Venous Leak Symptoms And Cures

[Orome]

Have you tried focusing solely on stamina work to improve your EQ?

Kegels, honestly I don't really retain erections long enough without pharmaceuticals to do any edging.

No offense, but it's likely that the medical professionals you're conferring with are lazy or (as you stated) aren't taking you seriously. Unfortunately, that's a very common response. That being said, even if you have a venous leak there are measures that you can take to correct it- as long as it's not too severe (see https://www.pegym.com/forums/penile-anomalies-injuries/10071-ideas-combat-venous-leaks.html). From what you describe, whatever you have likely isn't severe.

Yep I had a whole long thread on that frustration https://www.pegym.com/forums/erecti...nding-doctor-actually-interested-helping.html
I've talked with a number of guys over on franktalk that said they had to go through a bunch of urologists before they were eventually diagnosed with VL. A lot of them have penile implants now, but I don't think I ever want to go with that option.

I honestly think I have multiple things causing my ed. Physical (evidence for that is lack of nocturnal erections and non-response to injection). Psycological, and possibly hormonal as my libido is way down, although I did have a complete hormonal panel done twice and nothing clearly indicating hormonal ED.

 

[Big Al]

Hi Al, thanks again for the link. I will read it all.

You're welcome

About the diagnosis, I am grateful for it. I am grateful for anything. The last urologist told me that my tesosterone, which is under 300, apparently maybe normal in an 80-year old man (though one site I saw 80yr old men have higher T on average) was normal. He also overlooked my TSH numbers, which were for thyroid.

I will ask him about the cavernosogram in September when I see him next. He wants to see how I respond to Clomid. He also ordered a lot of blood work so we will discuss that as well Sept 2nd.

T levels that low would cause you problems even if you were physically sound in every other respect. It'll also have a severe effect on your confidence levels and anxiety.

Stress I can attest to, is an erection killer for me as well. Cortisol is something I noticed ordered for me on my bloodtest, so I will find out soon.

Unfortunately I suffered so long that I will always find it stressful for sex, I am always worried.

I just hope we get to the root cause of the diagnosis in September.

Until then, its a bit hard to sleep at night. Everyday, hoping for a recovery.

Surely you don't have to see this as a permanent issue. Once you're able to master it and put it behind you, you'll see things from a much different vantage point emotionally. The key is in getting there.

 

[Big Al]

Kegels, honestly I don't really retain erections long enough without pharmaceuticals to do any edging.

Yep I had a whole long thread on that frustration https://www.pegym.com/forums/erecti...nding-doctor-actually-interested-helping.html
I've talked with a number of guys over on franktalk that said they had to go through a bunch of urologists before they were eventually diagnosed with VL. A lot of them have penile implants now, but I don't think I ever want to go with that option.

It's sad that no other options were considered. I recall a number of years back how VL threads were being started on this forum and (coincidentally) had a large number of new members responding with links to experimental surgeries as being the "only" solution to their problems. That's shameful as #1) it's unethical to recommend a radical surgery without knowing the full extent of the patient's condition, and B) there are non-invasive alternatives for men who suffer from low-to-moderate levels of VL.

I honestly think I have multiple things causing my ed. Physical (evidence for that is lack of nocturnal erections and non-response to injection). Psycological, and possibly hormonal as my libido is way down, although I did have a complete hormonal panel done twice and nothing clearly indicating hormonal ED.

What hormones did they check for- did you get a full work-up?

 

[Saskman]

T levels that low would cause you problems even if you were physically sound in every other respect. It'll also have a severe effect on your confidence levels and anxiety.

Aside from a few years since a mid teenager, I always felt I lived my life meticulously in terms of health. I guess I was fortunate to do so, I imagine I would be much worse off if I hadn't done my best to work out for those years. If I hadn't drink so much milk, perhaps osteoporosis.

I find it very odd, I always had higher then normal cholesterol considering I eat very healthy. Another problem linked to low T, which seems to be a house of cards.

I feel lucky in an unlucky way to at least have found out :becky:

 

[Big Al]

Aside from a few years since a mid teenager, I always felt I lived my life meticulously in terms of health. I guess I was fortunate to do so, I imagine I would be much worse off if I hadn't done my best to work out for those years. If I hadn't drink so much milk, perhaps osteoporosis.

