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  • A Doctor with Hard Flaccid - Updates and Advice

    Hi everyone! I am 26 years old and I recently developed this mythical problem called Hard Flaccid.

    My story:

    I am a medical doctor. I finished medical school a few months ago, and I am currently applying for Obstetrics-Gynecology.
    I have been practicing PE, intermittently, for the past 4-5 years. Basically, only manual stretches (I am satisfied with my girth), but, like many others, I think my injury was caused by Edging and excessive Kegeling (Front and Back), which I have been practicing for over 10 years, for stamina training and erection quality. And without knowing the extreme importance of Reverse Kegeling, for pelvic floor health. Every time I have sex, I also do kegels, in order to last 60-90 minutes of penetration. I know, I know... maybe it's a little too much... But my girlfriend and I have always liked long love sessions

    Almost 2 months ago, while I was having sex with my girlfriend, I started to lose my erection suddenly, after performing an intense Kegel, during a sex position that placed my penis at a downward angle (so, I did a “very weighted Front Kegel”). I thought I might have torn a muscle or ligament, and we stopped at that moment. The next day, I woke up with a hyper contracted and cold penis. As it didn’t seem to be a penile fracture, nor did I have any skin lesions, hemorrhages or bruises, I decided to simply rest. Because I thought that any fellow urologist would tell me to simply do the same - to rest.

    After two weeks of online research, I discovered my diagnosis - Hard Flaccid/CPPS. However, I only have/had symptoms related to the anterior/superficial pelvic floor (Ischiocavernosus and Bulbocavernosus Muscles). I don't have severe pelvic pain, difficulty passing stools or other posterior/deep pelvic floor (Levator Ani muscle and External Anal Sphincter) symptoms. But I have/had:
    - Sudden Erectile Dysfunction (9-10/10 to 3-4/10) - My erections were very ugly at the beginning of Hard Flaccid. I could only get 30-40% of my normal erection, and the erection would go down quickly and completely (5 seconds) if I stopped manual stimulation.
    - Sudden Premature Ejaculation (90min to 2-3min)
    - Hyper contracted penis (Hard Flaccid). Which improves sitting, lying down, with Reverse Kegels and with heat; and worsens standing, with physical activity, with Kegels and with Involuntary Kegels
    - Cold and soft glans (sometimes scrotum and penis too)
    - Mild urinary retention
    - Loss of morning and spontaneous erections
    - Two bumps (ridges, ribs) on the left side of the shaft
    - Loss of 0.5inches in BPEL (The decrease in the length or girth of your penis is not permanent! You will get them back when you are healed.)
    - Slight bend of the penis to the left, from the base of the shaft. (IC injury/contracture)
    - Slight downward curvature of the penis, from the middle of the penis (BC injury/contracture)
    - Slight twist of the entire shaft, clockwise (IC injury/contracture)
    - Mild pain in the left groin (IC injury/contracture) when I deviate the penis to the right side. Sometimes, the pain radiates to the left pelvic floor when I am sitting.
    - Mild pain along the penis, with tight clothing.
    - Diarrhea during the first 5-6 days of Hard Flaccid - due to the hyperactivation of the Sympathetic Nervous System, which increases intestinal transit. And not because I had a muscle strain in the posterior pelvic floor.

    The next day, I visited the Urology Department at my hospital. I was observed by 4 urologists. As expected, none of them had ever heard of Hard Flaccid… After explaining the whole story, situation and symptoms, I was medicated with:
    - Ibuprofen (anti-inflammatory), for 7 days
    - Cyclobenzaprine (muscle relaxant), for 30 days
    - Tamsulosin (alpha blocker, to decrease all sympathetic nervous activity, stressful or non-stressful, to the pelvic floor), for 30 days
    - Total sexual abstinence (masturbation and sex), for 30 days, which I was already doing for 2 weeks.
    After these 30 days, I will have an appointment with one of the best Andrologist in my country, which will be on August 27

    So, after 3 weeks, I have been doing a lot of research (books, websites, forums)... And, according to my symptoms, I am almost sure that I had/have a strain of the Left IC Muscle (and maybe the Left and/or Right BC), which is, consequently, contracting the anterior/superficial pelvic floor and, consequently, contracting the penile smooth muscle, inside the corpora cavernosa (giving rise to the Hard Flaccid and the shortening of the penis, while it is erect) and, consequently, compressing the branches of Pudendal Nerve, Dorsal Nerve and Pudendal Arteries, giving rise to all the other symptoms. And that's why REVERSE KEGELS (Front and/or Back) are so important for the progressive relief of all symptoms.

