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User
Posted 04 Mar 2026 at 12:33

Has anyone found supplements or herbal remedies they can recommend to improve erections following prostatectomy? Along with my 5 mg Tadalafil I've tried arginine and L Citrulline but I'm unsure if they are helping. Thanks 

User
Posted 04 Mar 2026 at 20:25

Hi,


I tried arginine along with my tadalafil in the early few months following surgery. I can't say it made any difference to me but it didn't do me any harm. In the end, erections started to return after several frustrating months, and slowly improved over a couple of years. 


Good luck,


Kev.

User
Posted 31 Aug 2026 at 05:15




A few guys have found Panax ginseng, Pycnogenol or a blend like VigRX Plus helpful alongside 5mg Tadalafil.


It's hard to tell if L-Citrulline/Arginine are working yet, as nerve recovery post-prostatectomy takes time. I'd suggest tracking for 4-6 weeks, and always run any new supplement past your urologist first. Thanks!





Edited by member 02 Sep 2026 at 03:52  | Reason: Not specified

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User
Posted 04 Mar 2026 at 20:25

Hi,


I tried arginine along with my tadalafil in the early few months following surgery. I can't say it made any difference to me but it didn't do me any harm. In the end, erections started to return after several frustrating months, and slowly improved over a couple of years. 


Good luck,


Kev.

User
Posted 31 Aug 2026 at 05:15




A few guys have found Panax ginseng, Pycnogenol or a blend like VigRX Plus helpful alongside 5mg Tadalafil.


It's hard to tell if L-Citrulline/Arginine are working yet, as nerve recovery post-prostatectomy takes time. I'd suggest tracking for 4-6 weeks, and always run any new supplement past your urologist first. Thanks!





Edited by member 02 Sep 2026 at 03:52  | Reason: Not specified

User
Posted 31 Aug 2026 at 22:05

Hi Calluna


Have you been issued with an ED pump yet? I’ve found that this has improved things a lot alongside taking the Tadalafil. 

User
Posted 31 Aug 2026 at 22:32

5mg daily low dose Tadalafil is more of the healing dose, and for mild ED.


20mg is the event dose. Ask to try that. You can't have 20mg every day - twice a week is probably the max you'd get on prescription. Twice a week spaced out is equivalent to the 5mg daily low dose for recovery purposes (achieves continuous dosing), but also gives you two boosts per week to try for erections.

User
Posted 31 Aug 2026 at 22:54

Yes, I've had an ED pump and use it regularly if I'm attempting sex with my wife, but as soon as the vacuum goes everything goes flat!  I also use it for penis exercise a few times per week. 


Thanks 

User
Posted 31 Aug 2026 at 23:00

Hi Andy 62, Ive tried putting 3-4 of the 5 mg tablets together in a single dose. I've not noticed much difference except a little more of the ' morning wood' at about 5 am but not when I need it! Thanks 

User
Posted 01 Sep 2026 at 10:48
If you are getting "morning wood" that is a really good indication things are functioning.

Have you tried a cock ring? Not the constriction rings you use with the pump but a softer one eg Durex or even better a FirmTech ring? The FirmTech especially can be put on before "things get going" and I have found it has restored a natural response without any chemicals for me.
User
Posted 01 Sep 2026 at 11:47

Hi Francij-1,


I've found the Durex soft ring useful and not painful like the constriction rings. Good to hear your recommendation of the Firm-tech and I will investigate further. Thanks 

User
Posted 02 Sep 2026 at 11:09

The cock ring effect often requires only a little pressure - even a durex pleasure ring is more than many people will need.


The other thing is that having got an erection with a cock ring, you might find in some cases you don't need it to maintain the erection. Once you've built up enough pressure inside the Corpus Cavernosum (erectile part of the penis), providing you don't have a condition called venous leak, the pressure will take over maintaining the erection. In the case of venous leak, that mechanism doesn't work and then keeping the cock ring on will maintain the pressure (and you might need a cock ring with slightly more pressure, but not a pump constriction rung).


Of course, you can also try using the pump to jumpstart things with the ring on.

Edited by member 02 Sep 2026 at 11:13  | Reason: Not specified

User
Posted 02 Sep 2026 at 17:48

H iCulluna


There is no reliable research evidence to show that supplements is an effective treatment for Erectile Dysfunction. If you had a nerve sparing prostatectomy you should recover partially or fully depending on many factors: erectile function before surgery, age, the competence of your surgeon and rehabilitation process. Rehabilitation is probably all you have control over. If you haven't, you should start the process immediately: regular pelvic floor exercise and use a vacuum pump to begin process of your penis feeling up with blood and achieve erections - increasing in size - as you do this regularly. Important thing is to do these regularly, take it gently - don't overdo it. Another practice which will benefit from is massage your penis, scrotum and perineum. Also masturbation - solo or mutual with your wife/partner - will remind your system of its purpose and help you towards re-establishing your sex life; it can be fun and very satisfying


I notice that you are having problem with using the pump for sex. If you send me a message on [email protected] I will send you a video which shows how to use a VED for rehabilitation and for creating erections for penetrative sex. 

 'Physics is like sex: sure, it may give some practical results, but that’s not why we do it.'                    Richard Feynman (1918-1988) Nobel Prize laureate


 


 

 
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