ERECTILE DYSFUNCTION DRUGS - CAN THESE HELP CURE THIS DYSFUNCTION AFTER SOME TIME?

it can take weeks/months to heal and regain full function.

Waiting, practice, patience, might just work.

17 days out of surgery is far to early to be thinking about this. Your body is still healing, and nerves take a long time to heal.

OleJ said...
My worry is if one has to take the drug when one plans having sex without it been able to cure the dysfunction after long usage. Any ideas of drugs that are likely to cure this type of dysfunction?

The PDE-5 inhibitors (the “erectile dysfunction drugs” as you have called them) are not a “cure” for the cause of the dysfunction, but they are a “solution” for the management of the condition which you have as a side effect of your PC surgery…and others have due (typically) to natural aging.


I also noted that you wrote this:

OleJ said...
Took the pill an hr ago. Waiting to see the effect.

Don’t just sit around and wait for something to happen…! Adequate sexual stimulation is necessary for the desired effect, which is the enhancement of nitric oxide release leading to increased blood flow to the penis…and an erection. Just taking the pill doesn't cause an erection. Many of us (myself included) take the daily-dosage of tadalafil (cialis) so that we are ready "on demand," "as needed," or perhaps better said "as desired." You can also take other steps to improve your odds of success...take advantage of the mornings. For men our age, there's increased fatigue at the end of the day which limits spontaneous generation of nitric oxide. Add on top of that the liking that many of us have to a cocktail or two in the evening (or a cocktail and splitting a bottle of wine)...the alcohol, you may already know, can limit sexual performance. So, keep in mind that mornings are when your body's performance is at it's best. Do what my wife & I do: go to bed early, and set the (weekday) daily alarm clock 30 minutes early.

Post Edited (Blackjack) : 12/13/2018 12:14:47 PM (GMT-7)

Added note, OleJ:
You are less than 3-weeks post-surgery. Your surgeon probably told you something like this before surgery, but you put your ability to have erections at some risk just by having a prostatectomy. Most men post-RP end up having erections after treatment, but some do require some sort of assist either temporarily or permanently...in my case, I've been taking tadalafil for nearly 10-years since my surgery. Even those that eventually recover erectile functionality, it usually takes some time (more than 3-weeks), but their "solutions" (like the PDE-5 inhibitors) help speed-along this functionality while their body continues to "recover" abilities. My main point here is that your situation TODAY will likely naturally be improved not too far down the road in time. BTW, you will find that normal prescription prices for PDE-5 inhibitors are very high, but most of us have found other mail-order sources of high quality replacements...my tadalafil costs me about $0.25/day...works out to about $100/year for the daily "as desired" prescription.

beste hilsener!



edit: fixed typo

Post Edited (Blackjack) : 12/13/2018 9:33:06 AM (GMT-7)

Did you guys notice his earlier post: https://www.healingwell.com/community/default.aspx?f=35&m=4090265?

He is someone who is having spontaneous erections while the catheter is still in. ED drugs are not an issue here. Unless his definition of ED is not being 18 anymore and able to go at it hourly.

“except for goofy mattmax's oddly misplaced doodle--”

I Rolled My Eyes because you frequently include references to your sexual activities. I’m really not interested in reading about them.

Hi BlackJack, I wanted to thank you for your post regarding having sex in the morning etc... I have just finished 6 months on Lupron and 44 radiation treatments. Besides that I had developed peyronie disease a few months before being diagnosed with PC. After starting radiation, I had no interest in sex and I was somewhat anxious about trying. I also am recovering from a meniscus tear and couldn't run very far because of the radiation effects. The whole thing was depressing to me as sex and running had long been the way I had always wanted to go out of this world. Working in the disability rehabilitation for almost 40 years I knew that there are plenty of ways to have sex, but I wasn't interested in trying. In any case, I asked my wife if she was into it the morning I read your response to this thread. I took a cialis and successfully engage in intercourse. One thing I forgot was satisfying her which I went back and did that evening and did. Thanks for the advice!

69 yrs., 44 3D-CRT/IMRT Radiation delivered via 3D-CRT in 1.8 Gy minimum dose fractions to a total of 79.2 Gy., 10.5.18. PSA .012, 8.12.18, 1.42 June 18, 2018 (Lupron 5.21.18 & 8.15.18), 12.7 May 2018, 13.7 Jan. 2018, 2.1 May 2012. SpaceOar 9.6.18, testosterone <.7, 8.15.18, Tot Mayo 19 ng .17 testosterone Free 6.18.18, Gleason 3+4=7 involving 15% of the right apex and 15% of the right mid, 3+3=6 prostate cancer involving 5% of the left base. Pathology interpretations by John Hopkins, UNM Cancer, and SF Path 3+4=7 or 4+3=7 MD Anderson Proton Center w/o %. T3 MRI w/ contrast 1.8 lesion left side 5P, Neg. Bone Scan. Prolaris test 3.5 consistent with intermediate and a PTEN test negative. Father PC age 78 RT & ADT now 93 yrs. Neurogenic bladder due to lumbar disk disease and recurrent bladder neck contracture with urinary retention man. 20 years doing catheterizations. TURP & scaring 2003, Finasteride 5 milligrams daily since 2002.

KevinM said...
So I feel that the prescription does work. Just don't want to disappoint the partner that I'm with.

Excellent, KevinM...I'm so glad to hear the PDE5s are working for you. They don't work for everyone, unfortunately, but there's more tools in the tool kit for those guys.

Regarding your final comment, it's amazing how, at our age, we are having to "re-build" confidence and sexual self-esteem, much like we might have done in our late-teens or maybe early 20's, for most of us. Have patience. From what you have described, you are on a path to even more improvement. Stick with it, even through some possible moments of self-doubt and maybe even embarrassment...it's worth it.

best wishes!

Blackjack said...
Winner!

I loved reading your post, SantaZia. Everything from the anxiety to the success.

I'll offer one more tip... I already mentioned the pills (and the inexpensive sourcing), and I mentioned stacking the odds of success in your favor in the mornings (our bodies are well-rested). Last tip...lube can be your friend (and your wife's friend). Just guessing, but she might be getting a little older, too. Get a little bottle of Astroglide, or KY, or whatever from your nearby pharmacy and give it to her. Leave it in the nightstand on her side of the bed. It makes things a lot easier when you might not be pumping at quite 100%.

best wishes!

Helpful addendum to the previously posted "tip" -- saliva is nature's best lubricant