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Impotence / Infertility post - radiation therapy

User
Posted 16 Mar 2023 at 17:07

I finished my very successful treatment for prostate cancer 4 years ago , at the age of 75 . I had hormone therapy injections for 6 months prior to radio-therapy . I live on my own , having been divorced for a long time and my only "sexual activity" since has been masturbation but since the PC treatment I can achieve , with difficulty , only a semi -erection . With care and perseverance , I can reach a not-very-satisfying orgasm but without ejaculation. Is there any way I can improve this situation , or am I expecting too much at the age of 79 !? I feel lucky to be clear of PC but some occasional masturbatory fun would be welcome . Any advice out there ?

User
Posted 16 Mar 2023 at 21:41

Fm, never give up, you don't know what's around the corner. Do you have access to an ED nurse or clinic. 

I remember reading a post on hear about a guy who wanted a penis implant, turned out he was single and 79.

Thanks Chris 

User
Posted 17 Mar 2023 at 23:02

It is very likely that the PDE5 inhibitors (Sildenafil/Viagra, Tadalafil/Cialis) will help in this situation to generate a better erection, as long as you're not on GTN for angina (in which case they can't be prescribed). You may have some nerve damage from the radiotherapy which is reducing the erection signalling arriving at the penis, and the PDE5 inhibitors amplify the effect of this nerve signalling, and can make up for some lost signalling. Something else you could try is a cock-ring to improve erections - it doesn't need to be very tight. This may also help with the situation above, but may also help of you have venous leak in the penis, which can be a long term side effect of the hormone therapy, although I doubt 6 months HT is long enough to do that.

Go to your GP and ask if you can try a PDE5 inhibitor. Ideally, the GP should also measure your blood pressure, blood sugar levels, cholesterol levels, and Testosterone levels (and might chuck in all the basic blood tests too), just to make sure the diminishing erections are not the result of another condition which needs treating.

A better erection usually makes it easier to reach orgasm. Quality of orgasms is often changed by radiotherapy and prostatectomy, although some people find they get better, but some also report they get worse.

Lack of ejaculate is also a common side effect of many prostate cancer treatments (and all the more common ones). Nothing you can do about this. I actually find it rather convenient.

User
Posted 17 Mar 2023 at 23:11

Thankyou Andy , sounds like good advice .

 
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