Hi all. Quick background first – I was Gleason 9, PSA 22 and had RARP in Jan 17, immediately followed by RT and HT due to positive margins and cancer found in lymph nodes. Fast forward to now, and my PSA is holding at <0.003, lymphedema, adhesions mostly cleared up, regained erections (with help!) and libido appears to be back, unlike my wife who left.
Incontinence is mostly under control except when even slightly aroused, in which case my urethra thinks it’s OK to empty. Not comfortable, and certainly not conducive to meeting a new partner. Anyway, miracles happened and I’ve met an amazing woman who is fine with me as I am, leaks and all. Never thought that would happen!
So libido is back with a vengeance, and I finally get a chance to experiment with chemical assistance. And this is where we finally get to my question. I have always been on Cialis (Tadalafil) 5mg daily (thanks GP) , and although that seems to have worked in maintaining blood flow and partial function over the last three years, come the event it didn't perform. So I tried not using Tadalafil and tried 100mg Viagra (Sildenafil). Kerching! Even carried on working in the morning?! I know that shouldn’t be the case with Sildenafil, so maybe a combination of that and a bit of residual Tadalafil?
Two days ago I went to my GP to ask for a meds swap – could I have Sildenafil instead of Tadalafil please. I told her I’m aware that there will be restrictions on how much she can prescribe, so she looked it up and said no, it can be daily. So now I’m prescribed 100mg Sildenafil daily. Having a sex life that requires that amount will almost certainly have fatal consequences!
The question is essentially views on Tadalfil vs. Viagra, or combinations of them. I know we are all individual and respond differently, but is there a combination that any of you have found works best? Either way, I’m going to enjoy experimenting! Also, I’m guessing 100mg a day is not to be recommended? A great bit of info from this is it seems GPs can prescribe, so please guys, chase your CCGs on this. And for those who still can’t convince their GPs to prescribe what is due, it seems I may have some spare!