    Treatments. What I have done to recover:

    - Ibuprofen, Cyclobenzaprine, Tamsulosin

    - Extraordinary healthy eating (Proteins, vegetables and fruits. Very important in the recovery of any injury) and supplementation (Ginkgo Biloba, Ginseng, L-Arginine, Fish Oils, Vitamins E, D, C, B complex and Zinc)

    - Lots of REVERSE KEGELS/Front Reverse Kegels, throughout the day.
    ---- CONFUSION WITH REVERSE KEGELS
    ---- Reverse kegel for newbie (yes, that's me)
    ---- Difficult rk from pf tightness
    ---- Reverse Kegel Breathing (Meditative Reverse Kegels)
    ---- Mechanism of reverse kegel
    ---- Diaphragmatic breathing vs front and back reverse kegels and when to do them

    - Very light and Soft Squeezes (“massages” with the hand and 5 fingers, opening and closing the hand, with low pressure, all around the shaft of the penis), while Reverse Kegeling, to help relax tissues, throughout the day. It is NOT pulling the penis. It's just "PALPATION" of the penis (with all your hand and 5 fingers) all around the shaft of the penis, while Reverse Kegeling. I do them while I'm sitting. I really like this one. Immediate relief. And I think it is the best way (and the safest way!) to undo Trigger Points ("bumps", "ridges", "cord") that are along the penis (in the insertions of the IC muscle, along the shaft of the penis). - Don't do Jelqs or direct penile stretches! You will make the injury worse!

    - Hindi Squats (Deep Squat Hold), Belly Breath Combos, and Reclining Bound Angle, along with Reverse Kegels, throughout the day.

    - External massages, on the anterior/superficial pelvic floor (Trigger Point Massage) - I just do massages with my hands, in a circular motion, with medium-high pressure and only externally. And always lying on the bed, legs spread, and covered by the blankets (so that the HEAT helps to relax the tissues and muscles). I think that sitting your body weight on a tennis ball may be a little too much pressure on tissues that may still be injured. Internal massages (TheraWand or fingers inside your anus) can be beneficial if you have a contracture in the posterior/deep pelvic floor - Levator Ani muscle (Pubococcygeus and Iliococcygeus) - most commonly in typical CPPS. If your injury is only in the IC or BC muscle, I think that internal massage will have no more benefits than external massage. Because the IC and BC muscles are very anterior and superficial muscles.
    ---- Trigger Point explained with animation

    - One hour of MUSCLE STRETCHING (flexibility training) every other day – Pelvic Floor, Hamstrings, Psoas, Piriformis, Quadriceps, Adductors and Abs. (All along with Reverse Kegeling and Belly Breaths). Again, hardmode - Static, Dynamic and Weighted Stretching. I'm literally training to do the front and side splits. What specific stretches? It doesn't matter, it's not important. Just search for stretches for those muscles, and add weight when you can. Examples: Jefferson Curls, Weighted Butterfly, Pigeon Pose, Double Quad Stretch, Wall Straddle with ankle weights, Wall Figure-4 Stretch, Band assisted Hip Flexor Stretch, etc...

    - Fix your posture. I don't have posture problems, but this is very important too. Hard Flaccid is closely associated with Anterior Pelvic Tilt. Sit with good posture. Walk with good posture - How To Walk Correctly. Flexibility training will help a lot in this part as well. Another exercise I love for posture is Hanging from a pull-up bar (Dead Hang), during 20-30 seconds, several times a day.

    - Wear loose boxers and avoid tight pants. To let the penis hang freely.

    - HEAT. Heat relaxes muscles and dilates arteries, increasing blood flow and, consequently, relieving symptoms. I wear shorts, under my pants, during the day. When I get home, I wrap my lower body in a blanket and I use a hot rice sock sometimes.

    - I place a big and soft pillow under my buttocks, when I am sitting in my chair. Because a hard surface impairs healing.

    - Sleep. A lot. Very important in the recovery of any injury.

