A Doctor with Hard Flaccid - Updates and Advice

HFrecovering

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Thank you for your kind words, HFrecovering :)

I see... Okay, right. I have some questions :p

- Can you explain to me what was the cause of your Hard Flaccid? How, when and where did it appear? Can you associate its appearance to any specific situation (prior or during)?
- What other symptoms do you have in the context of Hard Flaccid (symptoms of pelvic floor dysfunction)?
- And, if you feel comfortable sharing here, can you tell me what are your other health problems?
(If you are not comfortable, do you think you can send me a private message?)

So, are you trying to tell me that you have a kind of Autonomic Dysfunction?...
Can you read these 5 articles carefully, please?
1 - Autonomic Dysfunction - Healthline
2 - Autonomic Dysfunction - Wikipedia
3 - Autonomic Neuropathy - WebMD
4 - Autonomic Neuropathy - Healthline
5 - Paroxysmal sympathetic hyperactivity - Wikipedia


- Do you have any more of all those symptoms listed?
- Has a doctor ever asked you to do any of the tests in the diagnostic section? If so, can you tell me the results?

Its very difficult to say how it happened, it didn't happen over night like many of you guys, i believe it was a gradual build up.

Looking back I remember:

I started noticing that I had less sensation during sex and found it difficult to ejaculate, i used to clench/kegel like crazy just to finish, eventually it got to the point where i would of been having sex for so long without ejaculation I would end up just losing my erection from fatigue after about 20 minutes.

I was also smoking cannabis quite heavily and using MDMA on the weekends, somone very close to me that was the same age as me died and I went on to develop a heroin addiction but it didn't go on for more than a 3 or 4 months

Its hard to say when hard flaccid happened because it was so long ago but I think it was a gradual build up and I didn't really pay too much attention to my dick until I realised it was completely unresponsive.


My other symptoms :

Fatigue
Sciatica
Digestive issues
Constipation on and off
Loss of appetite (chronic)
Extreme levels of anxiety
Constant tight chest
Bruxism (alot better in recent years)

It takes me days to recover from any physical activity but I put this down to burnout from 10 years of non stop physical therapy while being employed in a physically demanding job.

I've been to doctors tons of times, had ever blood test under the sun, they are simply not interested in what I have to say, they will not refer me to see anyone because they don't think anything is wrong, I did convince them to do a colonoscopy once and it came back fine. I live in the uk and we have socialist healthcare here so it's awful in comparison to what people get on the USA insurance based health care system, it takes 4 weeks on average to get an appointment with my GP and that's standard throughout the uk.
 

Mike_b

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Check out truelibidos thread in Ed section- how to heal Ed naturally and permanently (the only way) you and him have one thing different in terms of lifestyle. He quit his job, you have a very stressful job. I'm not trying to pull rank here but he's right you need zen like relaxation. I've been in this game 15 years and I know that everytime something bad came up it would really bring me stress- like suicidal almost. What's more important the rat race? Cars money and jewellery? Or taking some time off to help your self. Just a suggestion.

Even with the ball lined up in your court you will still need all the lucky bounces; and close calls; lady luck may play a role in your life but that's how things go man; setbacks and comebacks, ups and downs, his and lows, 2 steps forward one step back . That's human nature. Don't let this illness kill you man. Sit back and collect welfare and disability, im sure you didn't try this man but I think it will work. Much love.
 

Mike_b

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Between me and you was there any physical damage? Maybe that's what's slowing down the process of you healing?
 

HFrecovering

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Check out truelibidos thread in Ed section- how to heal Ed naturally and permanently (the only way) you and him have one thing different in terms of lifestyle. He quit his job, you have a very stressful job. I'm not trying to pull rank here but he's right you need zen like relaxation. I've been in this game 15 years and I know that everytime something bad came up it would really bring me stress- like suicidal almost. What's more important the rat race? Cars money and jewellery? Or taking some time off to help your self. Just a suggestion.

Even with the ball lined up in your court you will still need all the lucky bounces; and close calls; lady luck may play a role in your life but that's how things go man; setbacks and comebacks, ups and downs, his and lows, 2 steps forward one step back . That's human nature. Don't let this illness kill you man. Sit back and collect welfare and disability, im sure you didn't try this man but I think it will work. Much love.

I haven't been employed since March dude.
 

Mike_b

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So sorry I didn't get the facts straight. There is a page for erectile dysfunction in young men on Facebook it is hidden from your general feed. They talk about Ed in depth and everything involved around it.
 

Romero MD

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Great posts, guys! :eek:
I will answer more extensively tomorrow.
Now I just want to ask HFrecovering 2 questions:

1 - Do you still smoke Cannabis or use MDMA? If you no longer consume them, when was the last time you consumed each one of them? And how long did you consume each one of them?

2 - Do you take any more substances, drugs, medications or supplements daily? If you currently don't take any, have you taken any in the past? I would like to know all of them and how long you took each one of them.

Please, be honest. This is important :)

(If you are not comfortable, please send me a private message)
 

HFrecovering

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Great posts, guys! :eek:
I will answer more extensively tomorrow.
Now I just want to ask HFrecovering 2 questions:

1 - Do you still smoke Cannabis or use MDMA? If you no longer consume them, when was the last time you consumed each one of them? And how long did you consume each one of them?

2 - Do you take any more substances, drugs, medications or supplements daily? If you currently don't take any, have you taken any in the past? I would like to know all of them and how long you took each one of them.

