Peyronie's disease, which causes fibrous scar tissue to form under the skin of the penis, can make sex physically uncomfortable and damage self-confidence, but experts say open communication with your partner, sex therapy, and exploring alternative forms of intimacy can help you maintain a fulfilling sexual relationship. The condition is especially challenging in the first 12 months when symptoms are strongest, but with the right approach, couples can adapt and reconnect.

What Psychological Impact Does Peyronie's Disease Have on Men?

Beyond the physical symptoms, Peyronie's disease takes a significant emotional toll. Men often experience a cascade of psychological concerns that can damage their sense of self and their relationships. The condition can erode confidence in ways that extend far beyond the bedroom.

"Many individuals affected by Peyronie's disease experience low self-esteem and self-confidence about the appearance and functioning of their penis. They may have concerns about decreased attractiveness, feeling like they or their penis are broken, worry about sexual functioning and if they can please their partners, or fear of being judged by others," said Ryan Rahm-Knigge, PhD, sex therapist, psychologist, and assistant professor at the University of Minnesota's Department of Family Medicine and Community Health.

Ryan Rahm-Knigge, PhD, Sex Therapist and Psychologist at University of Minnesota

These psychological effects can create a harmful cycle. When anxiety and fear take hold, men may withdraw from intimacy altogether, which can strain relationships and worsen emotional distress. The good news is that early intervention with a mental health professional can interrupt this pattern before it becomes entrenched.

How to Rebuild Intimacy When Living With Peyronie's Disease

• Talk Openly With Your Partner: Share what you're experiencing without overwhelming them with medical details. Simple, objective statements like "I have some scar tissue on my penis" or "My penis has a curve or pain during erections" help your partner understand what's happening and how to support you. This transparency builds trust and allows your partner to be part of the solution rather than feeling confused or rejected.
• Communicate About What Works and What Doesn't: Be specific about which activities feel good and which ones cause discomfort. You might say "I really like when we do this, but doing this other thing isn't really working for me" or "Could we try doing this? I think it might be good and might reduce pressure on my penis." This shifts the focus from what you can't do to what you can explore together.
• Explore Non-Penetrative Forms of Intimacy: There are many ways to feel physical and emotional closeness beyond penetration and ejaculation. Consider sharing sensory experiences like enjoying the smell of candles together, giving or receiving a foot rub or back massage, taking a warm bath together, or even painting your partner's body. Some couples find that eating naked together or bringing tea to bed feels more intimate than traditional sex.
• Experiment With Different Sensations: Use toys, different types of lubricants, and vary the ways you experience touch by changing pressure, temperature, duration, vibration, and what you're being touched with. Stimulation from other body parts can also provide pleasure without the pressure of maintaining an erection.
• Seek Professional Support Early: Working with a sex therapist or mental health professional trained in sexuality can help you develop personalized strategies to address your specific concerns. Early intervention prevents worsening emotional or sexual distress and maximizes positive outcomes.

The key is recognizing that intimacy is far broader than most people think.

"I encourage patients to explore touch and play with their senses," said Rosara Torrisi, PhD, LCSW, assistant professor at the Widener University Center for Human Sexuality Studies and founder of the Long Island Institute of Sex Therapy.

Rosara Torrisi, PhD, LCSW, Assistant Professor at Widener University Center for Human Sexuality Studies

Over years of practice, she has found that patients discover intimacy in unexpected places, from painting to sharing meals to simple acts of service.

Why Professional Support Matters for Peyronie's Disease

If anxiety, depression, low self-worth, or fear of pain causes you to avoid intimacy, seeking help from a sex therapist or mental health professional is not a sign of weakness, it's a practical strategy. These professionals understand the unique challenges of living with a condition that affects both body and mind.

"Working with a professional can help interrupt this cycle of pain and help individuals tailor strategies to address their specific concerns. Working with a therapist early in the progression of the disease can prevent worsening emotional or sexual distress and maximize positive outcomes," noted Ryan Rahm-Knigge.

Ryan Rahm-Knigge, PhD, Sex Therapist and Psychologist at University of Minnesota

A urologist can address the medical side of Peyronie's disease, but a sex therapist or counselor specializes in the relationship and emotional dimensions. Together, these professionals create a comprehensive approach to recovery.

The takeaway is clear: Peyronie's disease is treatable, and its impact on your sex life and relationships is manageable. With open communication, creative exploration of intimacy, and professional support when needed, you can rebuild confidence and maintain a fulfilling connection with your partner. The first step is simply talking about it .