    - I am a very active person (weighted calisthenics, running), but I stopped this type of physical activity since the day of the injury (to avoid more tension and Involuntary Kegels). However, I am doing some bodyweight Squats and Hip Thrusts (along with Reverse Kegels) before stretching, mainly as muscle warm-up, but also for not to lose posterior chain strength and posture. If you are a sedentary person, Gluteal, Abs and overall Posterior Chain strength is also important (mostly to correct the increased pelvic floor tension created by the Anterior Pelvic Tilt). This did NOT apply to me. I have trained Legs and Abs all my life (throughout my life, I practiced swimming, sprinting, long jump, volleyball, gymnastics, triathlon and marathon), and I have been training weighted calisthenics, with a Pull/Push/Legs&Abs split, for over 5 years, with exercises for all the muscles in the body. My abs and glutes are well developed. My FFMI is 24.2. So, I don't have weak muscles. I just have a lack of overall flexibility (I practiced gymnastics for some years, but I have never been a big lover of flexibility... Now, I am...) and I had an injury that caused a contracture in the pelvic floor. Conclusion: Muscle imbalance and posture problems were NOT the cause of my Hard Flaccid. But maybe you should bet on them a little, along with flexibility training, if you think it might be beneficial for you. They seem to be beneficial for some patients, especially chronic cases of several years. Train glutes and abs always doing Reverse Kegels. Avoid Involuntary Kegels as much as possible while doing the exercises. Therefore, don't do sets until muscle failure, and don't add extra weight. Do only bodyweight exercises.
    ---- My favorite glutes exercises: Hip Thrusts, Full Squats, Quadruped Hip Extension
    ---- My favorite abs exercises: Full Hanging Knee Raises, Exercise Ball crunches, Bicycle Crunches (Air Bike)

    - No masturbation, no sex, NO PORN. And no pictures, no Instagram girls, nothing. Just hugs and kisses from the girlfriend. (Alright… We make love, but only with my hands and mouth. I don't let her touch my penis... ). I was in this hardmode for 6 weeks. After 6 weeks of rest and pure flexibility, I have been doing very light Edging - 5-10 minutes of light grip, very soft touches, with some erect IC KEGELS (Front Kegels) + REVERSE KEGELS - every other day, to give a little physiotherapeutic stimulation to the tissues. But WITHOUT EJACULATION. To avoid the Involuntary Kegels associated with orgasm (which may worsen the muscle strain and worsen the pelvic floor contracture), to keep my libido high and to increase the likelihood of spontaneous erections. This is my physiotherapy strength routine. Something like 95% flexibility (Reverse Kegels) and 5% strength (IC Kegels). I love doing Reverse Kegels during erections - Erect Reverse Kegels. The stretch I feel in the IC is very good. Right after Edging, I let the erection come down (always while doing Reverse Kegels) and I do Hindi Squat for 15-20 min. This is my strength routine. Just this.

    - ABSOLUTELY NO STRESS OR ANXIETY (!!!). I have always been a very calm and peaceful person, in all situations of my life. But, after reading that Hard Flaccid was highly influenced by stress and anxiety, I am now completely in a “ZEN state with the Universe”. Buddhist monk style. Not only to avoid any nerve discharge from the Sympathetic Nervous System to the pelvic floor (and, consequently, Involuntary Kegeling, which prolongs the contraction of the pelvic floor muscles, which worsens the compression of nerves and arteries), but also to prevent the rise of Cortisol and Adrenaline and, consequently, the drop in Testosterone levels. And (as many of you claim) this is absolutely essential. I was a little stressed during the first week (before I knew the real diagnosis) and my penis was terrible... Hard Flaccid like a rock, almost impossible to have an erection, and a loss of 1.5inches in BPFL. After knowing that I really have to relax completely, I immediately felt the first improvements in 3-4 days.



    Important readings:
    - The HANS Protocol (HansTwilight)
    - Hard Flacid treatment (Pegasus)
    - Tensed PF explained (TeoDeles)

    I am very convinced that I did a muscle strain, at least, of the Left IC. Especially because of the left curvature and left twist.

    So... after almost 2 months, I have improved a lot!
    - Now, I only have hard flaccid if I'm standing. A few times, I don't even have it standing. It happens when I get up after doing Reverse Kegels for a few minutes (or sitting for a while in a more comfortable position) and continue to do Reverse Kegeling while I'm standing. This was impossible 1 month ago.
    - The morning erections are progressively coming back
    - 3 days ago, I've managed to have a 8-9/10 erection during the mini Edging sessions.
    - However, I still have a slight bend to the left and the clockwise twist, during erection (I no longer have the downward curve), and I lost about 0.5 inches in BPEL…

    Thanks a lot for reading my story

    Best regards to the entire PEGym community
    And thank you very much, for saving me during the past 2 months


    Update -18 weeks after injury:
    - I am completely healed.
    - Not only did I regain my entire penis length, I also gained 0.1 inches in penis girth (just with the above treatment).
    - My erections are 10/10
    - My stamina time skyrocketed. I am getting Delayed Ejaculation...

