A Doctor with Hard Flaccid - Updates and Advice
- Thread starter Romero MD
- Start date
Hi Night flyerThank 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?
I did try abstaining from porn, which did improve my erectile angle, but I came back down with symptoms after masturbating after that one month. I had a good week of no symptoms using the therawand but I wasn't able to replicate the relief. I had an umbilical hernia that would give a sharp pain every now and then which would always trigger a worse HF response, i eventually got that fixed. Childs pose and deep breathing does a good job with relaxing, but i feel a pain from hemorroids (I used to think it was a muscle spasm) that I'm getting removed soon, I just made a thread on it.
I must admit I havent done a good job with documenting everything I've been doing, but I've definitely been through a Rollercoaster of having no symptoms to rock hard flaccid and not being able to get it up. I can explain in more depth if need be.
Oh and I was thinking of massaging corpus cavernosum to get blood flowing. Specifically below where I have the "indent".
I'm curious, did you lose girth in the CC that you bent to?
I'm curious, did you lose girth in the CC that you bent to?
Hi Watersnake
Please, just Romero... Okay. Two points:
1 - They are not exactly in the same sphere. There is a severity progression. The less you use your imagination, the worse (That's why Porn Captions Gifs is the worst of the worst) If you masturbate watching videos, it is much more serious than masturbating watching photos. Photos are more serious than hardcore erotic literature. And hardcore erotic literature is more serious than soft erotic literature.
2 - All of them are less serious, if you are not masturbating at the same time. Because, even though your brain is being sexually aroused while you are watching/reading, you are not exactly teaching your brain to have erections (and to stimulate yourself with the erection) just with the artificial stimulus.
Do you understand? Even if you have erections reading erotic literature, that is much less serious than masturbating while you are reading exactly the same erotic story. The dopaminergic desensitization of the limbic system will be much less if you do not masturbate.
So, there is (almost) no problem with just reading erotic literature. The possible desensitization that may occur in your limbic system is very small. I also think it will be good for your sex life. It's the same thing as sexting with your girlfriend or wife. It's healthy.
But in severe cases of PIED, the neuroplasticity and the brain recovery will be faster, if all artificial stimulus is avoided. The return to the natural libido will be faster if all unnatural stimulus is interrupted. Patients are only allowed to see cute girls on the beach
It is exactly the same as recovering from any drug addiction. If the drug is withdrawn more abruptly, the patient's suffering will be greater, but recovery will be faster than removing the drug very slowly over months.
Snap in half? What do you mean, Mike? In the middle of the penis shaft?
Mike, what are you doing with your penis?... Stop, please. Whatever it is. Just REST.
Regardless of the structure that created the snap, if you no longer have pain and it is regenerating as we speak, then it is nothing serious. Possibly it was a micro-stretch of the IC or BC muscle, in their muscular insertions along the corpora cavernosa. It's the same as cracking your finger joints.
Mike, stop touching your penis. Rest.
Good decision
Are you doing a lot of Kegels during masturbation?... You have to do Reverse Kegels during the whole masturbation session. And the first times you masturbate (after a long break) you have to do more relaxation exercises that day. More Hindi Squats, more Trigger Point massages, more Reverse Kegels, etc...
If you managed to be symptom free for a week, you are (almost) healed. You just need to work on the pelvic floor balance during your day. Avoid bad habits. In addition, both of your other health problems can cause lots of Involuntary Kegels throughout the day. I'm glad you're dealing with those health problems too.
Okay. Light massages, right? I think massaging is good, yes. To start giving that Ischiocavernosus Muscle a little flexibility. But do not abuse the intensity. It is not supposed to hurt. And use a lubricant, like baby oil or coconut oil.
I gained girth with Hard Flaccid... I gained 0.1 inches in MEG, in 3 months of Hard Flaccid treatment.
And I don't know why... I have always read that it is quite difficult for someone to gain girth. I never wanted more girth. And I never in my life trained to gain girth.
I think I can only be gaining girth by doing intense Reverse Kegels while I have a 100% erection. What is the plausibility of that?... I don't know... But that I am thicker I am sure. And my girlfriend is getting mad at me. She always told me she didn't want more girth.
