over again without losing erection. Penis would not go down after ejaculation: I did go through a period where after having an erection and ejaculating, my penis would get EXTREMELY hard that it was painful. It took hours for it to go down.”)

        - Because it is the Sympathetic, post-orgasmic, stimulation that will compress the penile smooth muscle, causing the penis to become flaccid. If there is NO Sympathetic nerve stimulation, the penis remains erect for longer than usual. Just like what happens during sleep.

        9 - Urinary problems. Urinary retention. Weak urine stream (Ex:“My urine stream is weak. I can't push urine out like before. Peeing also became very weird. My pee stream is weak and sometimes shoots in different directions. I can't empty the bladder and can't squeeze or push all urine out.”)

        - A little more theory: Our bladder is innervated by the Sympathetic and Parasympathetic Nervous System. Which does NOT occur through the Pudendal Nerve. The Sympathetic system dilates the smooth muscle of the bladder wall (for it to fill), promoting urinary retention. The Parasympathetic system contracts the smooth muscle of the bladder wall (for it to empty), promoting urination. So the Parasympathetic is activated when we urinate. And these systems are involuntary. We cannot control them with our will.

        - However, the External Sphincter muscle of the urethra (at the exit of the bladder) and the BC muscle are muscles that we can control. Which we can open and close in order to increase or decrease the flow of urine. And our ability to control them comes from their Motor (Efferent) innervation. Which is carried through the Pudendal Nerve.
        - Therefore, if the Motor stimulus for the External Sphincter muscle of the Urethra and for the BC muscle is decreased, we are unable to make the urinary stream stronger.

        10 - Absent Bladder Sensation (Ex:“Now I can hold it even 3-4 hours without urgent feeling. I cannot feel my bladder getting full like I used to and when emptying my bladder I can't control the stream. When I try to stop it, I feel that the muscles are very weak and when I push, the urine stream doesn’t get stronger which is definitely not normal to me.”)
        - Because the Sensitive (Afferent) stimulus (between the bladder and the brain), is also decreased. What nerve carries this Sensitive message? The Pudendal Nerve.

        - The Pudendal Nerve carries pressure sensitive information (pressure created by the weight of urine) in the External Sphincter Muscle of the Urethra. The weight of the urine creates pressure on this muscle, which is then sent to the brain (by the Pudendal Nerve) and which tells us that the bladder is full.
        - Why DON'T patients have urinary incontinence? Because (1) Sympathetic and Parasympathetic stimulation for the entire bladder, Internal Urethral Sphincter and External Urethral Sphincter does NOT depend on the Pudendal Nerve. And because (2) the External Sphincter of the Urethra is also composed of many muscle fibers of the Levator Ani Muscle, whose innervation also does NOT depend on the Pudendal Nerve (but rather on the Levator Ani Nerve).

        11 - Weak ejaculation (Ex: “Ejaculation does not shoot. Ejaculation dribble.”)
        - This symptom is explained by the decrease in the Motor (Efferent) stimulus for the BC muscle, NOT allowing greater jet propulsion. (Less Kegel contraction capacity)

        - In addition, during orgasm, Motor nerve stimulation to the External Sphincter muscle of the Urethra closes this sphincter. It is an automatic reflex that prevents Retrograde Ejaculation (to the bladder). If there is NO motor stimulus, the percentage of retrograde ejaculation increases. So, probably, part of your sperm is traveling to the bladder.

        12 - Loss of the Bulbocavernosus Reflex
        - If there is NO Sensitive stimulus (Afferent) or Motor stimulus (Efferent), there will be NO Bulbocavernosus Reflex.

        13 - Most prominent penis veins
        - Due to circulatory dysfunction, caused by muscle and nervous dysfunction.

        14 - Low Libido
        - Lack of daily contractions and pleasurable sensations on the pelvic floor and penis.
        - Anxiety/stress due to the disease (Long Flaccid).

        15 - The penis does not shrink with stress, nor with cold
        - Anxiety, stress and cold (Sympathetic nerve stimulation) shrink everyone's penis. Why doesn't Long Flaccid get back to normal with stress, anxiety or cold? Because the Sympathetic nervous stimulus is NOT reaching the penis.

        16 - Pain in the pelvic floor
        - It's a rare symptom.
        - Most likely these patients have some degree of Pudendal Neuralgia/Pudendal Nerve Entrapment/Alcock Canal Syndrome.

