I'm interested in conversations about and I want to talk about
Know exactly what you want?
Show search

Notification

Error

Can Nightly Viagra Restore Normal Erections?

User
Posted 26 Jul 2019 at 13:44

Having read a report (from USA unfortunately) written in 2004 and a trial conducted in 2007 concerning the use of 50mg Viagra/Sildenafil nightly for 12 months, with its apparent success in restoring "normal" erectile function without further ED medication. I wondered if anyone has more information on this or has actually tried it?

I know Sildenafil and Tadalafil are prescribed daily in early stage recovery, in my case 25mg daily Sildenafil for 6 months so assume there must be something in it.

I was diagnosed at age 58 with stage T3a. I had HDR brachy, 23 x EBRT and 6 months ADT, lost erection after 4 months but regained it after 15 months with help of pump and 100mg sildenafil. Now 3 years post treatment, no pump and I use 25 or 50mg sildenafil with about 80% "success". Not like it used to be but after 43 years together my wife has been brilliant in her efforts and support.

Recently spontaneous morning erections have started to return and have had some success without taking any treatment so don't want to jinx my progress but I would like to be more spontaneous with my wife.

Have tried Tadalafil without any success so was curious as to whether the 12 months nightly Sildenafil works and if so does it work after PCa?  

Mike

 

User
Posted 26 Jul 2019 at 20:45

I don't know, but I am a bit skeptical.

I guess the question is, suppose you don't take these and your erections return after a period, if you had taken them, would your erections return any faster? I can't think what the mechanism for such a change would be. This period is waiting for nerves to heal, and I'm not aware the PDE5 inhibitors have any effect on the erection nerves.

What they will do is help protect the erectile body of the penis (corpus cavernosum) in the absence of erections from atrophy by improving blood flow (when you don't have an erection). A pump does something similar, but works a different way, and they are probably quite complimentary to each other.

The low dose PDE5 inhibitors will probably help you have an erection when you have partial nerve repair too, just by virtue of being a low dose version of the event doses, but will this happen any sooner if you took them for months before they worked? I suspect not.

As I mentioned in another thread recently, Tadalafil is likely to be better than Sildenafil for daily low dosing because it lasts 36 hours in your body, versus only around 4 hours for Sildenafil. However, because Sildenafil is much cheaper, you may be directed to take that.

User
Posted 26 Jul 2019 at 20:51
The idea that daily Viagra solves ED was discredited a number of years ago; the European study discussed at the annual urological cancer conference (UK) indicated that daily Viagra doesn’t have the same impact as daily Cialis.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 26 Jul 2019 at 21:13

Originally Posted by: Online Community Member
The idea that daily Viagra solves ED was discredited a number of years ago; the European study discussed at the annual urological cancer conference (UK) indicated that daily Viagra doesn’t have the same impact as daily Cialis.

That was my expectation from the short time it stays in your body. What I'm not clear on is why low dose sildenafil tablets are produced.

User
Posted 26 Jul 2019 at 22:37
Commercial rather than therapeutic reasons, methinks.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 27 Jul 2019 at 15:49

Thanks for replies Lyn and Andy

I tried Tadalafil/Cialis about a year ago and it didn't work for me at all. Perhaps I didn't take it long enough but Sildenafil by then was working fine.

I read the European study from 2013, that was why I wondered if there was any other information, especially follow up ones from the two initial studies done in US.

I will speak to my doctor and see what he thinks of me trying Tadalafil for longer or actually trying the nightly Sildenafil, always wanted to be a guinea pig ☺. Know it will cost quite a bit but if he thinks it will do no harm then what the heck. 

Cheers Mike

User
Posted 27 Jul 2019 at 16:22

The fact that sildenafil works for you means you have working nerves (maybe not all of them, but enough), and the morning erections even more so.

Not all the PDE5 inhibitors work for all people. It's probably also the case that even if tadalafil won't give you an erection, it may still produce improved blood flow as a daily low dose, although I suspect you don't need that anymore. However, it's normally stated that you mustn't mix different PDE5 inhibitors, so you probably can't have daily low dose tadalafil and event dose sildenafil.

Maybe it's worth giving tadalafil another go instead of the sildenafil? Its 36 hour duration means it might be better for spontaneous sex rather than the planned sex you need with sildenafil?

There are other PDE5 inhibitors such as vardenafil (Levitra), and avanafil (Stendra), but I haven't investigated their specific properties or availability.

It does sound like you are very close to not needing any assistance if you've recently had usable morning erections, which I presume are well over 4 hours after the last sildenafil you've taken.

User
Posted 27 Jul 2019 at 16:37
I would def try with low dose Tadalafil again. Yes it took me 2 1/2 yrs post op but everything is totally spontaneous now for the last 1 1/2 yrs. I just add a very very simple cock-ring which makes all the difference tbh to getting 100%. I have them in bedside table , jeans pocket lol , travel bags etc so they are always at hand. Just a cheap pack from Love-honey. I would try them - the difference is quite great and no shame.

