29th November 2022. Vaginal abrasions or tears are very common, especially since the vagina is very sensitive to numerous factors. 28 , 30 A. Jojoba oil is rich in vitamin E and helps control excess sebum production ( 11 ). They don't cause any pain or discomfort to me, nor do they discharge in any way. An anal abscess can also cause pain in the perineum. clear discharge. As with tea tree oil, apply to skin 2 to 3 times a day until acne disappears. Meet the Expert. In fact, most didn’t know what Fordyce Spots are. Fordyce spots are: 1 to 3 mm in diameter;Causes of Fordyce spots on lips inclde high cholesterol, greasy skin, age, rheumatic disorders, and certain types of colorectal cancer. During the COVID pandemic clinicians may ask patients to select links below to review example images of genital problems. Labial adhesions in adults. Las manchas de Fordyce son pequeñas protuberancias que aparecen en el cuerpo del pene, los labios de la vagina, el escroto o cerca de. Now is time to use the synerge you will use it like. com. 3 became effective on October 1, 2023. May be hyperplastic and nodular. Fordyce spots are very common, affecting up to 95% of adults. rash. [Show full abstract] sebaceous glands, whereas the perineal region has. Other times, it may also be a. Stay hydrated: Drinking plenty of water can help keep the skin hydrated, which can reduce the appearance of Fordyce spots. Some people with genital warts say that they feel similar to tiny, bumpy cauliflowers. After that first time, it will typically resolve itself in a week or two, says Dr. Halodoc, Jakarta – Selain di bibir, fordyce spots juga bisa muncul pada pipi bagian dalam, bahkan bibir vagina. Kondisi ini sebenarnya tidak berbahaya, dan lebih berisiko terjadi pada pria. . 89 may differ. The fordyce spots appeared about a month or two ago on my upper lip, as well as other breakouts of acne around my vermillion border. Whether the couple is living in the same home, across town, or across the country, all relationships have their ups and downs. l8460. The Small, white spots that are found on the lips that ranges in diameter from about 1mm to 2mm can be because of the Fordyce spots or also known as the Fordyce granules. It is an asymptomatic and harmless condition. Here is another remedy using garlic as well for the spots. gov or . Papules can be found on the penis’ shaft, scrotum, and labia, in addition to the penis. Fordyce spots also known as Fordyce granules are small raised pale, red, yellow or white bumps that appear on the shaft of the penis or the scrotum. Common clinical signs. They are more visible where skin stretches. CO2 laser treatment is one of the options available for removing Fordyce spots. For years together, the inside of your cheek has been exposed to heat and tobacco which are responsible for such a change. vagina, urethra, perineum, perianal skin, and scrotum). 4 Anatomy of the clitoris. Good hygiene practices, applying a cool flannel, and wearing loose. So here's my thoughts: Yes, they suck. The appearance of the vulva is highly variable (see Women's Health Victoria site, "the labia library". Fordyce spots on the penis shaft, the foreskin or even the rash on scrotum in some cases might just be the raised bumps that is found on the skin that are not very painful, but they are unsightly is not good. Application of bichloracetic acid. Spots may also appear on the scrotum. Fordyce Spots require no medical action, but if you suspect that you have genital warts, then a doctor’s visit may be in order. Fordyce particles are mostly seen on hair and non-hair parts of the body. They may also occur on your lips and the inside of your cheek. 1-40 angiokeratomas $990 dermatologist, Dr Sarath Bodapati. A guy can not have fordyce spots for many years and then all of a sudden wake up. 3923 (+1. Fordyce spots are often found on the oral mucosa, the vermilion of the lips, the inferior eyelids, and the genitals. The most common type — angiokeratoma of Fordyce — forms red or black bumps on your scrotum or vulva. Learn in-depth information on Sebaceous Cysts of Vulva, its causes, symptoms, diagnosis, complications, treatment, prevention, and prognosis. Fordyce Spots Granules are harmless, small (1-2mm), pale-coloured bumps that commonly occur in clusters, although they may be individual and scattered. The Fordyce spots are collections of sebaceous glands in our oral cavity. The vulva refers to the external female genitalia and includes the mons pubis, labia majora, labia minora, clitoris, vulvar vestibule, urethral meatus, vaginal introitus, and Bartholin's and Skene's vestibular glands (Nguyen and