Update: Maybe there is some plausibility after all...
- Edging for penis enlargement
Thank you Pegasus
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Gotcha Doc!
I just set up a 15 minute interval reminder on my cell phone to relax the pelvic floor. Do you think I should try edging while relaxing the PF (or reverse kegel) or just go for another month of no porn?
I just set up a 15 minute interval reminder on my cell phone to relax the pelvic floor. Do you think I should try edging while relaxing the PF (or reverse kegel) or just go for another month of no porn?
Wow, this is very interesting! Cool idea. Good strategy.
I think so. I think you've healed enough, to do 5 min of light and soft Edging every other day. Always with Reverse Kegels. Always with only your imagination. And try to decrease the number of ejaculations as much as you can. Ideally, try to ejaculate only when you have sex. To avoid major orgasmic contractions for as long as possible and to increase the likelihood of spontaneous erections, throughout the day. And, whenever you ejaculate, do more relaxation exercises that day.
The goal is not to stop watching porn for a month. It is to stop forever.
Hahahaha
I love pizza! I will appreciate the gesture of whoever sends me one :biggrin1:
But I don't drink alcohol...
I'll send the bottles to you, Boss. :biggrin1: So that tomorrow you can drink, while telling us some pirate stories
ok, 1 pizza with sardines and double anchovies, Limburger & Gorgonzola, sprinkled with sautéed cloves of garlic.
Will deliver with the next full moon.
You want thin, thick, hand tossed/dropped, or rolled flat with pinched 'corona' crust ?
Will deliver with the next full moon.
You want thin, thick, hand tossed/dropped, or rolled flat with pinched 'corona' crust ?
Sounds great! Arrrr!
Full of proteins! Arrrr!
Was that an analogy to coronavirus, to corona beer or to corona of glans penis?... xD I'm confused... Hahaha
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Thank you DickerSchwanz
Your thread about the Ischiocavernosus Muscle is also very good!
But be careful with the intensity of your workouts...
Always balance your training with Reverse Kegels.Hi Dr. Romero. I have read most, if not all, of your posts in this thread. Thank you for taking so much time and effort in helping everyone solve HF. If you have the time, I would be grateful if you could help me.
I myself have Hard Flaccid - it has been about 8 years now. I tried physiotherapists and doctors to no avail. I have read many books and consulted different sources for information which have helped me significantly. I am at a point, however, where I am unable to progress any further. Aside from the hard flaccid state and no libido, I used to have a feeling of inflammation in the penile area and a serious discomfort while sitting down (I had to lie down whenever doing something that required a rested position, like reading or using the laptop). These two symptoms went away completely when I performed skin rolling on my fascia all over my legs (I highly recommend this if external trigger point therapy hasn't worked). The only symptoms that remain are: a hard flaccid penis and almost non-existent libido. I haven't been able to fix these.
I stretch my legs everyday and do posture exercises (e.g. wall angels) which help relieve some of the pelvic floor tightness but it only to a certain extent and temporary. I don't think I have a lot of stress but I would say I am more sensitive to it when it comes around, so definitely something I can work on in that area. I am happy with everything I have in my life except for HF. Pornography use is definitely a weak spot for me which I try to limit as much as possible; I watch it roughly 1-2 times a week. I eat well and exercise 2-3 times a week although prolonged sitting is definitely a problem.
From what I understood in your posts, aside from stretching, you recommend Hindi squats, reverse kegels and working on relaxing (not just mentally, but being in a warm environment). I haven't worked on the latter three and will begin doing them everyday. Is there anything else I am missing?
I myself have Hard Flaccid - it has been about 8 years now. I tried physiotherapists and doctors to no avail. I have read many books and consulted different sources for information which have helped me significantly. I am at a point, however, where I am unable to progress any further. Aside from the hard flaccid state and no libido, I used to have a feeling of inflammation in the penile area and a serious discomfort while sitting down (I had to lie down whenever doing something that required a rested position, like reading or using the laptop). These two symptoms went away completely when I performed skin rolling on my fascia all over my legs (I highly recommend this if external trigger point therapy hasn't worked). The only symptoms that remain are: a hard flaccid penis and almost non-existent libido. I haven't been able to fix these.
