A Doctor with Hard Flaccid - Updates and Advice

[Romero MD]

Do you believe his theory that a lot of HF people with varicocele completely reverse it when they start to reverse their HF?

First question: Do you really have a true varicocele, Mi3an?... Was it diagnosed by an Urologist?

Second question: If yes, did you already have that varicocele before you got Hard Flaccid? Or did it only appeared after/during you got Hard Flaccid?

Now, rephrasing your question:
Do I believe that a true varicocele, which appeared after you got Hard Flaccid, can be completely reversed after reversing Hard Flaccid? Yes, I believe that.
But I have no scientific paper to prove it to you... Just some testimonials from the patient stories I read.

 

[Mi3an]

First question: Do you really have a true varicocele, Mi3an?... Was it diagnosed by an Urologist?

Second question: If yes, did you already have that varicocele before you got Hard Flaccid? Or did it only appeared after/during you got Hard Flaccid?

Now, rephrasing your question:
Do I believe that a true varicocele, which appeared after you got Hard Flaccid, can be completely reversed after reversing Hard Flaccid? Yes, I believe that.
But I have no scientific paper to prove it to you... Just some testimonials from the patient stories I read.

After 2 weeks of HF a urologist had a brief look at my testicles and said I don’t have varicocele. However it appears my left testicle might be smaller than it used to be now and the veins only become engorged after vigorous sex.

I definitely had this after hard flaccid. I’ve never had any problems before HF.

Are there any other people apart from obitoo that reversed it? Is this an outcome of pelvic dysfunction affecting blood flow? Why do you think some of us get it and some of us don’t, does it have to do with the the left IC muscle or left side of the pelvic region?

 

[Romero MD]

After 2 weeks of HF a urologist had a brief look at my testicles and said I don’t have varicocele. However it appears my left testicle might be smaller than it used to be now and the veins only become engorged after vigorous sex.
I definitely had this after hard flaccid. I’ve never had any problems before HF.

If you do not trust the opinion of the first Urologist, make an appointment for another, for a second opinion.
But I think you should be more relaxed, considering what the first one told you.

Are there any other people apart from obitoo that reversed it?

During these months, I read at least 2 or 3 more cases of people who reversed varicoceles after reversing Hard Flaccid.

Is this an outcome of pelvic dysfunction affecting blood flow?

It may be or may not be. The veins that drain the testicle and cause varicocele are in the spermatic cord. They are not on the pelvic floor. But it is possible that all the muscular tension of all the surrounding muscles contributes to a decrease in the effectiveness of venous drainage.

In addition, the testicular venous plexus (pampiniform plexus) may be slightly enlarged just to facilitate heat exchange with the outside. That is, the arteries and veins dilate to release heat more effectively. And as you know, in Hard Flaccid, there is a greater production of heat.

Why do you think some of us get it and some of us don’t, does it have to do with the the left IC muscle or left side of the pelvic region?

Why there are patients with Hard Flaccid who have a lot of pain in the pelvic floor, but there are many who have no pain at all?
We are all anatomically and physiologically slightly different. In addition, the injuries are not all the same. Specific muscle injury sites may be different. If the muscle strain occurs specifically in a place where a nerve passes, that patient is likely to have more pain. The same kind of variations and reasoning apply to all other symptoms. And to all the diseases that exist... We are all slightly different.

That is why medicine is an art. And a science of probabilities...

 

[Millionaire01]

Hey Doc and everyone
First of all I just want to say thank you for posting your advice is really helpful and the way u recovered gives me hope to continue.

I think I've had this hard flaccid since I started masterbating alot which was around age 15 and after masturbating multiple times I would often feel a hard "wire"(hard flaccid) in my penis and it would go away the next day or in two days time and I thought thats what happen when you masterbate alot,I also clenched or kegel to orgasm or to get hard because the orgasm felt better that way and I never had any ED or bad EQ so I just thought this was normal.my penis would also hurt after multiple sex or masturbation but it would go away after a day.

I started PE at the beginning of the year for about 1 month and done the Jpeg newbie routine and after one intense edging my dick looked bigger but when I was done it started to turtle and got hard while flaccid .I was freaked out but not as much because I thought that was normal to until I saw a post of hard flaccid and thats when it hit me that I have had this for long but not as bad as it would go away after a few day when I was younger but now its there most of the time so im not sure whether the edging and kegeling caused it or the jelging.

I started doing stretches but I only find a softer flaccid when hindi squatting and when I reverse kegel it actually tenses my hard flaccid more.I have no pain at all and no urinary frequency.Just HF

Any advice will be appreciated.

 

[Romero MD]

Hey Doc and everyone
First of all I just want to say thank you for posting your advice is really helpful and the way u recovered gives me hope to continue.