Duong, 2020). Central tendon of perineum (sagittal view)Fordyce blisters are actually enlarged sebaceous glands . The spots may occur alone or in clumps of 50 or more. 9. Fordyce spots (FS) are atrichial (not associated with follicular units) heterotopic sebaceous gland hyperplasia. On females, they are on the genitalia, specifically on the labia. There are many potential causes of white bumps on the penis, including whiteheads and Fordyce spots. wp. No, not many people can notice them. Fordyce spots? Q. Definition: Fordyce’s Spots (FS) are ectopic sebaceous glands which appear on mucosal surfaces. So I saved him the trouble, and sent him the wikipedia picture for Fordyce spots. What genital warts feel like. Cancer of the vulva is a rare type of cancer that affects women. Sebaceous glands are sweat glands that help moisturize the skin and hair. Fox-Fordyce disease (FFD) is a rare chronic skin disease of the apocrine unit. Fordyce spots are harmless ectopic sebaceous glands that appear as tiny yellowish-white to flesh-colored papules on the lips of the face and inside the mouth. Synopsis. Hey Folks I've had Fordyce spots on my upper lip for close to 7 years now, and since they originally appeared they have slowing gotten worse, but centralized to an area on my top lip and the border of the inner lip. 208 Views v. 89 may differ. Fordyce spots are visible sebaceous glands and occur along the shaft of the penis . 9. Angiokeratoma of Fordyce. Fordyce lip spots How to Get Rid of Small Fordyce Spots on Lips, Treatment, Natural Cures. Categories. More information about molluscum can be found in the genital infections section. These are normal and can be found in many men, It is not related to any STD. and yeah, he was a bit embarassed after that, although he had calmed down when he knew it was pretty common, and between the two of us 100% men had them in one form or another. (2) Dermnet. Well, it sounds to be Fordyce spots. The sebaceous glands produce lipids, triglycerides, which are broken down by bacterial enzymes (lipases) in the sebaceous duct to form smaller compounds, free fatty acids. 607. Fordyce spots are sebaceous glands on the medial aspect of the labia. . sites of the genitals and perineum. On the glans. They were named after a famous dermatologist named John Fordyce, who discovered. Neither is an STD. These can lead. A perianal hematoma looks like a blue bruise under the skin or a dark-purple collection of blood near the anus. ==== Image i - Close-up of Fordyce's spots on a penis. By taking vitamin rich foods Fordyce spots could be eliminated. Introduction. Warts can also appear on the scrotum (as seen below). Extragenital regions are commonly affected than the genital region. In contrast, the genital warts are “usually asymptomatic, but depending on the size and anatomic location, they can be painful or pruritic. In most of the cases there are several misconceptions about the fordyce spots with. The term. They a are seen on the genitals and/or in the mouth as small, painless, raised, pale, red or white spots or bumps 1 to 3 mm in diameter that may appear on the scrotum, shaft of the penis or on the labia, and on the inner surfaceand vermilion border. If your skin is brown or black, they may look more prominent. 3 - other international versions of ICD-10 N90. The 2024 edition of ICD-10-CM N90. 1. The pathology is asymptomatic, but itching or soreness may be present. These are tiny yellow or white penile bumps. Argan oil is traditionally used to treat skin infections, and it also moisturizes the skin and increases its elasticity ( 12 ), ( 13 ). For example, add 2 teaspoons of this vinegar to a glass of water. Your dermatologist may suggest this option to effectively and swiftly eradicate multiple white spots from your lips or. Some patients may be able to express a thick, chalky discharge by squeezing the lump. 2 to 3 millimeters. Fordyce Spots require no medical action, but if you suspect that you have genital warts, then a doctor’s visit may be in order. It is seen quite frequently in the society. Angiokeratomas images. Fordyce spots Q38. Although several types of angiokeratomas have been defined this chapter reflects on four; solitary angiokeratoma, angiokeratoma of Fordyce, angiokeratoma circumscriptum and angiokeratoma. Fordyce spots are enlarged sebaceous (oil-producing) glands seen on mucosal surfaces, the moist tissue that lines body cavities. They are clusters of sebaceous glands which can be present in these areas. The color of their skin, as well as the yellow, white, pale red, or skin-colored areas around them, is a component of their appearance. . Garlic