I stretch my legs everyday and do posture exercises (e.g. wall angels) which help relieve some of the pelvic floor tightness but it only to a certain extent and temporary. I don't think I have a lot of stress but I would say I am more sensitive to it when it comes around, so definitely something I can work on in that area. I am happy with everything I have in my life except for HF. Pornography use is definitely a weak spot for me which I try to limit as much as possible; I watch it roughly 1-2 times a week. I eat well and exercise 2-3 times a week although prolonged sitting is definitely a problem.
From what I understood in your posts, aside from stretching, you recommend Hindi squats, reverse kegels and working on relaxing (not just mentally, but being in a warm environment). I haven't worked on the latter three and will begin doing them everyday. Is there anything else I am missing?
Porn-Induced Erectile Dysfunction
(I had written this post on another thread, but I think it's also quite appropriate for it to be posted here. This is just a general compilation, made from memory, about what I studied for my master's thesis. In a few days, I will reread my thesis, and I will edit this post, adding some more relevant and interesting knowledge about PIED.)
My Master's Thesis at the end of medical school was a systematic review about "Porn Induced Erectile Dysfunction". I analyzed 248 scientific papers, and I wrote 52 pages.
Pornography desensitizes (down-regulation) the limbic system (the brain pleasure system) in exactly the same way that cocaine does. Pornography consumes and eliminates postsynaptic dopamine receptors in the nucleus accumbens, decreasing its ability to activate the erectile penile system with weaker stimuli (real sex, with a real woman).
It is a behavioral addiction that affects your reward system in exactly the same way as a chemical addiction. If you are a cocaine user (pornography, several porn stars, extreme and progressive diversity), your brain will no longer be interested in soft drugs (sexual intercourse, with only one real woman).
And, moreover, just like ANY other drug addiction, pornography also decreases your executive functions, the ability to control impulses, the ability to concentrate and your memory, by decreasing the connection of neurons from the limbic system to the hypothalamus and to the prefrontal cortex. It is an addiction. Period.
And, yes, if you masturbate while watching a lot of women on Instagram, or if you masturbate while reading hardcore erotic literature, although it is not as harmful as video pornography, it will also have some desensitizing effect. You are training your brain to have erections with stimuli that are too artificial or too diverse. Which you rarely have in a normal sexual relationship. So, what happens when you are with a real woman? Erectile Dysfunction.
"Romero, what if I only watch porn 5 minutes a week?" - Smoking 5 cigarettes a week is not healthier than smoking 50. It is just less harmful.
Before the emergence of Online Pornography (2006), the prevalence of Erectile Dysfunction in men under 40 was 2-3%. Currently, it is 33% (data from 2014). No, it is not stress. No, it is not anxiety. The psychological stress of new generations does NOT create a 1000% increase in the prevalence of erectile dysfunction in just 8 years.
Porn is a complete demon. Period.
There is only one thing worse than porn videos. Porn Captions Gifs.
In which you can see a different woman, in a different story and in a different sexual act (which are, typically, the most hardcore 3 seconds of the video from which the gif was taken), every 10 seconds.
They are the absolute overdose for your limbic system.
Your brain (and your penis) were not created to withstand that type of stimulation.
P.S.: Sexting with your wife or girlfriend is not harmful. You are not creating a stimulus that is too diverse or too artificial (visual, auditory or hardcore). Sexting is healthy for your relationship.
-------------------------------------------------------------
Edging is the worst thing you can do while watching porn.
Desensitization in the limbic system is LOWER if you watch porn for 5 minutes and ejaculate than if you watch for 20 minutes and not ejaculate.
And the reason is very simple:
1 - What creates desensitization (ED) is the absolute (and supranatural) concentration of Dopamine in the Limbic system.
2 - The concentration of Dopamine is progressively higher the more extreme and diverse the pornography is.
3 - The longer the Dopamine concentration is high, the greater desensitization of receptors occurs.
