The following information is based on the general experiences of many prostate cancer patients. Your experience may be different. If you have any questions about what prostate cancer treatment services are covered by your health insurance, please contact your health care provider or health insurance provider. This education material was made possible by a Grant from the California Department of Justice, Antitrust Law Section, from litigation settlement funds to benefit Californians diagnosed with cancer or their families. When you have treatment for your prostate cancer, you may have erectile dysfunction also known as impotence.
Read more about how hormone therapy affects you. This can happen even if you are not currently in an intimate relationship. Related Posts: New study downplays potential risk of dementia and… Diet and exercise limit heart disease risk in men… Combining surgery, radiation, and hormonal therapy… Erection and prostate study shows no link between Erectikn and… Newer drugs are improving survival for men with…. Drinking less alcohol, and avoiding drinking before bed, may help to treat the Erection and prostate of an enlarged prostate. Penile bands are completely effective when used properly. The Journal of Urology. Relationship therapy may also be available to you.
Nude photo french archipelago. Dealing with Erectile Dysfunction: For You and Your Partner
Other reactions include flushing, upset stomach, nasal congestion, and urinary tract infections. I am 77 and really not in bad health. Viagra can be taken at anytime during the potency process, and will work better as the nerves heal. Do not delay seeking or disregard medical advice based on information written by any author on this site. Medically reviewed by Daniel Murrell, MD. There were men in the study. Since earlyhe began a new innovative technique to avoid bleeding without the use of damaging electrocautery, by using small steel clamps routinely used in surgery of the kidney. Case Studies. In reality, your doctor must diagnose the cause of your erectile dysfunction in order to Erection and prostate an effective treatment. Now, hormone testing is done for men whose medical exams suggest an endocrine problem and for those who have experienced a loss of sexual desire. Testosterone Misoulla montana marajuanna bust erectile function recovery after radiotherapy and long-term androgen deprivation with luteinizing hormone-releasing hormone agonists. Erection and prostate therapyprostate surgery, cryotherapy, hormone therapyand others can all result in erectile dysfunction. Good luck. Symptoms include pain during urination, more frequent urination, and — possibly — a discharge from the penis or fever.
- Health Centers.
- Nor is the inability to have another erection soon after an orgasm.
- Prostate cancer affects an estimated 1 in 7 men.
- Have you ever wondered, will I be able to have an erection after prostate cancer treatment?
- Prostate enlargement, also known as benign prostatic hyperplasia BPH , and erectile dysfunction ED are separate problems.
- Also, having a loving and understanding partner always helps.
If you're a partner of a man with prostate cancer you may also find it useful. There's also more information in our How to manage sex and relationships guide. Prostate cancer can affect your sex life in three overlapping ways - your mind, body and relationships. Treatment can damage the nerves and blood supply needed for erections. Hormone therapy can affect your desire for sex. When you're sexually aroused turned on your brain sends signals to the nerves in your penis.
The nerves then cause blood flow in to your penis, making it hard. Anything that interferes with your nerves, blood supply or desire for sex libido can make it difficult to get or keep an erection. You may hear this called erectile dysfunction or impotence. Hormone therapy can also lower your desire for sex and the lack of activity means your penis will stop working so well.
Certain medicines, feeling low or anxious and lifestyle factors such as smoking, drinking too much alcohol or being overweight can also cause erection problems. A group of drugs called PDE5 inhibitors phosphodiesterase type 5 inhibitors could help you get an erection. These include:. You need to be sexually aroused for the tablets to work. The tablets normally start to work about 30 minutes to an hour after taking them.
You can take sildenafil, avanafil and vardenafil when you need to. They will keep working for four to six hours or up to eight hours for vardenafil. So if they work you should be able to get an erection if you're sexually aroused during that time. You can take tadalafil when you need to. It can work for up to 36 hours so it lets you be more spontaneous. Or your doctor may suggest you take a low-dose 5mg tadalafil tablet every day. If you have a heart problem or take nitrates ask your doctor or specialist about other ways to treat erection problems.
