Libido Advice

I would be very careful about medication with your stated objective as this might counteract to some extent the HT which is to drastically reduce testosterone, which in almost all cases results in loss of libido. Suggest you clear this with your oncologist.

Thanks Barry - I wasnt thinking of anything that interfered with the HT - I suppose I was thinking should I try the occasional viagra or cialis or would this be pointless ?

Almost universal but not quite - there are always exceptions. I wouldn't want any man whose libido is fine to panic and think that his HT must be failing - Alathays went through all the various hormone treatments, and outlived all predictions, but never lost his interest or ability.

Tony, as already said, Viagra etc will not work if you have no libido. However, men on HT are entitled to a pump on the NHS just the same as men that have had RP, but PCUK has previously raised concerns that many GPs and oncologists don't think to refer men on HT to the ED nurse or andrology clinic unless they are asked. You may have to push your medics to get what you need.

You might find some wise words and reassurance in this thread http://community.prostatecanceruk.org/posts/t6875-Impotence-during-hormone-therapy#post105396 

Edited by member 28 Aug 2017 at 20:56  | Reason: Not specified

Thanks for that reply Johsan -  I agree you can get an erection with no libido its just that maintaining it without libido is much much harder.

Even though I have no libido at the moment which means no spontaneous erections I can with some time and work with my wife get a good erection without a pump or similar - however maintaining that erection to orgasm is another thing. My initial question I suppose was whether in this situation using Sildenafil or similar would help maintain that erection.

My thoughts were that when i stop hormone therapy my testosterone levels will rise again and i should recover some libido. In the meantime to make sure things keep working down there I will do all I can to try and maintain the occasional erection.

Thanks for all the input - further to my thoughts about when I eventually come off HT is there anyone out there that can reassure me that libido does return eventually. In an ideal world I will be on Prostap once a month for 5 months and then with a month of RT I should be done - I know this is hoping for the best outcome but I have always concentrated on the best outcome since diagnosis so anyone who has been through this and recovered libido would be nice to hear from.

It took a lot for me to rediscover my oomph after two years on ADT and bi lateral nerve sparing but a good woman, a little wine and a tight rubber ring from a pump (without the pump) can lead to joy. My CNS said that if you are turned on and the endophins are firing, good sex is possible despite ADT. She is right, although non penetrative can be bliss also. Good luck brother

Bazza (Barry)