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User
Posted 06 Dec 2021 at 16:54

Hi,

I'm new to this website and indeed this forum. I was diagnosed with Advanced Prostate Cancer in May 2017 and have received Hormone Therapy Treatment and Radiotherapy, however since my completion of both I have been experiencing Erectile Disfunction. I did not have my Prostate removed. I was referred to an ED clinic, however owing to Covid pandemic, I have only had one telephone consultation where 10mg tablets of Tadalafil were prescribed to be taken prior to any sexual activity.

I notice from some other people suffering from this condition that they have been prescribed daily doses of the same tablet so I am confused as to why the tablet is used in two different ways and which is the most effective.

When using the Tadalafil I have found limited success and I am still struggling to secure a full erection during intercourse. I have also noticed in these forums that some people have suggested cock rings as a help to secure a full erection from a partial erection which I seem to be able to achieve.

I would be extremely grateful for anyones advice in relation to the minefield which is ED.

Thank you in anticipation. 

User
Posted 08 Dec 2021 at 20:13

The arteries supplying the corpus cavernosum (erectile parts) are in the middle of each of the two erectile parts. The veins draining them are at the outside (although not the veins you can see). Quite little pressure constricting the veins has quite a significant effect on quality of erection. What normally happens without a cock ring is the swelling of the corpus cavernosum actually compresses the veins, amplifying the effect of extra blood coming in by blocking the blood leaving. A cock ring helps to start this process. You might even find you can take the cock ring off once you're hard, and the corpus cavernosum pressure will continue to block the veins sufficiently to maintain a good erection once it gets to that point, but you can leave the cock ring on for a max of 30 minutes.

Sometimes in older age or as a consequence of loss of testosterone for a long period (e.g. hormone therapy), an erection failure mode known as veinous leak can happen, and that's when blood does leak out through the veins in sufficient quantity to stop enough blood and pressure building up in the erectile parts.

Note that a cock ring is very different from a vacuum erection device constriction ring, which is designed to be tight enough to constrict both the arteries and veins.

You can put a cock ring around either the base of the penis, or around the base of the penis and scrotum - both are effective. I wouldn't suggest using twine or string though - something that's inelastic could quickly get very nasty if your erection takes hold, as it should. It can also be a bit painful extracting a cock ring from inside a forest of pubes, where you'll probably end up plucking some pubes in the process.

User
Posted 08 Dec 2021 at 20:33

Yes the advice on the piece of string was more of a proof of concept device. After the string, bailing twine and silk suggestions I looked around the kitchen for something to add a bit of slightly gross humour. I decided on liquorice laces, the only other thing in the kitchen that fitted the bill was cheese wire.

Dave

User
Posted 08 Dec 2021 at 21:46

Start with base of penis. The Durex ones (indeed most ones) are tighter than is necessary IME, and using one of those around scrotum too is going to be even tighter (not sure they're even large enough for that without doing some damage to yourself).

Also, when removing a cock ring, stretch it large enough to easily pass over the penis. Don't try dragging it over the surface of the penis as you might injure yourself.

Edited by member 08 Dec 2021 at 21:50  | Reason: Not specified

User
Posted 11 Dec 2021 at 00:43
To answer Andy's question the durex ring is very stretchy and works balls in or out!

The only drawback I hAve found with it is latex sensetivity, my missus has become sensetized to it, using it balls in avoids some of this.

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User
Posted 06 Dec 2021 at 19:47
Daily cialis is more relevant to men who gave had their prostate removed, it helps the nerves to repair.

Are you still on hormone treatment? Are you sure it was advanced cancer and not locally advanced, which is a different thing.

If tadalafil hasn't been successful, have you tried one of the others such as levitra?

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

User
Posted 06 Dec 2021 at 19:53

Thanks for the explanation on the use of the tablets. I understand now the difference between daily use and as and when required. 
im no longer on hormone treatment. 

My apologies, you are correct it was locally advanced cancer. 
haven’t heard of Levita I will do some research.

very kind of you to take the time to reply with some useful information. 