Erection problems can also be treated with drugs using an injection that you give yourself. Your nurse or doctor will show you how to inject the side of your penis with a very thin needle. The erection will last for up to an hour.
With the pellet, it helps if your urethra, which is the tube you urinate through, is already moist, so urinate first. With the cream, you or your partner can rub in any cream that's left on the tip and massage your penis to help it absorb the drug. If the pellet works you should get an erection within minutes which lasts for up to an hour.
The cream may take a little longer to work. You use a pump and a plastic cylinder to create a vacuum which makes the blood flow into your penis. This can give you an erection. After using the pump to get an erection, you slip a constriction ring from the end of the cylinder around the base of your penis.
This stops most of the blood escaping when you remove the pump. You shouldn't wear the ring for longer than 30 minutes at a time. The vacuum pump can be an effective way to get an erection hard enough for penetration. It may also help maintain the length and thickness of the penis if used regularly and soon after surgery. This involves having an operation to put an implant inside your penis. Although it sounds quite off putting, it can be a good option if other treatments haven't worked.
There are two main types:. Because getting an erection also relies on your thoughts and feelings, tackling any worries or relationship issues as well as having medical treatment for erection problems, often works well.
Keeping a healthy weight , stopping smoking and doing pelvic floor exercises may help improve your erections. Your GP, hospital doctor or nurse can prescribe treatment for erection problems for free on the NHS, whether it's for sex or masturbation.
There may be a limit on how much treatment they can prescribe, but there is no age limit. It can be difficult talking about sex, but talking to your doctor, nurse or other health professional will mean you can get treatment and support.
You can ask about sexual problems at any stage - before, during or after your prostate cancer treatment. Talking about it before your treatment will mean you know what to expect and can help you to prepare to start treatments for sexual problems soon afterwards.
Your team should ask you about your erections and sex life during your treatment for prostate cancer. But if they don't then you may need to bring it up yourself. Not everyone is used to talking about sex. You might need to bring it up more than once, or with a different person in your team. You can also ask to be referred to an expert in sexual problems or an ED clinic - they will be used to talking about sexual problems.
This is because some types of hormone therapy lower your testosterone levels, which is what gives you your sex drive. Read more about how hormone therapy affects you. If you're on long-term hormone therapy, ask your doctor or nurse about intermittent hormone therapy. This is where you stop hormone therapy when your PSA level is low and steady, and start it again if it starts to rise. Your desire for sex may improve after hormone therapy is stopped, but this can take several months.
You might want to try treatments for erection problems, even if your sex drive is low. Some of the treatments for erection problems may still work for you. Your thoughts and feelings If you are feeling stressed or down then you may have less interest in sex.
Tiredness All treatments for prostate cancer can cause tiredness fatigue. This can be during and after treatment. If you're feeling very tired - you may lose interest in sex or not have enough energy for it.
Other side effects Other side effects of prostate cancer treatments such as urinary and bowel problems can affect your sex life. Physical changes caused by hormone therapy, such as weight gain or breast swelling, may make you feel embarrassed and less interested in sex.
Some men notice that their penis is shorter after surgery radical prostatectomy. Some men notice other changes such as a curve in their penis or a narrower area. We don't know for certain why these changes happen, but it could be because of low oxygen levels in the penis, caused by not having erections.
Other treatments such as hormone therapy with radiotherapy may also cause changes to the size of your penis. Encouraging blood flow to the penis after surgery may help prevent this.
In particular, using a vacuum pump, either on its own or with PDE5 inhibitor tablets could help maintain your penis size and improve erections. Although you may not be ready or recovered enough for sex, you can still start treatment for erection problems in the weeks immediately after surgery. It could be taking a low-dose PDE5 tablet once a day or using a vacuum pump, or sometimes both together. The treatment along with masturbation encourages blood flow to the penis. This can help keep your penis healthy.
You may hear this called penile rehabilitation. Think of it in the same way as having physiotherapy if you had injured your arm or leg.