        17 - Tingling, vibration, tremors, itching, sensation of electric shock or needles on the pelvic floor and at the base of the penis
        - Typical symptoms of nerve dysfunction.

        18 - Sudden onset of the disease ("overnight") and with little or no improvement over months or years
        - Typical temporal evolution of nerve injuries.
        - The nerves take months/years to heal.


        Causes of Long Flaccid:
        - Aggressive masturbation - nerve stretching
        - Prone Masturbation - nerve stretching
        - Extreme penile stretches - nerve stretching
        - Erect/Extreme Jelqing - nerve stretching
        - Penis pumps with high pressure - nerve stretching
        - After taking the antibiotic Ciprofloxacin (WorkToResolve) - Fluoroquinolone-induced Pudendal Neuropathy
        - Overtraining Reverse Kegels, in and out of sex (Jay1983) - Hi Jay! Are you sure you don't remember any traumatic event that could cause nerve stretching?... I think Reverse Kegels are not intense enough to cause Neurapraxia...
        - After taking the drug Finasteride (nasa01) - Finasteride-induced Pudendal Neuropathy (Post-Finasteride Syndrome)


        Diagnostic Tests:
        - Electromyography. (Which I would like all of you to do and report the result.)


        Treatment of Long Flaccid:
        - Extraordinary healthy eating - lots of proteins, fruits and vegetables.
        - Important supplements: B Complex vitamins, Alpha Lipioc Acid (ALA), Benfothiamine and Acetyl-L-Carnitine (ALC)
        - Other supplements: Ginkgo Biloba, Ginseng, L-Arginine, Fish Oils, BioPQQ, Vitamins C, D and E, Zinc, Lion’s Mane Mushroom, Curcumin, N-acetylcysteine (NAC)
        - Have a healthy body weight (BMI between 19 and 25)
        - Sleep 8 hours a day.
        - Do not smoke! Do not drink alcohol! - both cause nerve damage
        - KEGELS - Jay1983 was the pioneer of this approach. And I think it makes a lot of sense. Thanks Jay! How do we heal nerve injuries (spine, arms, legs, etc)? How do we sometimes get paraplegics patients (or patients who have had a stroke) to walk again? We offer nerve stimulation. Through physical therapy that tries to move the muscles innervated by that nerve. In this case, being the pelvic floor, what we want is Kegels. Kegels is the contraction of the muscles innervated by the Pudendal Nerve. The best way to rehabilitate a nerve that has been injured is to stimulate it, trying to move the muscles that the nerve innervates. With physical therapy to the legs, in the case of a paraplegic. With physical therapy to the pelvic floor (Kegels and Reverse Kegels) in the case of a Long Flaccid.
        - Reverse Kegels (to balance the effect of Kegels). You can even do them at the same time: K, RK, K, RK, K, RK, K, RK ...
        - Soft massages, all over the pelvic floor: muscles, scrotum, penis, everything. To stimulate each sensitive and motor nervous branch of the pudendal nerve.
        - Transcutaneous electrical nerve stimulation (TENS)
        - Pulsed radiofrequency
        - Thermal therapy, with hot-cold variation. (For example: alternate a hot rice sock with an ice pack). To stimulate the skin sensation.
        - Masturbation. 1 day ON, 1 day OFF. 15 min of Edging, with Ejaculation at the end. - To stimulate all types of sensations of the Pudendal Nerve. VERY, VERY LIGHT! It’s not supposed to worsen the injury, by stretching the nerve further! And you are not supposed to masturbate 10 times a day! Remember that it was extreme masturbation that caused the injury in many of you! And NO PORN! Pornography desensitizes your penis even more.
        - Always place a pillow under your buttocks when sitting. A hard surface impairs healing.
        - Drugs: there are no drugs to accelerate nerve healing... (There is a drug that is having some positive results in recent studies in patients with spinal cord injury. But these are still very preliminary conclusions.)
        - Sports/Physical activity/Physical therapy/Exercise. Which one? It doesn't matter... Jogging, swimming, calisthenics, yoga... Anything you like. Just move. You have nerves to heal. You have to be the healthiest person (physically and mentally) you have ever imagined.

        Warning: If you experience increased pain, intense sensation of electric shock, "needles", or increased numbness, in any of the exercises, it is because you are doing the exercise too intense, which can impair healing. If this happens, you have to decrease the intensity.


