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Question:
After having suffered damaged blood vessels in my penis 3 years ago through blockage of penis during ejaculation, I now find that I cannot get a full erection. The bottom half of the penis is hard as normal, whilst the top half is half as hard and the head does not harden at all. I also have lost all pumping sensation during ejaculation. I still maintain all normal sexual desires but I am suffering from some form of psychological problem because of this.

Answer:
by Yvonne Fulbright:
(06/05/2004)
I am sorry that it took us so long to get back to you. Your question has been rotated to several physicians, and we have consulted with some of our colleagues from the International Society for Impotence Research. While I am not an urologist, I believe that I can at least give you some information:

Others have described similar situations as yours. In your additional information you have stated, that a physician has diagnosed Peyronie's disease, and that you have not taken any medication so far. I do want to emphasize that we never diagnose or treat problems from this website, and we can only give general advice. I would strongly encourage you to try to locate an urologist, who is familiar with current treatment options for Peyronie's disease. Ask the physician who diagnosed you to refer you to a specialist. According to some of the urology experts I have consulted with, it might be worthwhile trying medical treatments currently used for Peyronie's disease, such as Vitamin E and Tamoxifen, combined with oral medication for erectile dysfunction, such as Viagra, if you are a candidate for this medication. I will be happy to pass on information about recommended dosages for the mentioned medications and recent literature references directly to your physician. He or she can contact me either through SexualHealth.com or directly by e-mail info@CvilleWellness.com. Your physician can then go over all the material together with you.

Is this problem consistent whenever you have an erection? Does it differ, whether you are with a partner, whether you masturbate, or when and if you have nighttime or morning erections? Are your erections sufficient for intercourse?

Since you are experiencing psychological problems from this, I would strongly encourage you to seek counseling to help you deal with this situation. You can ask your physician to refer you to a sex therapist or counselor. Since you are in a different part of the world, unfortunately I cannot be of much help referring you to someone specific.

I hope that this information is at least somewhat useful to you. Please do not hesitate to contact me with further questions at any time.

Sincerely,
Annette Owens, MD PhD

Reviewed by Sexual Health Editorial Team

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