Yes, we have a local ED clinic, but it is more aligned with Hammer House style rather than patient focussed. It's interesting!
I forgot to add to the list of meds... I'm also on Bicalutimide 150mg daily. My understanding of this is that it is a blocker rather testosterone suppressant, so I'm guessing the morning twitches should still be present. If anyone has any thoughts about that, I would love to hear them. I guess at this stage I'm trying to get a clearer picture of what's going on - are the nerves fired, if so is it temporary or likely permanent, is it the Bicalutimide producing unexpected side effects, or is it something else?
In the meantime I shall continue with the pump - not always easy with a ten year old in the house! - and Cialis, and hope I don't have to wait for the full two year course of Bical to abate.