        Conclusion:
        - Hard Flaccid is a muscle injury that contracts the pelvic floor. The pathological contracture compresses nerves/arteries and contracts the penile smooth muscle.
        - Long Flaccid is a nerve injury, which relaxes the entire pelvic floor. And causes the dysfunction of everything that is innervated by the Pudendal Nerve.
        Sorry but this is getting out of control now.

        You have earned some respect on here because you are a doctor, but you seriously need to start stating that these are your opinions based on a couple of days of studying, what's more you are writing everything like its factual and there is absolutley no more to it.

        You cannot diagnose people with nerve damage over a forum, and you have absolutley no idea what that does to people mentally on here when they see the words nerve damage, you could push somone into a suicidal state.

        There is some evidence on this forum that people with HF may have committed suicide on a least two ocassions.

        These are your theory's, nothing more and nothing less.

        I personally alternate between hard flaccid and large flaccid and I do not have nerve damage. I have nerve compression cause by tension on the pelvic floor and surrounding muscle muscle groups such as my lower abdominals, my adductors, my hip flexors etc and I also have a twisted pelvis.

        Nerve damage and nerve compression are not the same thing but they can give identical symptoms, what's more people with large flaccid have recovered in the same way as the people with hard flaccid.


        In that long post you wrote me on a seperate thread you actually got alot of medical information wrong but I did not want to correct you on it out of respect for the fact you took so long to write it.


        You are becoming very narcisstic with all this diagnosing over the pegym simply because you are a doctor and I get the impression you tend to believe you are smarter than the rest of us so you cannot be wrong.

        Comment


        • #5
          What?...

          Ok, HFrecovering... I'm not going to answer half of what you said. Because I just don't have the patience, or the time, to respond to disgusting and ungrateful insults. I'm here just to help people. And to thank them because they also helped me in the past.

          In addition, all of this was a complete ingratitude for all the time that I have dedicated to helping people in PEGym... (especially you...)

          Everything I said on PEGym is based on medical studies, medical literature and scientific papers with high scientific evidence.

          Am I stating nerve damage over the Internet?.. Yes, I am.
          Because I just gave you a wall of text that I think is quite impossible to refute. With detailed explanation of ALL symptoms. Where ALL symptoms have been explored, explained and scientifically based, supported and substantiated. All the explanations that any patient can wish for, whatever their disease.

          Originally posted by HFrecovering View Post
          But you seriously need to start stating that these are your opinions based on a couple of days of studying, what's more you are writing everything like its factual and there is absolutley no more to it. These are your theory's, nothing more and nothing less.
          This was supposed to make me laugh, right?... xD Man, you are completely insane...

          Originally posted by HFrecovering View Post
          You cannot diagnose people with nerve damage over a forum, and you have absolutley no idea what that does to people mentally on here when they see the words nerve damage, you could push somone into a suicidal state.
          What do you prefer, HFrecovering?... What does PEGym prefer?... What does everyone prefer?... That I know their diagnosis and lied to them?... Or that I don't give a damn about them, like dozens of "great doctors" did?...

          What a very difficult decision...

          Maybe I also have to start telling people with cancer that they don't have cancer... Yes... maybe that's a good idea... What do you think, HFrecovering?

          Me, what do I think?... I think you're completely ungrateful.

          Originally posted by HFrecovering View Post
          I personally alternate between hard flaccid and large flaccid and I do not have nerve damage. I have nerve compression cause by tension on the pelvic floor and surrounding muscle muscle groups such as my lower abdominals, my adductors, my hip flexors etc and I also have a twisted pelvis.
          No, you don't have Long Flaccid. I read all of your posts, on that thread. Your "Long Flaccid" is not the same Long Flaccid that other members have. Your "Long Flaccid", I had it too, after recovering from my Hard Flaccid. This is not the same disease that they have.

          Originally posted by HFrecovering View Post
          Nerve damage and nerve compression are not the same thing but they can give identical symptoms, what's more people with large flaccid have recovered in the same way as the people with hard flaccid.
          Yes, I know... In case you haven't read my text well, I also mention and explain that. And I don't think is necessary for someone to be very intelligent to understand why they are likely to recover with the same treatment... Especially for someone who is able to claim that a doctor is wrong, without any evidence... HFrecovering, I think you just didn't read the text carefully.... Why don't you do everyone a favor and read it again?... But more slowly...

