Bent penis: when to worry?

The crooked penis occurs when the sexual organ presents some kind of curvature when it becomes erect. Most of the time, regardless of the direction in which the member bends, there is no reason to worry, as the penis needs a slight bend to facilitate penetration. 

On the other hand, more pronounced curvatures are not considered normal and may indicate the presence of more serious conditions, such as Peyronie's Disease. In this article, I'll help you better understand when the curvature is abnormal and how you can identify and treat Peyronie's Disease. Follow!

When is the curvature of the penis not normal? 

Every man must constantly observe the anatomy of his penis, after all, the health of your organ also means more health, well-being and quality of life for you. Usually, we begin to notice the appearance of the organ in puberty or the beginning of sexual life. At this stage, many men can already notice that their penis has a certain curvature.

The penile curve occurs due to the difference in elasticity between the tissues that make up the penis. As we've seen, a slight curve is quite common. However, if the angle of curvature is greater than 30º, the alert must be turned on, as it is a strong indication that something is wrong. 

In addition, pronounced curvature may be accompanied by other symptoms, such as:

• pain or discomfort during erection, 
• difficulty penetrating and maintaining sexual intercourse;
• pain in the penis after intercourse;
• increase in curvature over time.

 

Peyronie's disease: the main cause of bent penis

Peyronie's Disease is characterized by the development of small fibrous plaques inside the body of the penis, resulting in an exaggerated curvature. According to the best sexologist in Delhi, the condition affects about 10% of men, but the prevalence can reach 20.3%.

Causes

Unlike the congenitally bent penis, Peyronie's disease appears over time and mainly affects men over 40 years of age. The condition arises as a result of microtraumas caused by sexual intercourse, but it can also have other associated causes, such as:

• advancing age;
• erection problems;
• erectile dysfunction;
• prostatic surgery.

Symptoms

A crooked penis with a pronounced curvature acquired throughout life is the main symptom of Peyronie's Disease. Thus, the identification of the disease can be done with the naked eye by the patient, but it is also necessary to be aware of other common symptoms caused by the condition. Among them, sexologist in Delhi highlight:

• Lumps or lumps in the penis: they usually form in the upper part of the penis and can be noticed when feeling the organ in a flaccid state.
• Pain in the penis during erection: this symptom is not considered normal in any situation. Its presence may be an indication of the inflammation phase of Peyronie's Disease.
• Onset of erectile dysfunction: in addition to being the cause, erectile dysfunction is also one of the symptoms that can be caused by Peyronie's Disease.
• Diminishing or thinning of the penis: it can occur as one of the effects of penile fibrosis, being directly associated with a lower elasticity of the tissues.

Treatment

The treatment for the bent penis caused by Peyronie's Disease varies according to the stage of the disease and may be clinical or surgical. Learn more about them:

Clinical treatment

Indicated for the initial phase of the disease, clinical treatment is carried out through oral, gel, ointment or injectable corticosteroid drugs. These drugs promote the destruction of fibrosis plaques and help reduce local inflammation, increasing blood circulation in the penis and preventing the evolution of the curvature.

Surgery

Surgery is indicated when Peyronie's Disease is already at an advanced stage. The surgical procedure is performed with the aim of removing fibrosis plaques that may be affecting the erection and curvature of the penis. The surgery is performed under local anesthesia and the patient is discharged on the same day.

Penile prosthesis

The penile prosthesis is a great ally to correct penile fibrosis, increased penile curvature and erectile dysfunction. It is a small device surgically implanted to promote greater axial rigidity after curvature correction, preventing further trauma and fissures. Thus, the prosthesis assists in the correct functioning of the penis and allows the man to have an active, healthy and satisfying sex life. 

The importance of consulting with a sexologist in Delhi

A crooked penis can cause some fear in seeking medical help, but the first step to recovering your self-esteem and quality of life is to put shame aside and seek out a sexologist in Delhi.

The diagnosis of Peyronie's Disease or other causes that may be related to the accentuated curvature of the penis can only be made by a professional, with the help of specific tests. In addition, the most appropriate treatment for your case will only be defined after a careful evaluation by a specialized urologist in Noida.

Treatments for men's sexual problems

Erectile dysfunction, loss of desire, premature ejaculation: treatments for men's sexual problems

Erectile dysfunction, loss of sexual desire and premature ejaculation: these are the main sexual problems faced by men. But do they have a solution? Yup. The best sexologist in Delhi explained the best solutions according to the root of the problems.

Erectile dysfunction

Until recently, commercials sold the solution to "impotence." Doctors warn that the word is no longer used because it is considered pejorative.

Erectile dysfunction is the main sexual problem experienced by men. Dr P K Gupta, sexologist in Delhi, explains what the disease is:

"The definition of erectile dysfunction is the persistent inability to produce or maintain an erection sufficient for satisfactory sexual intercourse for at least six months."

But what can lead to the problem? According to Dr Gupta, "the penis works like a blood vessel."

"What is bad for a blood vessel will also be bad for the health of the penis. Increased cholesterol, sedentary lifestyle, smoking, diabetes, obesity, are some of the risk factors for erectile dysfunction."