happens to be one of the most popular home remedies for Fordyce spots removal. An angiokeratoma is a skin lesion or wound. itching. In fact, research shows that Fordyce spots occur in up to 70% to. Practice Essentials. Clustered together. They are very common and should not cause any pain. Hello, I am an uncircumsized 19 year old male, and I have many tiny white spots all over my foreskin, they seem to be underneath the surface of the skin. They are easier to see when the skin. Here we report a 36-year-old woman with symptomatic Demodex spp. They are caused by the overgrowth of sebaceous glands, which are responsible for producing sebum, the natural oil that moisturizes and protects the skin. 4. Sandalwood Powder. N90. Fordyce spots, or Fordyce granules, are small, white to yellow bumps caused by abnormal sebaceous glands or sweat glands. Prominent sebaceous glands (Fordyce spots) are also commonly mistaken for genital. "Fordyce spots. normal? Sounds normal: Direct exam of skin by a knowledgeable provider, especially a dermatologist, is far more accurate than anything anyone can say on a distant medical forum. Fordyce spots are small raised bumps that appear on the shaft of the penis, the labia, the scrotum, or next to the lips. Klinisch ziet men witte. Spots may also appear on the scrotum. The prevalence in adults is 70 to 80% [3]. These bumps can appear as pink, yellow, brown or white in color depending on your skin tone. Less often, they can appear on the penis, scrotum,etc . Most pimples and. Gejala Fordyce Spots ditandai dengan munculnya bintik kecil berwarna merah pucat, putih kekuningan atau warna kulit dengan diameter antara 1 sampai 3 milimeter (mm) [2,3]. 8 reported Fordyce papules in areola, and Massmanian et al. 3. Angiokeratomas aren’t contagious. This fordyce spot returns every month or so. 1. Sebaceous glands (Fordyce spots) The whole of the inner surface of the labia minora may be covered with small sebaceous papules. Takeaway. [ Read More ] Fordyce spots Q38. Also known as a. 1. But, the clear fluid has greatly troubled me. (Fordyce) spots that open directly onto the skin surface (Fig. They can also appear on the inside of the cheeks or on the lips, and are present in 80 to 95% of adults. AngiokeratomasFordyce spots are enlarged sebaceous glands. 28 – 30 On the penile shaft, these papules are more obvious during penile erection or when the foreskin is stretched. Get your query answered 24*7 only on | Practo Consult Group 2People can also get Fordyce spots on their lips or cheeks. Essential features. They can also appear on the lips and inside of the mouth. 3 min), depending on the number of Fordyce spots removed. Angiokeratoma is a condition in which small, dark spots appear on the skin. Fordyce spots, also referred to as Fordyce’s condition or Fordyce granules, manifest as a sebaceous prominence. Mix the solution thoroughly and apply it to the affected area. 89 - other international versions of ICD-10 N48. It also fastens the healing of the skin. Fordyce spots are small, yellow or white bumps that can form on the lips, inner cheeks, penis, or scrotum. This disease occurs commonly in females after adolescence. Topical trichloracetic acid (TCA). Unlike the enlarged sebaceous glands of acne, milia and sebaceous. Pimples on the scrotum may result from a buildup of dead skin, an infection, an ingrown hair, and other issues. 607. They’re a harmless result of enlarged oil glands. The "spots" are asymptomatic and are found most commonly on the vermillion of the lips and on the inferior eyelids. Leave the mixture aside for few minutes. They are also known as Fordyce granules. They’re more obvious if you stretch the surrounding skin. Padahal, Fordyce spot bukanlah gejala atas masalah kesehatan tertentu, melainkan. It presents chiefly in postpubertal females as grouped, monomorphic, skin-colored follicular papules associated with intense pruritus commonly in axillae but may involve pubic, perineal, areolar, and umbilical areas [ An Bras Dermatol. Vitamin rich diet promotes quick resolution of Fordyce spots. Sebaceous Cyst. There are two types of Fordyce spots: ectopic sebaceous glands and sebaceous hyperplasia. Coconut oil:. 