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Posted 2/19/2015 2:36 PM (GMT 0)
I know it's a very taboo topic, but now that I'm into my post HT phase and I'm going through some sexual activity challenges I have gone down this path more so than I have in the past and I'm wondering if other post HT patients has as well. I don't know any of you fellows personally and I have no hesitation in discussing the topic, whether it be PMing or simply updating this thread.

One oddity I have noticed is that my ejaculation and peak hardness are not in sequence as it should.

Misspelled for obvious reasons....
Posted 2/19/2015 3:52 PM (GMT 0)
Hi FoxRun,

As far as I know the HT will take away your ability to ejaculate and you will eventually suffer from some form of ED. Could this be what you are experiencing now? It is possible to ejaculate without being completely erect if that's what you mean. I know that right before I had my surgery, I had dry orgasms (nothing comes out) but could still experience an orgasm. After surgery there will be no possibility of every having ejaculation. That may occur with having seeds implanted but that would be something you would want to talk with your doctor about.
Posted 2/19/2015 4:02 PM (GMT 0)
Nothing taboo here. Congratulations that you still have ejaculate! Also, It's good that your T came back after HT.

Is the problem that you can't maintain it long enough? Have you tried it with an ED med - Ciaisis, Viagra or Levitra? Does that make a difference in timing?

- Allen
Posted 2/19/2015 4:21 PM (GMT 0)
I'll echo Allen's suggestion that you try PDE5i drugs (Viagra, Cialis, etc.) to see if they improve things for you. (Most urologists will have samples of something.) I know it can be difficult to convince yourself to pop a twenty dollar pill to improve a long shower but there is the use-it-or-lose-it problem to deal with (not as bad with brachy as other therapies but still an issue).

If you find that Viagra helps you might look into the generics for a drug called "Revatio" which is the same drug as in Viagra only way cheaper if you can get hooked up with it.
Posted 2/19/2015 4:35 PM (GMT 0)

Tall Allen said...
Nothing taboo here. Congratulations that you still have ejaculate! Also, It's good that your T came back after HT.

Is the problem that you can't maintain it long enough? Have you tried it with an ED med - Ciaisis, Viagra or Levitra? Does that make a difference in timing?

- Allen

I did try V and C and all they did was give me headaches and extreme muscle aches and they didn't do much for my prolonged hardness.
Posted 2/19/2015 5:12 PM (GMT 0)
I'd try Levitra.

I liked the effect of Viagra better (immediate and more powerful) but it made me flush and feel antsy. The Levitra works well enough without the other stuff.
Posted 2/19/2015 5:16 PM (GMT 0)
It may be venous leak, but I'm no doctor. Maybe go see a specialist in sexual medicine. Trimix injections or MUSE may keep it up longer. Have you tried a constriction ring?

- Allen
Posted 2/19/2015 5:26 PM (GMT 0)
We have had a couple of discussions of various types of rings on the forum. Here are a couple of threads the search found for me:

www.healingwell.com/community/default.aspx?f=35&m=3007378

www.healingwell.com/community/default.aspx?f=35&m=3007265
Posted 2/19/2015 5:41 PM (GMT 0)
What amazes me these days is the unpredictability of it all. At 13 months post-op, I sometimes have a usable erection from a 5-10mg dose of Cialis. That happened yesterday morning. This morning (my wife and I have more time together in the mornings), I had almost no response from 20mg. I was also tired (slept poorly last night) and maybe just not into it as much as normal.

The only thing that is completely predictable is Trimix. Well, it's also predictable that 2 alcoholic beverages can override any dose of Cialis, so I try to not mix those two items.

I know I'm doing reasonably well, having sex with my wife at 13 months, often from just the Cialis. Other times I'm frustrated, because I just don't know what to expect when the time is right.

There are always ways to "get there", but I want to keep my wife as happy as possible in this whole ordeal, not just me.

Best of luck as you continue down the path.
Posted 2/19/2015 6:12 PM (GMT 0)
You know, I took a forensics class once. I became quite the debater, you might say I was a masterdebater.
Posted 2/19/2015 6:46 PM (GMT 0)
Low T cannot be underestimated, in my opinion. I plan, at some point, to ask my doctor about going back on a T supplement. I don't want to risk a cancer reoccurence (I know that's debatable), but when my T levels got up to normal (I was 47-48), I was a machine in that department. I'm talking 5x per week after 20 years of marriage.

The T makes you sort of want it and think about it. Combine that with a little blue pill and it can be lethal!
Posted 2/19/2015 7:24 PM (GMT 0)

Dewayne said...
Low T cannot be underestimated, in my opinion. I plan, at some point, to ask my doctor about going back on a T supplement. I don't want to risk a cancer reoccurence (I know that's debatable), but when my T levels got up to normal (I was 47-48), I was a machine in that department. I'm talking 5x per week after 20 years of marriage.

The T makes you sort of want it and think about it. Combine that with a little blue pill and it can be lethal!