Hi Millionaire! Welcome to PEGym
You're welcome. I'm glad

I think I've had this hard flaccid since I started masterbating alot which was around age 15 and after masturbating multiple times I would often feel a hard "wire"(hard flaccid) in my penis and it would go away the next day or in two days time and I thought thats what happen when you masterbate alot,I also clenched or kegel to orgasm or to get hard because the orgasm felt better that way and I never had any ED or bad EQ so I just thought this was normal.my penis would also hurt after multiple sex or masturbation but it would go away after a day.

Ok. Everything typical.

I started PE at the beginning of the year for about 1 month and done the Jpeg newbie routine and after one intense edging my dick looked bigger but when I was done it started to turtle and got hard while flaccid .I was freaked out but not as much because I thought that was normal to until I saw a post of hard flaccid and thats when it hit me that I have had this for long but not as bad as it would go away after a few day when I was younger but now its there most of the time so im not sure whether the edging and kegeling caused it or the jelging.

Most likely, both. You created the time bomb, which exploded while you were making Jelqs.

I started doing stretches but I only find a softer flaccid when hindi squatting and when I reverse kegel it actually tenses my hard flaccid more.I have no pain at all and no urinary frequency.Just HF

Finally, the variation I've been waiting for...

1 - I need you to deepen your description about Reverse Kegels. Did you read the threads about them? Do you know how to do them correctly? If yes, I want you to describe the behavior of your penis, in all the positions in which you do Reverse Kegels. Standing, sitting, lying down, while you're peeing standing, while you're peeing sitting, RKs while you're doing Hindi Squats, RKs while you're doing butterfly stretches, RKs while taking a shower, Rks while you have an erection, Rks while you are doing Trigger Point massages, etc... All of them. Be as descriptive and detailed as possible.

2 - How do you feel while doing Belly Breath Combos? (Reverse Kegels not very intense).

3 - How does the penis behave while you do flaccid Kegels? And erect Kegels? What about other physical activities/sports?

4 - Are those all your symptoms? Do you have decreased sensitivity, erectile dysfunction, premature ejaculation, bumps/ridges? Again, all of them in detail.

5 - Did you implement all the advice from the first post? What other treatments have you tried? How has your evolution been?

I want a wall of text, Millionaire

 

[Millionaire01]

1) The way I do reverse kegels is by exhaling and then doing a light peeing movement during the exhale I've seen this technique on a video on YouTube and on an article about pelvic pain.Yes I read all the threads you posted and more.Im certain im not doing them correctly thats why in using this exhaling technique that kind of helps.In every postion I feel I'm tensing it when I do reverse kegels the proper way which is while inhaling and I only find relieve when doing it with a hindi squat but thats only if I do Belly breath combos with hindi squats.When I pee my flaccid is nice and soft and when I wake up is also nice and soft.When I have an erection and try to make it flaccid with reverse kegels while inhaling it does not work only when I do them while exhaling I can see its going down.Trigger point massages helps temporarily.
2) Doing belly breath combos does help when im laying and being in happy baby and squatting then I can really feel this expansion but I also feel my anus opening like im about to do a bowel movement
3) After finding out I have HF I didnt do kegels while flaccid or erect I avoid them.When doing physical activities it tenses up alot like it turtles and is really hard.I play football and basketball with friends and after we done I feel its tensed up but when I play cricket then its kind of looser maybe because its less intense because you mainly jog instead of running really fast.When its really hot and im wearing warm clothing then it gets better.

4)The only symptoms I have is Premature ejaculation and I get a hourglass shape when I masturbate and ejaculate and that goes away when I abstain like after one day its gone.In my life time I used to get every now and then morning wood but not alot and now I almost never get it but to get a erection is easy when I kiss my girl friend then I get one easily.

5) I've taken your advice with the flexible training ,hindi squats and belly breath combos and there was a time when things were going well my penis was hanging a bit looser and one morning I woke up with a morning wood I couldn't believe and im not sure if I had a erotic dream that might have cause it but I was really happy and after that it was me and my girl friend anniversary so we had sex like 3 times and then it was back to hard flaccid.
Does drinking alcohol and smoking bubbly pipe make things worst?

 

[Romero MD]

I apologize for the delay in replying, Millionaire. OK, let's go.

First, you only have a mild case of Hard flaccid...

I never had any ED or bad EQ

I get a hourglass shape when I masturbate and ejaculate and that goes away when I abstain like after one day

but to get a erection is easy when I kiss my girl friend then I get one easily

I was really happy and after that it was me and my girlfriend anniversary so we had sex like 3 times

These are all great things! I think 90% of Hard Flaccid patients would like to be like you. I even think that some of them would consider themselves cured if they managed to have erections with kisses and make love to their girlfriends 3 times in a row...

1) The way I do reverse kegels is by exhaling and then doing a light peeing movement during the exhale I've seen this technique on a video on YouTube and on an article about pelvic pain.Yes I read all the threads you posted and more.Im certain im not doing them correctly thats why in using this exhaling technique that kind of helps.In every postion I feel I'm tensing it when I do reverse kegels the proper way which is while inhaling and I only find relieve when doing it with a hindi squat but thats only if I do Belly breath combos with hindi squats.When I pee my flaccid is nice and soft and when I wake up is also nice and soft.

