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Advise on medication for erection

Posted 23 Feb 2019 at 09:27


I had my RP ten weeks ago and was prescribed Tadafil, firstly do you just take tadafil daily or only before intercourse?

I am taking it daily & have not managed any sort of an erection, very frustrating for me and my wife! I have also tried looking at porno movies & found it was possible to get aroused even without an erection, has anyone one else experienced this?

I need advise on how to successfully  kick start my sex life!

Posted 23 Feb 2019 at 12:47
Hi Garry,

10 weeks is a quick recovery if you can achieve anything, and good luck./

How many Tadalfil/Cilais do you get a month and what dose? I

f you get 28 x 5mg, then it may be intended for use as a daily tablet to stimulate blood flow around the body to help repair any damage at the op site. Thats what I get.

Then you may be given 8 x 20mg Sidenafil/Viagra for events. Bear in mind that, event tablets may have little or no effect early on, and then may work much later? It's dependent on you and your recovery.

Do anything you can to keep the blood flowing to the area with massage and any other methods you can devise.

Porn can help, anything that may help is worth trying. EXCEPT any Deep Heat sprays which claim to promote circulation. They are a NO NO. Unless of course you like pain?



Do all you can to help yourself, then make the best of your time. :-)
Posted 23 Feb 2019 at 13:34
Did you have nerve sparing surgery. The PDE5 tablets only work if nerves were spared during the op. You need to get a pump and use it every day for exercise to keep your penis tissue healthy. With rings it can be used for sex and penetration. Your other options are creams , pellets or injections which don’t require nerves. I don’t want to rain in your parade but it can take way over 12 months to get back to any sort of normal !

If life gives you lemons , then make lemonade

Posted 23 Feb 2019 at 14:06

What were you led to expect after only 10 weeks? It makes me really cross (and sad) when we see new men here who have not had the implications of the op fully explained to them by the surgeon or other medical staff beforehand. It causes so much distress and I don't get why they wouldn't just be up front about it - or perhaps that is because they worry that many men would never go ahead if they knew? 

Having said that, John had all the implications of ED spelt out to him very clearly by the surgeon but told me afterwards that he simply didn't believe it - he thought that because he was only 50 it wouldn't apply to him and was probably just an issue for old men :-( 

It can take a couple of years, even with nerve sparing - this thread may answer most if not all of your questions 




Edited by member 24 Feb 2019 at 13:17  | Reason: Not specified

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

Posted 24 Feb 2019 at 13:03


i understand how frustrating and worrying this can be . My husbands surgeon explained everything clearly but it was still a shock. 

my husband had nerve sparing on one side only and has 5 mg cialis daily and uses the pump daily since a month post op. He has had semi erections from about 5 months on wards naturally. He now uses Caverject once a week and even without the injection we have noticed that in the last month his natural erection is firmer and up to about 60 percent of pre op

patience and keep trying is the key . we fully excpect it to be 2/3 years before full recovery is possible and accept that it may never be quite the same. However , that does not mewn we dont still have a wonderful sex life . 

Edited by member 24 Feb 2019 at 13:09  | Reason: Not specified

Posted 02 Mar 2019 at 04:12

I take 20mg Tadalafil 3x a week. It’s effects can last for over 48 hours so I view this as somewhat equivalent to taking 5mg daily.

I had some response maybe 3-4 weeks after surgery and I’ve been lucky in that things continue to improve 4 months post op. I’d say its maybe 80-85% compared to before surgery.


There is a psychological aspect though, the natural tendency is to self monitor and wonder if you’re going to be able to get and maintain an erection ’this time’. The effect of this is typically anxiety which is not good for erections. I find it can be easier to get erections by myself as there’s less pressure...

It might all take a while, but keep at it and seek advice from, and a referral to, an ED clinic.

As for your other question, it’s entirely possible to have an orgasm without an erection - which was a complete revelation to me, but does mean you might be able to get some satisfaction..with a certain amount of inventiveness/patience 

- Connell



Posted 06 Mar 2019 at 23:15

Dear Saint Lynn


I have given no advises from the hospital before the operation at all?

By my GP or any kind of medical staff or even my case nurse (I had met with her only once anyway)

So maybe NHS is works differently down south here than up Yorkshire. 

My only knowledge about ED has been improved by you and other good people from this website that's all.

Other thing is Before the operation my sex life was very good.had no bad symptoms at all.no pains down there, no getting up night time for bathroom duties Any way. 

My only problem was had feelings that I don't fully empty my bladder but it's maybe because of the teas and coffees I was consuming by than.

And if I knew that It was going to be like this I wouldn't go ahead with the operation at all.

I don't want to live until age of 80,s and walk into bathroom with help of some body anyway

muchas gracias



Edited by member 06 Mar 2019 at 23:17  | Reason: Not specified

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