4 - After orgasm, the hormone prolactin rapidly decreases brain dopamine. (Explanation of the male refractory period)
5 - If you do edging and do not have an orgasm, prolactin never gets to decrease dopamine. Dopamine is higher, more desensitization occurs.
However, 20 minutes of Edging, without ejaculating, will be less harmful than 3 sessions of 10 minutes (= 30 minutes) of masturbation with ejaculation. And because, in the second and third sessions, pornography has to be more hardcore for dopamine to compete with the increased concentration of prolactin.
And another symptom that is common to all patients with PIED is stamina gain. The beginning of desensitization does NOT give you erectile dysfunction, it only gives you stamina gains. Erectile dysfunction appears when desensitization is already moderate (6/7 years of watching pornography progressively more hardcore).
Why do you have better erections after 5 days of abstinence?
1 - Because your brain has not seen prolactin for 5 days. It is easier to be stimulated by dopamine.
2 - Some studies say it slightly increases testosterone.
(I had written this post on another thread, but I think it's also quite appropriate for it to be posted here. This is just a general compilation, made from memory, about what I studied for my master's thesis. In a few days, I will reread my thesis, and I will edit this post, adding some more relevant and interesting knowledge about PIED.)
My Master's Thesis at the end of medical school was a systematic review about "Porn Induced Erectile Dysfunction". I analyzed 248 scientific papers, and I wrote 52 pages.
Pornography desensitizes (down-regulation) the limbic system (the brain pleasure system) in exactly the same way that cocaine does. Pornography consumes and eliminates postsynaptic dopamine receptors in the nucleus accumbens, decreasing its ability to activate the erectile penile system with weaker stimuli (real sex, with a real woman).
It is a behavioral addiction that affects your reward system in exactly the same way as a chemical addiction. If you are a cocaine user (pornography, several porn stars, extreme and progressive diversity), your brain will no longer be interested in soft drugs (sexual intercourse, with only one real woman).
And, moreover, just like ANY other drug addiction, pornography also decreases your executive functions, the ability to control impulses, the ability to concentrate and your memory, by decreasing the connection of neurons from the limbic system to the hypothalamus and to the prefrontal cortex. It is an addiction. Period.
And, yes, if you masturbate while watching a lot of women on Instagram, or if you masturbate while reading hardcore erotic literature, although it is not as harmful as video pornography, it will also have some desensitizing effect. You are training your brain to have erections with stimuli that are too artificial or too diverse. Which you rarely have in a normal sexual relationship. So, what happens when you are with a real woman? Erectile Dysfunction.
"Romero, what if I only watch porn 5 minutes a week?" - Smoking 5 cigarettes a week is not healthier than smoking 50. It is just less harmful.
Before the emergence of Online Pornography (2006), the prevalence of Erectile Dysfunction in men under 40 was 2-3%. Currently, it is 33% (data from 2014). No, it is not stress. No, it is not anxiety. The psychological stress of new generations does NOT create a 1000% increase in the prevalence of erectile dysfunction in just 8 years.
Porn is a complete demon. Period.
There is only one thing worse than porn videos. Porn Captions Gifs.
In which you can see a different woman, in a different story and in a different sexual act (which are, typically, the most hardcore 3 seconds of the video from which the gif was taken), every 10 seconds.
They are the absolute overdose for your limbic system.
Your brain (and your penis) were not created to withstand that type of stimulation.
P.S.: Sexting with your wife or girlfriend is not harmful. You are not creating a stimulus that is too diverse or too artificial (visual, auditory or hardcore). Sexting is healthy for your relationship.
-------------------------------------------------------------
Edging is the worst thing you can do while watching porn.
Desensitization in the limbic system is LOWER if you watch porn for 5 minutes and ejaculate than if you watch for 20 minutes and not ejaculate.
And the reason is very simple:
1 - What creates desensitization (ED) is the absolute (and supranatural) concentration of Dopamine in the Limbic system.
2 - The concentration of Dopamine is progressively higher the more extreme and diverse the pornography is.
3 - The longer the Dopamine concentration is high, the greater desensitization of receptors occurs.