I also think that you are not doing them correctly... Because it does not make much sense for you to feel relief when you do them with Hindi Squats or Hindi Squats + Belly Breaths combos, or, especially, when you feel relief when you pee. Do you understand?...
Because the Isolate Reverse Kegel that I do is exactly the same movement that I do when I pee. It's just a little bit more intense.

Continue to bet heavily on Hindi Squats, then. As Burnout explained the other day, it may be that, over time, you relax a little more and it becomes easier to do Isolate Reverse Kegels. The correct way to do them is during inhalation.

When I have an erection and try to make it flaccid with reverse kegels while inhaling it does not work only when I do them while exhaling I can see its going down.Trigger point massages helps temporarily.

Okay. This is very important. And I think, I didn't explain it very well, the other day.

I do Reverse Kegels during an erection:
1 - To avoid involuntary kegels during erection.
2 - To take advantage of the situation (erection), because the IC muscle is stretching during the erection. And Reverse Kegels during erection will make the flexibility training more effective.
3 - And to avoid the Hard Flaccid that happens right after the erection comes down. Due to the elastic movement of the IC muscle, which can cause Hard Flaccid right after the erection comes down.

When I do Reverse Kegels during erections, my penis gets even harder! The erection will take longer to come down. Because you are increasing blood flow through the Bulbocavernosus muscle. My erection gets 11/10 and it takes longer to come down.

I am not a Troublehshooter's case... (Troublehshooter, I apologize buddy, for using your name to characterize the phenomenon... ). I love having long erections, without stimulation, because it is a way of giving physiotherapy and flexibility to the IC muscle. I don't use Reverse Kegels for the erection to come down faster!

2) Doing belly breath combos does help when im laying and being in happy baby and squatting then I can really feel this expansion but I also feel my anus opening like im about to do a bowel movement

You're doing a Reverse Kegel! If you feel your anus opening, that's it, it's a Reverse Kegel.

Go to the bathroom first... I always go xD

3) After finding out I have HF I didnt do kegels while flaccid or erect I avoid them.

Ok, great. I just wanted to know if it was the other way around, and if your Hard Flaccid would relax when you do Kegels... xD Ok, good.

When doing physical activities it tenses up alot like it turtles and is really hard.I play football and basketball with friends and after we done I feel its tensed up but when I play cricket then its kind of looser maybe because its less intense because you mainly jog instead of running really fast.When its really hot and im wearing warm clothing then it gets better.

Ok, everything typical and common.

Moreover, this is quite normal and frequent for any man. You don't need to have Hard Flaccid for your penis to decrease a lot, during intense physical activity (gym, running or other sports). This happens to everyone. Because your blood flows to the muscles you are training.

4)The only symptoms I have is Premature ejaculation and I get a hourglass shape when I masturbate and ejaculate and that goes away when I abstain like after one day its gone.In my life time I used to get every now and then morning wood but not alot and now I almost never get it but to get a erection is easy when I kiss my girl friend then I get one easily.

Regarding premature ejaculation, this indicates tension in the Bulbocavernosus muscle...

Regarding kisses, I already answered you...

5) I've taken your advice with the flexible training ,hindi squats and belly breath combos and there was a time when things were going well my penis was hanging a bit looser and one morning I woke up with a morning wood I couldn't believe and im not sure if I had a erotic dream that might have cause itAnd muscle relaxation went down the drain but I was really happy

Awesome

and after that it was me and my girl friend anniversary so we had sex like 3 times and then it was back to hard flaccid.

And muscle relaxation went down the drain...
It was your birthday, I will not condemn you. I did the same... xD
But perhaps you have abused, a little, a muscle that has not yet fully healed... Overtraining. The orgasmic contractions and Involuntary Kegels have contracted the muscle again.

Does drinking alcohol and smoking bubbly pipe make things worst?

What do you think a doctor will answer you?... xD Obviously.
Alcohol and tobacco are bad for everything. They are the two greatest carcinogens in the world. And they are also two major inflammatory drugs, for any organ of the human body.

Keep going, Millionaire!

 

[CLOS3Dwhatsthestory]

Hi Romero,

I would like to say thanks for all the help you have provided here. I am in a sticky situation where I would really appreciate advice. 5 months ago, I overstretched my penis to the left slightly to gain length with a strap. I did this for 6 days for maybe 30 mins to 1 hour a day and had no pain. Then 2 days later I went for a run and when I came back, I had hourglass and longer penis when urinating. I then had thinner erections and a hinge effect at the base, as well as ridges on the side which was pulled more. I developed lower back pain and urinary dribbling and sitting pain. I went to urologists who said its fine and am seeing a pelvic floor pt now. I saw an improvement with a previous pt doing contractions, but there is still a point at the base which is very sensitive to touch. the pain is referred to the levator ani muscles I think. my bulbospongiosus and isocavernosous still seem inflamed 5 months on. I also sometimes have what seems like hard flaccid and other times long flaccid, and there is a ridge or dent on one side. I can still get normal erections eventually but there is a weakness at the base when semi erect. Please let me know if you have an idea of what the best route would be here. Much appreciated

 

[Millionaire01]

No problem Doc.Your reply is appreciated whether its delayed or not lol.