User
Posted 06 Dec 2021 at 22:27
As well as tadalafil (cialis) there is also Levitra and Viagra.

John had cialis daily but it never really worked for him as an event dose and used to cause him a lot of joint pain. For him, levitra works better than viagra- viagra has to be taken on an empty stomach for best effect and if he took the tablet in the afternoon, he would have an erection in the evening. Levitra works a couple of hours after he takes it. Sometimes men just assume that it works immediately.

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

User
Posted 08 Dec 2021 at 03:49
I was on 5mg daily of Tadalafil, which didn’t really work. I tried a cream that you put in the eye of the trouser snake, which did have an effect after half an hour - a painful throbbing dick.

Some busybody at the NHS decided that daily Tadalafil was ‘too expensive’, and that I could only have 4 x 20mg a month of Tadalafil. This is the same organisation that will cough up £90 a tablet for some cancer treatments and £700 a pop for eye injections for macular degeneration.

Anyway, we have given up on all that sex malarkey now, and we are quite happy to still be alive.

Cheers, John.

User
Posted 08 Dec 2021 at 10:58
The durex (squishy donut shaped) cock ring transforms a "half stiffy" to a 3/4 stiffy that is usable for penatrative sex.

It also help maintain an erection through periods of self doubt..

All in all a great investment!

User
Posted 08 Dec 2021 at 15:17

10mg Tadalafil is not really the right dose.

20mg is the event dose. 10mg is for men who get unacceptable side effects on the 20mg dose. It does sound like the 20mg dose might work for you.

5mg daily low dose is for people with mild ED who have sex more than twice a week (and again, 2.5mg is for men who get unacceptable side effects on the 5mg dose). 5mg daily low dose is equivalent to taking 8mg, because some of it is still in your system the next day. Given that 10mg doesn't work well enough for you, the 8mg equivalent of the 5mg daily low dose is even less likely to work for you.

As mentioned, there are 3 other PDE5 inhibitors, but my suggestion would be to ask for the 20mg Tadalafil first. Tadalafil does have some advantages over the others, if it works for you.

User
Posted 08 Dec 2021 at 17:49

Originally Posted by: Online Community Member
The durex (squishy donut shaped) cock ring transforms a "half stiffy" to a 3/4 stiffy that is usable for penatrative sex.

It also help maintain an erection through periods of self doubt..

All in all a great investment!

Could someone explain the physics behind a durex cock ring turning a semi into something more impressive? 

Don’t doubt its possible, but not clear how,  as the ring itself can’t increase blood flow to the area and won’t the ring restrict any further blood getting there in the first place ?? 

Thanks 

 

User
Posted 08 Dec 2021 at 19:42

It is designed to restrict the veins, trapping blood, without pressing on the arteries that bring more blood in

Edited by member 08 Dec 2021 at 19:42  | Reason: Not specified

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

User
Posted 08 Dec 2021 at 19:48

You're correct cockring can't increase blood flow. So the next question is can it restrict blood coming out without it restricting blood coming in, short answer is yes.

The blood pressure in arteries is higher than that in veins so as long as the cockring supplies a bit of pressure (but not more than arterial blood pressure) then blood will flow in and not flow out until sufficient has flown into the penis as to increase the pressure of all blood in penis to a high enough value that it can flow out through the veins, pushing past the cockring.

Before buying a cockring, if you are not convinced try tying a piece of string around penis (behind balls) and adjust the tightness untill you get a result.

As for the piece of string, you could use some old bailing twine, but a fine silk scarf is a bit more classy, or maybe liquorice shoelaces if you feel like a snack after sex.

Dave

User
Posted 08 Dec 2021 at 20:13

The arteries supplying the corpus cavernosum (erectile parts) are in the middle of each of the two erectile parts. The veins draining them are at the outside (although not the veins you can see). Quite little pressure constricting the veins has quite a significant effect on quality of erection. What normally happens without a cock ring is the swelling of the corpus cavernosum actually compresses the veins, amplifying the effect of extra blood coming in by blocking the blood leaving. A cock ring helps to start this process. You might even find you can take the cock ring off once you're hard, and the corpus cavernosum pressure will continue to block the veins sufficiently to maintain a good erection once it gets to that point, but you can leave the cock ring on for a max of 30 minutes.