Sexologists in Delhi separate causes into two types: organic and psychological. Dr P K Gupta, an expert in the field, says that the root of the dysfunction is emotional.

"Insecurity in relation to erection is the problem that most affects men", he evaluated.

The psychological factors are varied, such as fear of pregnancy and depression. There is also situational erectile dysfunction, when the patient has a normal erection with his wife but not with his lover, and vice versa. Job loss and widowhood can also cause it.

In these cases, the most recommended treatment is specialized psychotherapy. According to sexologist in Noida, it is possible to solve the problem momentarily with the use of medicines, but only the recovery of security is what brings the definitive cure.

"The ideal is to be able to treat the emotional cause and take medicine. If the first part is not done [going to a psychologist], the patient will need to take the medicine forever. Psychotherapy is the only treatment that really cures", he explains.

There are also organic causes: it is very common for men to undergo pelvic surgery. Urologist in Noida says that 1 in 7 men will have prostate cancer, one of the treatments being surgery. This can damage one of the nerves that make an erection impossible.

Viagra and Variations

The best sexologist in Noida says that the great evolution in erectile dysfunction treatment in Delhi occurred with the discovery of drugs that guarantee erection, such as Viagra, 20 years ago. They work in the following way: the man produces a substance inside the penis called cyclic GMP (cyclic guanosine monophosphate) and it is this that starts the erection mechanism. There is also an enzyme that destroys cyclic GMP.

"Let's assume that the man has '10 pellets' of cyclic GMP. The enzyme goes there and destroys eight. The drug reduces this action to facilitate erection", explains Dr Gupta.

Treatment with drugs and psychotherapy is called first-line, according to Dr Gupta. He points out that there are other ways out for the 30% or so who don't respond to pills like Viagra.

The second line consists of injections into the corpus cavernosum of the penis. "We teach the patient how to do a penile injection and he will be able to have sexual intercourse normally," he said.

Dr P K Gupta says that while the injection is done to not cause too much pain, many patients can't get used to it. A small portion does not have the expected result.

"Then we go to a third line of treatment, the penile prosthesis. It is the implantation of silicone rods inside the cavernous body. This keeps the penis erect, with a malleable and semi-rigid prosthesis", he explains.

 

Reduction of sexual desire

Doctors are clear: a lack of sexual desire among men is increasingly common.

Libido is linked to the levels of testosterone, a male hormone, also found in women, which peaks in adolescence. It is natural for rates to drop after age 50 and there is a reduction in attraction.

"It's not just hormonal. Men can also have libido problems for psychological reasons. In the so-called hypoactive male sexual desire, he has all the normal tests, but for some unknown reason he has no sexual desire. It's no use giving Viagra, it's no use giving hormone", explains sexologist in Delhi.

Dr Gupta points out that psychological causes are also linked to depression, pressure at work and stress.

"Today I think that lack of desire is the second biggest cause of male sexual health problems. Hormone replacement is for those who need hormones. Often the root is emotional. This story of giving testosterone to everyone is wrong", he recalled. .

In these cases, when there is no hormone dysregulation, the solution is specialized psychotherapy. The available remedies do not resolve the issue, since the erection is only "activated" with the man's arousal.

Premature ejaculation

There is disagreement regarding the definition of premature ejaculation. Some medical institutions define it as the inability to maintain an erection for more than two minutes inside the partner's vagina. Others ejaculate in a minute.

"I believe it's 'when a man doesn't have voluntary control of ejaculation, such that he ejaculates before he wants to," sexologist in Delhi said. He just thinks he has it.”

"It involves three concepts: a quick ejaculation, a feeling of lack of control and a nuisance in the couple", evaluates best sexologist in Delhi.

According to the sexologist doctor in Delhi, a survey that lasted 10 years showed that the normal median time for men is five minutes.

In this disease, the causes are psychological. There are some cases in which suspicions arise for organic reasons, such as a hypersensitivity of the glans (the "head" of the penis), but not with considerable frequency.

"It is very prevalent because it affects men of any age, although there is a greater predominance in young people under 25 years old. It causes major problems in terms of quality of life", says Dr Gupta.

Anxiety to satisfy the partner and insecurity are the most recurrent causes. In these cases, treatment is also done with specialized psychotherapy.

The drugs used to prolong erection in India are antidepressants. Top sexologist in Delhi says that one of the effects is to slow down the process and, with smaller doses, you can lessen the side effects.

"The antidepressant drug will increase serotonin in the Central Nervous System and that delays the trigger of ejaculation."

"It is very prevalent because it affects men of any age, although there is a greater predominance in young people under 25 years old. It causes major problems in terms of quality of life", says Dr Gupta.

Anxiety to satisfy the partner and insecurity are the most recurrent causes. In these cases, treatment is also done with specialized psychotherapy.

The drugs used to prolong erection in India are antidepressants. Sexologist in Delhi says that one of the effects is to slow down the process and, with smaller doses, you can lessen the side effects.

"The antidepressant drug will increase serotonin in the Central Nervous System and that delays the trigger of ejaculation."