    Thank you PEGym, and thank you very much to all of you, who accompanied me on this journey, and who contributed to my learning, as a patient, as a doctor and as a person.
    And, for all those who are still fighting, please don't give up. Because I am wholeheartedly wishing to see your "100% healed" posts in the very near future


    UPDATES:
    post 21 - Train to do the splits
    post 23 - Stress management
    post 26 - 8 weeks after injury
    post 29 - Reverse Kegels ALL day
    post 63 - First sexual intercourse
    post 66 - Hard Flaccid & Stretching
    post 69 - First ejaculation
    post 75 - This is not untreatable!
    post 94 - Stress? Please read this
    post 117 - PIED - Porn-Induced Erectile Dysfunction
    post 119 - My thread's rules. Please read
    post 123 - The difference between Reverse Kegels, Hindi Squats and Muscle Stretches
    post 127, 131, 132 - DickerSchwanz came to help

    post 141 - Twist and Sagging Balls
    post 147 - Zeroo, Alternative Medicine, Posture correction, Spasms
    post 148 - DMSO
    post 152 - Reverse Kegels Overtraining
    post 154 - IC tension while standing. IC tension during bowel movements.
    post 163 - Troublehshooter's Stretch
    post 166 - 15 weeks after injury. 99% healed
    post 177 - Go see a urologist!
    post 183 - Ribs (ridges, bumps)
    post 188 - Prominence of dorsal veins. Penis hanging lower. Reinvent your sex life while resting.
    post 195 - Sexual abstinence. My erections evolution. Arteries of the testicle
    post 199 - HelpmeHF's story
    post 201 - Zeroo's evolution. Advice and tips for the workplace.
    post 207 - HansTwilights advice regarding Reverse Kegels
    post 210 - Pegasus advice regarding Reverse Kegels

    post 212 - Obitoo's work
    post 217 - Trigger Points
    post 219 - Dry Needling
    post 221 - Belly breath combos. Are nocturnal and morning erections bad?...
    post 226 - Go see a urologist!
    post 228 - Standing tension. A tough CPPS case.
    post 230 - Depression and Suicidal thoughts. When to add physiotherapeutic Front Kegels?
    post 231, 232, 233 - TKL's quick recovery.
    post 236 - Slight low back pain, due to intense Reverse Kegels.
    post 241, 243 - Varicoceles
    post 247 - Erect Reverse Kegels
    post 253 - Whatsthestory's story
    post 255 - Importance of social life. Fasting???
    post 259 -
    18 weeks after injury. 100% healed
    post 270 - Sprain/Tear of the Suspensory Ligament of the Penis
    post 271 - Angion Method. Splits, you naughty girls...



    A little more about my curriculum vitae:
    - I was a junior professor of anatomy for 3 years, during my academic path.
    - My master's thesis, in the last year of medicine, was a systematic review about Porn-Induced Erectile Dysfunction.
    - Possibly, in the distant future, I would like to sub-specialize in medical sexology. It's also an area where I am knowledgeable.
    - I workout a lot and I have practiced a lot of sports during my life. It's my hobby and mind reliever. I have been studying physical training for over 13 years.
    Last edited by Romero MD; 12-06-2020, 11:57 AM.
    On PEGym, my thoughts, impressions, ideas, opinions and advice are NOT your definitive diagnosis.
    You should always seek a complete medical examination, medical tests and other opinions, with other qualified health professionals and medical doctors outside the online world.

  • #2
    Hi and welcome to the community .
    I have delved into pelvic floor related issues for some time so sexual stamina is something I have helped guys with for some time . In recent times I have gathered some info on hf. Hope this helps

    https://www.pegym.com/forums/penile-...tml?highlight=

    Comment


    • #3
      This is more general
      https://www.pegym.com/forums/prematu...tml?highlight=

      https://www.pegym.com/forums/erectil...tml?highlight=
      Last edited by Pegasus; 08-19-2020, 08:13 PM.

      Comment


      • #4
        Hi Pegasus! Thanks! It is a great pleasure for me that you were the first to respond. You didn't know it, but you've been a very important friend for the past few weeks Thank you so much for that, and for the links. The first is already in my favorites, for about 2 weeks It is a great summary of knowledge.
        On PEGym, my thoughts, impressions, ideas, opinions and advice are NOT your definitive diagnosis.
        You should always seek a complete medical examination, medical tests and other opinions, with other qualified health professionals and medical doctors outside the online world.

        Comment


        • #5
          Welcome to the pegym forums, Romero MD. I read your introduction earlier, and wanted to delay a 'welcome' post until Pegasus had entered the thread / posts.

          So, WELCOME !

          Part of the dilemma, is self diagnosis, mixed in with the 'varieties' of all sorts; the causes, reactions-manifestations of hf, Pegasus has been very helpful. Good luck to you.
          Dangler
          Valued Member of 11 years at the PEGym
          Looks are deceiving, mirrors don't lie.

          Comment


          • #6
            Originally posted by Romero MD View Post
            Hi everyone I am 26 years old and I recently developed this mythical problem called Hard Flaccid.
            I am a medical doctor. I finished medical school a few months ago, and I am currently applying for Obstetrics-Gynecology.

