Psychoeducation: Clear explanation that the condition is medical, treatable, and not the patient’s fault; normalizing the situation and reducing catastrophic thinking.
Grief and Acceptance Work: Expression of pain, frustration, and anger; gradual transition toward acceptance of the condition and redefining masculine identity beyond the “perfect penis.”
Sexual Anxiety Management: Techniques including breathing exercises, relaxation, mindfulness, and gradual desensitization to sexual contact.
Cognitive Restructuring: Replacing negative thoughts with realistic and treatable perceptions (“I have a treatable condition,” “We can work through this with my partner”).
Gradual Sexual Re-exposure: Reexploration of intimacy without pressure for penetration, adapting sexual activity to the patient’s comfort and capabilities.
Couples Therapy: Open communication, partner education, resolution of resentments, shared exploration of what works, and establishment of practical strategies.
Peyronie’s Disease
To heal is to be yourself again.
Have you noticed a curvature, pain, or change in your penis? Peyronie’s Disease can cause both physical and emotional discomfort, affecting confidence, intimacy, and sexual life. But you don’t have to face it alone. With early diagnosis and comprehensive treatment, most cases improve significantly or resolve, restoring sexual function and self-esteem.
WHAT IS PEYRONIE´S DISEASE?
Real recovery for your intimacy.
Peyronie’s Disease is a disorder in which scar tissue, known as a plaque, forms in the tunica albuginea of one or both corpora cavernosa of the penis. This condition can cause pain during erection, especially in the early stages, and over time may lead to penile curvature that can make penetration difficult or even impossible.
The disease typically develops in two phases:
Acute Phase:
Plaque formation
Pain during erection
Progression of curvature
Chronic Phase:
Plaque consolidation
Curvature stabilization
Decrease in pain
Persistence of deformity
Although it has been recognized for centuries, the exact cause is not fully understood. Early diagnosis is therefore essential for effective management, allowing for better outcomes in sexual function and the patient’s emotional wellbeing.
ESTIMATED 3% TO 9% OF MEN DEVELOP SOME FORM OF PEYRONIE’S DISEASE IN THEIR LIFETIME.
When to Get Professional Help
Pain During Erection
Sharp or bothersome pain when initiating or maintaining an erection, which does not subside over time, may indicate the active phase of the disease.
Noticeable Penile Curvature
If your penis curves during an erection, especially if it makes penetration difficult or causes discomfort to your partner, it is a sign of structural involvement.
Difficulty with Penetration
When the curvature or deformity prevents full sexual intercourse or causes significant discomfort, it is time to seek evaluation.
Emotional Impact and Sexual Anxiety
Feelings of shame, isolation, low self-esteem, or fear of sexual activity that persist require intervention to protect your psychological and sexual wellbeing.
If you recognize one or more of these signs, early evaluation can make a significant difference.
Most Common Causes
Peyronie’s Disease is multifactorial, and there is not always a single identifiable cause. Understanding the factors that contribute to the development of the disease helps achieve a more accurate diagnosis and select the most appropriate treatment. Most cases result from a combination of medical, lifestyle, and psychological factors.
Medical Factors:
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- Repeated microtraumas: Small injuries to the penis during sexual activity or accidents that do not cause immediate damage but, when accumulated, lead to abnormal scarring.
- Genetic predisposition or connective tissue abnormalities: Some men are more susceptible to plaque formation due to hereditary traits or issues with collagen and tissue elasticity.
- Advanced age: As men age, tissues become less elastic and cellular repair decreases, promoting plaque formation
50-60%
Lifestyle Factors:
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- Intense or vigorous sexual activity: Vigorous sexual activity or positions that place excessive pressure on the penis can cause repeated microtraumas.
- Sedentary lifestyle or low physical activity: Lack of exercise affects circulation and tissue regenerative capacity, hindering the natural repair of the penis after minor injuries
25-30%
Psychological Factors:
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Chronic stress or anxiety: Prolonged stress increases muscle tension and can heighten pain perception. It also affects libido and sexual response, making disease management more challenging.
10-20%
These figures are estimates, since most cases of Peyronie’s disease result from a combination of factors acting together.
Comprehensive Medical Evaluation
Early detection of Peyronie’s disease is essential to provide effective treatment and minimize the progression of curvature or plaque consolidation. Diagnosis requires a comprehensive evaluation, combining physical examination, complementary studies, and assessment of emotional and sexual impact. This approach allows for identifying the disease phase, the severity of the curvature, and the specific needs of each patient, ensuring a personalized treatment plan.
1.
Comprehensive Medical Evaluation
2.
Complete Medical History
3.
Hormonal and Metabolic Check-Up (Labs)
4.
Specific Complementary Tests
5.
Functional Assessments and Follow-Up
Medical and Sexological Treatment
Peyronie’s disease is treatable, and the most effective approach combines medical intervention with sexological support. While medical treatment focuses on reducing plaque, correcting curvature, and managing pain, sexological therapy addresses the emotional impact, anxiety, communication with the partner, and the gradual reintegration of sexual activity. Combining both approaches ensures better outcomes in sexual function and the patient’s psychological wellbeing.
Medical Treatment
- Clinical Observation: Recommended for mild curvatures without pain or difficulty maintaining sexual intercourse.
- Non-Surgical Treatments:
Intralesional injections of medications, including Xiaflex® (Collagenase)
Traction devices to improve penile alignment and reduce curvature.
Shockwave therapy to stimulate neovascularization and plaque resorption.
