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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 35494
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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The last 2 times I have had an erection and intercourse, I

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The last 2 times I have had an erection and intercourse, I have noticed that my erection has been particularly hard, and the veins along each side of my penis near the head are very hard, and also the vein along the top. It is not painful, but they are much harder than usual. I take high blood pressure medication, but have never had any sexual problems. I am 34.
I am Dr. Arun and will be helping you today.

What is your blood pressure medicine?
Since when are you taking blood pressure medicines?
Any significant past medical history or surgery?
Any erectile dysfunction?
Customer: replied 4 years ago.

Benicar 40mg and HCT 12.5mg

I have been on it about 10 months. For 2 months my doctor switched me to Losartan HCT, but it did not work as well, so back on the Benicar.

No significant medical history or surgery, no ED.

Just to confirm;

Your concern is more hardness of penis and veins during erection?
Do you have any other concern too?
Customer: replied 4 years ago.

My only concern is that it is unusual. My penis is much harder than normal and the veins are hard and pronounced. This has never happened before so I am interested to know why.

Obviously it is not a negative for me, but it still seems strange. The veins, especially along the side, feel a bit tender although it is not painful at all. They go back to normal after erection.


Let me at the outset tell you that there is unlikely to be any disease process associated. This is just physiological variation and can vary significantly. Penis tissue is a spongy tissue (exactly like sponge) which is filled with the blood. This filling of the blood is a highly complicated process with many body mechanisms playing role as following;

1) Body hormones
2) Autonomic nervous system
3) Mental state
4) Arousal
5) Body temperature and temperature of surroundings / room
6) Frequency of intercourse etc.

So, there is nothing worrisome and there can be significant variations in penis hardness with hardness of penis veins.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

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Customer: replied 4 years ago.

Ok thanks. How about thrombosis? Is that a possibility?

You are very welcome.

In a thrombosis, the penis would not get flaccid or normal. It is a very rare (exceedingly) phenomenon and you do not have any symptoms or risk factors. I would not be worried at all.

It is privilege assisting you.
Dr. Arun Phophalia and 2 other Health Specialists are ready to help you
Please let me know what is your follow up question.

Thank you.
Customer: replied 4 years ago.

Hi. After more reading, looking at pictures online, and examining myself more closely, I realized that the issue I am having is not with my veins at all. I believe it is lymphocele- all of the images and descriptions I have come across seem to match it perfectly. I have a string that runs along the top of the shaft and then branches into a "Y", and then wraps around each side just under the head.

While I am relieved that this is apparently is not a serious condition (from what I have read at least), I am still unhappy with the condition and would like to have it resolved. However, I have read conflicting opinions on how to treat it- ranging from do nothing (including abstaining from erections and/or intercourse), to massaging it gently, to using a hand-warming pack.

I am not pleased with abstaining for an extended period of time, but I would like to resolve it as quickly as possible. So I would like to know what is your opinion on the best course of action. Thanks.


I am not sure, if the online sites you have visited are authentic medical sites. The search engines may not necessarily impart authentic medical knowledge and are known to cause unnecessary anxiety. The lymphatic channels are deep in the tissue and never visible anywhere in the body including penis. Your description does not point to any specific disease process, as we had discussed. Thus no active measures / treatment would be recommended. Please remember, it is likely, more of the anxiety, which may be the underlying issue. Anxiety affects the autonomic nervous system and hormones which in turn affects the penis tissue which is the most sensitive tissue in our body.

Customer: replied 4 years ago.

Thank you for your help. I agree somewhat and I understand that online searches are only valuable to some degree and the internet is filled with mis-information. However, it is hard to accept 'anxiety' as the underlying issue; it seems there must be a more logical explanation.

I have found multiple pictures online that look exactly like what I have... I will attach several for you, maybe this will help?


I reviewed the 3 pictures you sent. These would be considered just physiological aberrations and are likely to resolve spontaneously. No active treatment would be suggested. The lymphatic and venous drainage occur in the lower part of the abdomen and an ultrasound of pelvis / lower abdomen would rule out anything serious or significant.