            First, my story. I have been practicing PE, intermittently, for the past 4-5 years. Basically, only manual stretches (I am satisfied with my girth), but, like many others, I think my injury was caused by Edging and excessive Kegeling, which I have been practicing for over 10 years, for stamina training and erection quality. And without knowing the extreme importance of Reverse Kegeling. Every time I have sex, I also do intense kegels, in order to last 60-90 minutes of penetration. I know, I know... maybe it's a little too much... But my girlfriend and I have always liked long love sessions

            Almost 2 months ago, while I was having sex with my girlfriend, I started to lose my erection suddenly, after performing an intense Kegel, during a sex position that placed my penis at a downward angle (so, I did a “very weighted Kegel”). I thought I might have torn a muscle or ligament, and we stopped at that moment. The next day, I woke up with a hyper contracted and cold penis. As it didn’t seem to be a penile fracture, nor did I have any skin lesions, hemorrhages or bruises, I decided to simply rest. Because I thought that any fellow urologist would tell me to simply do the same - to rest.

            After two weeks of online research, I discovered my diagnosis - Hard Flaccid/CPPS. However, I only have/had symptoms related to the anterior/superficial pelvic floor (Ischiocavernosus and Bulbocavernosus Muscles). I don't have pelvic pain, difficulty passing stools or other posterior/deep pelvic floor symptoms. But I have/had:
            - Sudden erectile dysfunction (9-10/10 to 4/10)
            - Sudden premature ejaculation (90min to 3-5min)
            - Hyper contracted penis (Hard Flaccid). Which improves sitting, lying down, with Reverse Kegels and with heat; and worsens standing, with physical activity, with Kegels and with Involuntary Kegels
            - Cold and soft glans (sometimes scrotum and penis too)
            - Mild urinary retention
            - Loss of morning and spontaneous erections
            - Slight bend of the penis to the left, from the base of the shaft. (IC injury?)
            - Slight downward curvature of the penis, from the middle of the penis (BC injury?)
            - And a slight twist of the entire shaft, clockwise (IC injury?)

            The next day, I visited the Urology Department at my hospital. I was observed by 4 urologists. As expected, none of them had ever heard of Hard Flaccid… After explaining the whole story, situation and symptoms, I was medicated with:
            - Ibuprofen (anti-inflammatory), for 7 days
            - Cyclobenzaprine (muscle relaxant), for 30 days
            - Tamsulosin (alpha blocker, to decrease all sympathetic nervous activity, stressful or non-stressful, to the pelvic floor), for 30 days
            - Total sexual abstinence (masturbation and sex), for 30 days, which I was already doing for 2 weeks.
            After these 30 days, I will have an appointment with one of the best Andrologist in my country, which will be on August 27

            So, after 3 weeks, I have been doing a lot of research (books, websites, forums) ... And, according to my symptoms, I am almost sure that I had/have a strain of the Left IC Muscle (and maybe the Left and/or Right BC), which is, consequently, contracting the anterior/superficial pelvic floor and the penile smooth muscle and, consequently, compressing the pudendal nerve, dorsal nerve and pudendal arteries.

            Treatments. What I have done to recover:
            - Ibuprofen, Cyclobenzaprine, Tamsulosin
            - Extraordinary healthy eating and supplementation (Ginkgo Biloba, Ginseng, L-Arginine, Fish Oils, Vitamins E, D, C, B complex and Zinc)
            - No masturbation, no sex. And no Porn, no pictures, no Instagram girls, nothing. Just hugs and kisses from the girlfriend. (Alright… We make love, but only with my hands and mouth. I don't let her touch my penis... ). I was in this hardmode for 4 weeks. In the last week, I have been trying very light Edging (5 minutes of very light massage, very soft touches, always with REVERSE KEGEL), every other day, to give a little physiotherapeutic stimulation to the tissues. But without ejaculation (to avoid the Involuntary Kegels associated with orgasm, to keep my libido high and to increase the likelihood of spontaneous erections)
            - Lots of Reverse Kegels/Front Reverse Kegels, throughout the day.
            - Very light and soft Squeezes (“massages”) of the flaccid penis, while Reverse Kegeling, to help relax tissues, throughout the day.
            - Belly Breath Combos, Hindi Squats and Happy Baby, along with Reverse Kegeling
            - Light external massages, on the anterior/superficial pelvic floor
            - 1 hour of stretching every other day – Pelvic Floor, Hamstrings, Psoas, Piriformis, Quadriceps, Adductors and Abs. (All along with Reverse Kegeling and Belly Breaths). Again, hardmode - Static, Dynamic and Weighted Stretches. I'm literally training to do the front and side splits.
            - HEAT. I wear shorts, under my pants, during the day. When I get home, I wrap my lower body in a blanket and I use a hot rice sock sometimes. And I place a soft pillow under my buttocks when I am sitting in my chair.
            - Sleep. A lot.
            - I am a very active person (running and weighted calisthenics), but I stopped this type of physical activity since the day of the injury (to avoid Involuntary Kegels). However, I am doing some bodyweight Squats and Hip Thrusts (along with Reverse Kegels) before stretching. I read somewhere that gluteal and posterior chain strength is also important.
            - ABSOLUTELY NO STRESS. I have always been a very calm and peaceful person, in all situations of my life. But, after reading that Hard Flaccid was highly influenced by stress and anxiety, I am now completely in a “ZEN state with the Universe”. Buddhist monk style. Not only to avoid any discharge from the Sympathetic Nervous System to the pelvic floor (and, consequently, Involuntary Kegeling), but also to prevent the rise of Cortisol and, consequently, the drop in testosterone levels. And (as many of you claim) this is absolutely essential. I was a little stressed during the first week (before I knew the real diagnosis) and my penis was terrible... Hard Flaccid like a rock, with a loss of 1.5inches in BPFL. After knowing that I really have to relax completely, I immediately felt the first improvements in 3-4 days.