- Anti-inflammatory medications as prescribed to relieve pain and inflammation.
Surgery: Recommended when curvature or deformity prevents penetration or affects erectile function.
Corrective surgeries for curvature
Placement of penile prosthesis.
- Monitoring and Follow-Up: Continuous evaluation of curvature, pain, sexual function, and response to non-surgical treatments, ensuring safety and effectiveness.
Sexological Treatment
INTEGRATED APPROACH
Men choose Prada & Ortiz Men’s Sexual Health Center because our programs work.
Reclaim your vitality.
📞 Contact us today for a confidential consultation.
Bilingual Services: We provide services in both Spanish and English, ensuring clear and respectful communication.
Prada & Ortiz Men’s Sexual Health Center employs an integrated approach to Sexual Dysfunction treatment combining medical, psychological and sexological expertise to achieve lasting results.
We believe strongly that sexual dysfunctions require care addressing the medical, psychological, and sexological aspects to restore biological functions, rebuild connection, confidence, and increased pleasure in both you and your partner’s sexual life.
Our specialists — Dr. Ortiz and Dr. Yaz — offer discreet, evidence-based care with compassion and expertise.
TAKE THE FIRST STEP:
Comprehensive evaluation of biological and emotional factors
Personalized treatment plan (Sexual medicine + Sex therapy)
Professional guidance from a multidisciplinary team
Confidential, judgment-free environment
FREQUENTLY ASKED QUESTIONS
We want you to experience this process with peace of mind.
Is a curved penis normal or is it a disease?
Penile curvature is a common anatomical variation, and in most cases, it is completely normal. Approximately 10-15% of men have some degree of physiological curvature without it being a pathology.
However, when the curvature is progressive, causes pain during erection, or significantly interferes with penetration, it may be an indicator of Peyronie’s disease—a condition in which scar tissue forms inside the penis after microtraumas.
For an accurate diagnosis and treatment options—including oral medication, intra-lesional injections, and shockwave therapy—call our Center for a precise medical evaluation.
My penile curvature never bothered any woman before, but my current girlfriend complains of pain during penetration. Could this be related?
Yes, it’s possible penile curvature is related to a partner’s discomfort during intercourse. Each partner’s anatomy is different, and what worked well with previous partners may not be optimal with your current partner for various reasons: differences in vaginal anatomy (depth, elasticity, sensitivity), angle of penetration depending on position, or simply specific anatomical incompatibility.
However, your girlfriend’s pain during penetration could be due to multiple causes that are NOT related to your curvature. If the curvature really is the main problem, options such as shockwave therapy, medication, or in severe cases corrective surgery can be considered.
The fundamental approach is honest communication with your partner and medical evaluation of both you and your partner to determine cause and treatment. Call us to get a complete evaluation.
Will I be able to have normal sexual relations? Will my partner leave me?
Many men do achieve satisfying sexual relationships. According to some studies, 40-70% of men develop concomitant erectile dysfunction, but with successful treatment, many recover function. Even without complete correction, some positions accommodate the curvature.
Most couples stay together; breakups occur mainly due to lack of communication, lack of support, or difficulties dealing with stressors. Couples who communicate and work together generally emerge stronger.
At our center, Dr. Yaz, sexologist and psychologist, helps couples improve communication when a condition like this begins to affect the relationship.
Should I hide it from my partner? When should I tell them?
It’s better to communicate than to hide. Your partner will eventually notice it during sexual relations. Hiding it amplifies anxiety and causes emotional disconnection.
Choose a private moment without pressure, explain honestly what it is (a medical condition, treatable, not contagious), and express your need for support. Open communication reduces pressure and facilitates support during your treatment.
Is my Peyronie’s disease caused by something I did?
No. Peyronie’s disease is NOT caused by any particular sexual behavior. The real causes are: genetic predisposition (hereditary), penile trauma (accident, injury), or biochemical scarring factors. It does not mean you did anything wrong or that there is anything wrong with you.
Resources
Medical Disclaimer
This website is for informational purposes only and is not designed to provide medical advice. All information presented is intended for informational purposes only and not for the purpose of rendering medical advice. The content on this website, including text, blog posts, FAQs, educational materials, graphics, images, and information, is not intended to act as a substitute for professional medical advice, or to diagnose, treat, cure, mitigate, or prevent any disease or serious medical condition. Statements made on this website have not been evaluated by the Food and Drug Administration. The information contained herein is not intended to diagnose, treat, cure, or prevent any disease. Some therapies available at Prada Ortiz Men& Sexual Health Center may not be approved by the U.S. Food and Drug Administration and are offered by licensed medical professionals in the State of Florida acting in their independent clinical judgment. Certain therapies may be characterized as novel or experimental; their safety and efficacy may not be fully established by conventional means. While we endeavor to provide accurate information about the therapies we offer, we make no guarantees regarding their effectiveness or suitability for your unique needs. An individual patient's results to the treatments described on this website may vary. Testimonials reflect real experiences and opinions of our patients, apply solely to the relevant individual, and are not necessarily representative of all patients. Not all patients will have the same experience, and some treatments may be unsuccessful. Testimonials are not intended to make claims that our services diagnose, treat, cure, mitigate, or prevent any disease. Prices and services may vary and are subject to change without prior notice. Terms and restrictions may apply. Our doctors offer 10 minutes of free consultation. Prada & Ortiz Men& Sexual Health Center is committed to protecting your privacy in accordance with the Health Insurance Portability and Accountability Act (HIPAA). We maintain strict
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