End of sex life

Posted , 12 users are following.

2 years ago, i had a nerve-saving Da Vinci prostectomy. today, i simply cannot get an erection. i am depressed. i feel inadequate. MY wife never even asks me for sex. Maybe she is glad because she is not interested in sex anymore (we are both 66) and she likely knows i can't perform. i think with her help, i might be able to get an erection, but I just cannot bring myself to talk about this. I dont want to obsess about this. I am happy the cancer is gone. i still have a desire for sex. I struggle with these feelings. i know life is more than sex, but would like to try. it's been 2 years . lost.

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  • Posted

    Gene,

    I know what you are going through. I went through the same thing after radiation for my prostate cancer. This is, unfortunately, a common side effect of any procedure to cure the cancer, even if it is advertised as "nerve sparing". You should ask your doctor for viagra or cialis. Viagra is called sildenafil and is available in generic for very low cost. Might be worth a try. There is also a psychological component to all of this. You are concerned about not being able to have an erection, and that anxiety causes you to not have an erection - so this goes in a circle.

    At least your prostate is gone. Mine was left in place then I went through five years of BPH torment as my prostate began to cut off my urine flow, and the radiation has made my bladder hyper sensitive, so I feel like I have to pee all the time. Very irritating and it is ruining my sleep. At least you will never have to go through the horrible symptoms of urine retention due to prostate blockage.

    Of course, you might have or had some incontinence issues.

    Tom

  • Posted

    Having had PS dealt with using hormone treatment and RT I can understand some of what you are going through.

    There is of course far more more to good sexual relationships than PIV so not being able to get a good erection should not be the be all and all of intimacy with a partner. You need to build loving and trust and the pleasure of being close and sharing. It may take time but if you both make the effort it can be done but I suggest that you need to take the lead and go back to courting her and making her feel that she is special. You are the man so you need to bear this in mind and not expect her to wear the trousers!

    Hope this might help. Cheers, Richard

  • Posted

    I had a radical (old fashioned) prostatectomy 23 years ago. That was after a TURP and several cystectomies and painful rectal scan. Then 6 years later it all started to go wrong and I had to endure 37 doses of RT. All very debilitating. I have been left with a weak bladder and a lot of internal damage that causes regular flare ups of bladder and urinary tract. Yes the ability to have intercourse went but that was not the end of the line. One can have a very pleasant sex life without having intercourse. My wife was a star. I am now into my 80s and nature has taken over and the urge is faint. Watching sexy films has the Mary Whitehouse effect on me now. Just as well as my lovely wife was taken into care two years ago with Alzheimer's. I looked after her at home for 10 years before I couldn't cope. There are much more important things in life than sex. Companionship is worth a million times more. Losing ones sex drive and ability is nothing compared to the loss of a lifetime loving companion. Make the most of your relationship with your wife as she sounds a very caring and sympathetic lady. (If I have not spelt some words correctly please accept my apologies)

    • Posted

      Got my ......tomies mixed up. The word is Cystoscopy. Still got my bladder. Sorry!

  • Posted

    A couple of things come to mind:

    1. See a GP that specialises in men's sexual health. Such chaps are focused on the physical and mental needs of those who have gone through what you've gone through;

    2. Cialis works if you take it daily even if you don't have sex. The downside is that it's expensive;

    3. have you had your testosterone checked since the treatment? Has it returned to anywhere near its pre treatment level? If not, then see an endocrinologist to discuss.

    • Posted

      Worth bearing in mind that if you have had treatment for prostate cancer you may be able to get Cialis etc for free. I find that Levitra works usefully for me and have it prescribed by my GP also had a pump prescribed.

      As my treatment involved knocking down my testosterone to as low as possible so increasing it was not advised though I did ask. Cheers, Richard

    • Posted

      1. Free meds depend on jurisdiction, I am in Australia and alas they are not free;
      2. You're right about testosterone. I too had it fall. You should not, by any means, help it rise again. It should do this on its own.
      3. Regular use of a pump needs motivation. I am motivated to take cialis but not so for the expensive pump I purchased.
  • Posted

    Yes, you have my sympathy and I understand your feelings. I started having erection problems aged about 50 and they discovered my testosterone was low. I now have injections to help that but still don't manage enough for intercourse. I haven't had intercourse for over 20 years, but as someone wrote, you can still be physically and emotionally close with your partner. I also had rt for prostate cancer recently but don't know if that added to the non erections. At age 73 I don't really care anyway and I suppose age is also contributing. Low testosterone, radiotherapy and age - it seems to be the way it is now. I hope you get the support you are looking for.

    • Posted

      As I understand it, every therapy for prostate cancer destroys erection ability. Surgery reveals ED sooner than RT. And if you have >1 treatment, then the chance of ED being bad is increased. Most often cialis or levitra should help, especially if taken regularly, even if you don't have sex regularly.

    • Posted

      Thanks. I shall have a chat with my new Dr who seems ok. I've read that some things work if you take them before you plan to have sex, but if there is something which works at any time without the 'I intend to have sex in 3 hours' notice, then ... It would be good to function properly again and not just think of how it was in my younger days. My rt was 60 Gy in 20 fractions last January.

    • Posted

      Well now I'm 78 looking for a new partner and had hormone treatment and RT for prostate cancer nearly four years ago which so far has done the job! Very low testosterone. I find that for me Levitra works reasonably well but tends to give me a bit of heartburn but got tablets if it is a problem! Got a pump but don't often use it as it is a bit of a faff. Cheers, Richard

    • Posted

      interesting you say you don't use a pump. I am 51 and had RT, ADT etc. used levitra and bought a pump, but after a couple of months or 1-2x a week of use, I ditched the pump and rely on cialis or levitra.

      How is your testosterone now compared to pre-treatment?

    • Posted

      It was 3.7 about a year or so ago but no idea what it was before treatment but suspect that it was far lower than normal. Cheers Richard

    • Posted

      I've been curious about this testosterone question. Mine was found to be below normal so I have had injections every three weeks for several years. When the pc was found, G7 (3+4), they stopped for a while then before rt I was told it was ok to continue them as they treat people with normal levels. My psa dropped from 7.5 July '18 to 3.1 in March this year, three months after rt. Then down to 2.9 this July. Not a big drop, but consultant is ok with that and said wait until next March before the next test. Someone wrote the small drop might be because I went back to the testosterone boosts. I did notice the difference in myself when I started again, but just wondering. Apologies to those who have read posts about this before. It's the anxiety creeping in again.

    • Posted

      I see. A good indication of treatment working is reaching a level of testosterone after having treatment, that comes close to the level of testosterone you had before treatment.

      If it was low before treatment, it won't magically improve beyond that level after treatment.

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