Could the DVT my in my leg be related to PE?

I got a thrombosed vein in my penis a while ago, which went away. About a month ago I got DVT in my leg and had to go to the ER to get it diagnosed and treated it with injections and then blood thinner pills.

Since I’m at risk for DVT, do you think that doing PE exercises again would be a problem?

Apparently you are at higher risk for venous thrombosis, dick, legs, wherever.

What is the reason? Has this been checked? And if so, treated according to the cause?

I dont know, but there was a few times where I felt pretty ill after PE. Dizzy and a huge…I mean huge headache. Is it possible that we make bloodclot through PE?

WADS

The reason that I was in bed for a month when I was 18 (I’m 26 now), and when I got out I had developed DVT in my leg. Apparently this puts me at risk for having it again. That’s the only risk factor I have. I was sick for a few days and was also sitting down a lot more than usual and stopped exercising recently, and the result was DVT for a second time.

The clot in my leg is gone now and I’m taking a blood thinner and my blood is checked once every month to ensure its thin enough. I don’t understand why PE causes thrombosed veins.

There are tons of posts from people getting it after too much PE exercises. It looks like it goes away and is relatively harmless for most people. I’m trying to figure out if it would be safe for me to start up again if I took it really slow.

If you are taking a blood thinner (which one) on a regular basis at the appropriate dosage your thronmbose risk should be normal or next to normal.

Nevertheless, you should probably be more careful than others. E.g. - If you are hanging or consider to, use a vacuum hanger which does not impair blood flow as much as a compression type hanger. Pumping should also be in order if not exaggerated.

Clamping is probably the most risky exercise for you (your dick).

Good luck.

PE can damage blood vessels in the penis, which heal by producing blood clots. (A thrombosis is a blood clot within a blood vessel). These should be naturally broken down and absorbed by the body when they have finished their healing work of drawing damaged tissue together and sealing it from infection until it is healed. It is sensible to not PE when you have a thrombosed vein. Doing PE with a thrombosed blood vessel is a bit like picking the scab off a cut before it has healed.

If you are prone to DVT, you may have been put on a dose of blood thinners which will reduce clotting to a level below what would be considered ‘normal’. If this is the case, you must be very careful with exercises more likely to damage blood vessels, such as clamping and intense jelqing. If the blood cannot clot, internal bleeding will ensue.

Very god point firegoat. Potential side effects of the treatment must be considered, too.

After a few visits with a GP and a hemotologist I’ve been told I am genetically predisposed to clotting and have been put on a blood thinner. Since then I’ve been kind of scared to try anything related to PE. You said that intense jelqing might be a problem, but do you think I’ll be ok if I stick to just stretching?

If they have the dose of the blood thinner correct, your clotting rate should be balanced to only a slightly lower level than someone without a clotting problem, so gentle PE should be OK, with very careful watching for any problems. If they have made the dose too high, even fairly light PE would be contra-indicated. So you have to decide if you want to take the possible risks, and start off very gently if you chose to do so.

Firegoat- That is good advice. tommy32-You need to be a well informed patient regarding the goal of your doctor and the extent of your therapy. The only oral anticoagulant that is effective as a prophylaxis against DVT’s is coumadin (aka warfarin). Your hematologist has a therapeutic goal for his treatment. He measures the activity of the the enzyme prothrombin (PT) as an indicator of the effectiveness of his therapy. There are a cascade of clotting proteins involved with formation of fibrin, the ultimate clotting protein. Fibrin and clumped platelets makeup the clot that you find anywhere inside or outside of the body. Prothrombin is one of these important clotting proteins. When you go to your local coumadin clinic, they are measuring the activity of this enzyme. Coumadin slows the activity of prothrombin in a dose-related fashion. He will set his dosing goal in accordance with what kind of genetic problem that you have. He uses a number called the international normalization ratio (INR) . It is a calculation that relates the time your blood (on coumadin) requires to clot compared with pooled blood from several other donors who are not on coumadin. If he is pushing your INR (normally between 0.8 - 1.2) to between 2 -3 (which is usually done with someone has recurrent DVT’s), you will find that when you cut yourself shaving or bump yourself, you will bleed or bruise far more than you use to. You should know this information to be well informed about your clotting health. If there were any PE exercises or modalities that you used that caused you to bruise or bleed in the past, I would avoid them. As for other more “benign” PE exercises, take it slow. If you fine that you stir up bruising, discontinue, allow the bruising to heal and try something else. This is going to be a challenge for you but don’t let it stop you. Good luck.