          Originally posted by HFrecovering View Post
          In that long post you wrote me on a seperate thread you actually got alot of medical information wrong but I did not want to correct you on it out of respect for the fact you took so long to write it.
          You are becoming very narcisstic with all this diagnosing over the pegym simply because you are a doctor and I get the impression you tend to believe you are smarter than the rest of us so you cannot be wrong.
          You and everyone here can say that I am wrong whenever you want. You just have to show me scientific and medical evidence to prove your accusations.
          So... go ahead. I am waiting for the evidence that show where I am wrong.

          P.S: I have tons of it right here, just to show you how right I am...

          Finally, no. I am not narcissistic. If I were a narcissist, you can be absolutely sure that I would not be spending my precious personal time helping people over the Internet. And I have abdicate and given up many moments that make me happy, over the past 3 months, to dedicate time to helping people on this forum.

          You are completely ungrateful.
          Last edited by Romero MD; 10-01-2020, 04:33 PM.
          On PEGym, my thoughts, impressions, ideas, opinions and advice are NOT your definitive diagnosis.
          You should always seek a complete medical examination, medical tests and other opinions, with other qualified health professionals and medical doctors outside the online world.

          Comment


          • #6
            Originally posted by Romero MD View Post
            What?...

            Ok, HFrecovering... I'm not going to answer half of what you said. Because I just don't have the patience, or the time, to respond to disgusting and ungrateful insults. I'm here just to help people. And to thank them because they also helped me in the past.

            In addition, all of this was a complete ingratitude for all the time that I have dedicated to helping people in PEGym... (especially you...)

            Everything I said on PEGym is based on medical studies, medical literature and scientific papers with high scientific evidence.

            Am I diagnosing nerve damage over the Internet?.. Yes, I am.
            Because I just gave you a wall of text that I think is quite impossible to refute. With detailed explanation of ALL symptoms. Where ALL symptoms have been explored, explained and scientifically based, supported and substantiated. All the explanations that any patient can wish for, whatever their disease.



            This was supposed to make me laugh, right?... xD Man, you are completely insane...



            What do you prefer, HFrecovering?... What does PEGym prefer?... What does everyone prefer?... That I know their diagnosis and lied to them?... Or that I don't give a damn about them, like dozens of "great doctors" did?...

            What a very difficult decision...

            Maybe I also have to start telling people with cancer that they don't have cancer... Yes... maybe that's a good idea... What do you think, HFrecovering?

            Me, what do I think?... I think you're completely ungrateful.



            No, you don't have Long Flaccid. I read all of your posts, on that thread. Your "Long Flaccid" is not the same Long Flaccid that other members have. Your "Long Flaccid", I had it too, after recovering from my Hard Flaccid. This is not the same disease that they have.



            Yes, I know... In case you haven't read my text well, I also mention and explain that. And I don't think is necessary for someone to be very intelligent to understand why they are likely to recover with the same treatment... Especially for someone who is able to claim that a doctor is wrong, without any evidence... HFrecovering, I think you just didn't read the text carefully.... Why don't you do everyone a favor and read it again?... But more slowly...



            You and everyone here can say that I am wrong whenever you want. You just have to show me scientific and medical evidence to prove your accusations.
            So... go ahead. I am waiting for the evidence that show where I am wrong.

            P.S: I have tons of it right here, just to show you how right I am...

            Finally, no. I am not narcissistic. If I were a narcissist, you can be absolutely sure that I would not be spending my precious personal time helping people over the Internet. And I have abdicate and given up many moments that make me happy, over the past 3 months, to dedicate time to helping people on this forum.

            You are completely ungrateful.
            No, you CANNOT diagnose people with nerve damage over the Internet, you are not a pelvic floor specialist or even a urologist as far as I know, the absolute fucking horror show you inflict on people mentally when you tell them they have nerve damage should not be underestimated, you do not know if they have nerve damage or not, you have put forward a theory based on a bit of research you have done, that's all.

            This is why I am calling you narcisstic, you are convinced you are right and you are diagnosing people over the Internet, it is fucking dangerous and iresponsible, you are supposed to be a doctor.

            Again you don't know anything about "my long flaccid" because I haven't spoken about it at length, this is the perils of diagnosing highly strung people over the Internet.

            I respect that you are trying to help people but you are doing it with a god complex telling everyone you know what there issue is and you have the answer for them, its just not that simple.

            You need to state that what you are putting forward is a fucking theory based off some research you've done. I will say it again, you cannot diagnose people on the Internet.


