PSSD is fundamentally the same as PFS

General Discussion
#22

I don’t know I think I have hard flaccid at first from masturbating too much, but I linked later I have hard flaccid from dutasteride use… Basically I spent a lot of time in hard flaccid scene believing this was my issue. They have a lot of guys there from physical injury, so I don’t know, perhaps some crisis of the injury cause their brain chemistry to change… Or damage to the genitals causes a fundamental shift in the person… Hence some people get pfs mental symptoms because of the penis damage. Maybe it does act directly in the cognitive symptoms as well though.

Either way I agree that hard flaccid guys are very similar to PFS and pas, pssd. Only thought is that pfs have fibrosis in penis tissue, but I don’t think hard flaccid have the same level of fibrosis formation and sinusoidal space shrinkage as we do. Maybe over time their reduced blood flow will cause them to be like us. Did anyone recover ever from fibrosis in the penis here? I have some ideas of peptides and drugs but it’s highly experimental

#23

Have you checked this with a specialist or are you guessing? Fibrotic tissue can be felt and seen in imaging tests.

1 Like
#24

I don’t know if they can palate it inside the corpus cavernosum? I thought only at the outer peripheries so near the tunica albuginea. I hope mri will pick up in enough detail but it might be needing pharmacoangiogram… All hard things to get where i live here

#25

Well, just from my own experience: I had a pelvic MRI, 2 ultrasounds, color dopplers and physical exams and nothing could be found.

So, at least in my case, something else is going on. Might be the same for you.

2 Likes
#26

I hope so then, I just know I feel penile pain so I’m worried it’s fibrosis. Also blood doesn’t leave my penis very efficiently after orgasm, it’s like it gets stuck and I have long flaccids for 5-10 minutes post ejaculation. I can’t get hard while standing up even with stimulation, need to be lying down or seated. I’m worried it’s micro-vascular damage maybe or some dysfunction not allowing full blood flow there I to the tissues. Meaning mri won’t pick up cellular level damage, especially if it’s evenly distributed and doesnt show up like a obvious fibrotic section of formation

#27

You mention you can’t get hard standing up, but can lying down. You mention that you get long flaccids after ejaculation.

There’s a theory that finasteride induces pelvic floor dysfunction, which often produces the same symptoms you are describing.

But anyway, get it checked out nonetheless.

#28

The muscles that sit on the base of the penis are very rich in AR. I am pretty sure many PFS cases have muscle atrophy here. This will show up as weak urine stream, hard to empty the last drops of pee and erectile dysfunction.

When muscles get weak they also tend to spasm. So after an erection when they should relax, they won’t be able to. Hence the long flaccid etc.

On top of that we have the vascular aspect. The biggest downregulated cluster in Baylor study was “blood vessel development” with a 11-fold decrease. That’s some hefty downregulation and it’s no wonder why we can’t get a proper erection.

2 Likes
#29

Wow that’s what I’m experiencing. Weak stream, penile pain at the base of penis, ED. Hard flaccids and long flaccids etc.

I was on trt and 2mg of topical dut over 2 weeks still was able to completely disable me down there… Wild.

1 Like