Interesting.....I'll get my T levels tested at my next 6 month session(but I'm sure it went back to normal 8 months after I finished my HT) and ask my Family Doctor about it.
Posted 2/19/2015 8:28 PM (GMT 0)
Hello FoxRun, based on this chart (http://www.ccpe-cfpc.com/en/pdf_files/drug_lists/normal_values.pdf) it shows that normal T with Canadian measurement is 6.7-28.9. So is it possible that you're still at the low range?

The reason I ask is that 10 months after finishing HT, mine has not come back. As a result, I have to work a lot harder now in the erection department, although I do get them without pills. I attribute the extra effort to the low T--I just really don't have any libido. (And unfortunately the whole thing just doesn't feel that all that good anymore.)

Interestingly, my testosterone started to come back and I thought I was on track to do so by year end, but instead it dropped a fair amount in December. And I can tell it really hasn't done anything since then. Just throwing that out as a possible cause for you...
Posted 2/19/2015 8:55 PM (GMT 0)
The title confused me, but when i realized what it was (i'm slow) i started to laugh at myself.

I've been taking 5 mg cialis every night, and erections are fine. Last night first time since surgery, i did the deed. I have to say it was weird, strange, and dare i say, a little disappointing. Totally dry, no urine (good thing), no pain (which i was afraid of) and when it was over i wasnt even sure it really happened. But it did. Maybe it was because my mind was preoccupied worrying that it might be painful.

I think it might have been someone here, or maybe on another forum, that said that before surgery, orgasm is a bodily thing, but after surgery, it happens only in your brain. That was a good description
Posted 2/19/2015 9:48 PM (GMT 0)
I suspect his T was reported as micrograms per liter which puts him well within normal.
Posted 2/19/2015 9:50 PM (GMT 0)

Michael_T said...
Hello FoxRun, based on this chart (http://www.ccpe-cfpc.com/en/pdf_files/drug_lists/normal_values.pdf) it shows that normal T with Canadian measurement is 6.7-28.9. So is it possible that you're still at the low range?

The reason I ask is that 10 months after finishing HT, mine has not come back. As a result, I have to work a lot harder now in the erection department, although I do get them without pills. I attribute the extra effort to the low T--I just really don't have any libido. (And unfortunately the whole thing just doesn't feel that all that good anymore.)

Interestingly, my testosterone started to come back and I thought I was on track to do so by year end, but instead it dropped a fair amount in December. And I can tell it really hasn't done anything since then. Just throwing that out as a possible cause for you...

I hear ya and as I said earlier, I plan on having my T level checked at my next PSA test appt.
Posted 2/20/2015 6:18 AM (GMT 0)
I'm in the same boat as Michael T . . . zero libido I'm on an anti depressant as well so I know that's not helping. I've been on Lupron for almost 8 years and will sometimes get an AM erection but genital shrinkage hs made it so small that Theres not much to work with . . . Q
Posted 2/20/2015 3:54 PM (GMT 0)
And the other possibility is that I'm just not very good at the process. I do remember, as a younger man, not being very good at it and I only found the process curious after I came off my HT and my T levels started to recover.
Posted 2/20/2015 4:08 PM (GMT 0)
Fox Run,
Are you saying that you only were ABLE to master bate ( my keyboard won't allow me to spell out this innocuous word) after you had some time off from HT? That makes sense to my experience as about the only time my wife and I have had a satisfying sexual experience was when I was off Lupron for 4 months. She stiffened me up with her hand before intercourse and everything worked like it used to. As long as I am on Lupron it's a no go. We have agreed that a good session of cuddling is way preferable to the mechanical and pharmaceutical alternatives and are quite happy with our 24 year marriage. . . Q
Posted 2/20/2015 5:51 PM (GMT 0)

quincy17 said...
Fox Run,
Are you saying that you only were ABLE to master bate ( my keyboard won't allow me to spell out this innocuous word) after you had some time off from HT? That makes sense to my experience as about the only time my wife and I have had a satisfying sexual experience was when I was off Lupron for 4 months. She stiffened me up with her hand before intercourse and everything worked like it used to. As long as I am on Lupron it's a no go. We have agreed that a good session of cuddling is way preferable to the mechanical and pharmaceutical alternatives and are quite happy with our 24 year marriage. . . Q


No sir....what I said(or meant to say) is that I was only curious about the process after I recovered my T levels(post HT)and began experiencing erections again. I guess it was like going through the male adolescence stage all over again and wanting to experiment yeah
Posted 2/20/2015 7:30 PM (GMT 0)
Am I the only one who feels like I'm 12 years old in a tent camping out somewhere with about two other kids talking about this stuff??? ;)
Posted 2/20/2015 7:42 PM (GMT 0)

Dewayne said...
Am I the only one who feels like I'm 12 years old in a tent camping out somewhere with about two other kids talking about this stuff??? ;)

It is what it is and I didn't know you were in on any of the conversations....lol
Posted 2/20/2015 9:50 PM (GMT 0)
I thought this was going to be a fishing thread
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