The worst of two worlds: Hard Flaccid Syndrome

Hard flaccid syndrom (HFS) is an uncommon and little-known disorder marked by enduring alterations in the penis' flaccid state. HFS is the worst of both worlds, as its name implies. When a person is not sexually stimulated, their penis will be semi-rigid, but they may find it difficult to achieve a full erection. As if this wasn't horrible enough, HFS can also result in tingling, difficulty urinating, pain, discomfort, numbness, and a feeling of coldness.

Relationship issues, anxiety, and sadness are typical side effects of this problem. Although the exact causes of this are unknown, we do know that trauma or injury to the impacted nerve fibers in the pelvic floor and at the base of the penis is typically the cause. The perineum can't relax due to damage to the blood flow and nerve fibers, which sets off a terrible cycle of tension and anxiety. This causes the sympathetic nervous system to release stress hormones, which exacerbates the pain and keeps the cycle going. Chronic pelvic pain and dysfunction may result from this, interfering with a previously good sexual life as well as other beneficial physical activities like working out or playing sports.

After a urologist diagnoses HFS, pelvic floor physical therapy and behavioral pain management are commonly used in treatment. If that's not enough, though, acupuncture can be highly beneficial to rehabilitation by releasing trigger points, calming an overactive nervous system, and relaxing tense pelvic floor and abdominal muscles. Acupuncture is a fantastic intervention that can be added to a rock star squad, although it may be a stand-alone treatment for some. It makes recovery happen faster rather than taking the hard way and can assist in breaking through stubborn plateaus.

If you're stuck between a rock and a hard place, book a free consult with Garden Path Acupuncture's pelvic floor specialist, BJ Putnam, DAc.

for SCIENCE!

Billis E, Kontogiannis S, Tsounakos S, Konstantinidou E, Giannitsas K. Hard Flaccid Syndrome: A Biopsychosocial Management Approach with Emphasis on Pain Management, Exercise Therapy and Education. Healthcare (Basel). 2023 Oct 22;11(20):2793. doi: 10.3390/healthcare11202793. PMID: 37893867; PMCID: PMC10606578.

Tang X, Lin S, Fang D, Lin B, Yao L, Wang L, Xu Q, Lu L, Xu N. Efficacy and underlying mechanisms of acupuncture therapy for PTSD: evidence from animal and clinical studies. Front Behav Neurosci. 2023 May 2;17:1163718. doi: 10.3389/fnbeh.2023.1163718. PMID: 37200784; PMCID: PMC10187757.

Xiong J, Zhou X, Luo X, Gong X, Jiang L, Luo Q, Zhang S, Jiang C, Pu T, Liu J, Zhang J, Li B, Chi H. Acupuncture therapy on myofascial pain syndrome: a systematic review and meta-analysis. Front Neurol. 2024 May 3;15:1374542. doi: 10.3389/fneur.2024.1374542. PMID: 38765261; PMCID: PMC11100351.

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