5. The perineum is the area between the penis and the anus or between the vulva (the outer part of the vagina) and the anus. Eat a balanced diet: A healthy and balanced diet can help improve skin health and reduce the appearance of Fordyce spots. The appearance of fordyce spots may cause an alarm, but rest assured, fordyce spots are not. While there is no certain treatment for Fordyce sports, in some cases, treatment with a laser can make them less noticeable. Among the. Pimples and blackheads. Fordyce spots are small bumps that can appear on your penis and scrotum. FS are seen in approximately 1% of neonates and are. Convert to ICD-10-CM: 624. I totally understand your frustration. The picture above displays genital warts on the shaft of the penis. A vaginal fissure, cut or tear, is a sore break or split in the thin, wet layer of the skin, also referred to as the mucous membrane of the vagina. Less frequently affected locations include the lips, thorax, abdomen, and legs. These enlarged sebaceous (oil-producing) glands were first described by John Fordyce, a famous dermatologist, in 1896. Many home remedies may help reduce or remove the appearance of Fordyce spots on your body. So I went home and bought myself some for $5 and I have been. 0. Fordyce spots are a skin condition characterised by enlarged ectopic sebaceous glands. In most of the cases there are several misconceptions about the fordyce spots with penile. Been using a cream to stop the itchyng and it helps and the line has disapeared a little but it itches again after a while!. 11Fast facts on thrush in men. 607. Hello, I am an uncircumsized 19 year old male, and I have many tiny white spots all over my foreskin, they seem to be underneath the surface of the skin. Bagi sebagian orang, Fordyce spot mungkin menyebabkan kekhawatiran karena bentuknya yang timbul seperti benjolan. Freezing the spots with a very cold substance such as liquid nitrogen or argon gas can destroy them. Sebum is produced by sebaceous glands when they disintegrate. Rinse: Wash off the solution with cool water and pat the skin dry. These bumps develop in sebaceous glands that do not contain hair follicles. It is an asymptomatic and harmless condition. 2). FORDYCE) Click here to Chat LIVE with an agent. Lots of guys have them. External CA typically manifest as soft papules or plaques on the external genitalia, perianal skin, perineum, or groin (picture 1A-H). Fordyce spots are small yellowish or white spots on the head or shaft of the penis. It is a harmless condition that is. The long term habit of smoking and tobacco chewing has caused this on the inside of your cheek. Bilateral skin involvement is typical. Fordyce spots: These harmless, tiny (1 to 2 millimeter) white bumps inside the lips are visible sebaceous, or oil-producing, glands. Orange and broccoli can be added to your diet to reduce the Fordyce spots. Figure 2. But removal options, such as laser therapy, are available. The duration of the procedure varied from 52 up to 184 min (median = 121. Answers (2) Like the answers? Consult privately with the doctor of your choice. It’s a risk factor for heart disease. The vulva is a woman's external genitals. Kristen Eckler, MD, FACOG Literature review current through: Sep 2023. Pour 200ml of coconut oil into a cooking pan. Angiokeratoma of Fordyce. Typically these spots, also called Fordyce granules, appear on the lips, cheek and genitalia. There is often a genetic tendency for these. In males, the urethra starts at the bladder and runs through the prostate gland, perineum (the space between the scrotum and the anus), and the penis. Rare vascular birthmark, female. 1. Phimosis is an inability to retract the foreskin fully. Topical trichloracetic acid (TCA). Fordyce spots are usually asymptomatic although they can be associated with itching. They do not require treatment, and most cases resolve in time. Common Treatments. Spots that can appear on the shaft of the penis, the labia, scrotum, or close to the mouth are called Fordyce spots. Sebaceous prominences are raised bumps similar to Fordyce's spots on the shaft of the penis, located at the sebaceous glands and are normal. 5. It's usually harmless and rarely needs treatment. 6 which is a 'congenital malformation of the mouth'. Pearly Penile Papules. hey guess wat guys, i was able to get some spots off. General irritation. Here are 10 possible causes for changes to the skin of your vulva and vagina. infestation of Fordyce spots of the labia minora. Spots may also appear on the scrotum. Chamomile. This may appear all of a sudden and would get disappear on its own. The crus of penis is attached to the pubic arch. It lies within the superficial perineal pouch. Use. 3 may differ. Angiokeratoma of Fordyce (also known as "Angiokeratoma of the scrotum and vulva," though not to be confused with Fordyce's spots) [5] is a skin condition characterized by red to blue papules on the scrotum or vulva. Non-infectious skin lesions and miscellaneous conditions that are commonly found in the genital area include: Vulval