So do you think I should only do hindi squats or is there anything else you suggest or a routine I should follow and I'll follow the routine down to the core.

And I dont do a reverse kegel when I urinate I just urinate like normal (which technically is a reverse kegel or so I've heard)and then its nice and soft but it's probably the heat of pee that helps like you said doc.

As for the reverse kegels during hindi squats,sometimes my anus expands automatically while being in the hindi postion but doing deep belly breath combos make it expand even more so maybe I've been doing reverse kegels without knowing I've been doing them.

What can I do for the tension in my bublocavernosus muscle?I also thought I might have more tension there but I couldn't find any stretches other then the hindi squat for it.

As for the Alcohol and smoking only happens at special occasions its not regular thing.
Thanks in advance.

 

[troublehshooter]

1) The way I do reverse kegels is by exhaling and then doing a light peeing movement during the exhale I've seen this technique on a video on YouTube and on an article about pelvic pain.

So, maybe *I'm* doing things wrong but this is the opposite of the practice I have been doing after reading Romero's advice in this thread. When I RK, I use my breathing to assist the stretch, meaning I'm inhaling deeply all the way through my belly and down to the pelvic floor until it naturally expands, and then I add the RK to expand it further. It seems to work very well for me.

When I do Reverse Kegels during erections, my penis gets even harder! The erection will take longer to come down. Because you are increasing blood flow through the Bulbocavernosus muscle. My erection gets 11/10 and it takes longer to come down.

I am not a Troublehshooter's case... (Troublehshooter, I apologize buddy, for using your name to characterize the phenomenon... ). I love having long erections, without stimulation, because it is a way of giving physiotherapy and flexibility to the IC muscle. I don't use Reverse Kegels for the erection to come down faster!

You can reference my case all you'd like! I'm here to learn and help, not to prove a point. In my opinion, the only thing that was unique about my case is how it started. I think I had a more significant injury than most such that an erection was all it took to disrupt healing. But the way it is today, and the way it has been for months, the primary thing that causes me pain is excessive kegeling. Erections by themself don't bother me anymore and haven't for a long time. RK's also make my erections harder the way you describe.

To give a quick update on my case I decided to start a 90 day fast based on Romero's advice. And by that I mean a full dopamine fast, not food. No porn, no dating, no alcohol, eating clean, very little unhealthy "soul" food, and have also removed myself from social media. (I allow myself to login to complete a specific task and log back off, if needed. But aimless scrolling is not allowed). I am 1 week in and I feel like a different person. I think my HF is improving.

 

[Mike_b]

Hey dr Romero, thanks thanks for all your precious advice, like many I suffer from Ed. As you know, there seems to be a gap between the communication that impedes our process with URos. I like many, want to thank you for being so transparently dilligeant. Jesus is the best physician, but there are many that have been blessed with healing power, and you sir are one of them!

My background, as I already mentioned, I had holes like polka dots in my penile sheath. I take 5 MG's of Cialis daily. Lately I have been getting erections and I have been keeping my hands off my penis. My biggest problem is whether I'm applying too much pressure on it in showers or drying. Also I am rattled when I walk every day. It's like a endless battle of what is to be with my penis:

Is it cured, will it sustain, is it gonna break? These are questions I ask myself. Today I accomplished a lot. But I felt a relapse in the penile pain after getting off the phone then making my way up to my bedroom. What happened is that I was feeling pain so I layed down before it could get any worse. I felt it regenerate

My question is: will the tunica albuginea heal to a finite limit or else could there be a wound too big to close? (That's my question, ) because am I going around in circles healing and tearing back in forth or is each day bringing forth more hope than the last? (Meaning is it all just a part of the healing phase until it's permanent?)

Someone once told me irresponsibly that 90% of my symptoms are psychosomatic. But that's not the case. It is 100% physical and then maybe 90% mental. The thing is, I have a weak area of my body where the tunica is healing . Couple that with thinking about it all the time puts stress in it leading to it the penis bearing the grunt of damage from over exerting it.

I mean that would be nice if my dick healed naturally but I have been dealing with this for 15 years. Haven't been able to mount together a good two weeks in a row. Meaning I just usually lye in bed waiting it out while the perforations heal themselves. But then comes the next day with relapse... Or is it progress?...that is the question.

 

[Millionaire01]

I also noticed I have a slight pain just above my penis and to the left and right of my penis like by my groin.Any one might know what that might be maybe a IC injury?