            This is all relatively new to you, you are still finding your feet with it, pelvic floor issues are an absolute fucker to deal with and they do not follow rational sane explanations or protocol.

            Comment


            • #7
              Originally posted by HFrecovering View Post
              No, you CANNOT diagnose people with nerve damage over the Internet, you are not a pelvic floor specialist or even a urologist as far as I know,
              And?... During my academic life, I was against my entire medical team, with old doctors and "great doctors", TWICE. I, alone, against 7/8 doctors.
              Guess what. I won both arguments.
              Why? Because I presented more recent, high-quality, scientific evidence, which silenced them all. So who cares if I am a Urologist or not, if I have better knowledge than them and support my arguments better than they do?

              No, I'm not a urologist... But I'm doing a better job than many of the "great urologists" that patients with Long Flaccid saw. Who just tell them that everything is in their heads, and who is not even able to give them a simple treatment protocol (just like I just did). Is that what it's like to be a good doctor?... xD

              Originally posted by HFrecovering View Post
              the absolute fucking horror show you inflict on people mentally when you tell them they have nerve damage should not be underestimated, you do not know if they have nerve damage or not, you have put forward a theory based on a bit of research you have done, that's all.
              Why do you keep saying that it was just a bit of research?... xD As if I'm an electrical engineer or a cook... xD Man, that's just ridiculous. The first time I read the list of symptoms, the first day I opened that thread, my brain immediately screamed "nerve damage". I have been studying the human body for 8 years. Don't be ridiculous... The only ignorant here is you.

              Okay, it's a hard truth, yes...
              But, I ask again: Am I supposed to lie to people who have cancer?...
              Because (although I am not in the hospital observing all these men with Long Flaccid) all these patients have all the symptoms of those who have "cancer" (nerve damage). So, yes, until proven otherwise, I am stating nerve damage through the Internet. And I am doing a much better job than many other doctors.

              If a friend asks me for help, over the phone, saying he has a sudden onset of high fever, sore throat and difficulty swallowing, I need to go see him to diagnose tonsillitis, and tell him to go to the hospital to ask for antibiotics? No, right?
              So if I have a patient whose entire list of symptoms points to nerve damage, why can't I tell him that he most likely has it? Is it preferable for him to live a lifetime without knowing what he has?

              But, ok. Alright...
              Long Flaccid sufferers, I want to ask you: please, to find a way to do an Electromyography to the Pudendal Nerve, and to the Dorsal Nerve of the Penis.
              Then, please, write the results on this thread so that we all can make some conclusions.

              Originally posted by HFrecovering View Post
              This is why I am calling you narcisstic, you are convinced you are right and you are diagnosing people over the Internet,
              Yes, I am convinced that I am right, because I defended all my arguments better than any doctor that these patients saw. So, yes, until the opposite is proven, everything I wrote, defended and justified is correct.

              Originally posted by HFrecovering View Post
              it is fucking dangerous and iresponsible, you are supposed to be a doctor.
              Yes, and I'm doing a fantastic job. Better than any urologist they've seen.

              And you were supposed to be more grateful.

              Originally posted by HFrecovering View Post
              Again you don't know anything about "my long flaccid" because I haven't spoken about it at length, this is the perils of diagnosing highly strung people over the Internet.
              You don't need to explain. Because it's impossible to have both at the same time.

              Originally posted by HFrecovering View Post
              I respect that you are trying to help people but you are doing it with a god complex telling everyone you know what there issue is and you have the answer for them, its just not that simple. You need to state that what you are putting forward is a fucking theory based off some research you've done. I will say it again, you cannot diagnose people on the Internet.
              Funny... I just re-read my Hippocratic Oath. And, to my great surprise, I didn't find that clause there... It doesn't even mention the term "Internet"... That's strange...
              I just read lines about my duty to help my patients, my community, and any human being... And it seems to me that I am doing a much better job than all the "great urologists" they have seen.

              Originally posted by HFrecovering View Post
              This is all relatively new to you, you are still finding your feet with it, pelvic floor issues are an absolute fucker to deal with and they do not follow rational sane explanations or protocol.
              Or:
              - You are simply wrong.
              - This is quite rational, yes.
              - And I already know more about pelvic floor issues than all the urologists in the best hospital in my country.
              (Please, don't mind this part. It's just me being narcissistic.)

              -----------------------------------------------------------------

              Guys, please do an Electromyography of the Pudendal Nerve and the Dorsal Nerve of the Penis.
              We all would really like to know your results.