            However, on the other hand, I am very convinced that I did a muscle strain, at least, of the Left IC. Those left curvature and left twist... Hmmm… On August 27, I will ask for an MRI. If the radiologist tells me it is normal, I will try to take the images to more doctors.

            So... after almost 2 months, I have improved a lot
            - Now, I only have hard flaccid if I'm standing. A few times, I don't even have it standing. It happens when I get up after doing Reverse Kegels for a few minutes (or sitting for a while in a more comfortable position) and continue to do Reverse Kegeling while I'm standing. This was impossible 1 month ago.
            - The morning erections are progressively coming back
            - 3 days ago, I've managed to have a 8-9/10 erection during the mini Edging sessions.
            - However, I still have a slight bend to the left and the clockwise twist, during erection (I no longer have the downward curve), and I lost about 0.5 inches in BPEL…

            1- Now, I would like to ask Pegym's brightest minds and everyone in this group who is still recovering from Hard Flaccid, what are the most recent updates on this disease/symptom? Regarding physical treatment, exercises, medications and supplements. What am I missing? Where can I improve to speed up recovery?

            2- I have been thinking about starting to do a small daily session of Kegels/Front Kegels/IC kegels... In order to give a physiotherapeutic stimulus, just like any other muscle injury. But I'm afraid it could get worse... What's your opinion?

            3- What do you think about adding very light and soft manual penile stretches? (along with Reverse Kegeling) I feel a lot of relief with the soft squeezes. But, in these, the applied force is perpendicular to the penis. I'm not sure if extra parallel force will be beneficial for the tissues.

            4- Abdominal workout (along with Reverse Kegels)? Is it beneficial?

            5- Okay, the last question might be a little funny, but I think it might be relevant. I think I have an injury mostly on the left side. So, is it more advisable to rest the penis in the left groin or in the right groin? It tends to get softer on the right, but naturally falls to the left...

            Thanks a lot for reading my story

            Best regards to the entire PEGym community
            And thank you so much, for saving me during the past 2 months
            Genuinley hope you can beat this and then spread awareness within your profession. Doctors have been fucking useless for pretty much everyone with HF and they have no awareness of the condition. It has led to me personally having an intense dislike of doctors and i do not trust them, I've got better with this in recent years but when i first got hf it was barely even being talked about online and every doctor i saw told me i was imagining the symptoms.

            Comment


            • #7
              Welcome.
              What I have to say is that your knowledge about the subject you are facing is solid so you will recover 100%.
              You can read my sig. thread and it may give you some more hints on your journey to recovery.

              Comment


              • #8
                Great post, Doctor!

                It's good you appear to have targeted the trigger (the intense Kegel during intercourse). This should make it easier to treat.

                Laying off any contractile pelvic floor exercises would be highly recommended. For more, please see The HANS Protocol. There's an unparalleled wealth of potentially helpful data there which should interest you.
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                Comment


                • #9
                  I concur with big Al that you should quit the kegels and reverse kegels. When you do light edging just relax. I do believe you have the right idea which runs counter to alot of advice on here. You used some jargon for it, but you have to get blood in the penis and into the tissues to repair it. Total impotent abstinence will do nothing but cement the injury IMO.
                  "I will lick my dick"

                  Comment


                  • #10
                    Originally posted by Dangler View Post
                    Welcome to the pegym forums, Romero MD. I read your introduction earlier, and wanted to delay a 'welcome' post until Pegasus had entered the thread / posts.