Please, be honest. This is important :)

(If you are not comfortable, please send me a private message)

14 years old started smoking cannabis,

16 years old, MDMA, heroin

17 years old, cocaine, ketamine, speed

18 years old quit all drugs apart from cannabis which I continued to smoke until I was 20.

20 years old I stopped all drugs including cannabis and i haven't used them since.

Its important to note that the party drugs such as MDMA, ketamine, speed, cocaine were only drugs I did at the weekend or at party's, they were not used EVERY weekend but at least twice a month probably, again this is a long time ago so it's difficult to say exactly.

I am now 30 years old, The only drugs I have used in the last 10 years are opiod painkillers which were prescribed by a doctor for dental work and an operation I had for a broken nose. I drink alcohol a few times a year but it is very rare.

I am clean of drugs and have been for a decade other than the painkillers.
 

HFrecovering

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Great posts, guys! :eek:
I will answer more extensively tomorrow.
Now I just want to ask HFrecovering 2 questions:

1 - Do you still smoke Cannabis or use MDMA? If you no longer consume them, when was the last time you consumed each one of them? And how long did you consume each one of them?

2 - Do you take any more substances, drugs, medications or supplements daily? If you currently don't take any, have you taken any in the past? I would like to know all of them and how long you took each one of them.

Please, be honest. This is important :)

(If you are not comfortable, please send me a private message)

Forgot to add, I take omega 3 and a multivitamin daily and I make a green juice every morning.
 

Mike_b

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sh*t I had a change in my health...

So today sh*t hit the fan. I woke up this morning with a boner which is good. But after I got dressed I felt a snap in my dick. It bothered me in the left glans. The snapping felt like a cord or ligament or vein or tendon maybe an eighth of an inch snapping in half. The snap happened on the left side and immediately the left glans hurt. There's more to the story I'll keep you posted.
 

Mike_b

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So my worst fears were confirmed. The knee bone is connected to the foot bone, the foot bone is connected to the ankle bone, the ankle bone is connected to the leg bone yadda yadda yadda. So essentially there was a ripple down effect: meaning later in the day my left ball "popped" as it pulsated but didn't dislodge= more pain in the right side of my dick as the day went on.fml. I texted my urologist fearing the worst that I have to go thru this beaurocratic mess. Will he even operate on me? I can't stand the suicidal feelings when it's defunct down there with all the symptoms of pain, damage, and uselessness down there.

I am part of two leisure groups. The YMCA learning and leisure group and Manitoba society of those with disabilities adult group. I always said I would go back to fixing wheelchair s (my old job before disability) as I have something in common not my legs but my penis.

Who am I to want to get better? My friends have no choice. How do I get out of jail free card when others are doing worse? Man that psychosomatic pain effs with me.

It's been 15 years, but by golly man. Just a teachable moment here. The boys online on FB are saying having a 3 piece prosthesis does not mess with their hobbies and also they recommend orals before prosthesis. The question remains where do I go from here? But that's the question all of us have. If you're reading this Ty for caring.
 

Romero MD

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- Serotonin Syndrome
- Withdrawal Syndrome
- Post-Acute-Withdrawal Syndrome
- Irritable Bowel Syndrome

I apologize, the text is long, but I would like you to read it slowly and carefully.

FIRST, the most important. I want to congratulate you, from the depths of my heart, for leaving the drug addiction and being clean for 10 years. Congratulations, HFrecovering! Well done :)

SECOND, many people on this forum will tell you that your Hard Flaccid has a mental cause (stress) or a chemical cause (recreational drugs). I do not agree. The cause of your Hard Flaccid is physical. You were/are a big pelvic floor clencher. You used to make intense and constant kegels during all the sexual intercourse. And you probably also did them during day-to-day life. Regardless of what you might think, I'm pretty sure that you still have a Chronic Trigger Point on your pelvic floor.

So, regardless of all the other variables, you have to continue to solve this problem. Every day. I know... I know that you have already done all the physical therapies that exist on the planet and that you have already done what I am going to tell you next. But I want you to keep doing it. Every day. For the rest of your life. Because it is absolutely important, for you to resolve this once and for all.
In addition, it is completely free, you can do it in the comfort of your home, it does not leave you physically exhausted (they are all light exercises) and it is an absolutely essential routine. So, I want you to do it every day, for the rest of your life (hopefully not, I'm pretty sure not. But for now, it's for the rest of your life):

Workout Routine:
1 - Reverse Kegels all day.
2 - Massage on the pelvic floor (Trigger Point style). For 10 minutes, 3-4 times a day, lying on your bed.
3 - Hindi Squats. For 5 minutes. 5-6 times a day. You can do them before the pelvic floor massages
4 - Stay in a warm environment whenever you can.
(5 - Train flexibility. Only on days when you feel more energetic)

THIRD. Okay, get ready, this is going to start heating up.

What was the cause of your Delayed Ejaculation and progressive numbness in the penis? It was a chemical cause - Serotonin Syndrome.
MDMA, Speed ​​and Cocaine exponentially increase the concentration of Serotonin in the brain. The three drugs cause Delayed Ejaculation and loss of penile sensation. And it's an effect that can last for weeks after you stop taking them.
Did you remember what we talked about, a few days ago, about SSRIs? So, yes, you were having a cocktail, with very high doses of "SSRIs" (MDMA, Speed ​​and Cocaine), in your teenage years - Serotonin Syndrome.

In addition, the Serotonin Syndrome is also characterized by Neuromuscular Symptoms (Clonus, Muscle Tremor, Muscle Hypertonicity, Hyperreflexia and Muscle Rigidity - especially in the lower limbs), Autonomic Hyperactivity (Sympathetic) and Anxiety. All of them contributing to the creation of a Hard Flaccid.