              Until then, please give an opportunity to the treatment protocol I wrote in the first post.
              - If you really have a nerve injury, it's your best bet.
              - If all I said is bullshit and lies (and you have no nerve damage) the protocol is just natural things and good habits. It won't hurt anyone.
              Last edited by Romero MD; 10-01-2020, 04:36 PM.
              On PEGym, my thoughts, impressions, ideas, opinions and advice are NOT your definitive diagnosis.
              You should always seek a complete medical examination, medical tests and other opinions, with other qualified health professionals and medical doctors outside the online world.

              Comment


              • #8
                Originally posted by Romero MD View Post
                And?... During my academic life, I was against my entire medical team, with old doctors and "great doctors", TWICE. I, alone, against 7/8 doctors.
                Guess what. I won both arguments.
                Why? Because I presented more recent, high-quality, scientific evidence, which silenced them all. So who cares if I am a Urologist or not, if I have better knowledge than them and support my arguments better than they do?

                No, I'm not a urologist... But I'm doing a better job than many of the "great urologists" that patients with Long Flaccid saw. Who just tell them that everything is in their heads, and who is not even able to give them a simple treatment protocol (just like I just did). Is that what it's like to be a good doctor?... xD



                Why do you keep saying that it was just a bit of research?... xD As if I'm an electrical engineer or a cook... xD Man, that's just ridiculous. The first time I read the list of symptoms, the first day I opened that thread, my brain immediately screamed "nerve damage". I have been studying the human body for 8 years. Don't be ridiculous... The only ignorant here is you.

                Okay, it's a hard truth, yes...
                But, I ask again: Am I supposed to lie to people who have cancer?...
                Because (although I am not in the hospital observing all these men with Long Flaccid) all these patients have all the symptoms of those who have "cancer" (nerve damage). So, yes, until proven otherwise, I am diagnosing nerve damage through the Internet. And I am doing a much better job than many other doctors.

                If a friend asks me for help, over the phone, saying he has a sudden onset of high fever, sore throat and difficulty swallowing, I need to go see him to diagnose tonsillitis, and tell him to go to the hospital to ask for antibiotics? No, right?
                So if I have a patient whose entire list of symptoms points to nerve damage, why can't I tell him that he most likely has it? Is it preferable for him to live a lifetime without knowing what he has?

                But, ok. Alright...
                Long Flaccid sufferers, I want to ask you: please, to find a way to do an Electromyography to the Pudendal Nerve, and to the Dorsal Nerve of the Penis.
                Then, please, write the results on this thread so that we all can make some conclusions.



                Yes, I am convinced that I am right, because I defended all my arguments better than any doctor that these patients saw. So, yes, until the opposite is proven, everything I wrote, defended and justified is correct.



                Yes, and I'm doing a fantastic job. Better than any urologist they've seen.

                And you were supposed to be more grateful.



                You don't need to explain. Because it's impossible to have both at the same time.



                Funny... I just re-read my Hippocratic Oath. And, to my great surprise, I didn't find that clause there... It doesn't even mention the term "Internet"... That's strange...
                I just read lines about my duty to help my patients, my community, and any human being... And it seems to me that I am doing a much better job than all the "great urologists" they have seen.



                Or:
                - You are simply wrong.
                - This is quite rational, yes.
                - And I already know more about pelvic floor issues than all the urologists in the best hospital in my country.
                (Please, don't mind this part. It's just me being narcissistic.)

                -----------------------------------------------------------------

                Guys, please do an Electromyography of the Pudendal Nerve and the Dorsal Nerve of the Penis.
                We all would really like to know your results.

                Until then, please give an opportunity to the treatment protocol I wrote in the first post.
                - If you really have a nerve injury, it's your best bet.
                - If all I said is bullshit and lies (and you have no nerve damage) the protocol is just natural things and good habits. It won't hurt anyone.
                I'll just keep saying it, you cannot diagnose people over the Internet, you are putting forward a theory, you are not the saviour on the pegym that everyone has been waiting for. You have this attitude that you are putting ground breaking information forward and we should all be so greatful, nothing you are putting forward or recommending is new, go through "the official hard flaccid recovery thread" its hundreds of pages long and went on for years with many "experts", everything you are saying has been put forward before and discussed at length for years.

                You have a narcisstic attitude that you are right just like every other fucking doctor we have had the misery of dealing with over the years, it seems to be a personality trait within your profession.