                    So, WELCOME !

                    Part of the dilemma, is self diagnosis, mixed in with the 'varieties' of all sorts; the causes, reactions-manifestations of hf, Pegasus has been very helpful. Good luck to you.
                    Dangler
                    Hi Dangler! Thank you, Sr Administrator!

                    Yes, this condition is a little demon... Being highly influenced by so many physical and psychological characteristics makes it a tricky puzzle to solve... We have to start doing the science on our own. And in this, PEGym is very well underway. It’s one of the best places on the Internet to learn about Hard Flaccid.

                    Thank you so much for the good luck, Great Wizard
                    Last edited by Romero MD; 09-10-2020, 01:55 PM.
                    On PEGym, my thoughts, impressions, ideas, opinions and advice are NOT your definitive diagnosis.
                    You should always seek a complete medical examination, medical tests and other opinions, with other qualified health professionals and medical doctors outside the online world.

                    Comment


                    • #11
                      Originally posted by HFrecovering View Post
                      Genuinley hope you can beat this and then spread awareness within your profession. Doctors have been fucking useless for pretty much everyone with HF and they have no awareness of the condition. It has led to me personally having an intense dislike of doctors and i do not trust them, I've got better with this in recent years but when i first got hf it was barely even being talked about online and every doctor i saw told me i was imagining the symptoms.
                      Hi HFrecovering! Thank you for your kindness

                      Yes, I know... Unfortunately, the position that the medical community is taking for this condition is very sad. I fully understand your indignation, anger and frustration. I am a novice doctor and I have already seen many situations in my life that make me ashamed of many colleagues. Many of them old enough to have a different attitude.

                      The problem is that Urology doesn’t like/doesn’t know the pelvic floor. Nor do they realize its real implication in male health. The only situation in which they touch the pelvic floor is to do radical prostatectomy. And even this is already rare today, and it is avoided. Currently, they prefer the retro-pubic route. So, the medical specialty that should help you the most (because it's your penis and your sexual health that are at stake) doesn't understand anything about the root of the problem ... Yes, it sucks.

                      I know what a Kegel is since I was 13-14 years old. But 98% of the entire medical community has no idea what a Kegel is. And the few who know it, associate it with the health of women, and not men. Yes, there is a big problem of lack of knowledge to be solved. And the most serious thing is that Hard Flaccid is not exactly rare. From what I've read, international physiotherapy clinics are full of patients with Hard Flaccid.

                      I am trying to acquire as much knowledge as I can until the August 27. If he is one of the best regarding male sexual health, and if he doesn't happen to know this problem, I think it will be a great opportunity, more than to treat me, but for knowledge sharing. To see if they, Urologists, start to analyze this and do scientific studies of it as soon as possible.

                      My friend, I genuinely hope that you beat this as well
                      Last edited by Romero MD; 08-20-2020, 05:17 PM.
                      On PEGym, my thoughts, impressions, ideas, opinions and advice are NOT your definitive diagnosis.
                      You should always seek a complete medical examination, medical tests and other opinions, with other qualified health professionals and medical doctors outside the online world.

                      Comment


                      • #12
                        Originally posted by TeoDeles View Post
                        Welcome.
                        What I have to say is that your knowledge about the subject you are facing is solid so you will recover 100%.
                        You can read my sig. thread and it may give you some more hints on your journey to recovery.
                        Thank you TeoDeles! I hope so... I miss my girlfriend already...
                        I've already read your thread twice. It's in my favorites for about a week It is very good too. A great summary. Thank you!
                        On PEGym, my thoughts, impressions, ideas, opinions and advice are NOT your definitive diagnosis.
                        You should always seek a complete medical examination, medical tests and other opinions, with other qualified health professionals and medical doctors outside the online world.

                        Comment


                        • #13
                          Originally posted by Big Al View Post
                          Great post, Doctor!

                          It's good you appear to have targeted the trigger (the intense Kegel during intercourse). This should make it easier to treat.

                          Laying off any contractile pelvic floor exercises would be highly recommended. For more, please see The HANS Protocol. There's an unparalleled wealth of potentially helpful data there which should interest you.
                          Hi Boss! Thank you! Damn, my first thread is already full of legends... It is a great honor to have your compliment in my thread, Big Al

                          Yes, I was ignorant... When I was young and I heard about Kegel training, for the quality of intercourse, I never read anything about Reverse Kegels... And then, as I quickly started having good effects on stamina, I never researched again... I screwed up...

