Very strange thatsome of you are experiencing the non-engorged glans during erection. Mine has becomes the exact opposite. During any period where my penis is erect my prOblem is actually that the gland becomes OVER engorged. To explain further, the rim of the glans right where the gland meets the shaft is very pronounced and very firm. I never thought much of it until you bring it up but its definitely not something that I had before. It looks strange actually, even at 50% erection it is fully engorged, probably even a little over engorged.
Unfortunately after a "wet dream" my hf has really taken a turn for the worse, but I'm practicing abstinence and am on day 12 so far. Beginning to notice a slight decrease in firmness so I really think abstinence is going to be a key role in a solution.
I know for a fact that the doctor I'm seeing who has acknowledged this problem has in fact viewed the hardflaccid.org site and has passed it along to get ideas brewing with his colleagues. I am going for my standing Doppler and MRI very soon, within the next few days. He I insisting on a test involving a penile dye injection test to monitor bloodflow. What are everyones thoughts on this? I'm wary of any kind of injection, but will gladly do so for the sake of our group if we all think it would be beneficial. Please let me know.
Great to hear your update. My glans has been pretty standard since HF. I am noticing that my nocturnal erections, which last dangerously long, cause it to really blow up and get uncomfortably engorged. Sexual erections seem normal for me. Last night my nocturnal erection was so hard and full of blood that it woke me up from the pain. I had to go into the bathroom and examine myself to make sure I didn't split the skin open.
I think you are right in that abstinence is key. I went 100% hands-off for the first two weeks and in that time I recovered about 80%. Had very gentle sex once and then masturbated two days in a row and my recovery seemed to grind to a halt. And the past week it's actually seemed to start getting worse again. It's in that small, heavy, rubber tube mode way too often and those times of putting my feet up on the couch and going to 100% sponge seem to be gone. The only time I'm getting that now is during pre-semi-erection.
During the past week or two since things have taken a turn for the worse I also started drinking coffee again, and started getting erections several times throughout the day. Not masturbating at all, but actively checking out porn etc to induce an erection for a few minutes. My reasoning behind that is to try and help stimulate my testosterone production, as well as to get some good blood flow to the area as I've been on my feet and in hard flaccid mode more often lately. Anyway, ejaculation leaves my urethra in so much pain afterward that I am not even considering it. I think I am also going to quit those periodic boners throughout the day, doesn't seem to be helping the HF at all. I am also going to drop coffee again and see if that helps. I have to give a sperm sample this week to the fertility people so I don't really have any choice but to masturbate at least once this week. After that I'm hands-off again.
These alpha blockers don't seem to be doing anything for HF so far. Last week it felt like my urethra was being opened with a screwdriver, in a good way, if that makes sense, but nothing since. One thing they have done is sort of relaxed or numbed some of the perineum or bulb muscles, and now when I am aroused I no longer clench when I normally would. I can actually feel my body want to do it but it just doesn't allow it to happen... then all of a sudden after five or six of these "false starts" the muscles will clench, but in a really far too powerful way and it goes from 0 to 60 in one second and just contracts everything at once really forcefully. Hurts the penis a whole hell of a lot, and also sends a crazy spasm through my whole body and legs. It's like the feeling of being paralyzed and then suddenly having 150% muscle control for one second. Like being in a wheel chair for a month, and then suddenly for one moment being able to jump 20 feet in the air, and then landing on your paralyzed legs. Very uneasy feeling.
I think the dye is a fine idea. I recently (prior to HF) had a CT scan of the entire abdomen and pelvis with contrast injection and didn't have any bad effects. I'd imagine the ultrasound version with dye is even less risky. Only thing that would potentially freak me out might be the actual needles going into my penis. I'd definitely have to look away. They probably actually inject into the artery though anyway.
At my last uro appointment the doctor mentioned giving me an ultrasound with injection dye, along with chemical-induced erection. That would be coming up in about 3 weeks or so if I get it. But I have an appt with another uro this week on Thursday and will mention it to him as well. I'm up for anything at this point. He's going to have his hands full on this one. Hard Flaccid, Infertility, low testosterone and CPPS. Not even sure where to begin.
Keep us posted!
PS: I've got some guy writing me anonymous emails who claims to have found the cause and the cure, at least for himself. Says the cause, at its root, is inflammation. He didn't go any further and I asked him to submit his findings to the site. I enabled discussion comments there so we can get a good dialog going on it but haven't heard from him since. I can only assume it's some kind of Prostaglandin E2 elevation or something similar that he's referring to, but I have no idea. He describes it as overuse (or trauma, I suppose) causing inflammation, then stress inducing some kind of hormone/chemical (I'm assuming neurotransmitter) imbalance which results in depletions which results in artery constriction. His very brief description described 3 weeks of abstinence and some kind of supplement regimin, causing the systems to "reset" themselves and retain balance.
Hopefully he'll write in again. It sounded kind of promising. The fact that he mentions artery constriction keeps me interested, because that's obviously happening here. Anyway, if you're out there dude, please go to the site and hit Submit and we can get talking about this!