Yes, it is possible to have sex with a curved penis, as long as the curvature does not cause pain during intercourse for those involved.
Having sex with Peyronie’s disease can be a worrying experience. The deformities caused by penile fibrosis can lead to discomfort and insecurity at the moment of intimacy, but with a few adaptations, sexual intercourse can become more comfortable and safe, depending on each case.
A Peyronie’s disease diagnosis does not necessarily exclude the possibility of maintaining an active sex life. In many cases, the condition does not cause a significant impact on sexual relations.
However, if changes in the penis pose a physical or emotional challenge during intimacy, it is important to learn how to reduce Peyronie’s impact and enjoy your sex life despite the curvature. Keep reading to learn how this is possible!
What is Peyronie’s disease and how does it affect sexual life
Peyronie’s disease is a condition characterized by the development of fibrous (rigid) tissue inside the penis. This means the tissues lose their natural elasticity and, during erection, the penis shows a visible curvature.
In some cases, the loss of elasticity happens on both sides, which leads to loss of length. In others, the stiffening occurs circumferentially, which thins the shaft. The problem can appear in one specific spot or in several regions at the same time.
Another consequence is difficulty maintaining firmness during sexual activity. During penetration, the penis may bend or slip out easily with movement.
Developing Peyronie’s disease by itself does not make sex impossible or unsatisfying. In fact, many men have sex with a curved penis normally and maintain a pleasurable sex life. However, when the deformity is more pronounced, it can cause discomfort or pain during intercourse.
In addition, the change in the penis’s appearance often leads to insecurity, anxiety, and fear of rejection, making it harder to obtain or maintain an erection.
Can people with Peyronie’s have sex normally?
Yes. Even with the diagnosis, it is possible to have an erection with Peyronie’s and maintain a pleasurable sex life.
In many cases, the curvature or changes in penile shape do not prevent sexual intercourse, especially when partners adopt more comfortable positions and adjust movement intensity.
However, for some men, erection may be accompanied by discomfort or penile pain, which can interfere with intimacy. In such situations, it is important to respect the body’s limits: when pain significantly hinders erection or reduces desire, the man should see a urologist, who can indicate specific treatments.
Moreover, open communication with your sexual partner is essential to adapt your sex life—which also strengthens emotional connection.
How to improve your sex life with Peyronie’s
For you and your partner to have a better experience having sex with penile curvature, here are some tips based on over 25 years of Dr. Paulo Egydio’s dedication to men in this situation:
1. See a urologist
Look for a urology professional to evaluate your penis. Through a confidential conversation and exams, they can diagnose your case and start an individualized treatment plan.
Don’t postpone it, as Peyronie’s disease can progress.
2. Communication is essential
Penile curvature, thinning, and loss of length can cause psychological frustration and be difficult to face. If you want to stay sexually active, courage helps.
Explain to your partner what is happening so you can make the necessary adaptations together and increase pleasure for both during intimacy.
3. Comfortable positions for penetration
There are sexual positions for sex with a curved penis that are more anatomy-friendly, such as side-lying or with the partner lying face down.
Try to find the most comfortable position so you can penetrate without forcing the penis.
Also, be careful with movement. When strokes are too wide, the penis can slip out and, on the way back, hit the body, causing trauma.
4. Prioritize lubrication
The more lubricated your partner and your own penis are, the easier penetration will be. This helps avoid stressing the glans and worsening the fibrotic condition.
Once lubrication is ensured, use your hand to stabilize and allow penetration; after entering, use shorter strokes to avoid slipping out.
If needed, use water-based lubricants on the glans and your partner.
5. Be careful with masturbation
Masturbation can also strain the erect penis.
Ideally, lubricate before masturbating and respect the penile axis while handling it.
6. Stay calm
Some patients struggle psychologically with penile deformity, which naturally affects intimate moments.
To better cope with Peyronie’s disease, stay calm and follow your urologist’s guidance; they may suggest approaches to improve sexual quality. If needed, seek sex therapy.
7. Sexual education matters
Seek knowledge about sexuality and Peyronie’s disease. Understanding your current stage helps you navigate this period with more strength. It can be tough, but you’re not alone!
8. Do not force the penis
Avoid forcing the penis at all costs. This bad habit can cause trauma, leading to tiny, almost imperceptible tears that trigger or worsen penile fibrosis.
Remember that sleeping face down can also traumatize the penis during nocturnal erections, as can wearing very tight clothing while erect.
Treatment options
Peyronie’s disease has two phases: the acute or inflammatory phase and the late or cicatricial phase.
At first, the patient notices a change in appearance and may experience pain when the penis is erect. This is the time to see a urologist, as treatments can have good results.
When the fibrosis is mature—sometimes even calcified—treatment is more complex, often indicating surgery.
There are different treatment options depending on symptom severity. Here are some of the most common treatments for a curved penis:
- Oral medications: some doctors may prescribe drugs that help reduce inflammation and pain and prevent progression;
- Injections: in some cases, medications can be injected directly into the plaque to try to dissolve it;
- Shock wave therapy: a noninvasive treatment that uses high-energy acoustic waves to improve blood flow and, in some cases, help stabilize curvature;
- Penile prosthesis: devices that can be used to align the penis and restore dimensions more durably;
- Surgery for Peyronie’s disease: in more severe cases, when there is pain or difficulty having sex, reconstructive surgery of penile tissues may be considered.
Sex is possible with Peyronie’s, but with care
Having sex with a curved penis is possible, as long as the experience is pleasurable for everyone involved. If the curvature is new, getting worse, or causing difficulties, it’s best to see a urologist.
A specialist can perform a physical exam and request tests to look for fibrotic plaques, as well as suggest treatment options for each case and share tips to make intimacy satisfying without harming the penis.
Talk to Dr. Paulo Egydio
Talk to the urologist Dr. Paulo Egydio. He can help you recover your sex life.
He has treated sexual-health conditions—especially penile curvature—for over 25 years and has extensive experience caring for patients with Peyronie’s disease.
