Peyronie’s disease treatment

Treatment options for Peyronie’s disease are limited. In general, the aim of treatment is to reduce pain and maintain sexual function.

Non-surgical treatments are available but results are not well documented. Treatments are tried within the first 6 months of the condition becoming apparent. Better results are achieved if medical intervention can stop the plaque (hard tissue) calcifying. Treatment types include:

Vitamin E and a B complex substance

Steroid treatments

Chemical agents that block calcium buildup or enzymes that break down connective tissue

Low dose radiation treatment to reduce pain

Surgery for Peyronie’s Disease
Because Peyronie’s disease may resolve without any intervention surgery is not usually carried out for one or two years following onset of signs and symptoms of the disease. Surgery is used only in severe cases.
The surgical procedures for Peyronie’s disease aim to remove the hard deformed tissue. Skin grafts replace removed tissue and helps to reduce curvature of the penis.
Penile implants may also be considered often in conjuncture with tissue removal. The implant helps to provide rigidity to the penis.

Following surgery medications to prevent erection are required so that the wound can heal effectively.

Complications include infection, damage to surrounding tissue and nerves, damage to the urethra that carries urine and semen and impotence.

Prognosis Peyronie’s Disease
Peyronie’s disease can resolve spontaneously. We know that if treatment is started within 6 months good sexual function can be maintained.
The psychological effects of Peyronie’s disease are very important. Seek help if you are finding that it is affecting your life, sexual performance and personal relationships.

Therapeutic Help for Peyronie’s Disease
A good sex life and a good relationship does not rely on sexual performance alone. If you have Peyronie’s and it is adversely affecting your life you should seek help from an expert. These include your family doctor, urologist, social worker, psychiatrist, psychologist, sex counselor or therapist.

The American Association of Sex Educators and Therapists (AASECT) will provide information on members in your area. Sex Therapists can be contacted through your State Psychological Association, through State Associations for Licensed Marriage and Family therapists or chapter office for the National Association of Social Workers.

Eating disorders in men

Eating disorders have mostly been investigated within the female population. To a large extent this is because of the apparent prevalence of eating disorders in women. On closer inspection however gender distributions of eating disorders show about 10 per cent of people with anorexia are men.

Doctors fail to recognize male eating disorders
To date the evidence suggests that the gender bias of clinicians mean that diagnosing either bulimia or anorexia in men is less likely despite identical behavior. Men are more likely to be diagnosed as suffering depression with associated appetite changes than receive a primary diagnosis of an eating disorder.

Eating disorders and occupation
There are a few occupations in which the demand for low body weights can lead to anorexia or bulimia; among them are horse racing, modelling, dancing, distance running and driving.

Cultural, social issues and eating disorder
In part, the hidden problem of eating disorders in men is cultural. Women tend to discuss emotions and psychological problems more than men. Anorexia and bulimia are perceived as a woman’s problems. Discussion of weight issues, weight control, linking thinness with beauty are common features in women’s magazines and so are eating disorders. Young women can therefore adopt the same behavior without it being seen as too socially unacceptable.

Little recognition male eating disorders
The lack of visibility of anorexia or bulimia in the male world means a number of things. Men do not discuss eating disorders. Men tend not to share the information with other men because the subject is a female issue. Men’s beauty has to do with body mass, muscle bulge and definition, not weight loss. This male world, socially defined as powerful and masculine results in men not seeking help because of their reluctance to admit to the problem.

Research into male eating disorders
A large US study of adolescents reported in 1995 does show that significant numbers of young males experiencing problem weight control behavior.

2%-3% of males diet all the time or more than ten times a year

5%-14% of males deliberately vomit after eating

12%-21% had a history of binge eating

A study published in the April 2001 American Journal of Psychiatry found many psychological similarities between men and women with eating disorders, with both groups experiencing similar symptoms.

Getting Help for male eating problems
If you are experiencing problems with weight control you are not alone. Get help by contacting your family doctor, a psychologist, mental health center or a doctor specializing in eating disorders.

Article Sources Include:
Woodside et al, D. Blake. "Comparisons of Men with Full or Partial Eating Disorders, Men Without Eating Disorders, and Women with Eating Disorders in the Community." American Journal of Psychiatry (2001): 570.

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When breasts form in males

Gynecomastia is a condition in which firm breast tissue forms glands in men. The breast tissue is usually less than 1-1/2 inches and is located directly below the nipple. Gynecomastia may be present on one side or both sides. This condition can the breast tender.
Some men and boys have fat on their chest, making it look like they have breasts. This condition is called pseudogynecomastia (false gynaecomastia). It is not the same as gynecomastia.

Gynecomastia is usually caused by changes in hormones at birth, puberty or as part of aging. Gynecomastia can be caused by changes in the balance of 2 hormones: estrogen and testosterone. In adults, the balance of hormones are affected by:

• Aging
• Disease
  • Tumors of the adrenal glands, testes or pituitary
  • Hyperthyreoïdie
  • Hypogonadism
  • Kidney Diseases
  • Leverfalen
• Medications
  • AIDS drugs
  • Medicines for anxiety
  • Antibiotics
  • Chemotherapy
  • Some medicines for heart disease
  • Tricyclic antidepressants
  • Ulcer drugs
• Illegal Drugs
  • Anabolica
  • Amfetaminen
  • Heroin
  • Marijuana
• Alcohol

Are tests needed to determine the cause of gynecomastia?

Sometimes tests are needed, and sometimes’re not. Your doctor will ask about your symptoms, such as how long you’ve had the breast tissue, and whether the area is tender. Your doctor will also ask about any illnesses you have had in the past, medicines you take, and other issues related to your health. Then you have a physical examination.
Whether you need tests depends on your age and what you learn from your medical history and physical examination. Gynecomastia is common in teenage boys. No less than 65% of the 14-year-old boys have gynecomastia. If you’re a teenager, you probably will not need testing. Your breast will probably disappear on its own in 2 or 3 years. However, younger boys and adult men who have gynecomastia may need to have some tests. In these cases it is possible that one or another disease is causing the problem.

Birth control methods

The type of birth control you choose depends on your needs. Some people need only to prevent pregnancy. Other people may also want to protect themselves or their partners from diseases that can be passed by sex. These diseases are called sexually transmitted infections (STIs). Some sexually transmitted diseases including Acquired immunodeficiency syndrome (AIDS) Chlamydia Human Papillomavirus (HPV) herpes Genital warts and Syphilis
Talk to your family doctor about the pros and cons of each option birth control.

Is saying "no" to sex really an option?

Yes No method of birth control is 100% effective. The risk of getting pregnant or catch an STI can pass the pleasure you get from sex. The only way to be absolutely sure that don’t get pregnant, get someone pregnant or get an STI is not to have sex at all.

What is natural family planning?

Natural family planning requires a couple to learn when the woman’s cycle can get pregnant (usually 4 days before and 2 days after ovulation). They must use a barrier method of birth control or not have sex in those days. There are many ways to keep track of a woman’s ovulation. All require a lot of planning and commitment.

What causes male infertility?

The most common cause of male infertility is a varicocele (for example:"var-ee-koh-seal "). This is when the veins in the scrotum (the skin"bag"that hangs below the penis) are dilated (enlarged) on 1 or both sides. This heats the inside of the scrotum and may affect sperm production. A block in a man’s reproductive system may cause male infertility. Some medications can also cause infertility.
Other causes of male infertility may include:

• low sperm
• sperm that are abnormally shaped or don’t move properly
• undescended testicle
• a problem GP

Sometimes the cause of male infertility can not be identified. In these cases, there may be a genetic problem.