How to Prevent Peyronie’s Disease: Risk Factors and Healthy Habits

Médico urologista em consulta a explicar a anatomia do pénis e os cuidados de prevenção ao paciente, num gabinete clínico.

How to Prevent Peyronie’s Disease: Risk Factors and Healthy Habits

Médico urologista em consulta a explicar a anatomia do pénis e os cuidados de prevenção ao paciente, num gabinete clínico.
Assuntos

Preventing Peyronie’s Disease is not always possible. Nevertheless, measures such as avoiding trauma during sexual activity, keeping general health under control and seeking medical assessment at the first signs may help reduce risks to sexual function.

Preventing Peyronie’s Disease does not guarantee that a man will never develop the condition, because its origin may involve several factors. Even so, knowing the warning signs and adopting day-to-day care may help reduce factors associated with its onset.

Many men feel embarrassed or insecure about caring for their sexual health. Therefore, it is important to address the subject with reliable information and without alarmism, in order to promote knowledge and appropriate care.

Some measures may help reduce the risk of developing or worsening penile curvature and preserve erectile function.

What is Peyronie’s Disease?

Peyronie’s Disease is a condition characterized by the formation of fibrous plaques in the tunica albuginea, a structure that surrounds the corpora cavernosa of the penis and participates in the erection mechanism.

These plaques can reduce the elasticity of penile tissue and cause penile curvature that is noticed during an erection. In some cases, the change also includes loss of length and penile narrowing
. In addition, a man may experience pain and have difficulty during sexual activity.

The impact may affect sexual confidence and be associated with changes in erectile function.

What causes Peyronie’s Disease?

The main cause associated with Peyronie’s Disease is penile microtrauma, which may occur when the erect or semi-erect penis undergoes small injuries, bends or impacts, especially during sexual activity. In some men, these microtraumas may trigger penile fibrosis.

However, Peyronie’s Disease may also be associated with genetic factors, health conditions, vascular changes and certain lifestyle habits, increasing the predisposition to developing the condition.

The main risk factors for Peyronie’s Disease include:

  • Vigorous sexual activity or activity with a higher risk of impact;
  • Bending or blows to the penis during sexual intercourse;
  • Masturbation with excessive pressure or traumatic movements;
  • Genetic predisposition;
  • Family history of Peyronie’s Disease;
  • Age over 40;
  • Diabetes;
  • High blood pressure;
  • Vascular disease;
  • Changes in blood circulation;
  • Erectile dysfunction;
  • Smoking;
  • Previous prostate surgery;
  • Chronic inflammation or connective-tissue changes.

Some of these factors can be modified or better controlled; others cannot.

Can Peyronie’s Disease be prevented?

There is no absolute way to prevent Peyronie’s Disease. This means that some measures may help reduce risk, but do not guarantee that the condition will never arise.

Some strategies may help protect men’s sexual health and encourage early assessment when suggestive signs appear. The aim is not to create fear, but to promote knowledge and care.

Avoid trauma during sexual activity

Repeated penile microtraumas are considered factors associated with the development of Peyronie’s Disease. These injuries may occur when the penis undergoes a sudden bend, impact or excessive pressure during sexual activity.

Some sexual positions may increase the risk of abrupt movements or loss of control during penetration. Therefore, it may be helpful to adapt the pace, avoid forced movements and favour positions in which the man can maintain greater control of movements.

The idea is not to avoid sexual activity, but to engage in it while paying attention to the body’s signals.

Treat penile changes early

Changes in the penis should be observed carefully, especially when they involve pain, the onset of curvature or palpable nodules, localised hardening, loss of length, narrowing or erectile dysfunction.

Seeking specialized assessment early is important because Peyronie’s Disease has an active phase in which the curvature is evolving. At this stage, appropriate follow-up may help with stabilization, guide care and relieve pain.

There is no need to feel embarrassed or wait for the condition to worsen. Penile changes are a valid reason to seek medical assessment.

Manage associated health factors

Men’s sexual health is related to vascular, metabolic and hormonal health. Therefore, controlling conditions such as diabetes, hypertension, vascular disease and erectile dysfunction may be important for overall health and potentially for preventing Peyronie’s Disease.

Smoking also deserves attention, as it is associated with poorer vascular health and may interfere with healing mechanisms and erection quality.

Read: Peyronie’s Disease in Young Men: Early Diagnosis and Follow-up Strategies

Maintain healthy lifestyle habits

Adopting healthy habits contributes to overall health and may have positive effects on sexual function.

Recommended measures include regular physical activity, weight management and a balanced diet, follow-up for chronic conditions, smoking cessation and good sleep.

When should I seek medical assessment?

Medical assessment should be considered when there are signs or symptoms suggestive of Peyronie’s Disease, such as:

  • Pain during an erection;
  • Recent or progressive penile curvature;
  • Palpable plaques, nodules or hardened areas;
  • Difficulty during sexual intercourse;
  • Changes in erectile function;
  • Loss of length or penile narrowing.

Seeking medical assessment does not necessarily mean there is a serious problem. A consultation makes it possible to clarify questions, confirm or rule out diagnoses and determine whether follow-up alone is needed or whether a therapeutic approach should be considered.

Treatment and follow-up for Peyronie’s Disease

When Peyronie’s Disease is present, different therapeutic options are available, depending on the stage of the condition, the degree of curvature, the presence of pain, erection quality, the impact on sexual activity and the patient’s goals.

In some cases, only clinical follow-up may be indicated. In others, medication therapies, injection treatments, devices, sexual rehabilitation or surgery may be considered, according to specialist assessment.

The approach should be individualized because each condition has its own characteristics in each patient.

When should I seek medical assessment

If there are signs suggestive of Peyronie’s Disease or an interest in clarifying questions about the condition, a specialized assessment may be useful for diagnostic confirmation and appropriate guidance.

For assessment of your clinical case, 
contact the clinic
to schedule a specialized consultation.