                I dont care if you put forward theory's or try and help people, I welcome it but you CANNOT diagnose people over the Internet based on some research you have done and tell people that you 100% know what there issue is such as diagnosing somone with nerve damage over the Internet.


                You seem to think I should be so fucking greatful with what you are providing us, again this falls under what I said earlier about you being relatively new here and finding your feet as what you are saying has been spoken about at length over the space of 10 years. What's more, when you got so much basic medical information wrong when writing that long post in another thread it doesn't exactly inspire confidence.

                All your treatment protocols have been tried at length for years by hundreds of people because guess what? Nothing you are recommending is new.


                You are a guy putting forward a theory on the Internet for discussion and criticism, you are not a doctor seeing a patient face to face and you Cannot diagnose people over the Internet with nerve damage.

                Comment


                • #9
                  Full Moon: Oct 1

                  Retract fangs, avoid Cloves of Garlic, Howl at your own peril, and.....be nice.
                  Valued Member of 11 years at the PEGym
                  Looks are deceiving, mirrors don't lie.

                  Comment


                  • #10
                    Hahaha I have to admit. This post was funny...

                    Originally posted by HFrecovering View Post
                    go through "the official hard flaccid recovery thread" its hundreds of pages long and went on for years with many "experts", everything you are saying has been put forward before and discussed at length for years.
                    Yes, yes. I've already read all the comments (from the people that I know who have knowledge and wisdom about Hard Flaccid), on that thread.
                    I already read 95% of all threads on PEGym (and on the site that is similar to PEGym) about Hard Flaccid. In case you don't remember, I'm not just a doctor, I am a patient too. I NEEDED to know EVERYTHING. And after 3 months, I am 99% cured. Unlike you, who have been in this for 13 years. After 3 months, not only I am 99% cured of Hard Flaccid, but my sex life is better than when I was 20 years old. I'm having the erections and stamina that I never had. HFrecovering, the only ignorant here is you.

                    Did you read the first warning I put on this thread?... It is exactly the second line. I put it right at the beginning, for some reason. To be read before everything else. Go read again. This thread is NOT about Hard Flaccid.

                    Originally posted by HFrecovering View Post
                    What's more, when you got so much basic medical information wrong when writing that long post in another thread it doesn't exactly inspire confidence.
                    I'm still waiting for your explanation and counter-argument, HFrecovering... I know how much people love to prove that doctors are wrong... So, come on. Prove it. Give me your best. I think we all will enjoy reading it

                    Originally posted by HFrecovering View Post
                    You have a narcisstic attitude that you are right just like every other fucking doctor we have had the misery of dealing with over the years, it seems to be a personality trait within your profession.
                    Omfg...

                    You really spit on the plate where you ate...

                    And I think that puts an end to our discussion
                    Last edited by Romero MD; 10-01-2020, 04:37 PM.
                    On PEGym, my thoughts, impressions, ideas, opinions and advice are NOT your definitive diagnosis.
                    You should always seek a complete medical examination, medical tests and other opinions, with other qualified health professionals and medical doctors outside the online world.

                    Comment


                    • #11
                      Originally posted by Dangler View Post
                      Full Moon: Oct 1

                      Retract fangs, avoid Cloves of Garlic, Howl at your own peril, and.....be nice.
                      I apologize, Dangler
                      Last edited by Romero MD; 10-01-2020, 04:39 PM.
                      On PEGym, my thoughts, impressions, ideas, opinions and advice are NOT your definitive diagnosis.
                      You should always seek a complete medical examination, medical tests and other opinions, with other qualified health professionals and medical doctors outside the online world.

                      Comment


                      • #12
                        Aw gosh amigo, we're good.
                        Valued Member of 11 years at the PEGym
                        Looks are deceiving, mirrors don't lie.

                        Comment


                        • #13
                          Originally posted by Romero MD View Post
                          Hahaha I have to admit. This post was funny...



                          Yes, yes. I've already read all the comments (from the people that I know who have knowledge and wisdom about Hard Flaccid), on that thread.
                          I already read 95% of all threads on PEGym (and on the site that is similar to PEGym) about Hard Flaccid... In case you don't remember, I'm not just a doctor, I am a patient too. I NEEDED to know EVERYTHING. And after 3 months, I am 99% cured. Unlike you, who have been in this for 13 years. After 3 months, not only I am 99% cured of Hard Flaccid, but my sex life is better than when I was 20 years old. I'm having the erections and stamina that I never had. HFrecovering, the only ignorant here is you.