 

[Romero MD]

Hi Romero,

I would like to say thanks for all the help you have provided here. I am in a sticky situation where I would really appreciate advice. 5 months ago, I overstretched my penis to the left slightly to gain length with a strap. I did this for 6 days for maybe 30 mins to 1 hour a day and had no pain. Then 2 days later I went for a run and when I came back, I had hourglass and longer penis when urinating. I then had thinner erections and a hinge effect at the base, as well as ridges on the side which was pulled more. I developed lower back pain and urinary dribbling and sitting pain. I went to urologists who said its fine and am seeing a pelvic floor pt now. I saw an improvement with a previous pt doing contractions, but there is still a point at the base which is very sensitive to touch. the pain is referred to the levator ani muscles I think. my bulbospongiosus and isocavernosous still seem inflamed 5 months on. I also sometimes have what seems like hard flaccid and other times long flaccid, and there is a ridge or dent on one side. I can still get normal erections eventually but there is a weakness at the base when semi erect. Please let me know if you have an idea of what the best route would be here. Much appreciated

Hi whatsthestory!
You are welcome
I apologize for the delay in responding, guys. I have been having some problems in my family and I am busy with work and study... I have been a little tired... Without time to come to PEGym more often.
But, in the meantime, I'm 100% cured of Hard Flaccid I will post about it, after I answer everyone

Alright, whatsthestory. First, a little more about your story:
- Im 25 and tried using a foreskin restoration device by attaching it with a strap to the bottom of my radiator for half an hour a day for a week and it basically ended up pulling on the penis I assume similar to stretching performed in PE.
- It did not hurt when I did it, and I stopped, and had no symptoms for two days but two days later I got hit with a huge surpise - complete flaccid deformity, hourglassing when urinating, thinner and longer flaccid, erectile dynsfuntion wierd shapes, very strange things.
- I shat myself naturally and have been to two uroligists since who say I am fine.
- It has improved to a degree, but there is still a clear injury or weakness at the very base which is sore to touch and means the penis doesnt have its normal strength.
- I have had lower back pain and dribbling and urination issues also so I realised this is likely a pf issue, and i am currently treating it as such. However, I think this injury at the base may be an actual injury, but I dont know how to know. Does anyone have any advice? I dont know how long it could heal or whether it will at all if it is an injury or whether it is purely related to the pf weakness.
- I find it strange that it is still very sensitive to touch and it seems to trigger nerve pain in the pf floor when touched. a pf physio told me two of my pf muscles were 20 percent as strong as they should have been. My erections are fine now but are thinner a bit and have strange shapes and hinging when returning to flaccid.
- I am guessing this is muscular related given it initially came about 2 days after stopping the stretching. I am trying my best to get on with this but urologists dont seem to be much help.
- There was no trauma or cracking and no symptoms until two days after I had stopped. Symptoms first came visible afyer a run and I had hourglass shape when urinating
- My bulboapongiosus muscle was seriously inflamed or sore but seems to be going away now. The perineum area behind the testes or that area
- Yes I am seeing one physio but not an expert in male pf. I am being treated for cpps now basically by doing kegels and also using the innovo shorts. I will be using these for the next 3 months. They seem pretty good for anyone looking to repair the pf but will wait and see. The injury at the base just has not gone away, it's like a tower with a unstable base when flaccid. But when fully erect it is fine. But going from soft to erect it has no strength. I could feel a little nodule there when it initially happened but it is so ssensitive I try not to touch it. Could be due to the pf muscles not supporting the penis properly as it starts to hang as that's where it is.
- Note that once I started the kegels two weeks ago, my back pain went straight away. Urination dribbling and frequency still there and penile symptoms still there but blood flow slightly improved and less tension
- The best way to describe it at its worst is a hinge. So think of when youre semi erect and just had an erection. Then the penis hinges because the muscle is not strong enough to keep the top upright. So it becomes a concave shape basically. There is what seems like a knot at the base which is very sensitive to touch. I had some improvement with regular kegels but relapsed when I trigger point pressed on the knot. I am now going back to relaxation and gentle massage of the bulbo and iso muscles as I think they went into shock which had knock on effects on rest of pf floor over a few months. When I get an erection it is fairly normal looking apart from a ridge on the right and the base is sore if you touched it but not as much as flaccid. Also, the ridge dissapear when reverse kegels/relexation is done. Sometimes the ridge on the right side looks more like a dent in flaccid state but other times it isnt visible. I had some allevation of symtoms and removal of base pain when I did internal trigger point work on the levator anis but stopped doing it as i overdid it and caused a flare up so I will wait until I get a pt to do it maybe.
- I got huge anomalies from overstretching 5 months ago. I tried reverse kegelling but I now realise that the frontal part of my pf was basically dead as my bulbospongiosus went into spasm. Everywhere online it says focus on the back passage with reverse kegels, but if you have an issue it is likely the front which is in spasm or tight. When I focused on releasing the front it removed 80 perectn of issues in 1 week. I basically simulated urinating while doing a belly breath, but I don't think you should strain. So it's a subtle movement. If you have issues it may not be that smooth at the beginning. The feeling is a release of tension. It should be relaxing.

