A Doctor with Hard Flaccid - Updates and Advice

[Romero MD Senior Member Find all posts View Profile Close Romero MD]

Alright Doc thanks for the reply and wow man congrats on your success I hope to have that success in my next 2 - 3 months lol. I will be starting tomorrow with my routine and tracking progress from there. Im going on full blow hardmode like you said RomeoMD and im going to follow what you told me by doing hindi and belly breaths and continue with stretches I also have am anterior pelvic tilt so I probably have to fix that as well but im sure thats not the cause of my Hard flaccid.

You're welcome, Millionaire. Thank you

Ok. Great

I have some questions for you.
1) what do you think was most important to your recovery like what exercises in particular.

Everything. Everything written in the first post is important. Perhaps supplements and medication can be secondary, if your diet is perfect. But all the other items are important. You have to apply all of them, simultaneously.

You can ask me, "Aren't Reverse Kegels and Hindi Squats the most important thing?" No. If you do RKs and Hindi Squats, but, at the same time, you masturbate every day, you are full of stress, you do not train posture and flexibility, nor you sit in a softer chair (if you are sitting all day), the effect and effectiveness of RKs and Hindi Squats are going to be weak. Everything is important.

2) how do you heal a IC injury? Or how do you strengthen it?

The answer to that question is exactly all the items that are written in the treatment list of the first post This entire thread is dedicated to healing injuries and muscular contractures of the IC muscle. That's what Hard Flaccid is. Regarding specifically the strengthening of the IC muscle, I recommend no more than my 95% flexibility and 5% IC Kegels routine during Edging. And I only started that routine after 6 weeks of pure flexibility. You have a muscular contracture. You mostly need flexibility in the pelvic floor. Applying a higher proportion of Kegels is contraindicated and risky.

3)Have you heard of angion method? Apparently it helps heal Hard flaccid.

Yes, I've heard of it. The first time I read about Angion Method was 2 years ago. Regarding Hard Flaccid, I think that if the benefits exist, they will be few.

First, regarding Penis Enlargment. The Angion Method is nothing more than a very light Jelqing and a moderate Edging exercise. I think it is simply because of this that some rare members claim to have some penis size gains over the course of several months. But its effectiveness for PE is very low. However, it may have benefits regarding the quality of erection, because it improves blood flow (arterial and venous) in the penis.

Regarding Hard Flaccid. The Angion Method is mostly a vascular exercise. Hard Flaccid is not a vascular disease. It's a muscular problem. Which causes, secondarily, a decrease in blood flow, due to the muscle contracture. Therefore, the Angion Method is not acting directly in the cause of Hard Flaccid.

"Romero, but some people have improved Hard Flaccid with the Angion Method." - I know. I read the cases. I think the only way that the Angion Method can have a small direct benefit on Hard Flaccid is:
1 - Through the Angion Method 2.0 - you are activating the Bulbocavernous Reflex when you are squeezing the penis glans. Which will give rise to a Front Kegel, which gives a little physiotherapeutic stimulation. But I think it will have no more advantages than my Edging routine in the first post. Also, don't forget that doing Front Kegels alone is highly counterproductive for Hard Flaccid. You can make the injury worse. You have a muscular contracture, you need flexibility training. Hence, my routine of 95% flexibility and 5% strength.

2 - Through the Angion Method 3.0 (lying down) - when you apply the continuous movement to the corpus spongiosum (CS), you are applying a small stretch to the IC and BC muscles at the base of the penis. And, consequently, applying a small physiotherapeutic stimulus. Once again, I think it will have no more advantages than my Edging routine.

Indirect benefit:
1 - Theoretically you are improving the quality of erections. It will have the same effect as stopping watching porn, decreasing the frequency of masturbation, practicing Edging, exercising, sleep well, eat well and taking supplements that improve the blood flow of the penis. However, the origin of Hard Flaccid is not vascular. It's muscular.

Therefore, in my opinion, the Angion Method does not add any benefit to what is already advised in the first post. If you still want to give the Angion Method a chance, pay attention to excess Kegels. And you can't force erections with Hard Flaccid. You will make the injury worse if you do. The percentage of Reverse Kegels has to be much higher if you want to cure Hard Flaccid. Do the Angion Method always with Reverse Kegels, if you want to try it.