                          Thank you for bringing The HANS Protocol! I think it was the third or fourth thread that I read here on PEGym... It is absolutely magnificent. I read the entire thread once, and, in the meantime, I've reread The Protocol twice more. It saved my life. HansTwilight, if you ever read this, thank you so so much for your work! It is a masterpiece.
                          Last edited by Romero MD; 09-10-2020, 01:50 PM.
                          On PEGym, my thoughts, impressions, ideas, opinions and advice are NOT your definitive diagnosis.
                          You should always seek a complete medical examination, medical tests and other opinions, with other qualified health professionals and medical doctors outside the online world.

                          Comment


                          • #14
                            Originally posted by Romero MD View Post
                            Hi HFrecovering! Thank you for your kindness

                            Yes, I know... Unfortunately, the position that the medical community is taking for this condition is very sad. I fully understand your indignation, anger and frustration. I am a novice doctor and I have already seen many situations in my life that make me ashamed of many colleagues. Many of them old enough to have a different attitude.

                            The problem is that Urology doesn’t like/doesn’t know the pelvic floor. Nor do they realize its real implication in male health. The only situation in which they touch the pelvic floor is to do radical prostatectomy. And even this is already rare today, and it is avoided. Currently, they prefer the retro-pubic route. So, the medical specialty that should help you the most (because it's your penis and your sexual health that are at stake) doesn't understand anything about the root of the problem ... Yes, it sucks.

                            I know what a Kegel is since I was 13-14 years old. But 98% of the entire medical community has no idea what a Kegel is. And the few who know it, associate it with the health of women, and not men. Yes, there is a big problem of lack of knowledge to be solved. And the most serious thing is that Hard Flaccid is not exactly rare. From what I've read, international physiotherapy clinics are full of patients with Hard Flaccid.

                            I am trying to acquire as much knowledge as I can until the August 27. If he is one of the best regarding male sexual health, and if he doesn't happen to know this problem, I think it will be a great opportunity, more than to treat me, but for knowledge sharing. To see if they, Urologists, start to analyze this and do scientific studies of it as soon as possible.

                            My friend, I genuinely hope that you beat this as well
                            After years of dealing with this I've learned that hard flaccid is actually extremely common, there are likely millions world wide suffering with it and it was even being written about around a thousand years ago in ancient China and japan's, they even have their own name for it but i cannot remember.

                            There really is no excuse for why it hasn't been discovered by the medical proffesion and when doctors do realise somthing is wrong they then misdiagnose. I can give you tons of examples of urologists misdiagnosing people from this forum :

                            peyronies

                            A bacterial infection even though there was no evidence of this to which they prescribed some notorious hardcore antibiotic that ended up hospitalising a few people

                            A testosterone deficiency to which they then prescribed testosterone injections even though they had normal levels to begin with.

                            One guy was actually given surgery a few years back to stop his penis retracting because his symptoms were so severe (the surgery failed)


                            Some were diagnosed with an enlarged prostate and put on this fucking awful drug, the same one that's used in hairloss i believe and that ended up basically sterilising them and interfering with there hormones.

                            Comment


                            • #15
                              Originally posted by watersnake View Post
                              I concur with big Al that you should quit the kegels and reverse kegels. When you do light edging just relax. I do believe you have the right idea which runs counter to alot of advice on here. You used some jargon for it, but you have to get blood in the penis and into the tissues to repair it. Total impotent abstinence will do nothing but cement the injury IMO.
                              Hi watersnake!
                              Yes, my idea, for the future, is exactly that - just relax during Edging. But at the moment, I can't do it. If I don't do Reverse Kegeling during the light Edging, I have a lot of Involuntary Kegels ...

                              I apologize for the possible jargon... I thought I was using terms that are often used in the forum...

                              "you have to get blood in the penis and into the tissues to repair it. Total impotent abstinence will do nothing but cement the injury IMO." ---> Yes, I agree. It is a principle in physiotherapy. Currently, it is proven that any muscle injury (Biceps, Quadriceps, any broken bone,...) should receive a light stimulus as soon as possible, after the injury. Absolute rest should be maintained for a maximum of only two weeks. (Maybe a little more in the penis. The indication for a penile fracture I think is 2 months of rest.) The tissues need a LIGHT and PROGRESSIVE stimulus (5 minutes of soft Edging is not 3 hours!!!) to recover. That's why I'm doing the slight squeezes since the beginning of the injury and I inserted now the light Edging sessions. And that's why I am increasing the likelihood of spontaneous and nocturnal erections, by not ejaculating.

                              Thanks a lot for the comment, Watersnake!
                              On PEGym, my thoughts, impressions, ideas, opinions and advice are NOT your definitive diagnosis.
                              You should always seek a complete medical examination, medical tests and other opinions, with other qualified health professionals and medical doctors outside the online world.

                              Comment

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