Ok. All of your symptoms point to a strain of the right IC muscle, with a post-injury contracture of the entire pelvic floor.
However, I think it is also possible that you did a slight sprain of the right part of the Suspensory Ligament of the Penis. Not a complete rupture of the ligament. Just a little sprain. Because your complaints of pain and instability are a little more intense than the normal complaints of typical Hard Flaccid cases.

And I think your explanation for your own symptoms is also correct. And the way you are healing it and improving quickly, also supports the diagnosis.
The pain radiated to the Levator Ani muscle is due to the nerve compression of the pudendal nerve, created by the injured right Ischiocavernous muscle.

My advice to you is to keep doing what you've been doing. If you felt improvements in 1 week (as you said on another thread), that’s great! And apply the rest of the advice from my first post on this thread. I updated the treatment list a few days ago

REST. A lot. You have to try to stop masturbation and sex, for the tissues to heal. In addition, if you really have a small ligament sprain, rest is very important. Ligaments take longer to heal than muscles. Rest, rest, rest. And apply all the advice from the first post.
I wish you a continuation of a quick recovery, whatsthestory

Again, sorry for the delay... I will answer everyone, but it will take a while.

 

[Romero MD]

No problem Doc.Your reply is appreciated whether its delayed or not lol.

I'm glad. Thank you, Millionaire

So do you think I should only do hindi squats or is there anything else you suggest or a routine I should follow and I'll follow the routine down to the core.

Do what you've been doing. If you are improving only with Hindi Squats and Belly Breath Combos, bet on those two, until you can do Reverse Kegels correctly. And then try to do them isolated. However, I advise you to stop doing Reverse Kegels in an incorrect way. Do not perpetuate mistakes. Continue to train and try to do them the right way. If you can't do them today, you'll be able to do them tomorrow. Keep trying. While you still can't, just do Hindi Squats and Belly Breaths Combos, throughout the day, whenever you have time and opportunity. And don't forget everything else that is written in the first post. As I said, I did a little update.

And I dont do a reverse kegel when I urinate I just urinate like normal (which technically is a reverse kegel or so I've heard)and then its nice and soft but it's probably the heat of pee that helps like you said doc.

Hahaha. Someone has been reading my thread carefully... Ok, yes, I also think that the heat of pee contributes to the immediate relief that everyone feels while peeing. I think it's 50% Reverse Kegel and 50% heat

As for the reverse kegels during hindi squats,sometimes my anus expands automatically while being in the hindi postion but doing deep belly breath combos make it expand even more so maybe I've been doing reverse kegels without knowing I've been doing them.

Good! Exactly! Perfect! Now, you just need to train that movement independently. Without doing Hindi Squats or Belly Breath Combos. However, when you learn to do them isolated, be sure to do them in combination with Hindi Squats and Belly Breaths as well. I really like to combine the 3 movements.

What can I do for the tension in my bublocavernosus muscle?I also thought I might have more tension there but I couldn't find any stretches other then the hindi squat for it.

The stretch for the BC muscle is exactly the same. When you do a Front Reverse Kegel or Hindi Squats, you are simultaneously stretching the IC and BC muscle.

As for the Alcohol and smoking only happens at special occasions its not regular thing.
Thanks in advance.

Great :thumb:
You're welcome, Millionaire

I also noticed I have a slight pain just above my penis and to the left and right of my penis like by my groin.Any one might know what that might be maybe a IC injury?

Yes, exactly. It's the most likely. That is the location of the IC muscle. I also had that kind of pain on my left side.

 

[Romero MD]

So, maybe *I'm* doing things wrong but this is the opposite of the practice I have been doing after reading Romero's advice in this thread. When I RK, I use my breathing to assist the stretch, meaning I'm inhaling deeply all the way through my belly and down to the pelvic floor until it naturally expands, and then I add the RK to expand it further. It seems to work very well for me.

Exactly. That is the perfect description. Thank you Troublehshooter

You can reference my case all you'd like! I'm here to learn and help, not to prove a point. In my opinion, the only thing that was unique about my case is how it started. I think I had a more significant injury than most such that an erection was all it took to disrupt healing. But the way it is today, and the way it has been for months, the primary thing that causes me pain is excessive kegeling. Erections by themself don't bother me anymore and haven't for a long time. RK's also make my erections harder the way you describe.

Thank you
Yes, most likely your injury was a little more serious...
Very good! Fantastic. Good thing your erections don't bother you anymore. I'm happy for you

To give a quick update on my case I decided to start a 90 day fast based on Romero's advice. And by that I mean a full dopamine fast, not food. No porn, no dating, no alcohol, eating clean, very little unhealthy "soul" food, and have also removed myself from social media. (I allow myself to login to complete a specific task and log back off, if needed. But aimless scrolling is not allowed). I am 1 week in and I feel like a different person. I think my HF is improving.

Well, I totally agree with your Dopamine fast :biggrin1: I think that the 3 months of sexual abstinence that I had were completely essential for my recovery. And I think it will be very productive for you to do it too.

