Penile Curvature and Discomfort During Erection: Causes and Concerns

Erectile dysfunction?

Hello, doctor! My penis bends to the left when erect, and the section that curves becomes tight and dark during the erection process, as if blood flow is not smooth.
The shape changes such that the front and back sections are enlarged, but the middle section needs to be massaged to return to a normal erection.
I have noticed that this situation occurs more often in cold weather, like now in winter.
Sometimes, the erection feels tight, and this has been happening for several years.
Currently, I don't feel it affects the normal function of my penis, but during the few seconds it takes to become fully erect, there is a slight discomfort and mild pain, which resolves after massaging.
I would like to ask the doctor what could be causing this? Why does it only happen in that section of the penis? Since it does not affect normal function, is there a need for a consultation? Or should I be aware of potential issues that might arise later, which would require a visit? Thank you!

Xiao Li, 20~29 year old female. Ask Date: 2020/02/03

Dr. Li Xinyi reply Urology

It could be Peyronie's disease, which may be related to chronic minor trauma and genetic factors.
It is advisable for you to first visit the urology department at a major hospital, specifically the erectile dysfunction clinic (even though you may not have significant erectile dysfunction), to undergo a basic evaluation and then discuss your concerns with the doctor.

Reply Date: 2020/02/03

More Info

Understanding penile curvature and discomfort during erection can be a complex issue, often involving anatomical, physiological, and sometimes psychological factors. Based on your description, it seems you are experiencing a curvature to the left during erection, along with a sensation of tightness and discoloration in the midsection of the penis. These symptoms can be concerning, and it's important to address them appropriately.

Possible Causes
1. Peyronie's Disease: This is a condition characterized by the development of fibrous scar tissue inside the penis, which can cause curved, painful erections. The curvature you describe, especially if it has developed over time, could be indicative of this condition. The tightness and discoloration during an erection may suggest that blood flow is being affected, which is a common symptom of Peyronie's disease.

2. Vascular Issues: The sensation of tightness and the change in color during an erection could be related to vascular issues. If blood flow is restricted in certain areas, it can lead to a feeling of tightness and may cause discoloration. This could be exacerbated by cold weather, as blood vessels constrict in response to lower temperatures.

3. Anatomical Variations: Some men naturally have a curvature to their penis, which can be completely normal and not indicative of any underlying health issues. However, if this curvature is accompanied by pain or discomfort, it may warrant further investigation.

4. Psychological Factors: Anxiety or stress can sometimes manifest physically, leading to discomfort during sexual arousal. If you are feeling anxious about your condition, it may contribute to the sensations you are experiencing.

When to Seek Medical Attention
While you mentioned that your condition does not currently affect your normal function, there are certain signs that would warrant a visit to a healthcare provider:
- Increased Pain: If the discomfort during erection becomes more pronounced or is accompanied by significant pain, it is advisable to seek medical attention.

- Changes in Function: If you start experiencing difficulties with erections or a decrease in sexual function, this should be evaluated by a healthcare professional.

- Progressive Curvature: If you notice that the curvature is worsening over time, or if new symptoms develop, it is important to consult a doctor.

- Emotional Distress: If the condition is causing you anxiety or affecting your quality of life, discussing it with a healthcare provider can be beneficial.

Potential Complications
If left untreated, conditions like Peyronie's disease can lead to complications such as:
- Erectile Dysfunction: The curvature and associated pain can lead to difficulties achieving or maintaining an erection.

- Psychological Impact: Concerns about penile curvature and discomfort can lead to anxiety, depression, or issues with self-esteem.

- Sexual Dysfunction: Pain during intercourse or difficulty with penetration can arise, affecting intimate relationships.

Conclusion
In summary, while your current symptoms may not be severely impacting your sexual function, it is important to monitor the situation closely. If you experience any changes or worsening of symptoms, it would be wise to consult a urologist or a healthcare provider specializing in sexual health. They can perform a thorough evaluation, possibly including imaging studies or other diagnostic tests, to determine the underlying cause of your symptoms and recommend appropriate treatment options. Early intervention can often lead to better outcomes and help alleviate any concerns you may have.

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