Consequently, one of the causes of your Erectile Dysfunction was extreme muscle fatigue (overtraining) of the IC muscle - the erection muscle. If you were doing an intense and continuous Kegel during all the sexual intercourse, to reach orgasm, not only were you creating a gigantic Trigger Point on the pelvic floor, but you were leading to the exhaustion of the IC muscle, causing Erectile Dysfunction.

In addition, Cocaine creates desensitization of dopaminergic receptors in the limbic system. Directly causing Erectile Dysfunction. Exactly the same process that occurs when we look at pornography. Exactly the same process occurs in PIED. This has been measured and proved by Functional Neuroimaging, in several scientific studies.

Besides, Cocaine, MDMA and Speed ​​also directly activate the Sympathetic Nervous System, through the release of Noradrenaline, consequently creating vasoconstriction of the arteries, directly worsening Hard Flaccid, directly worsening Erectile Dysfunction and increasing psychological stress.

In addition, Cannabis (the drug you used for the longest time) decreases the relaxation of penile smooth muscle. Contributing to Hard Flaccid.

Furthermore, all recreational drugs cause Erectile Dysfunction by damaging all the arteries in the human body, and consequently restricting the blood flow to the penis.

And finally, the Withdrawal Syndrome. All the drugs you take cause Depression, Anxiety and Psychological Stress, after you stop use them. They all cause these after you stop consuming them. And yes, the effects of the Withdrawal Syndrome, in some cases, may still exist after 10 years - Post-Acute-Withdrawal Syndrome. How does that happen? I'll explain later.

FOURTH, if those drugs were all you took during your life, then I can conclude that you never took Muscle Relaxants or Alpha-Blockers, right? So, you are not following ALL my advice, which is written in the first post of this thread. Therefore, you will ask your General Practitioner, your Urologist or any other doctor you trust, for a medical prescription. I want you to take a Muscle Relaxant and an Alpha-Blocker daily, for the next 3 months. Along with the home workout routine that I told you above.

And no masturbation, no ejaculation and NO PORN! You can do 5 minutes of edging every other day. Always with Reverse Kegels and only with your imagination.

The cause of your Hard Flaccid is physical. But, it is being highly influenced by your stress and may have been triggered by recreational drugs. But your cause is physical (just like me). You created a time bomb on your pelvic floor (just like me). The difference is that my bomb exploded with an intense Kegel during intercourse and your bomb exploded slowly with recreational drugs. If we both have physical causes, why am I 95% healed and you are not? Do you think it's just because I'm an acute case and you're a chronic case? No, it's not. There are two differences:
1 - I applied everything that is written in my first post. ALL. At the same time and aggressively. And you haven't applied it yet.
2 - I completely annihilated my stress (reducing all harmful contractions in the pelvic floor). What is essential for number 1 to work. And you haven't done it yet. But you will make it! Because this ability is not a gift. Living completely stress-free is a LEARNING PROCESS that we ALL can do.

No, I don't want to hear any excuses, HFrecovering... No, I don't want to hear that you've already tried SOME of them... You don't need to do all the physical therapies that exist in the world. Not only is that useless, it is expensive and it exhausts you. Your muscles don't work that way! Muscles can only hypertrophy (gain strength), gain endurance and gain flexibility. Period. They do not work differently with "different therapies"!

That is why the principle of "muscle confusion" and the principle of "exercise variability"(when at the same angle of gravitational force), in the gym, are completely BroScience and completely BullShit. Your bicep has no brain. Your quadriceps has no brain. Your pelvic floor has no brain. No muscle in your body has a brain to perceive variability.
Ohh, you guys don't believe me?... Four studies for you, then:
1 - The effects of exercise variation in muscle thickness
2 - Changes in exercises
3 - Effects of linear and daily undulating periodized
4 - A systematic review of periodized versus non-periodized approaches

And that is why programs like DCT are bullshit too. If you can train muscle flexibility, aggressively, with dedication and commitment, in the comfort of your home, programs like DCT are completely useless.

“But, Romero, some people got healed with DCT...” --- Yes, I know... Because DCT allows you to gain a little bit of strength and a little bit of flexibility, during the months when it empties your wallet. The reality is that the percentage of flexibility that people gain from DCT during a year, I gain at home during a month, without spending a dollar.
Ok ok… Let me correct myself then: DCT is ALMOST completely useless.

(In fact, it is a complete shame the money these companies are asking people for, to cure something so psychologically serious and debilitating. If any of these companies ever read this text, let me tell you something, you suckers... ARE YOU FUCKING NUTS?! There are teenage boys with SUICIDAL thoughts, for God's sake! SHAME ON YOU!)

*Romero breathing out stress*

Ok, alright. So… the physical therapy that will be the secret to your cure will not be invented in the future, HFrecovering... Because that therapy is here. Your cure is here. In front of you. Physically, you just need to do what I, Hans, Pegasus and TeoDeles told you to do. Nothing more than that. And bet aggressively on the stress part (as you will see later). Our advice hasn't worked for you in the past, simply because you haven't extinguished your stress yet. As simple as that.

I know... I know you've been at this for 13 years. I know you are tired and many therapies have been physically exhausting. (And most of them were completely useless). Guess what. All of our advice is soft stuff. They are neither intense nor exhausting. And it is what really works, physically (!!). FOR EVERYONE (!!!). Because your muscles have no brain! You can do all of this in the comfort of your home, on your bedroom floor, sitting in your chair or lying on your bed, listening to some very relaxing music. None of this is exhaustive and this is what will really heal you.