However, please do not reduce your social life. People are an essential part of everyone's life. Human contact is very important for our mental health. Obviously, that contact is much better if it takes place in the real world, but chatting with someone is also a good substitute. I think it will be very productive for all patients with Hard Flaccid to avoid any sexual contact for 1-2 months. But, please, do not reduce your social stimulus. Hard Flaccid is already a disease prone to depression and anxiety. Talking, socializing and smiling with others is very very important.

Okay, now an interesting topic...
PEGym, fasting to treat Hard Flaccid is completely unreasonable. Please, don't do that. Our body needs nutrients to heal. A healthy diet is at the top of my treatment list for some reason. It is absolutely essential for the treatment of any injury, infection or disease in our body. Your body needs fuel to heal any type of injury, especially muscle and ligament injuries. Fasting for days is totally unnatural. It's brainless

I know, I know... I also read that one or two members healed their Hard Flaccid with water fasting... I don't care... I'm against that type of procedure. Your body cannot function without healthy food. They were probably cured by some other factor that happened during that fast. Not because of the fast itself. Your body and brain need nutrients. Please, PEGym, don't do that.

 

[Romero MD]

Hey dr Romero, thanks thanks for all your precious advice, like many I suffer from Ed. As you know, there seems to be a gap between the communication that impedes our process with URos. I like many, want to thank you for being so transparently dilligeant. Jesus is the best physician, but there are many that have been blessed with healing power, and you sir are one of them!

Hi Mike! We haven't talked in a while...
You're welcome. Thank you very much for the compliment and kind words. That really means a lot to me

My background, as I already mentioned, I had holes like polka dots in my penile sheath. I take 5 MG's of Cialis daily.

Mike, if you feel comfortable, can you tell us the details of the specific accident that caused these holes in the sheath of your penis? If you're not comfortable, don't tell us!! It was just to try to contextualize your injuries a little... But, if you don't want to tell, that's okay
I didn't know that you take cialis daily... And you're taking the maximum dose, for those who take the medicine daily. Was it your urologist who prescribed it?

Lately I have been getting erections and I have been keeping my hands off my penis. My biggest problem is whether I'm applying too much pressure on it in showers or drying. Also I am rattled when I walk every day. It's like a endless battle of what is to be with my penis:
Is it cured, will it sustain, is it gonna break? These are questions I ask myself.

Ok, great! Having spontaneous erections is always a great sign Perhaps, now, you should consider lowering the dose to 2.5mg, then. If you started to have spontaneous erections again and you are avoiding touching the penis, for it to heal, I think you can talk to your doctor to get Cialis down to 2.5mg. To start weaning from Cialis and not addicting your body to it. So that it doesn't lose its effectiveness in the future.

Today I accomplished a lot. But I felt a relapse in the penile pain after getting off the phone then making my way up to my bedroom. What happened is that I was feeling pain so I layed down before it could get any worse. I felt it regenerate

Can you describe that pain a little more, please? In which specific area did you feel the pain? Didn't anything happen that would trigger the pain? In what past situations did you feel this pain?

My question is: will the tunica albuginea heal to a finite limit or else could there be a wound too big to close? (That's my question, ) because am I going around in circles healing and tearing back in forth or is each day bringing forth more hope than the last? (Meaning is it all just a part of the healing phase until it's permanent?)

As I have said many times, the body has a spectacular healing ability. I remind you of the mythical story of John Bobbitt. Whose wife cut off his penis and threw it into the fields. The police only found the penis hours later, the penis was surgically reattached and John entered two pornographic films 3 years later!! :biggrin1:
So, the human body is a formidable machine. And if you're having spontaneous erections, that's a great sign

I do not know the true severity of the injury you have on your tunica... But we have already discussed that it is possible that you need surgery to help heal. A few months ago, you told me you were going to talk to your urologist again. And try to discuss with him the possibility of having surgery. Did you call him again or did you go for another appointment?

Someone once told me irresponsibly that 90% of my symptoms are psychosomatic. But that's not the case. It is 100% physical and then maybe 90% mental. The thing is, I have a weak area of my body where the tunica is healing . Couple that with thinking about it all the time puts stress in it leading to it the penis bearing the grunt of damage from over exerting it.

Ok... Yes, you told me a few months ago that you had injured your penis during an accident, correct? Therefore your problem is not psychosomatic.

However, I have also said many times, the management of stress and anxiety is very very important. The healthier our heads are, the faster the body will heal. And note that I am not an apologist for alternative medicine and the like... The influence that the brain has on our physical well-being is really great. A healthy mind is very important in the treatment of any disease. Have you talked to your urologist about this? And with your psychiatrist? What did they say?

I mean that would be nice if my dick healed naturally but I have been dealing with this for 15 years. Haven't been able to mount together a good two weeks in a row. Meaning I just usually lye in bed waiting it out while the perforations heal themselves. But then comes the next day with relapse... Or is it progress?...that is the question.