skin lesions. Combine 40ml of lukewarm water, 50ml each of lemon syrup, and orange juice. unusual discharge from the lump, your genitals, or your anus. Here are 10 tips that may help: Freeze the spots using liquid nitrogen. Fordyce spots are small yellowish or white bumps on the penis head, shaft, or foreskin. Black spots on your scrotum are usually caused by a condition called angiokeratoma of Fordyce. Ectopic sebaceous glands are oil glands that are located in the wrong place. Shah. Fordyce spots are sebaceous glands on the medial aspect of the labia majora. Epidemiology: FS are common in men of all ages. It could be skin-colored, pink, red, or colored like a blood vessel. On the glans and shaft of the penis, Fordyce spots appear as asymptomatic, isolated or grouped, discrete, creamy yellow, smooth papules 1–2 mm in diameter ( Figure 7 ). Penile lichen sclerosus (LS) – may manifest as white patches on the penis. They are normal. 1,2,5,7,8 Bonafé et al. They are usually found on the lips and inside the cheeks. These spots are often: yellow, white, or flesh coloured (or sometimes red if they are on the penis) up to 3mm in size. sores on or around your penis, inner thighs, anus, or buttocks. I have fordyce spots aswell. Appear as yellow-white, asymptomatic 1 - 3 mm papules in the oral cavity or lip vermillion. Fordyce spots are very common, and I find with good emollients and lip ointments used daily that over time the appearance of these can be minimized. Fordyce spots are benign and normal, but their significance is that patients may become concerned about them, and they can be confused with disease states. Fordyce spots are ectopic sebaceous glands, ranging between 2 and 3 mm in diameter. Fox–Fordyce disease is a rare, pruritic skin disorder which affects the areas bearing apocrine sweat glands. They are enlarged sebaceous glands and considered harmless. Meet the Expert. Pulsed-dye laser treatments may be preferred because the risk of scarring is lower. A painless lump over the scrotal skin is very likely to be sebaceous cyst. The tiny white bumps on this man’s upper lip are Fordyce spots. About your skin. Jojoba Oil And Argan Oil. They are extremely rare and are typically asymptomatic. It may resemble genital warts. Neither is an STD. It is very good for healing Fordyce stains because of its bactericidal properties. Possible causes of pain in this area include tears during childbirth, infections, and pelvic floor problems. They are caused by oil glands which have become enlarged and do not have hair follicles attached. Fox–Fordyce disease is a rare, chronic skin disorder which affects the apocrine areas. They develop in different parts of the body, mainly on the lips, shaft of the penis, scrotum and the labia. ,. Other less commonly involved sites are the pubic region, perineum, mammary areola, presternal region, periumbilical region, and upper inner aspect of thighs. They are considered normal variants of the skin that are likely present at birth and may grow. Molluscum (correct name molluscum contagiosum) are pinkish-white round lumps, each about 1–5 mm in diameter, which are caused by a virus. It is a normal variant, harmless. 9 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 624. 5-Aminolevulinic acid is used in conjunction with this technique. These are very common little bumps of skin. Fordyce spots; Ingrown hairs or razor burn; Vulvar and Vaginal Cysts Cysts are usually hard and painless unless they become infected. Is it appropriate to use Q38. Benign vulvar disorders are a significant issue for patients. Apple cider vinegar with its anti-bacterial properties is a smart choice for reducing Fordyce spots in lips. This procedure involves using a high-powered. Cryotherapy. She was referred to dermatology after a 9-month history of tender red bumps on the vulva that would arise and drain over a 24 to 72 hours period, several times per week. Anywhere on the skin, sometimes on mucous membranes. Argan oil and jojoba oil: Argan oil and jojoba oil contain vitamin E. "Men often worry about spots, pimples, rashes, lumps or bumps, but remember, spots and pimples can be a normal part of a person's anatomy," says Karin O'Sullivan, clinical lead at the sexual health charity fpa. Helou J, Maatouk I, Moutran R, Obeid G Lasers Med Sci 2013 Jul;28(4):1205-7. This means some men gain a lot of length when they get an erection, while others. Options include: Topical retinoids: These vitamin A derivatives can help reduce the prominence of the spots. Fordyce spots, also known as Fordyce granules or Fordyce bumps, are. Other symptoms of an abscess include: a red, pimple-like