So, about physical therapies and medical drugs, we've already talked. You don't need anything else. That's all you have to do.
Okay, yes, you can continue with Somatic Pandiculation. It looks interesting, soft and, most importantly, it seems to me that it is relaxing and making you happy.

FIFTH. This is the ugliest part - your diagnosis:

Post-Acute-Withdrawal Syndrome (PAWS). PAWS is a set of persistent symptoms, which are maintained after the withdrawal of a drug (drugs, in your case). Which can last for months or several years (!!) after withdrawing the drug. Some symptoms include:
- Generalized Anxiety Syndrome
- Neuromuscular Abnormalities (muscle spasms and cramping)
- Autonomic dysfunction (Sympathetic Hyperactivity)
- Extreme fatigue

- Stress sensitivity
- Depression
- Pessimistic thoughts
- Psychosocial dysfunction
- Emotional overreactions
- ...
(Does that ring a bell?)
Symptoms which can get worse, can be triggered or can be maintained for an indefinite period of time (several years), due to STRESS. And which can take several years to disappear if our mental state is weakened (= STRESS).
And, taking into account your story and testimonials, you never got to completely restart your brain. The Post-Acute Withdrawal Syndrome never left. He was always by your side.

I think this (PAWS) is what "you feel in your PreFrontal Cortex”. That area of ​​your brain that you feel is “constantly activating your pelvic floor”. Recreational drugs may have been the trigger for this Syndrome. But it is your stress that is making this a vicious, constant and endless cycle.

I do not think you have a pure Autonomic Dysfunction. Your symptom chart does not fit that diagnosis. I think what you have is a chronic perpetuation of a PAWS, due to your Chronic Stress. It is not your “dysfunctional nervous system that is stuck in a low level fight or flight 24/7” that is creating your stress. It is your stress that is causing your “dysfunctional nervous system that is stuck in a low level fight or flight 24/7” to be endless.

"Digestive issues + Constipation on and off + normal colonoscopy"
Most likely your diagnosis, for these symptoms, is: Irritable Bowel Syndrome
Main cause: Stress

P.S: HFrecovering, I know I backed you up a few days ago to do it, but you should think twice before taking SSRIs in the future... Due to the Serotonin Syndrome of the past, to prevent a possible Antidepressant Discontinuation Syndrome and to prevent your Post-Acute-Withdrawal Syndrome from getting worse. If you ever decide to bet on taking an antidepressant, you have to tell your psychiatrist all of this. Your whole story. For him to choose an antidepressant that acts as little as possible on your serotonergic system.

SIXTH. So, I left the most interesting and happy part of this story for last.

You have to heal your brain to be able to heal your physical cause. And it is not by trying all the physical therapies that exist in the world that you will be able to do that. You have to bet on “Psychological Therapies”. You can practice all the physical therapies that exist in the world, and all those that have not even been discovered yet, but none of them will improve the problem, if you are not able to exterminate your stress first.

So, you have to completely restart your brain. You have to find the deepest and most lasting peace that is hidden in your mind. I will repeat: This is not a gift. This is a learning process. Is it something that requires work? Yes!… But it is far from impossible.
Ohhh, are you asking me if I think you have to enter a monastery of Buddhist monks? Hmm... Maybe not... But maybe you should... :p For a year or so :p Okay, I'm kidding a little, yes... :p But, let's think about it for a moment:

*In the middle of the mountains, away from all the stress that we all live in today's world. Only in contact with nature and with the most peaceful people on the planet. Training the splits on the riverside, listening only to birds and running water*

Your prefrontal cortex would have no option but to reformat and find the state of purest peace. You would find true peace and restart your brain. So, am I saying that your only healing option is to enter a monastery of Buddhist monks? NO. But, if you want it, you have my full support... :p
Or you can try to find something similar, of the same style, that gives you the same mental stimulation and that allows you to find the peace that you need.

I think that, instead of spending your days looking for new physical therapies, you should spend your time looking for all anti-stress therapies.
It can be:
- A good psychologist;
- Support groups and meetings with other people;
- One or two soft outdoor sports (that cheer you up, instead of leaving you exhausted);
- Going out and socializing with old friends;
- Hiking in the mountains and walks by the sea.
Or it could be all of this, all together! These are all things that will make you relax. And none of them are stressful.

HFrecovering, I will tell you again: your case is not untreatable. This is not cancer. This is a damn muscle. And our body is a healing machine. You are 30 years old! The uncle of one of my best friends is 70 years old and was in the hospital for 2 months dying with COVID-19. He managed to get around, he survived, but he got very extensive fibrosis in both lungs. Very extensive. He came home with an oxygen cylinder. Both lungs were covered with fibrotic tissue. Guess what. After almost 4 months of respiratory therapy, today he no longer needs oxygen. He is annihilating all fibrotic lung tissue at the age of 70!
Hard Flaccid is not irreversible. You didn't even have any physical damage on your penis. Hard Flaccid is just a damn muscle contracture, which is highly influenced by daily stress.

Hard Flaccid is not untreatable! We just need to give it the right stimulus to terminate it.

I hope I was able to help, HFrecovering.
I think I ran out of arguments… I don't know what else I can advise you, my friend… Please read this again.

And please heal yourself, so I can be happy :)
 
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HFrecovering

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- Serotonin Syndrome
- Withdrawal Syndrome
- Post-Acute-Withdrawal Syndrome
- Irritable Bowel Syndrome

I apologize, the text is long, but I would like you to read it slowly and carefully.