As pudendum said, warfarin is the oral anticoagulant. The rest are sub cut. Becareful of DVT’s in the legs, it can travel to your brain and cause a stroke. Maybe you could wear some DVT stockings, the ones they use in the hospital ? But they prevent the formation of clots, so if you don’t want any more, it is advisable :)

Actually clots that knock off from DVT’s go to the lungs and cause pulmonary emboli, which can be fatal. Now that tommy32 is adequately anticoagulated with coumadin, anti-embolism stockings are not necessary and are really a pain to wear (and they look funny as well).

They also cause strokes.

I’m taking coumadin and having my INR checked monthly now. The doctor wants it between 2 and 3 and it changes each time so Ive been adjusting the dosage. Having the clot was terrible and the idea of it literally killing me was very scary.

I had a thrombosed vein before, but I think I was being a little too aggressive so I’ll try to take it easy this time.

The reason I’d like to PE again is that I had a complete physical and I was a little embarrassed when I had to pull my underwear down because I’m extremely small flaccid. I had hoped to be larger by now, but obviously not dying takes precedence over having a larger penis.

One last question. Does the thinner blood have any effect on erections or anything like that?

Okish6er - It is not common (though not impossible) for a piece of clot that breaks off a deep vein thrombosis to cause a cerebral embolism (brain clot). These kind of stroke is known as a paradoxical or cryptogenic. The reason for this is that a clot travels up the inferior vena cava (the larges vein in the body) with the blood. It passes through the right side of the heart and enters the lung. The arteries of the lung get smaller and smaller as they reach the pulmonary capillaries where oxygen and carbon dioxide exchange occurs (blood cells flow through these capillaries in a single file). The clot will only go as far as it size will allow it, causing a pulmonary embolism. The larger the clot, the larger the area of lung that is effected. Large emboli can be fatal. The only way that a clot from the leg can get to the left side of the heart and get pumped up the arteries to the brain is if it bypasses the lung. A very small percentage of people have a hole in the heart letting the blood shunt from the right to the left side of the heart. An atrial septal defect (a real hole between the upper low pressure chambers) can allow this to happen if the pressure in the right atrium is greater in the left (for example when you cough, at high altitude, when bearing down during defecation and decompression sickness). This defect is present at birth and is generally surgically corrected early in life. There are some that are not clinically significant to cause detectable problem, so are not corrected. These tend to be very small and are generally incidental findings in an echocargiogram or at autopsy. There is another mechanism by which this can occur. There is a structure called the foramen ovale in the wall between the right and left atrium. It is important in the fetus before birth because it shunts blood from right to left because the lungs are not yet working and the resistance to blood flow through them is high. This is part of what is known as fetal circulation which is different than after birth. The foaramen ovale fuses close in the vast majority of individuals. Recent studies with echocardiography show that there are more people with incomplete closure then once thought, but most are small, < 2 - 6 mm. and flow through them is intermittent. These numbers are not high. What is interesting is that in some autopsy studies of patients that died of stroke, 25% had a patent foramen. However in the vast majority of these cases, there is no evidence of clot in the brain or there are other causes for a clot if present. So yes there is a chance for a DVT to be the source for clot causing stroke in large atrial septal defects or patent foramen ovale, but these chances are low. The vast majority of traveling clots will end up in the lung.

tommy32-Pushing an INR to 2 - 3 does significantly increase your risk of large bruises with injury or bleeding with cuts, this will include the penis. This does not mean that microinjury in the suspensory ligament or tunica will stir up bleeding. So stretching, sensible hanging and ADS are probably reasonable options. I wouldn’t even consider pumping or clamping as they they have a higher chance of of vein disruption. Jelqing, well, I just don’t know. Again be sensible. Start slow with low intensity. Conditioning decreases bruising (for the most part). If something you do stirs up bleeding, stop doing it and let it heal. In addition, it is a misnomer that coumadin “thins” blood. It doesn’t. Bad term. It just inhibits prothrombin (PT) conversion to thrombin which is the enzyme that converts fibrinogin to fibrin which is the matrix of a clot. Therefore it should have no effect on erection. One last point, diet has an effect on the activity of coumadin on PT. Foods or dietary supplements with vitamin K (broccoli, spinach, etc.) cause prothromin conversion to thrombin to be higher than your doctor wants and will decrease your INR, requiring a change in your coumadin dose. Hopefully your doctor or your coumadin clinic is advising you.

For the purpose of full disclosure, I have a clotting disorder that makes me more coagulable as well. I have not had a DVT (though maybe I had an occult one after traveling on a long air flight). I had a penis thrombosis a number of years ago with aggressive intercourse. It healed nicely. Unfortunately (maybe not?) I can’t take coumadin because I have had a vascular malformation in my head and my risk of cerebral hemorrhage is too high to risk it.