I find it very odd, I always had higher then normal cholesterol considering I eat very healthy. Another problem linked to low T, which seems to be a house of cards.

I feel lucky in an unlucky way to at least have found out :becky:

These things happen sometimes- despite our best to prevent them. At least you're making the attempt to correct the situation, and there's a lot that you can do non-medically to help things along.

 

[popol5169]

I found some interesting links:

[ED Cured] Experiences and Theories on My Different Type of PIED : NoFap

Help Guide: Guys with PC Muscle and Pelvic Floor Conditioning Issues - Your Brain Rebalanced

Male Pelvic Floor: Advanced Massage and Bodywork

The physical process of erection is largely a circulatory event, initiated and assisted by the nervous system. Simply put, adequate blood must flow into the penis, and it must be trapped there to maintain rigidity. This process is facilitated by the pelvic floor, especially the Bulbospongiosus (sometimes called Bulbocavernosus) and Ischiocavernosus muscles. "Contraction of the bulbospongiosus muscle blocks blood from escaping by pressing on the deep dorsal vein of the penis." [2]. When weak, these muscles cannot effectively inhibit this outflow, resulting in partial or total flaccidity, or ED. "It has been shown that contractions of the Ischiocavernosus (IC) and Bulbocavernosus (BC) muscles are very important in the process of penile rigidity." say Sommer et al. [5]. In another study, Colpi and colleagues report that "Our results clearly demonstrated that a reduction of contractile activity of the perineal muscles [IC and BC] may be related to erectile dysfunction." [6]. Bo et al. agree: "Weak pelvic floor muscles compromise penile erection." [7], as do Carriere and Feldt: "An increasing ability to contract and relax the pelvic floor improves sexual functioning in men with erectile dysfunction." [1]

 

[popol5169]

An interesting study for venous leakers:

Pelvic floor exercise versus surgery in the treatment of impotence. - PubMed - NCBI

 

[Thatbdd]

Instead of starting a new thread il just ask in this one, hopefully I can get some help and a better understanding of this..

So I was diagnosed with a small venous leak acaccosiated with "excessive adrenergic tone" through a penile doppler ultrasound.. I was injected with trimex (i believe is how it's called) and did not become fully erect. The doctor I seen here in Chicago is the leading peyronies specialist in the country by the way, so I guess he's well versed in dealing with penis problems in general. I asked him a lot of questions when I was in there but am having trouble remembering a lot of our talk, and he is very hard to make appointments with, and didn't spend much time because he is busy.

Does anyone know or can anyone help me with some more info on what "excessive adrenergic tone" really means??

Ive done some reading on it and it appears to be something to do with adrenalin, but I cant find to much info on it. I was also diagnosed with a testosterone deficiency about 3 weeks ago, found that out about 2 weeks after the penile Doppler. He has me on Cialis 5mg once daily for rehab therapy for 2 months then gave me a referral to a sex therapist.

I feel so lost. I dont understand if this venous leak due to excessive adrenergic tone means it's physical, hormonal, or psychological.Any help or info would be very much appreciated.

 

[Thatbdd]

I also told him I was having premature ejaculation, and he said that can also be
asccosiated with excessive adrenergic tone, whatever exactly this thing means or is.

 

[Big Al]

That's another way of saying that your hormone levels are contributing to the state of your erections (see Alpha-adrenergic component of the sympathetic nervous system in congestive heart failure. - PubMed - NCBI). Did you get any specifics as to the cause? Low T could certainly be a factor in your problem.

 

[Thatbdd]

I found out 2 weeks after I had the appointment for the penile doppler that my testosterone was low, so he or I didn't know it was low at the time. He just said that I had no physical abnormalities but that I had a small minor leak and that it was excessive adrenergic tone causing venous leak.

