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