0:02 So, when you get petechial hemorrhaging,
0:04 or hemosiderin deposition, it's the
0:06 underlying condition, not the actual
0:08 discoloration, that potentially
0:10 represents a danger. Reddit PE
0:12 enthusiast asks, "Hi Perve, regarding
0:14 petechia, I get it at low pressures and
0:16 have been pumping for a year. I have to
0:18 stay under 2 to 3 inches of mercury not
0:19 to get them. I've literally tried every
0:21 routine adjustment with zero results.
0:23 Can you still pump if you're one of
0:25 those people susceptible to petechia? Is
0:26 it purely cosmetic, or over time can
0:28 consistently rupturing capillaries lead
0:30 to long-term side effects? No one seems
0:32 to answer the question for the fellows
0:33 who always get them, and if we should
0:35 safely proceed forward with a pressure
0:37 that can lead to long-term gains." My
0:39 response: "Petechial hemorrhaging can be
0:41 a common side effect of pumping, not
0:43 even necessarily at high pressures. I've
0:45 coached guys who have had it happen with
0:47 as little as 5 inches of mercury. What
0:48 you need to understand is that there is
0:49 a difference between petechial
0:51 hemorrhaging, which is acute, and
0:53 hemosiderin deposition, which can be
0:56 permanent. Petechia are tiny spots from
0:58 capillaries bursting and leaking blood
0:59 into the skin. When this happens
1:02 repeatedly in the same area, some of the
1:04 leaked blood is broken down into
1:06 hemosiderin, or iron pigment. That
1:08 pigment can linger in the skin and cause
1:11 a brownish, rust-colored, or purplish
1:12 discoloration. That is called
1:15 hemosiderin deposition. Temporary
1:17 staining is the most common outcome of
1:19 hemosiderin deposition, and it typically
1:21 [snorts] fades over weeks to months.
1:23 It's more likely to fade if trauma
1:26 stops. Long-lasting, persistent, or
1:28 permanent staining can occur with
1:30 frequent repetition, poor circulation,
1:33 or thin delicate skin, like we have on
1:35 the penis. True permanent staining is
1:37 rare, but prolonged discoloration is
1:40 well documented. Hemosiderin often looks
1:42 like petechia, only a bit darker.
1:44 Hemosiderin deposition is benign when it
1:47 results from minor trauma, pressure or
1:49 suction, bruising or petechia, localized
1:52 short-term capillary leakage. When it
1:54 can signal an underlying issue,
1:56 hemosiderin becomes clinically relevant
1:59 when it is progressive, widespread,
2:01 associated with swelling, pain, or skin
2:03 breakdown. This is typically associated
2:06 with chronic venous insufficiency,
2:08 heated high-pressure vascular stress,
2:10 long-standing inflammation, or certain
2:12 bleeding or clotting disorders. In these
2:14 situations, it's the underlying
2:16 condition, not the staining, that
2:19 represents a concern. So, the fact is,
2:21 it is benign, cosmetic, and typically
2:23 reversible. Oftentimes this leads people
2:25 to just train through it, which does
2:27 make some practical sense, because the
2:29 only other option is to wait weeks or
2:31 months for it to normalize, or to see if
2:34 it is indeed permanent. Again, close
2:36 monitoring is needed to ensure that it
2:38 does not continue to get worse. Provided
2:41 that it is just hemosiderin deposition,
2:43 it doesn't necessarily pose any serious
2:45 risk going forward. It's just sometimes
2:47 a nasty reminder of maybe a time or two
2:49 when you got a little overzealous. As a
2:51 side note, I'll add the most frequent
2:54 causes I see of hemosiderin deposition
2:56 in the people that I've coached and met
2:58 online is using unregulated vacuum
3:00 erection devices that don't have a gauge
3:02 and don't let you know where you're
3:04 pumping in terms of vacuum pressure. I'm
3:06 looking at you, Bathmate. These devices
3:08 are intrinsically dangerous, because
3:10 they give you no indication of when you
3:13 may be exceeding safe guidelines, and
3:16 they can, and oftentimes do, result in
3:18 injury, or people just not making
3:19 progress with them at all. Most of the
3:21 guys that I've met and coached that have
3:23 permanent hemosiderin deposition have
3:25 gotten it from overzealous pumping
3:27 techniques, simply using too much
3:29 pressure for too long periods of time.
3:30 And typically, even once they've learned
3:32 their lesson and they return to safe
3:34 pumping practices, they find that
3:35 they're unable to pump even at low
3:37 pressures without exacerbating this
3:39 condition. However, as we've covered, it
3:41 is mostly cosmetic, and barring any
3:43 underlying conditions, no serious
3:45 clinical risk exists, according to the
3:47 data that we have, to continue to train
3:49 while closely monitoring it to ensure it
3:52 doesn't progress.
3:54 I would be extremely
3:56 irresponsible if I didn't mention that I
3:59 am not a doctor. Hank, where you at? And
4:01 as such, I cannot diagnose you
4:03 personally and say for a fact that it is
4:05 hemosiderin deposition that you have
4:07 going on. It's simple iron deposits in
4:09 your skin. The only person who is
4:11 licensed to do that is a physician, and
4:13 it is always my recommendation that you
4:16 seek appropriate licensed medical care
4:19 for any concerns that arise from PE
4:22 practices such as this. Please like and
4:23 subscribe my YouTube channel. And as
4:24 always, please visit www.massivenoveltie.com
4:27 www.massivenoveltie.com