4 - After orgasm, the hormone prolactin rapidly decreases brain dopamine. (Explanation of the male refractory period)
5 - If you do edging and do not have an orgasm, prolactin never gets to decrease dopamine. Dopamine is higher, more desensitization occurs.
However, 20 minutes of Edging, without ejaculating, will be less harmful than 3 sessions of 10 minutes (= 30 minutes) of masturbation with ejaculation. And because, in the second and third sessions, pornography has to be more hardcore for dopamine to compete with the increased concentration of prolactin.
And another symptom that is common to all patients with PIED is stamina gain. The beginning of desensitization does NOT give you erectile dysfunction, it only gives you stamina gains. Erectile dysfunction appears when desensitization is already moderate (6/7 years of watching pornography progressively more hardcore).
Why do you have better erections after 5 days of abstinence?
1 - Because your brain has not seen prolactin for 5 days. It is easier to be stimulated by dopamine.
2 - Some studies say it slightly increases testosterone.
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Suggestion:
users: feel free to start a thread, all of your own, possibly title it uniquely
(example: yourusername-HF)
and of course, put it the appropriate forum.
THEN you could let user Romero MD, know that you that your thread exists. Possibly he will see the new thread and respond to it, if so warranted.
Please understand, Romero MD's thread should be reserved for his discoveries, etc.
We should not have every user needing advice hi-jack another members thread. Keeping an individuals concerns separate, threads, posts, will not have things getting mixed up. It will facilitate research, by others.
Like I opened, this is a suggestion.
Thank you!
users: feel free to start a thread, all of your own, possibly title it uniquely
(example: yourusername-HF)
and of course, put it the appropriate forum.
THEN you could let user Romero MD, know that you that your thread exists. Possibly he will see the new thread and respond to it, if so warranted.
Please understand, Romero MD's thread should be reserved for his discoveries, etc.
We should not have every user needing advice hi-jack another members thread. Keeping an individuals concerns separate, threads, posts, will not have things getting mixed up. It will facilitate research, by others.
Like I opened, this is a suggestion.
Thank you!
Thank you very much for the suggestion, Dangler :biggrin1:
However, I would like to add two points to the Boss's advice:
1 - If you are a member with Hard Flaccid who has NOT yet tried EVERYTHING that was said on this thread, and has NOT yet tried ALL of my advice, please follow Dangler's advice. Create a new thread with your evolution and improvements. And, please, do NOT try my advice for 2 weeks and say that none of this works. Healing muscles is not easy. Any muscle, tendon or skeletal injury takes time to heal. It took me 12 months to treat a quadriceps strain (I was 14 and I was ignorant... xD I didn't have the knowledge to heal faster yet
). Therefore, I want you to try ALL of my advice for 3-4 months. If you have NOT seen ANY improvement for 3-4 months, please read number 2.2 - If you are a complex and difficult patient, who has NOT improved at ALL, for 3-4 months, with ALL (I will repeat: ALL) the advice that has been said and explored on this thread, please write your story here, as detailed as you can (all story, all symptoms, all evolution, preferably in a single post). So that I can get to know your situation more quickly and efficiently. And more easily stimulate my study and discoveries...
Does this sound good to you, Dangler?
I apologize to everyone. This is just because I don't have much time and availability to comment on all posts, from members with Hard Flaccid, on the PEGym forum. In the past few days, I have only been coming to PEGym to reply to private messages, to see if anyone commented on this thread or to study specific threads that I think are really worth reading… I apologize to everyone, but I have no availability in my life for another type of approach.
In addition, I am putting the number of specific posts with updates on the first post on this thread. So that any member who reads this thread (if they don't have time to read everything) can read only the main posts. Sorry for not dedicating more time to this, guys, but my life is full.
P.S.: I have been studying Large/Long Flaccid for the past few days. I think I am concluding very interesting things about this variant
I still need to study for a few more days, but I should be able to make an interesting post about it, for the next week. Thank you, WorkToResolve, for inviting me to learn more about this variant. This has been fun :biggrin1:---------------------------
(Zeroo, I'm not forgetting you...
)
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