4) Did the splits help or contribute to your recovery?Are they necessary? Thanks in advance

Hahaha Interesting. Several people have asked me this question... I admit that it is my fault. Most likely because of my post 21. Alright...
- No, I don't think they are strictly necessary.
- Yes, I think they contribute to recovery. A LOT.

"Romero, what's the damn logic?" - What matters is the journey. Not the destination. You need to improve your flexibility. Period. By improving flexibility, you will improve your posture and you will improve the mobility of all the muscles that are around the pelvic floor, increasing the flexibility of the pelvic floor. This does not happen only when you manage to do full splits, right?

I am cured of Hard Flaccid, but I am far from being able to do full splits. However, I am much more flexible. A LOT more flexible. And that was extraordinarily important for my recovery. I can't do the full splits, but the flexibility I gained was very important to cure Hard Flaccid.

Therefore, no, doing the full splits is not necessary. But your goal is to be able to do them

[HelpMeDoc Junior Member Find all posts View Profile Close HelpMeDoc]

Hi Doc,

Thanks for the reply. Injury was approximately 8 weeks ago - never had any significant bruising nor any significant pain. Symptoms were / are very similar to most others on here - cold feeling at the beginning, some penile pain, increased curve, and HF symptoms including a "dent" on the left side near where I felt the pop. Any erections I have had feel a little less stable on the left and I do feel a bit disconnected. Went to a urologist ~3 weeks post initial injury after 2+ weeks of no sexual activity and he said there was no permanent damage or hernia, and that I could return to some mild masturbation / sexual activity. I did, but trying to have sex with my girlfriend was uncomfortable and the premature ejaculation was awful. I haven't done anything in the last 3+ weeks, but still have the groin and pubic swelling and mild discomfort if I'm walking or standing for an extended period of time. Have seen a primary care doc who only recommended another urologist - so I have that scheduled in a couple weeks time. I haven't been doing too much of the flexibility work because I didn't want to tear anything further if it was a tear. If you think this will help with healing, I'm all ears! Will start adding the supplements and have been adding heat when possible which seems to help a bit. If you have any recommendations for what I should ask the doctor when next I go, that would be hugely appreciated.

[HelpmeHF Senior Member Find all posts View Profile Close HelpmeHF]

I truly believe that it is impossible for Hard Flaccid to create scar tissue.
If it can go away completely? I will quote the answer I gave you 3 weeks ago:
“Do I think it is permanent? No. Don't even think about it. Forget it. It is not permanent at all. You just need to be aggressive and constant in relaxing your muscles in the opposite direction. Don't you know people who have had muscle injuries for several months/years, and who are able to fully recover, with physical therapy, time, rest and good nutrition? It is exactly the same here. There are milder injuries and more serious injuries. And the rate at which each body recovers depends on many factors. But what really matters is that the body is a healing machine. You just need to offer it the right materials and stimuli.”

Have you ever had an image exam on your penis? Why don't you make an appointment with a Urologist and ask for an ultrasound or an MRI scan? So that you can be more mentally rested. It helps. It decreases stress. But I think the Hard Flaccid is completely reversible.

hey doc thanks for the thorough reply really appreciate it.

So are you trying to say that the injury couldn't have caused scar tissue? I feel like hard flaccid is more of a symptom. My injury was a strain of the PF through kegeling while it was already tense and subsequently forcing ejaculation via the kegel. I had a habit of kegeling during masturbation in general and i believe my PF had become quite tense and this time i perhaps kegeled extra hard to force the ejaculation. It felt uncomfortable, but there was no significant pain at the time but immediately developed hard flaccid and flaccid penis pulling toward the left. Subsequently as I continued to have erections I developed retraction of my left testicle and discomfort around the testicle which seems to correspond with the severity of the hard flaccid which gets worse with frequent erections. The worse the hard flaccid the worse the retraction of my left testicle and the more discomfort/ache in that region. Symptoms all seem to improve when laying down/sleeping only to get worse as the day progresses.

Is this indicative of normal/benign hard flaccid, or do you think that I may damaged my pelvic floor to the point where it has scar tissue? I'm not so much worried about scar tissue in my penis but rather my pelvic floor which is where the injury/strain originated.

[troublehshooter Member Find all posts View Profile Close troublehshooter]

Very good! Fantastic. Good thing your erections don't bother you anymore. I'm happy for you

Thank you!