Starting treatment soon after surgery may help improve your chance of getting and keeping an erection. But it may not work for every man. After prostate cancer treatment you will still have feeling in your penis and you should still be able to have an orgasm, but this may feel different from before. Some men lose the ability to orgasm, especially if they're on hormone therapy. If you've had radical prostatectomy , you will no longer ejaculate when you orgasm.
This is because the prostate and seminal vesicles, which make some of the fluid in semen, are both removed during the operation. Instead you may have a dry orgasm - where you feel the sensation of orgasm but don't ejaculate. Occasionally, you might release a small amount of liquid from the tip of your penis during orgasm, which may be fluid from glands lining the urethra. With radiotherapy, brachytherapy and HIFU you may also notice a small amount of blood in the semen. This usually isn't a problem but tell your doctor or nurse if this happens.
Some men on hormone therapy say their orgasms feel less intense. This is where the semen travels backwards into the bladder when you orgasm, rather than out through your penis.
The semen is then passed out of the body when you next urinate. It isn't harmful and shouldn't affect your enjoyment of sex but it may feel quite different to the orgasms you're used to. Some men leak urine when they orgasm, or feel pain.
Others find they don't last as long during sex and reach orgasm quite quickly. After prostate cancer treatment you might not be able to have children naturally. With radiotherapy or brachytherapy you may produce less fluid when you ejaculate but you may still be fertile.
He was doing so-so, but the last 4 weeks started getting worse. However, these changes may not occur for up to two years after treatment. As most people know, testosterone is important to the erection process. This means that semen released during orgasm enters the bladder rather than exiting the penis. Here's five changes you may see or feel just by taking more….
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Erectile Dysfunction - Prostate Conditions
Prostate enlargement, also known as benign prostatic hyperplasia BPH , and erectile dysfunction ED are separate problems. Both increase with age, but one causes problems in the bathroom and the other in the bedroom. However, the two are somewhat linked. This is why many older men are affected by the condition. ED is the inability to get or maintain an erection.
It can be caused by physical conditions such as:. On the other hand, treating ED can improve enlarged prostate symptoms. A surgery called transurethral resection of the prostate TURP can help relieve these symptoms. Men who have this procedure often experience sexual side effects after surgery. This means that semen released during orgasm enters the bladder rather than exiting the penis.
Retrograde ejaculation is sometimes called dry orgasm. Some drugs used to treat BPH can cause difficulty in maintaining an erection. Men who take alpha-blockers such as doxazosin Cardura and terazosin Hytrin may experience decreased ejaculation. This is because alpha-blockers relax the bladder and prostate muscle cells.
Alpha reductase inhibitors can also cause ED. Additionally, reduced sex drive is a possible side effect of the alpha reductase inhibitors dutasteride and finasteride.
Approximately 3 percent of men taking dutasteride Avodert reported experiencing a decreased libido in the first six months. About 6. Roughly 4. Men who take these medications may also experience lower sperm count, decreased sperm volume, and lower sperm movement. Adverse events typically decrease with continued use.
Medications that treat erectile dysfunction may help improve BPH. These medications inhibit a protein that breaks down a chemical called cyclic guanosine monophosphate cGMP , which increases blood flow to the penis.
By inhibiting the protein that breaks down cGMP, blood flow to the penis can be increased. The increased cGMP and blood flow may allow bladder and prostate cells to relax, leading to greater urinary flow. One study comparing tadalafil and a placebo showed that men who took 5 milligrams of tadalafil daily had significant improvement in both BPH and ED symptoms.
In another trial , men who took 10 milligrams of vardenafil twice daily showed significant improvement in prostate symptoms compared with the men who took a placebo. The men were 45 to 64 years old and had a history of BPH.
The study also included men who had ED. The studies on ED medication and its ability to relieve enlarged prostate symptoms have only looked at short periods of time. The results show promise, but the data is not long-term. ED medications and alpha-blockers both lower your blood pressure. Your doctor may also be able to recommend lifestyle changes and exercises that can help improve your condition.
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