Please explain this relapse to me. What happens during this relapse? Is it just pain or do other symptoms happen?
I can't be sure, Mike... I never really saw your penis. I've never seen an ultrasound or MRI of your penis. Have you ever had an image exam on your penis? If you already did, do you have the results of the exam on paper? Can you copy the report here or send it to me by private message?

 

[Mike_b]

U know what Dr Romero, this is gonna sound good but the problem eradicated itself. They told me at first it would take 2 weeks to heal. Then someone told me it would take 3 months to heal. Then a nurse said to me "if you keep reunjuring it it will take longer to heal." Well unfortunately for me it took about 15 and a half years. I can say this with confidence, I kept chipping at it until November 16th. I'm surprising myself, the boners are coming up like they used to. Idk a miracle maybe? The only problem I have now is that I can't take my hands off it because it's working so well I mean it. As of tomorrow I am gonna try cutting out the pharmaceutical s ie Cialis because I don't want to be addicted for 1 other day!

That is half the battle getting off the meds. I know there will be some psychosomatic pain because I just scarred up some thick wounds down there, but I feel 100% and I'm not just saying that. I believe you about that hobbit story. As a matter of fact I feel 110%; I will never doubt the healing powers of the body after this cause like I said I have no symptoms.

The trick now is to get my mind to believe that the pain is just substantial not permanent anymore. Believe me, I think I've kicked this! I have no doubt in my mind that I will return back to a regular sex life. All I have to do is lose some weight and I've got some extra tictacs (Cialis) to take recreationally when I bone! Lol.

Right now my biggest problem other than the world's sad state of covid, is that I have restrictions in my behaviour. These things will get better over time. So yes I am proof that tunicas heal. What I don't do is weights and cardio. I still go for my walks at the park because there is not that much wear and tear, walking outside whereas weights and treadmill is a little bit hard on the body. Like I said I will stop the pharmaceutical dependence part. Once I start trusting in my bodies strength I will start doing the weights and cardio again.

Man I really find it odd we both had similiar journeys with hf, but you have been the wise old ear of the forum. If I ever hear the word Romero in the future it will remind me of a great guy! Anyway there maybe some ups and downs along the way but I feel like I'm part of the human fraternity again, not lower than. The dick is even solid too. I've been waking up with boners laying on my stomach for crying out loud. I really really prayed for this. I told the Lord be a visible help in times of trouble, I already told you about the rest! It's history, but you my friend are just getting started. All that karma you gave to us is gonna come back around and delight you in your medical practice as you will save more lives! I pray that you and your family are safe and that you get thru the covid 19, as well as all the other brothers on this forum. You're a homey to the heart!

Ps I heard of some random rockstar who bragged about fracturing his dick and healing it twice! I imagine he knows alot about the tunica too. I'm just getting started at 37, but it's never been too late. All that matters is the prèsent an eternal now: once again thank you and if I don't complain again don't take it personal lol.

 

[Mike_b]

You know what I'm keeping all guns blazing here: were just all human beings, we just don't know where to go. We learn these things in time: meds that work, stuff that doesn't work, etc.

I'm just trying to further support that I am not faking a recovery. I may say one second that I may stop taking the meds, but then a minute later I may decide to keep taking them. I see my next professional psych doc on the 25th of November. He once told me there's nothing wrong with having good results with medication. Perhaps I can talk to him about chemical dependence/ addiction, what kind of patterns of behaviour are formulating. He will tell me what to do with or without the meds and with or without what urologist, as I do have several. But the prognosis is good.

 

[Romero MD]

Update -18 weeks after injury:

I am completely healed
I no longer have Hard Flaccid, neither lying down, nor sitting, nor standing, nor walking, nor running, nor training bodybuilding.
And my sex life is wonderful again.

Thank you PEGym, and thank you very much to all of you, who accompanied me on this journey, and who contributed to my learning, as a patient, as a doctor and as a person

And, for all those who are still fighting, please don't give up. Because I wholeheartedly wish to see your "100% healed" posts in the very near future






P.S.: The weeks after injury do not correspond to the date of this post, because I am already healed for a few weeks.

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Mike, thanks for the reply. I'll answer you tomorrow

 

[RickBhmcsb]

Congratulations on your success! That's what I love to read on here! Best of luck to you in the future!

Update -18 weeks after injury:

I am completely healed
I no longer have Hard Flaccid, neither lying down, nor sitting, nor standing, nor walking, nor running, nor training bodybuilding.
And my sex life is wonderful again.

Thank you PEGym, and thank you very much to all of you, who accompanied me on this journey, and who contributed to my learning, as a patient, as a doctor and as a person

And, for all those who are still fighting, please don't give up. Because I wholeheartedly wish to see your "100% healed" posts in the very near future






P.S.: The weeks after injury do not correspond to the date of this post, because I am already healed for a few weeks.

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

Mike, thanks for the reply. I'll answer you tomorrow