FIRST, the most important. I want to congratulate you, from the depths of my heart, for leaving the drug addiction and being clean for 10 years. Congratulations, HFrecovering! Well done :)

SECOND, many people on this forum will tell you that your Hard Flaccid has a mental cause (stress) or a chemical cause (recreational drugs). I do not agree. The cause of your Hard Flaccid is physical. You were/are a big pelvic floor clencher. You used to make intense and constant kegels during all the sexual intercourse. And you probably also did them during day-to-day life. Regardless of what you might think, I'm pretty sure that you still have a Chronic Trigger Point on your pelvic floor.

So, regardless of all the other variables, you have to continue to solve this problem. Every day. I know... I know that you have already done all the physical therapies that exist on the planet and that you have already done what I am going to tell you next. But I want you to keep doing it. Every day. For the rest of your life. Because it is absolutely important, for you to resolve this once and for all.
In addition, it is completely free, you can do it in the comfort of your home, it does not leave you physically exhausted (they are all light exercises) and it is an absolutely essential routine. So, I want you to do it every day, for the rest of your life (hopefully not, I'm pretty sure not. But for now, it's for the rest of your life):

Workout Routine:
1 - Reverse Kegels all day.
2 - Massage on the pelvic floor (Trigger Point style). For 10 minutes, 3-4 times a day, lying on your bed.
3 - Hindi Squats. For 5 minutes. 5-6 times a day. You can do them before the pelvic floor massages
4 - Stay in a warm environment whenever you can.
(5 - Train flexibility. Only on days when you feel more energetic.)

THIRD. Okay, get ready, this is going to start heating up.

What was the cause of your Delayed Ejaculation and progressive numbness in the penis? It was a chemical cause - Serotonin Syndrome.
MDMA, Speed ​​and Cocaine exponentially increase the concentration of Serotonin in the brain. The three drugs cause Delayed Ejaculation and loss of penile sensation. And it's an effect that can last for weeks after you stop taking them.
Did you remember what we talked about, a few days ago, about SSRIs? So, yes, you were having a cocktail, with very high doses of "SSRIs" (MDMA, Speed ​​and Cocaine), in your teenage years - Serotonin Syndrome.

In addition, the Serotonin Syndrome is also characterized by Neuromuscular Symptoms (Clonus, Muscle Tremor, Muscle Hypertonicity, Hyperreflexia and Muscle Rigidity - especially in the lower limbs), Autonomic Hyperactivity (Sympathetic) and Anxiety. All of them contributing to the creation of a Hard Flaccid.

Consequently, one of the causes of your Erectile Dysfunction was extreme muscle fatigue (overtraining) of the IC muscle - the erection muscle. If you were doing an intense and continuous Kegel during all the sexual intercourse, to reach orgasm, not only were you creating a gigantic Trigger Point on the pelvic floor, but you were leading to the exhaustion of the IC muscle, causing Erectile Dysfunction.

In addition, Cocaine creates desensitization of dopaminergic receptors in the limbic system. Directly causing Erectile Dysfunction. Exactly the same process that occurs when we look at pornography. Exactly the same process occurs in PIED. This has been measured and proved by Functional Neuroimaging, in several scientific studies.

Besides, Cocaine, MDMA and Speed ​​also directly activate the Sympathetic Nervous System, through the release of Noradrenaline, consequently creating vasoconstriction of the arteries, directly worsening Hard Flaccid, directly worsening Erectile Dysfunction and increasing psychological stress.

In addition, Cannabis (the drug you used for the longest time) decreases the relaxation of penile smooth muscle. Contributing to Hard Flaccid.

Furthermore, all recreational drugs cause Erectile Dysfunction by damaging all the arteries in the human body, and consequently restricting the blood flow to the penis.

And finally, the Withdrawal Syndrome. All the drugs you take cause Depression, Anxiety and Psychological Stress, after you stop use them. They all cause these after you stop consuming them. And yes, the effects of the Withdrawal Syndrome, in some cases, may still exist after 10 years - Post-Acute-Withdrawal Syndrome. How does that happen? I'll explain later.

FOURTH, if those drugs were all you took during your life, then I can conclude that you never took Muscle Relaxants or Alpha-Blockers, right? So, you are not following ALL my advice, which is written in the first post of this thread. Therefore, you will ask your General Practitioner, your Urologist or any other doctor you trust, for a medical prescription. I want you to take a Muscle Relaxant and an Alpha-Blocker daily, for the next 3 months. Along with the home workout routine that I told you above.

And no masturbation, no ejaculation and NO PORN! You can do 5 minutes of edging every other day. Always with Reverse Kegels and only with your imagination.

The cause of your Hard Flaccid is physical. But, it is being highly influenced by your stress and may have been triggered by recreational drugs. But your cause is physical (just like me). You created a time bomb on your pelvic floor (just like me). The difference is that my bomb exploded with an intense Kegel during intercourse and your bomb exploded slowly with recreational drugs. If we both have physical causes, why am I 95% healed and you are not? Do you think it's just because I'm an acute case and you're a chronic case? No, it's not. There are two differences:
1 - I applied everything that is written in my first post. ALL. At the same time and aggressively. And you haven't applied it yet.
2 - I completely annihilated my stress (reducing all harmful contractions in the pelvic floor). What is essential for number 1 to work. And you haven't done it yet. But you will make it! Because this ability is not a gift. Living completely stress-free is a LEARNING PROCESS that we ALL can do.

