Peyronie’s Disease and Your Sex Life: 7 Things to Know

7 Ways Peyronie’s Disease Can Affect Your Sex Life

Medically reviewed by Joseph Brito III, MD — Written by Cathy Lovering on February 19, 2021

This article is a repost which originally appeared on Healthline

Edited for content

Peyronie’s disease is when plaques (scar tissue) form under the skin of the penis and cause it to bend. Living with this condition often includes pain and changes to sexual function that can affect personal intimacy, your relationships, and mental health.

Understanding the ways Peyronie’s disease can affect your sex life and partner can help you know what to expect from the disease, along with how treatment options can help.

Here are seven things to know about Peyronie’s disease and sex.

1. Getting and keeping an erection can be challenging

Erectile dysfunction is more common among people with Peyronie’s disease. A 2020 study on 656 men who were receiving care at a urology clinic in Brazil found that nearly 60 percent of men with Peyronie’s disease had erectile dysfunction, compared with 46 percent of men without the condition.

There are a few possible reasons for the connection between Peyronie’s disease and erectile dysfunction. For some, the scarring can make it difficult to get an erection.

Erections can also be challenging if the nerves or blood vessels of the penis have been damaged by inflammation or trauma to the penis, which is associated with Peyronie’s disease.

Many people living with Peyronie’s experience anxiety and depression because of the condition. These feelings can also lead to challenges with sexual function, so the symptoms often compound each other.

Finally, pain (especially during the active phase of the disease) can contribute to erectile dysfunction for some people with Peyronie’s.

2. Your partner may experience pain and discomfort

Peyronie’s disease often causes pain during erections. But that condition doesn’t only cause pain to those living with it — it can also make sex uncomfortable for their partners.

A 2020 study found that nearly half of the female sexual partners of men with the condition experienced at least moderate pain or discomfort during vaginal intercourse.

In some cases, couples couldn’t engage in certain sexual activities they enjoyed before the onset of Peyronie’s.

With that being said, the appearance of your penis might not be as much of an issue to your partner. The research found that nearly 60 percent of men with Peyronie’s disease were very or extremely bothered by how their erect penis looks, while just 20 percent of their female sexual partners felt the same way.

3. Communication can help couples cope

While it can be difficult to talk about Peyronie’s disease, communication is key to maintaining intimacy with your partner and finding new ways to be sexual.

Here are some ways to make the conversation easier, according to the Association of Peyronie’s Disease Advocates (APDA):

  • Discuss the condition and its effects over several conversations. Don’t feel like you have to cover everything in one sitting.
  • Your feelings and symptoms can change over time, so you may need to revisit topics in future conversations. Try to be honest about what you’re going through.
  • Make sure the conversation is a dialogue, not a monologue. As much as you share your concerns, listen to your partner express how your condition is affecting them, as well.

The APDA also encourages people with Peyronie’s disease to involve their partners in exploring treatment options and going to doctor’s appointments.

4. Couples may need to explore new forms of intimacy

If Peyronie’s disease is making it challenging to have sex the way you’re used to, it might be time to explore new techniques.

Partners can use different positions or explore other forms of intimacy and pleasure besides intercourse to achieve satisfaction.

Speaking with a sex therapist or counselor can help both people in the relationship share their sexual needs and desires and work through challenges in the relationship.

5. Over-the-counter (OTC) medication can provide pain relief

Treatments for Peyronie’s disease, which range from injections to surgery and penile implants, usually have the goal to reduce curvature and improve sexual function.

However, not all people with the condition need medical treatments. If pain is your main symptom, OTC pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil) or naproxen (Aleve), may be all you need to have a more comfortable erection.

6. Treatments can boost sexual satisfaction

There are a number of surgical and nonsurgical treatments for Peyronie’s disease. While they’re typically focused on reversing curvature and breaking up plaques, some treatments have the added benefit of boosting satisfaction for partners of people with the condition.

A 2020 review of small studies found that 70 percent of female partners of men with Peyronie’s disease who were treated with collagenase clostridium histolyticum injections experienced higher sexual satisfaction.

Female partner sexual satisfaction also climbed by 34 percent to 88 percent when men were treated with penile plication, 90 to 100 percent after they underwent plaque incision or partial excision with grafting, and 40 to 75 percent after penile prosthesis implantation (a treatment typically reserved for people with severe Peyronie’s disease and erectile dysfunction).

It’s important to note that available research only surveyed women who were intimate with men with Peyronie’s disease, so further study is needed to determine how the condition and treatments can affect non-female partners.

7. Talking with others can make you feel better

The psychological impacts of Peyronie’s disease can affect your emotional well-being, as well as your ability to be intimate.

According to APDA, the condition can change the way a person sees themself and hurt their self-confidence.

People with Peyronie’s disease may avoid intimacy, lose interest in sex, and withdraw emotionally. This can cause a range of psychological challenges for both people in the relationship.

Overcoming emotional and social isolation can help reduce the impact of the condition on your sex life and overall well-being. Consider talking with others who are living with the condition or joining a support group.

A mental health professional, such as a psychologist or a therapist, can also give you a safe space to work through concerns and find ways to cope.

Takeaway

Peyronie’s disease can make a big impact on a person’s sex life, both due to the physical symptoms and the emotional impacts of the condition.

The condition can also make an impact on your partner’s comfort and satisfaction during sex.