bump on. 10. Fordyce's condition (Fordyce disease, Fordyce's spots, seboglandulae labiales et buccales): dit zijn ectopische talgklieren, een fysiologische variant van de normale talgklierontwikkeling waarbij er talgklieren op de lippen of op het mondslijmvlies aanwezig zijn. Reviewed by our clinical team. 833. This is the American ICD-10-CM version of N90. There was hair stubble growing nearby. However, genital warts can appear on other parts of the penis, like around the tip of the penis and under the foreskin of an uncircumcised penis. Case Report: A female neonate was born. The skin of the penis can develop itchiness and fragility in addition to white patches. Ankyloglossia was found in 2. Skin lesions are mainly typical of those found elsewhere on the body, and are found on the outer aspects of the vulva, the labia majora, extending to. According to the American Osteopathic College of Dermatology, the symptoms of Fordyce spots on the lips are usually granules that appear along the border of the lip, but they can also appear in the lip itself and inside the cheeks. They tend to be tiny — about 1 to 3 millimeters (mm) — but can still be annoying AF. Fordyce spots may even be found on the lips. This is the American ICD-10-CM version of N90. Syringoma. Like any other disorder, Fordyce spots have symptoms that may range from mild to severe. 025 - making my skin extremely oily Fordyce spots fordyce spots accutane Natural Alternatives To Retin-A/Tretinoin Fordyce spots, the spots would come back and appear even bigger than before Overnight Fordyce on lips cure with. 8), papular. The condition frequently occurs under conditions of heat, humidity, friction, and stress. Fordyce spots are normal, ectopic, large, superficial sebaceous glands not associated with hair follicles. Yuk, ketahui lebih lanjut mengenai Fordyce spots! Fordyce spots merupakan kondisi yang normal, tidak berbahaya, tidak menyebabkan rasa sakit, tidak menular, dan akan hilang dengan sendirinya. Fordyce spots do not require treatment as they do not cause any other symptoms and are not a health risk. These are a normal finding on the vulva, and the term Fordyce spots, which is often used, is not accurate as this refers to ectopic sebaceous glands, as found on the buccal mucosa. They are also not contagious. There are home remedies in removing the spots including the use of coconut oil, apple cider vinegar, and jojoba oil. Angiokeratomas are a group of cutaneous vascular disorders characterised by abnormalities of papillary dermal blood vessels. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. These bumps form because your sweat glands (eccrine glands) are overworking. They are also seen in the genital areas of males (scrotum or penis) and females (labia). The "spots" are asymptomatic and are found most commonly on the vermillion of the lips and on the inferior eyelids. Benign conditions. Clinical appearance: small, painless, barely raised, smooth, yellow papules about. Poor hygiene (even hanging around in sweaty clothes after working out) can increase your risk of vaginal pimples. Sebaceous Cysts. 9. Common locations for Fordyce spots include the edges of the lips, inside the mouth / cheeks, inside the lower eyelids, and on the genitals, such as on the head of the penis, in the inner foreskin, or within the labia. Angiokeratoma of scrotum (Fordyce's spots) is a very rare entity. The incidence of Fordyce spots, also known as Fordyce glands, increases with age, being more common in adults than in children [2]. Early postoperative swelling and haematoma was noted in 18 cases (n = 18) but disappeared within 2 weeks without. This is the American ICD-10-CM version of N90. Penile Vitiligo – white spots on penis appear due to loss of melanin. Avoid using these products or choose mild and nonirritating alternatives. Federal government websites often end in . 36 A nonpruritic, diffuse, symmetrical, maculopapular rash on the trunk, palms, and Fordyce spots are white or pale yellow spots found on the lips, inner cheeks, nipples, and sometimes genitalia. Fordyce Spots: Tretinoin: apply tretinoin cream or gel daily to the affected areas. Fordyce spots: They appear as small yellowish to white bumps that are 1 to 5 mm in size. There is a laser procedure to reduce them. Fordyce spots are normally benign and treatment is not typically recommended unless the patient wants them removed for aesthetic reasons. Wring out the excess and place the cotton swab on the affected areas. Using electromagnetic waves to simulate kegel exercise, strengthening perineal muscles- muscles involved during erection and intercourse.