No, I don't want to hear any excuses, HFrecovering... No, I don't want to hear that you've already tried SOME of them... You don't need to do all the physical therapies that exist in the world. Not only is that useless, it is expensive and it exhausts you. Your muscles don't work that way! Muscles can only hypertrophy (gain strength), gain endurance and gain flexibility. Period. They do not work differently with "different therapies"!

That is why the principle of "muscle confusion" and the principle of "exercise variability"(when at the same angle of gravitational force), in the gym, are completely BroScience and completely BullShit. Your bicep has no brain. Your quadriceps has no brain. Your pelvic floor has no brain. No muscle in your body has a brain to perceive variability.
Ohh, you guys don't believe me?... Four studies for you, then:
1 - The effects of exercise variation in muscle thickness
2 - Changes in exercises
3 - Effects of linear and daily undulating periodized
4 - A systematic review of periodized versus non-periodized approaches

And that is why programs like DCT are bullshit too. If you can train muscle flexibility, aggressively, with dedication and commitment, in the comfort of your home, programs like DCT are completely useless.

“But, Romero, some people got healed with DCT...” --- Yes, I know... Because DCT allows you to gain a little bit of strength and a little bit of flexibility, during the months when it empties your wallet. The reality is that the percentage of flexibility that people gain from DCT during a year, I gain at home during a month, without spending a dollar.
Ok ok… Let me correct myself then: DCT is ALMOST completely useless.

(In fact, it is a complete shame the money these companies are asking people for, to cure something so psychologically serious and debilitating. If any of these companies ever read this text, let me tell you something, you suckers... ARE YOU FUCKING NUTS?! There are teenager boys with SUICIDAL thoughts, for God's sake! SHAME ON YOU!)

*Romero breathing out stress*

Ok, alright. So… the physical therapy that will be the secret to your cure will not be invented in the future, HFrecovering... Because that therapy is here. Your cure is here. In front of you. Physically, you just need to do what I, Hans, Pegasus and TeoDeles told you to do. Nothing more than that. And bet aggressively on the stress part (as you will see later). Our advice hasn't worked for you in the past, simply because you haven't extinguished your stress yet. As simple as that.

I know... I know you've been at this for 13 years. I know you are tired and many therapies have been physically exhausting. (And most of them were completely useless). Guess what. All of our advice is soft stuff. They are neither intense nor exhausting. And it is what really works, physically (!!). FOR EVERYONE (!!!). Because your muscles have no brain! You can do all of this in the comfort of your home, on your bedroom floor, sitting in your chair or lying on your bed, listening to some very relaxing music. None of this is exhaustive and this is what will really heal you.

So, about physical therapies and medical drugs, we've already talked. You don't need anything else. That's all you have to do.
Okay, yes, you can continue with Somatic Pandiculation. It looks interesting, soft and, most importantly, it seems to me that it is relaxing and making you happy.

FIFTH. This is the ugliest part - your diagnosis:

Post-Acute-Withdrawal Syndrome (PAWS). PAWS is a set of persistent symptoms, which are maintained after the withdrawal of a drug (drugs, in your case). Which can last for months or several years (!!) after withdrawing the drug. Some symptoms include:
- Generalized Anxiety Syndrome
- Neuromuscular Abnormalities (muscle spasms and cramping)
- Autonomic dysfunction (Sympathetic Hyperactivity)
- Extreme fatigue
- Psychosocial dysfunction
- Depression
- Pessimistic thoughts
- Emotional overreactions
- Stress sensitivity
- ...
(Does that ring a bell?)
Symptoms which can get worse, can be triggered or can be maintained for an indefinite period of time (several years), due to STRESS. And which can take several years to disappear if our mental state is weakened (= STRESS).
And, taking into account your story and testimonials, you never got to completely restart your brain. The Post-Acute Withdrawal Syndrome never left. He was always by your side.

I think this (PAWS) is what "you feel in your PreFrontal Cortex”. That area of ​​your brain that you feel is “constantly activating your pelvic floor”. Recreational drugs may have been the trigger for this Syndrome. But it is your stress that is making this a vicious, constant and endless cycle.

I do not think you have a pure Autonomic Dysfunction. Your symptom chart does not fit that diagnosis. I think what you have is a chronic perpetuation of a PAWS, due to your Chronic Stress. It is not your “dysfunctional nervous system that is stuck in a low level fight or flight 24/7” that is creating your stress. It is your stress that is causing your “dysfunctional nervous system that is stuck in a low level fight or flight 24/7” to be endless.

"Digestive issues + Constipation on and off + normal colonoscopy"
Most likely your diagnosis, for these symptoms, is: Irritable Bowel Syndrome
Main cause: Stress

P.S: HFrecovering, I know I backed you up a few days ago to do it, but you should think twice before taking SSRIs in the future... Due to the Serotonin Syndrome of the past, to prevent a possible Antidepressant Discontinuation Syndrome and to prevent your Post-Acute-Withdrawal Syndrome from getting worse. If you ever decide to bet on taking an antidepressant, you have to tell your psychiatrist all of this. Your whole story. For him to choose an antidepressant that acts as little as possible on your serotonergic system.

SIXTH. So, I left the most interesting and happy part of this story for last.

You have to heal your brain to be able to heal your physical cause. And it is not by trying all the physical therapies that exist in the world that you will be able to do that. You have to bet on “Psychological Therapies”. You can practice all the physical therapies that exist in the world, and all those that have not even been discovered yet, but none of them will improve the problem, if you are not able to exterminate your stress first.