If life gives you lemons , then make lemonade

User
Posted 27 Jul 2019 at 16:45
We have found levitra to be great. It works slightly quicker than viagra and with fewer side effects. Regardless of what you have read about the lifespan of viagra in the body, it does vary dramatically from man to man. In our house, John would need to take a Viagra 6-8 hours beforehand so he takes it mid afternoon for bedtime sex or at bedtime for the next morning. Levitra works 3-4 hours after he takes it. Cialis (event dose) is quicker.

Sometimes, men who think the tablets don’t work are not waiting long enough, or the waiting kills any desire, or they don’t ensure they have an empty stomach. I have formed the view that for any man left with any level of ED as a result of PCa or its treatments, accepting that spontaneity is a thing of the past makes everything less stressful. Mechanically, John no longer has ED but he is so reliant on the crutch of tablets that he simply doesn’t trust his body. We have probably had spontaneous sex 4 or 5 times in 10 years.

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

User
Posted 28 Jul 2019 at 22:45

Thanks for all the replies and advise, I thought I would point out I had HDR brachytheraphy plus 6 weeks of EBRT, not surgery.

My problem I am told is, due to my staging and the extensive area, 70% of prostate, prostate shell and possibly one lymph node, the follow up EBRT target area was very wide. This has meant a worsening outlook for radiation prostatitis, bladder fibrosis, both of which have already appeared in a mild form.

I can't complain, I feel fine in myself, working and active but we are looking at taking time out for ourselves, including possibly moving somewhere warmer for the winters being medication free would, if possible, be brilliant.

We currently are fine with using Sildenafil when needed, but it needs an hour and results in mild nasal congestion. I would love to not need this and I know my condition has improved dramatically over the last 18 months, but it is still very hit and miss.

Will talk to my doctor and niece, she is a consultant in geriatrics which includes prostate cancer, and see what they advise and I will try other PDE5 drugs, but still interested in whether the 12 month course works, especially after PCa.

 

Mike

User
Posted 28 Jul 2019 at 23:43
At least try a cock ring as Chris suggested, makes an amazing difference. Just make sure it's a large squishy Durex job and not a brutal "pump" ring.
User
Posted 30 Jul 2019 at 13:17

Thanks for suggestion Chris and francij1, its the spontaneous bit that I am worried about, not keeping it once erect. Will give it a try though, might be "fun" especially as I bought a couple of the Durex ones a while ago and never tried them.

Spoke to niece last night about the nightly idea. She reckons there might be some benefit in protecting the blood vessel lining and promoting the softening/flexibility of these walls, which would allow improved blood flow and possible improve, restore or prolong healthy function of the penis. She was very adamant though that in no way would it improve damaged nerves, especially after surgery, these would have to resolve themselves over time. Nor would there likely be prevention of long term damage caused by radiation, though it may possibly delay this. 

Her advise is like yours though, try using Tadalafil, Lavitra or Cialis, even try Cialis daily before trying the Sildenafil on a nightly basis, though there is no evidence that this will do any harm, but also no evidence it will do any good either.

Lyn, like your husband has found, I tried sildenafil before bed last couple of nights and woke up early and very erect both times, shame as wife is not a morning person. So perhaps I am not leaving it long enough (about 1-2 hours) between taking tablet and reaction to it. Will experiment with timing, but this just makes the spontaneous bit even worse.

Cheers

Mike

 

User
Posted 30 Jul 2019 at 14:05
She and I should swap. I miss the morning sessions so much and have found this to be the saddest part of the whole PCa thing.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 30 Jul 2019 at 14:37
You should try Tadalafil (Cialis), this is ‘Viagra MK III’, and is available as a daily dose @5mg or an ‘event’ dose at 20mg.

Best of luck.

Cheers, John.

User
Posted 30 Jul 2019 at 16:42

Billings, as I said earlier, I tried Cialis a while ago without any success, but thinking of giving it another go.

Not sure wife, or your husband, are up for swapping Lyn, so will have make the best of mornings :). We still manage late morning fun in bed on weekends as long as grandkids aren't staying though.

Next blood test soon, keeping fingers crossed as taken over two years to get down to 0.1ug/L. Will seek more advise on the PDE5 questions and let you know result.

 

Cheers

Mike

User
Posted 31 Oct 2019 at 10:45

Well PSA result was <0.1 for second time, hooray. It's took 2.5 years to get there, but as long as its there I am very happy.

As for the PDE5 bit, I bought and tried Tadalafil 5mg "Every Day" for a month and got absolutely nothing from it. Have gone back to occasional 50mg Sildenafil and all is good again as long as I leave at least 2 hours before any results. 

My wife  suffers from arthritis and finds the cold damp weather difficult, so escaping to the Canaries for 6 weeks, I am still thinking about the nightly dose though, perhaps after we get back from holiday at Christmas.

Just a thought if any admins are reading, perhaps this thread should have been in the "Sex and Relationships"?

 

Cheers Mike

 
Forum Jump  
©2019 Prostate Cancer UK