Well, I totally agree with your Dopamine fast I think that the 3 months of sexual abstinence that I had were completely essential for my recovery. And I think it will be very productive for you to do it too.

I completely agree for logical reasons, but I'll be honest I am really struggling with it. Several times I seem to make it around 10 days before I relapse. I know I need to improve my willpower to not allow it. I can go several days without any temptation at all and then a wave of testosterone hits me and I go animalistic.

However, please do not reduce your social life. People are an essential part of everyone's life. Human contact is very important for our mental health. Obviously, that contact is much better if it takes place in the real world, but chatting with someone is also a good substitute. I think it will be very productive for all patients with Hard Flaccid to avoid any sexual contact for 1-2 months. But, please, do not reduce your social stimulus. Hard Flaccid is already a disease prone to depression and anxiety. Talking, socializing and smiling with others is very very important.

Good feedback, I agree! I'm actually not completely removed from social media. I have just not allowed myself to do aimless scrolling. I will log in for a specific purpose, check notifications, and log back out.

Okay, now an interesting topic...
PEGym, fasting to treat Hard Flaccid is completely unreasonable. Please, don't do that. Our body needs nutrients to heal. A healthy diet is at the top of my treatment list for some reason. It is absolutely essential for the treatment of any injury, infection or disease in our body. Your body needs fuel to heal any type of injury, especially muscle and ligament injuries. Fasting for days is totally unnatural. It's brainless

I know, I know... I also read that one or two members healed their Hard Flaccid with water fasting... I don't care... I'm against that type of procedure. Your body cannot function without healthy food. They were probably cured by some other factor that happened during that fast. Not because of the fast itself. Your body and brain need nutrients. Please, PEGym, don't do that.

Ok this is interesting because I did do a 5 day water fast when I was having greater pain and I did have good luck with it! I do agree our body needs nutrients, but ... and this is a question not an argument... isn't the liver supposed to store a supply of essential nutrients to last a few days? I believe the reason I had good luck with my 5 day water fast is because I was not having regular bowel movements. That took a significant strain away from my pelvic floor at a time it desperately needed the rest. When I started eating again the pain came back the very first bowel movement I had.

Thanks again for all your input!

[Mike_b Senior Member Find all posts View Profile Close Mike_b]

Mike, I am very, very happy for you, my friend
Thankfully, everything is starting to return to normal

But now, don't abuse your penis! xD Don't masturbate 10 times a day! Try to restart sexual activity in a healthy, progressive, smooth, non-aggressive way.

And starting to go to the park every day and exercising are great ideas.
I'm glad you're finally smiling

And, yes, you should always talk to your doctors about the decisions they make that concern you.

Thank you very much for the kind words You are a beautiful person, too. Your life force and the way you motivate others are admirable.
Congratulations on your success, Mike. A brotherly hug for you.
Be happy

Thanks!!!

[givemehappiness Junior Member Find all posts View Profile Close givemehappiness]

Hi Givemehappiness! Thank you

Excessive precum?... I think you're the first person to ask me that... Are you having more precum since you have Hard Flaccid? In what situations? Associated or not with sexual activity? Are you doing NoFap? I am not finding a concrete explanation for that association. And I think I have never read any patient with that symptom. Did you read that association somewhere? If so, send me the article, please.

What penile anomalies? Bends, twists, cords, bumps, ribs and ridges?... I have already explained why those happens. Please read posts 141 and 183.

Maybe not completely related to hard flaccid but related to overall injuries, I was asking you since you were doc and wanted your opinion on it.
. But here are some threads were they mention heavy precum. Everyone with excessive precum has premature ejaculation in these threads. A andrologist Ive met also told me PE sufferers have excessive precum.

This is the only study I have, will update if I find the full study AB218. The size of seminal vesicles on ultrasound is related with premature ejaculation - Yao - Translational Andrology and Urology

Could this be pelvic floor related? hard flaccid? what do you think, just quickly look over the links I share

https://www.pegym.com/forums/prematu...ve-precum.html

https://www.lybrate.com/question/155...erty1555473509

https://www.pegym.com/forums/prematu...-relation.html

[Millionaire01 Member Find all posts View Profile Close Millionaire01]

Doc just out of curiosity how does people make progress with DCT if Hard flaccid is a IC problem?

