Question:
Quite a few years ago, pre-Viagra, I experienced "erectile dysfunction" (the
Bob Dole disease?) and consulted a urologist, who gave me the choice between
a chemical injected in the penis, and the pump. I chose the pump, which I
have used during the ensuing years, up to now. Now comes Lupron and
Casodex, and while the pump still functions the same, the sensation is
severely diminished. This leads me to wonder whether Viagra offers a
preferable approach to the possibility of pleasurable sex. I inted to ask
my doctor next month when I see him for my next checkup, but thought I would
post this to ask whether anyone else on the website has any input (!)
Answer:
Part of the loss of sensation with the VED is due to the use of the
constriction rings. Overpumping (ie pumping it up too far) can further reduce
pleasurable sensation. It is recommended that you pump only until your penis
just "lifts off" the bottom of the tube. My other suggestion would be that you
be sure you are using the least restrictive ring that meets your needs. It is
somewat normal that VED users will need a more restrictive ring in their early
usage than they will need after several months of regular use. A lighter ring
may do the job and allow you more sensation.
I also use Caverject. Caverject, Edex, bi-mix, in the proper dosage can produce
wonderful erections with "normal" sensation. The injections are all but
painless. Some user experience some post-use tenderness for a couple of hours.
I am one of them but it isn't serious enough that I would consider stopping its
use.. The worst danger is having an erection that just wont go away for several
hours if you get the dose too high. It is important to have your urologist
supervise the initial injection a establish the right dose.
Viagra, if it works for you, also produces a very normal feeling erection. In
my case it simply doesn't get quite hard enough or last long enough to be
satisfactory. There ar two new "Viagra-type" drugs which should come to the
U.S. market sometime in 2002; they are Cialis and Vardenafil.
Reportedly the work quicker and better, and last longer than Viagra. Also they
are supposed to avoid some of the side effects such as nausea, hangover, and
blue vision that affect some Viagra users.
I dont recognize Lupron as belonging in this subject at all. While I have no
direct experience with it, it is my understanding that its function is to
reduce testostorone and reduce an enlarged prostate.
Viagra just enables the normal chemical machinery that produces an
erection to function. It is not an aphrodisiac, and it won't make you
more excited than you would be otherwise. You still have to be
sexually aroused to get the erection. Lupron and Casodex suppress
libido, so it is not too likely that Viagra will work to produce an
erection and in any case it won't have much effect on how pleasurable the
experience is.