Sometimes in older age or as a consequence of loss of testosterone for a long period (e.g. hormone therapy), an erection failure mode known as veinous leak can happen, and that's when blood does leak out through the veins in sufficient quantity to stop enough blood and pressure building up in the erectile parts.

Note that a cock ring is very different from a vacuum erection device constriction ring, which is designed to be tight enough to constrict both the arteries and veins.

You can put a cock ring around either the base of the penis, or around the base of the penis and scrotum - both are effective. I wouldn't suggest using twine or string though - something that's inelastic could quickly get very nasty if your erection takes hold, as it should. It can also be a bit painful extracting a cock ring from inside a forest of pubes, where you'll probably end up plucking some pubes in the process.

User
Posted 08 Dec 2021 at 20:29

I use the durex ring in conjunction with the pump. For me it doesn't hold the erection as well as the pump rings but the sensitivity of the penis is far greater with the durex ring.

Thanks Chris

User
Posted 08 Dec 2021 at 20:33

Yes the advice on the piece of string was more of a proof of concept device. After the string, bailing twine and silk suggestions I looked around the kitchen for something to add a bit of slightly gross humour. I decided on liquorice laces, the only other thing in the kitchen that fitted the bill was cheese wire.

Dave

User
Posted 08 Dec 2021 at 20:45

Originally Posted by: Online Community Member

The arteries supplying the corpus cavernosum (erectile parts) are in the middle of each of the two erectile parts. The veins draining them are at the outside (although not the veins you can see). Quite little pressure constricting the veins has quite a significant effect on quality of erection. What normally happens without a cock ring is the swelling of the corpus cavernosum actually compresses the veins, amplifying the effect of extra blood coming in by blocking the blood leaving. A cock ring helps to start this process. You might even find you can take the cock ring off once you're hard, and the corpus cavernosum pressure will continue to block the veins sufficiently to maintain a good erection once it gets to that point, but you can leave the cock ring on for a max of 30 minutes.

Sometimes in older age or as a consequence of loss of testosterone for a long period (e.g. hormone therapy), an erection failure mode known as veinous leak can happen, and that's when blood does leak out through the veins in sufficient quantity to stop enough blood and pressure building up in the erectile parts.

Note that a cock ring is very different from a vacuum erection device constriction ring, which is designed to be tight enough to constrict both the arteries and veins.

You can put a cock ring around either the base of the penis, or around the base of the penis and scrotum - both are effective. I wouldn't suggest using twine or string though - something that's inelastic could quickly get very nasty if your erection takes hold, as it should. It can also be a bit painful extracting a cock ring from inside a forest of pubes, where you'll probably end up plucking some pubes in the process.

That all makes perfect sense now - Thanks  - Just been to Boots to pick one up :-)

As a first time user will it work best at base of the penis, or around the base of the penis and scrotum ?

 

User
Posted 08 Dec 2021 at 21:46

Start with base of penis. The Durex ones (indeed most ones) are tighter than is necessary IME, and using one of those around scrotum too is going to be even tighter (not sure they're even large enough for that without doing some damage to yourself).

Also, when removing a cock ring, stretch it large enough to easily pass over the penis. Don't try dragging it over the surface of the penis as you might injure yourself.

Edited by member 08 Dec 2021 at 21:50  | Reason: Not specified

User
Posted 10 Dec 2021 at 16:34

Hi

Thank you to everyone that has provided me some advice relating to both cock rings and Tadalafil. This has proved very useful and I am going to try a couple of different cock rings along with the Tadalafil to see if there is any improvement with my erections. 

Thanks again

 

User
Posted 11 Dec 2021 at 00:43
To answer Andy's question the durex ring is very stretchy and works balls in or out!

The only drawback I hAve found with it is latex sensetivity, my missus has become sensetized to it, using it balls in avoids some of this.

 
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