So, you have to completely restart your brain. You have to find the deepest and most lasting peace that is hidden in your mind. I will repeat: This is not a gift. This is a learning process. Is it something that requires work? Yes!… But it is far from impossible.
Ohhh, are you asking me if I think you have to enter a monastery of Buddhist monks? Hmm... Maybe not... But maybe you should... :p For a year or so :pOkay, I'm kidding a little, yes... :p But, let's think about it for a moment:

*In the middle of the mountains, away from all the stress that we all live in today's world. Only in contact with nature and with the most peaceful people on the planet. Training the splits on the riverside, listening only to birds and running water*

Your prefrontal cortex would have no option but to reformat and find the state of purest peace. You would find true peace and restart your brain. So, am I saying that your only healing option is to enter a monastery of Buddhist monks? NO. But, if you want it, you have my full support... :p
Or you can try to find something similar, of the same style, that gives you the same mental stimulation and that allows you to find the peace that you need.

I think that, instead of spending your days looking for new physical therapies, you should spend your time looking for all anti-stress therapies.
It can be:
- A good psychologist;
- Support groups and meetings with other people;
- One or two soft outdoor sports (that cheer you up, instead of leaving you exhausted);
- Going out and socializing with old friends;
- Hiking in the mountains and walks by the sea.
Or it could be all of this, all together! These are all things that will make you relax. And none of them are stressful.

HFrecovering, I will tell you again: your case is not untreatable. This is not cancer. This is a damn muscle. And our body is a healing machine. You are 30 years old! The uncle of one of my best friends is 70 years old and was in the hospital for 2 months dying with COVID-19. He managed to get around, he survived, but he got very extensive fibrosis in both lungs. Very extensive. He came home with an oxygen cylinder. Both lungs were covered with fibrotic tissue. Guess what. After almost 4 months of respiratory therapy, today he no longer needs oxygen. He is annihilating all fibrotic lung tissue at the age of 70!
Hard Flaccid is not irreversible. You didn't even have any physical damage on your penis. Hard Flaccid is just a damn muscle contracture, which is highly influenced by daily stress.

Hard Flaccid is not untreatable! We just need to give it the right stimulus to terminate it.

I hope I was able to help, HFrecovering.
I think I ran out of arguments… I don't know what else I can advise you, my friend… Please read this again.

And please heal yourself, so I can be happy :)

Thanks I really appreciate you taking the time out to write all that, much of what you said i already suspected but I hadn't pieced it all together quite like that, particularly with the drug use.

Im aware of PAWS because I definitley had what was obvious PAWS for about 2 years after quitting cannabis but I agree that there is likely to be lingering symptoms due to prolonged stress, the funny thing is I haven't even told you half my life and I've actually had to deal with far more than just drugs and HF so the point I'm getting at is that things are actually/have been far worse than I've told you so far.


I do agree that stress and sympathetic nervous system activity are the main causes here. I'm going to continue with somatics and possibly try and pursue some kind of therapy which may be difficult currently with covid. Somatics is actually doing alot for me in terms of making me feel better mentally but I was cautious because I don't want to hype it up and then loads of people on here will go buy the somatics course and feel like they have been scammed, it's been a very slow process though, for the first 2 months of somatics it felt like nothing was really happening.

Im going to annoy you here but, the tennis ball and reverse kegels were somthing I did for years pretty much daily aswell as other things, it just doesn't do anything, I'm not against trying it again but I'd rather wait until I'm feeling much better mentally as all it makes me do is focus on HF all day which leads to me being miserable and OCD.


I wouldn't defend DCT lol, I did DCT for about 7 months, it physically fucking hurts and barely anyone is getting better from it. I think they are now actually charging £600 for the full course or somthing ridiculous, its fucking scummy.

I think sticking with somatics and seeing a psychologist might be the best bet for me at the moment.

How long do you think neuroplasticity takes once stress has been removed and sympathetic nervous charge has been down regulated? I realise it's a tough question to ask but even a rough time frame would be helpful but I know it's subjective and tricky to answer.

I think I agree with you on SSRIs, they are probably very helpful but somthing I should avoid due to potentially previous hypofrontality.


Again I really appreciate you typing this all out, its been very helpful
 

Night flyer

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Hey Romero, this is a good thing you're doing to bring your expertise to this forum. Your injury sounds similar to mine as I used to practice whats called "traumatic masturbatory syndrome" and i heard a "pop". Today I do still have the bend to the left and listening to your story I think i may need to add some massage directly to the penis to promote bloodflow to that IC muscle. Ive had HF for easily 15 years now, but I've only tried resolving it for about 4 years now.
 

Romero MD

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So my worst fears were confirmed. The knee bone is connected to the foot bone, the foot bone is connected to the ankle bone, the ankle bone is connected to the leg bone yadda yadda yadda. So essentially there was a ripple down effect: meaning later in the day my left ball "popped" as it pulsated but didn't dislodge= more pain in the right side of my dick as the day went on.fml. I texted my urologist fearing the worst that I have to go thru this beaurocratic mess. Will he even operate on me? I can't stand the suicidal feelings when it's defunct down there with all the symptoms of pain, damage, and uselessness down there.

I am part of two leisure groups. The YMCA learning and leisure group and Manitoba society of those with disabilities adult group. I always said I would go back to fixing wheelchair s (my old job before disability) as I have something in common not my legs but my penis.

Who am I to want to get better? My friends have no choice. How do I get out of jail free card when others are doing worse? Man that psychosomatic pain effs with me.