Exploring treatment options, having open and honest conversations, and seeing a sex therapist are some of the ways to reduce the effects of Peyronie’s disease on intimacy.

You may also consider joining a support group to connect with others who have the condition.

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PRP for Erectile Dysfunction: Research, Benefits, and Risks

Can PRP Treat Erectile Dysfunction? Research, Benefits, and Side Effects

Medically reviewed by Kevin O. Hwang, MD, MPH — Written by Daniel Yetman on March 6, 2020

This article is a repost which originally appeared on Healthline

Edited for content

What is PRP?

Platelet-rich plasma (PRP) is a component of blood that’s thought to promote healing and tissue generation. PRP therapy is used to treat tendon or muscle injuries, stimulate hair growth, and speed recovery from surgery.

It’s also used as an experimental or alternative treatment option for:

  • erectile dysfunction (ED)
  • Peyronie’s disease
  • penis enlargement
  • sexual performance

There’s currently little research on the effectiveness of PRP for ED. In this article, we’re going to break down what scientists have found so far. We’ll also look at alternative treatment options and potential side effects of PRP therapy.

How does it work?

Your blood is made of four different components: red blood cells, white blood cells, plasma, and platelets.

Plasma is the liquid part of your blood and makes up about half of its volume. Platelets are critical for helping your blood clot after an injury. They also contain proteins called growth factors that help speed up healing.

The theoretical benefit of PRP for ED is to make the tissue and blood vessels in the penis healthier.

To prepare PRP, a medical professional takes a small sample of your blood and spins it in a machine called a centrifuge. The centrifuge separates the plasma and platelets from the other parts of your blood.

The resulting PRP mixture has a much higher concentration of platelets than regular blood. Once the PRP is developed, it’s injected into your penis. This is called the Priapus Shot, or P-Shot.

The P-Shot is a quick procedure, and you’ll likely be able to leave the clinic in about an hour. You also don’t have to do anything to prepare in advance for the procedure.

What does the research say?

Many clinics offering PRP for ED claim that it’s effective, but there’s limited scientific evidence to support their claims. Using PRP for ED is experimental, and its effectiveness is still under review.

A 2020 review looked at all the research available to date on PRP therapy for male sexual dysfunction. The review looked at three animal studies and two human studies for ED. The studies didn’t report any major adverse reactions to PRP therapy.

The researchers concluded that PRP has the potential to be a useful treatment option for ED. However, it’s important to keep in mind that the studies had small sample sizes, and there weren’t adequate comparison groups.

More research is needed to understand the benefits of PRP treatment. The current evidence is mostly anecdotal.

How does PRP compare to other ED treatments?

At this time, it isn’t clear if undergoing PRP therapy will help improve symptoms of ED. Traditional treatment options might be a better alternative until more research is available.

Many people with ED have success with traditional treatment options, which usually target the underlying cause of ED. Your doctor can evaluate you for potential causes of ED, such as heart disease, high cholesterol, or diabetes, and recommend the best treatment option for you.

Common ED treatments include:

  • Medications. ED medications allow the blood vessels in the penis to relax and increase blood flow.
  • Lifestyle changes. Becoming more physically active, eating a healthier diet, and quitting smoking all have the potential to improve ED.
  • Talk therapy. Talk therapies might help improve ED if it’s a result of psychological causes, such as anxiety, stress, or relationship problems.
  • Targeting underlying conditions. ED is often caused by an underlying condition, such as high blood pressure, obesity, and heart disease. Treating these conditions has the potential to improve erection quality.
How much does PRP cost?

Few insurance plans currently cover PRP because it’s still considered an experimental treatment. The cost of the P-Shot can range widely among clinics. According to the Hormone Zone, the P-Shot procedure costs about $1,900. However, some clinics may charge up to $2,200 for treatment.

According to the 2018 Plastic Surgery Statistics Report, the average doctor fee for a PRP procedure was $683, not including facility and instrument cost.

Finding a doctor

If you’re interested in having PRP treatment for ED, talk to your doctor. They can answer your questions about PRP and refer you to a specialist who performs the treatment. Globally, there are at least 683 registered clinics that can administer PRP for ED.

PRP is usually performed by a doctor or surgeon. However, laws on who can perform the treatment may vary between countries.

When looking for somebody to perform PRP, check their medical credentials to make sure they’re licensed by a medical board before you make an appointment.

If possible, you may also want to speak to one of their previous clients to see if they were happy with their results.

Risks and side effects

The 2020 review mentioned earlier found no major adverse effects in the study participants. However, researchers can’t say whether or not PRP is a safe treatment for ED until more research comes out.

As of now, there have been few clinical trials, and the sample sizes have been too small to make any conclusions.

PRP is unlikely to cause an allergic reaction since the substance being injected is coming from your body. However, as with any type of injection, there’s always a risk of complications, such as:

  • infection
  • nerve damage
  • pain, including pain at the injection site
  • tissue damage
  • bruising
Takeaway

PRP therapy is still an experimental treatment. At this time, it isn’t clear if PRP can help treat ED. The procedure is relatively expensive and isn’t covered by most insurance companies.

Early research looks promising, but until studies with large sample sizes and control groups come out, you may want to stick with traditional ED treatments.

If you’re having trouble getting an erection, it’s a good idea to talk to your doctor. They can test you for underlying medical conditions that may be causing ED and recommend an appropriate treatment.