When he first gave me a physical exam, right before the test, he grabbed my flaccid and also said and brought up excessive adrenergic tone being the reason why it was hard and contracted and why the smooth muscle wasn't able to be more relaxed. He did also want to do a test for testosterone at the time but changed his mind because he said I'm young so my testosterone should be fine. Well come to find out it was indeed low. He went on to explain the adrenergic tone but I cant remember the talk to well.. something about the sympathetic nervous system, or something produceing more adrenaline then the opposite thing to adrenaline, ( ephinarailine) idk so confusing

 

[Thatbdd]

Idk if the referral to the sex therapist that he gave me means he thinks my "leak" is psychological, or if its some attempt to get me to come to terms with this or what?

 

[Big Al]

Idk if the referral to the sex therapist that he gave me means he thinks my "leak" is psychological, or if its some attempt to get me to come to terms with this or what?

You'll need to discuss that with him to get the answer.

If your VL is small, then you might be able to remedy it with kegels and the use of "Butcher's Broom".

 

[Domino1]

I recently had an odd experience....Iam diagnosed with Venous Leak since my birth. Its congenital.
Few days ago I orderd an Supps with Butchers Broom Horse Chestnut and Grape Seeds. So it took them 2 days and then on the 3 day i had an better Erection like before....The odd thing is that on the next day it was the same bad as before....and since this one experience the good erection didnt return, although i continued to take the Supps....I also do Pelvic floor exercises....could be also affected by them....i really am confused?! What are your new insights of Buhters Broom etc.? any news on that?

 

[Big Al]

I recently had an odd experience....Iam diagnosed with Venous Leak since my birth. Its congenital.
Few days ago I orderd an Supps with Butchers Broom Horse Chestnut and Grape Seeds. So it took them 2 days and then on the 3 day i had an better Erection like before....The odd thing is that on the next day it was the same bad as before....and since this one experience the good erection didnt return, although i continued to take the Supps....I also do Pelvic floor exercises....could be also affected by them....i really am confused?! What are your new insights of Buhters Broom etc.? any news on that?

Can you go into the extent of your VL? If you're able to achieve any type of erection and hold it even for a short period, then there should be some hope.

What is the state of your mind during sexual activity or during attempts at achieving erections/masturbating? If there's a constant preoccupation with the state of your erections, that alone can affect its degree of hardness and stamina.

Kegels can help in certain situations.

While some studies dealing with venous insufficiencies show fairly quick results with Butcher's Broom, it would be in your best interests to take a multipronged approach towards achieving maximum potency.

To summarize:

-Figure out how extensive your VL is. In your case, there's a lot of hope since you appear to be potent- albeit intermittently.

-Make sure that your training is progressive but that you don't over train. The last thing that you want is to develop pelvic floor problems due to overdoing kegels.

-Continue with supplementation. This, combined with your training, should maximize your results.

-Honestly assess how much of your ED may be psychological in nature, and seek professional assistance, if necessary. If you've had a lifetime of issues with ED, you may not have been able to develop a completely positive outlook towards the prospect of sexual encounters.

 

[Big Al]

It's interesting how the complaints of VL have declined drastically over time on here. Still, in addition to this thread this timely new wiki article should help those seeking more information: https://www.pegym.com/wiki/venous_leak

 

[njguy31]

Hey guys,

Though I have never been diagnosed with venous leak. I do strongly feel I have it (on the lower scale) as most of the times, my erections quickly fade away within 5-10 seconds of no stimulation. I also noticed that my spontaneous erection has faded as well. 3-4 years ago, I had an accident of over experimenting with too many sexual herbs that caused a dorsal vein on my penis to buldge causing a thrombosed vein in the shaft of my penis. After that happened, I noticed that my ability to obtain a spontaneous faded significantly and my EQ/firmness also became softer by about 5-10%. This issue has brought me great stress through the years but I've learned to some what manage it.

I do notice though that my penis (and body) responds very well to kegels, running, squat excercies, leg extensions and hamstring extensions seem to really help with my erections. I've also mixed the use of 1/8 of a watermelon (just sliced and eaten normally) and maca root right before bed to help with morning and over-night erections. I hope this methods works for everyone else. I will post my routine.

Kegals
20 sets of holding for 5-6 seconds every morning & at night
20 sets of holding 1-2 seconds every morning & at night
(feel free to add a mid day kegel session as well)

It usually takes at least 4-5 days of consistent kegel excercises before I start noticing morning erections and improvements in my erection quality. I don't jelq or anything else since my penis tends to respond poorly to that stuff.