                          Did you read the first warning I put on this thread?... It is exactly the second line. I put it right at the beginning, for some reason. To be read before everything else. Go read again. This thread is NOT about Hard Flaccid.



                          I'm still waiting for your explanation and counter-argument, HFrecovering... I know how much people love to prove that doctors are wrong... So, come on. Prove it. Give me your best. I think we all will enjoy reading it



                          Omfg...

                          You really spit on the plate where you ate...

                          And I think that puts an end to our discussion
                          I genuinley do not have the energy to give you a counter argument and do a full on battle of words and ideas on the pegym because all it does is feed your narcissism and give you virtuous dopamine hits, i wont change your mind and you won't change my mind, so why bother?

                          You are still missing my point, I do not care if you put an idea forward, I welcome it, you can never know too much and everything can always be argued or disputed. But YOU as somone claiming to be a doctor are telling people that YOU have discovered a missing link which is unquestionably right and are diagnosing people with nerve damage over an Internet forum. It's fucking negligent but most western doctors are negligent so it really doesn't surprise me.


                          What I don't like is that you are claiming to be this wise doctor with a saviour complex talking down to people with a narcisstic attitude by recycling ideas that were first being discussed 10 years ago as if everyone on here with HF and LF is so fucking idiotic that they wouldn't possibly know any of this information without you but in reality you are recycling the same old information and protocols going back years. You have Brought nothing new to the table but you are acting like a knowledgeable guru to people on here.

                          And i highly doubt you have rid yourself of HF. You are likely going through the delusion period, its a common phenomenon on here where people with HF convince themselves it's going away, it's happened hundreds of times over the years on this forum and others, if you have got rid of it I am genuinley happy for you and I mean that but I somehow doubt it. 99% is not 100% and i would bet you're actually pretty much where you were at before (genuinley hope you are better though despite my intense dislike of narcsissitc doctors)

                          And ill say it again, in that customised post you wrote me you got several basic medical informations completely wrong, it does not inspire confidence.

                          Comment


                          • #14
                            Originally posted by HFrecovering View Post
                            I genuinley do not have the energy to give you a counter argument and do a full on battle of words and ideas on the pegym because all it does is feed your narcissism and give you virtuous dopamine hits, i wont change your mind and you won't change my mind, so why bother?

                            You are still missing my point, I do not care if you put an idea forward, I welcome it, you can never know too much and everything can always be argued or disputed. But YOU as somone claiming to be a doctor are telling people that YOU have discovered a missing link which is unquestionably right and are diagnosing people with nerve damage over an Internet forum. It's fucking negligent but most western doctors are negligent so it really doesn't surprise me.

                            What I don't like is that you are claiming to be this wise doctor with a saviour complex talking down to people with a narcisstic attitude by recycling ideas that were first being discussed 10 years ago as if everyone on here with HF and LF is so fucking idiotic that they wouldn't possibly know any of this information without you but in reality you are recycling the same old information and protocols going back years. You have Brought nothing new to the table but you are acting like a knowledgeable guru to people on here.

                            And i highly doubt you have rid yourself of HF. You are likely going through the delusion period, its a common phenomenon on here where people with HF convince themselves it's going away, it's happened hundreds of times over the years on this forum and others, if you have got rid of it I am genuinley happy for you and I mean that but I somehow doubt it. 99% is not 100% and i would bet you're actually pretty much where you were at before (genuinley hope you are better though despite my intense dislike of narcsissitc doctors)

                            And ill say it again, in that customised post you wrote me you got several basic medical informations completely wrong, it does not inspire confidence.

                            Hahahahahahahahahah

                            Well, it's your opinion... My Ego doesn't give a damn.

                            End of discussion
                            Last edited by Romero MD; 10-01-2020, 04:40 PM.
                            On PEGym, my thoughts, impressions, ideas, opinions and advice are NOT your definitive diagnosis.
                            You should always seek a complete medical examination, medical tests and other opinions, with other qualified health professionals and medical doctors outside the online world.

                            Comment


                            • #15
                              So what did we all have for lunch today? Maybe someone's lunch didn't agree with him? Oh me; what did I have? Actually only coffee;working today and it's too busy to sit on my ass and eat something but I can always squeeze a few minutes for you guys.
                              The world's still a toy if you just stay a boy!

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