It's been 15 years, but by golly man. Just a teachable moment here. The boys online on FB are saying having a 3 piece prosthesis does not mess with their hobbies and also they recommend orals before prosthesis. The question remains where do I go from here? But that's the question all of us have. If you're reading this Ty for caring.

Hi Mike :) I apologize for my delay...
I was reading your previous publications on PEGym to know your story. So, you had a penile fracture, which didn’t heal 100%, right?

First, I think you don't have Hard Flaccid, but I think you would benefit from all the advice that is in the first post of this thread (Except for the medication. You don't need muscle relaxants or alpha-blockers!)

Second, just as you advised jeffjefferson on another thread, I will advise you exactly on your words:
“Rest, no porn or racy material don't go heavy with the lifting get a good night's rest, watch your diet exercise drink plenty of water no smokes drugs or alcohol.”

So, REST. I want you not to touch your penis for a month. A month of complete rest. You can only touch your penis to pee and shower.

And stop watching Porn. From what I got from your posts, you may be suffering from Porn-Induced Erectile Dysfunction. And it may not be light... I'm sure that if you don't touch your penis for a month and stop watching porn, your problem will improve a lot.

Regarding stress, please read the text that I sent to HFrecovering :p

Regarding penile implants, please don't even think about it...

Let's take a month of complete rest. COMPLETE rest. A month from now, ask the Administrators and Moderators here what is the best plan for very light penile stretches, to start giving some stimulation to your fibrotic tissue.

Good rest, Mike :)
 

Romero MD

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Thanks I really appreciate you taking the time out to write all that, much of what you said i already suspected but I hadn't pieced it all together quite like that, particularly with the drug use.

Im aware of PAWS because I definitley had what was obvious PAWS for about 2 years after quitting cannabis but I agree that there is likely to be lingering symptoms due to prolonged stress, the funny thing is I haven't even told you half my life and I've actually had to deal with far more than just drugs and HF so the point I'm getting at is that things are actually/have been far worse than I've told you so far.

I do agree that stress and sympathetic nervous system activity are the main causes here. I'm going to continue with somatics and possibly try and pursue some kind of therapy which may be difficult currently with covid. Somatics is actually doing alot for me in terms of making me feel better mentally but I was cautious because I don't want to hype it up and then loads of people on here will go buy the somatics course and feel like they have been scammed, it's been a very slow process though, for the first 2 months of somatics it felt like nothing was really happening.

Im going to annoy you here but, the tennis ball and reverse kegels were somthing I did for years pretty much daily aswell as other things, it just doesn't do anything, I'm not against trying it again but I'd rather wait until I'm feeling much better mentally as all it makes me do is focus on HF all day which leads to me being miserable and OCD.

I wouldn't defend DCT lol, I did DCT for about 7 months, it physically fucking hurts and barely anyone is getting better from it. I think they are now actually charging £600 for the full course or somthing ridiculous, its fucking scummy.

I think sticking with somatics and seeing a psychologist might be the best bet for me at the moment.

How long do you think neuroplasticity takes once stress has been removed and sympathetic nervous charge has been down regulated? I realise it's a tough question to ask but even a rough time frame would be helpful but I know it's subjective and tricky to answer.

I think I agree with you on SSRIs, they are probably very helpful but somthing I should avoid due to potentially previous hypofrontality.

Again I really appreciate you typing this all out, its been very helpful

:eek::eek::eek:

How long do you think neuroplasticity takes once stress has been removed and sympathetic nervous charge has been down regulated? I realise it's a tough question to ask but even a rough time frame would be helpful but I know it's subjective and tricky to answer.

Yes, it is a slightly tough question... I will try to answer you through one of the topics that I know the most. Porn Induced Erectile Dysfunction.

And let's talk about the most serious cases. Teenagers who never had a girlfriend. Who started watching porn at 12-13 years old. And who have been watching porn for more than 10 years, several hours a day (sometimes 6-7-8 hours a day). These are the most serious cases. They are young people who never knew what normal and real sexuality is. The brain is completely desensitized.

Total resensitization, in these cases, can take about 9-12 months. 9-12 months of total sexual abstinence. The most important thing is to completely remove all artificial stimulation (videos, photos, erotic literature). But the more aggressive the sexual abstinence is, the faster the neuroplasticity occurs. Because, even if you try to masturbate only with your imagination, you are thinking about pornography. Therefore, in these severe cases, the brain needs about 9-12 months of complete abstinence for complete resensitization to occur.

Again I really appreciate you typing this all out, its been very helpful

You're welcome. I have always loved difficult patients :p:)
 
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Romero MD

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Hey Romero, this is a good thing you're doing to bring your expertise to this forum. Your injury sounds similar to mine as I used to practice whats called "traumatic masturbatory syndrome" and i heard a "pop". Today I do still have the bend to the left and listening to your story I think i may need to add some massage directly to the penis to promote bloodflow to that IC muscle. Ive had HF for easily 15 years now, but I've only tried resolving it for about 4 years now.


Hi Night flyer :) Thank you for the kind words.

Ok, your story looks like the typical book case.
Have you applied all the advice we've been talking about?
What kind of massage are you referring to?

How has the condition of your penis evolved during these 4 years?
 

watersnake

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Mr. Romero, are you sure erotic literature should be in the same sphere as hardcore clips and thirst trap galleries? I should share that I have quit porn by replacing it with erotic literature. I started reading scientific papers on sexology, this and that, and now I have devolved into reading taboo erotica. I don't masturbate i just read it. I feel the literature enhances my sexuality rather than giving me weird vibes.