I run at least 1 mile 2-3 times a week with my shirt off for the extra Vitamin D. Sources say 15 minutes of sun gives you enough vitamin D for the day. It usually only takes me about 10 minutes to run a mile and then throw in some squat exercises immediately after.

Eating 1/4 of watermelon + 1 maca root extract pill helps with libido and erection quality as well. Citrulline in watermelon is converted into L-arginine, which is a precursor to nitric oxide. Adequate nitric oxide is required to enable your blood vessels to stay relaxed and open for blood flow.

For any persons dealing with any protruding penile dorsal veins, I suggest taking a 600 mg of Ibuprofen which helps constrict the veins and reduce any inflammation. I have also used cold compresses for 10-15 minutes at a time which seem to constrict the veins and help with the healing of it. Ibuprofen have been used by doctors to treat mondor's disease (thrombosis of the penile vein).

You can also try Bucher's Broom Horse Chestnut and/or Diosmin 95 which are herbs that help improve your vein health though I haven't noticed much of any significant changes with these 2 herbs but I don't think I took it consistently enough to give an honest review about it.

I would not mix any of these pills. I would just cycle through and change them every 2-3 days. For example, I would try the watermelon & maca first for 2-3 days. Then ibuprofen for 2-3 days at night. And then the Bucher's Broom or Diosmin 95 for 2-3 days. I do this to avoid any interaction.

Have I cured my problem? No, but I am able to get my penis back up to about 90% of what it was just with Kegels, Running & Squatting alone. What I do find weird though is that my penis tends to relapse after 2-3 days of sexual activity (1 session per day). The veins get really buldgy looking and a slight discomfort. I then have to abstain and go on a 2-3 day break from sex. Sometimes I'll take an ibuprofen to help with any inflammation during the break. Does anyone else experience this?

 

[Big Al]

Bumped for relevance of subject matter.

 

[Dangler]

Great advice!

JoeCool21,

Did your doc have any particular suggestions?

You may want to look into supplements like "Butcher's Broom" and "horse Chestnut"- both are known for helping with venous issues.

Also bolded for suggestions,

 

[ruskiczolg]

Hello,

I have been following this threads for some time.
I have convinced myself that I have venous leak(internet is evil).
Long story short, about 7 months ago I met a girl at a party and we went a little bit further, I couldn't perform but we were completely booze wasted. This has started 7 months of depression, vicious circle syndrome and internet research which pointed straight out to venous leak. My symptoms were I could actually achieve an erection(when sober) but couldn't maintain it for longer than 30 second in sitting position and 10 sec while standing with no physical stimulation, which inevitably pushed me to realisation that I MUST have venous leak. Meanwhile i met my new girlfriend and obviously failed when we were about to ... perform (could acheive an erection but couldn't maintain it even when I was inside of her). After some time I crashed mentally, started testing myself to check any improvements - to no avail, soo finally I decided to go to the men's clinic for thorough examination and consultation (payed a small fortune for that ). It all started with a sexologist(she). She said that is all in my head, which obviously I spurned with disdain. I had some blood tests etc(all perfectly well), ECG and all, urologists etc. Then i had an doppler exam which noted that i have amazingly well blood flow down there (no venous leak? impossible...). One piece of advice I took to my heart is to stop worrying and focus on pleasure(I know easier said than done). Some time later after all results returned perfectly well, I decided to test myself, but this time with different mindset and guess what were the results? I actually kept it for few minutes without any touching whatsoever but with some porn, I was not thinking about my penis at all.
They obviously gave me a prescription for cialis to take daily(smaller dosages) or 3 pills 3 days a week for next 3 months to regain some confidence - I am not sure if I am going to do this, guess I am gonna try to go with the flow.
I am still kind of weak and have not gotten rid of performance anxiety, but THIS is a huge leap forward, hope to gradually improve in this department.
Anyway just wanted to tell you this story guys to hopefully give you some hope. Don't fall into venous leak phobia crap. Wish i hadn't had an internet in the last 7 months....