[CLOS3Dwhatsthestory Member Find all posts View Profile Close CLOS3Dwhatsthestory]

DCT/resistance stretching works. Ive seen huge improvement in 2 weeks...

[Mi3an Junior Member Find all posts View Profile Close Mi3an]

Maybe not completely related to hard flaccid but related to overall injuries, I was asking you since you were doc and wanted your opinion on it.
. But here are some threads were they mention heavy precum. Everyone with excessive precum has premature ejaculation in these threads. A andrologist Ive met also told me PE sufferers have excessive precum.

This is the only study I have, will update if I find the full study AB218. The size of seminal vesicles on ultrasound is related with premature ejaculation - Yao - Translational Andrology and Urology

Could this be pelvic floor related? hard flaccid? what do you think, just quickly look over the links I share

https://www.pegym.com/forums/prematu...ve-precum.html

https://www.lybrate.com/question/155...erty1555473509

https://www.pegym.com/forums/prematu...-relation.html

I have that too sometimes. My best explanation is that pre cum is mostly semen and it’s produced in the prostate whereas the actually sperm is produced in the testicles. Both are affected by the pelvic floor being in spasm especially the prostate.

Hopefully the doctor can correct me if I’m wrong. Sorry Doc for stealing the lime light😁

[Mi3an Junior Member Find all posts View Profile Close Mi3an]

Hey doc, good to hear you’ve recovered.

I’ve got a Question for you that might have you researching for a while:

What’s your thoughts on people who get HF from drugs such as Accutane, Finasteride, SSRIs etc?

I’ve looked at some people with Post Finasteride Syndrome, and they guys with only sexual symptoms and hard flaccid have all the symptoms as normal Hf patients. They also found relief in pelvic floor relaxation/exercises.

Do you think it’s everyone’s anxiety/Nervous system being out of whack because of drugs/penis injuries causing all of our Hfs and now the bodies confused in the pelvic region?

[Flamingo Junior Member Find all posts View Profile Close Flamingo]

Thank you for your work so far, everything you said I related to you (I am also fit, symptoms started out of nowhere randomly) and I just have a few questions.

How can I find the Ischiocavernosus muscle? I don't know how to be 100% sure I'm fixing the right thing? What about the other Bulb muscle as well?

I think I tried to do a few exercises where I pulled the penis in not sure what that muscle is called and held it and I thought I was getting a lot better for the first few days and then went back to how it was before. I can't seem to separate these muscles from clenching in the ass area as well, not sure if that is bad.

I will try the towel lifting and squat exercise tomorrow, thank you again.

Another thing I heard was right / left sides of these muscles? I have only had lack of sensation in the right side of my penis so maybe this relates to that?

[Pegasus AdministratorPE Gym EditorPEGym Hero ☺ Admin of the Month Mar 2015 Find all posts View Profile Close Pegasus]

Thank you for your work so far, everything you said I related to you (I am also fit, symptoms started out of nowhere randomly) and I just have a few questions.

How can I find the Ischiocavernosus muscle? I don't know how to be 100% sure I'm fixing the right thing? What about the other Bulb muscle as well?

I think I tried to do a few exercises where I pulled the penis in not sure what that muscle is called and held it and I thought I was getting a lot better for the first few days and then went back to how it was before. I can't seem to separate these muscles from clenching in the ass area as well, not sure if that is bad.

I will try the towel lifting and squat exercise tomorrow, thank you again.

Another thing I heard was right / left sides of these muscles? I have only had lack of sensation in the right side of my penis so maybe this relates to that?

If you are talking about towel raise then might I suggest you leave that until you are a bit further into training .

[Ezreay00 Junior Member Find all posts View Profile Close Ezreay00]

Hey there!

I have hard flaccid and soft glans during erections. Whenever I apply pressure on my superficial dorsal vein such as with my thumb when I'm erect, my glans are full and hard. As soon as I release pressure, blood immediately drains and my glans become small and soft like it's flaccid again. It is worse when I am laying on my back. This has been so difficult to deal with.

What should I do?

Thanks in advance!

[Zaid1997 Junior Member Find all posts View Profile Close Zaid1997]

Where's the Doc vanished to?

[CUSP82 Administrator Admin of the Month Dec 2014PEGym Hero Find all posts View Profile Close CUSP82]

Off being a doctor. I hear they're pretty busy.