Any Questions?
February 6th, 2010
This is your creativity
on drugs.
Any questions?
Why yes, I’ve got a lot of fucking questions,
Mister Psyche Pill Prescriber!
I asked you to make me happy.
I asked you to help me get out of bed.
I did not ask you to evacuate the muses from my head.
Side-effects may vary.
Well then exactly which effects are primary, Sir?
Because it seems to me
it’s the very same lack
of synaptic connections fueling my fire
that also releases my rain.
Maybe I need this pain.
Like a sharpened blade needs a pulsing vein?
Exactly.
Individually impotent
but together, functionally insane.
This is your bullshit
excreted from my brain.
Any questions?
Here is where most men want to know the effects of a prostatectomy. It is in the area of sexual performance following this surgical procedure for prostate cancer. What follows is my experience. I am not trying to speak for all men because the range is huge related to sexual performance following this procedure. I want to honestly respond to my situation related to the mechanics, but I also want to give some insights related to my emotional response to these things.
Sexual potency, as I understand it, will be affected to some degree in the treatment of prostate cancer, no matter the treatment method you choose. Whether you choose hormone therapy, radiation, or other means including surgery for the treatment of your prostate cancer, there will be some decrease of potency; the ability to get and maintain an erection during intercourse. Again, I can only speak of my experience following a prostatectomy. You will have to have a candid conversation with your doctor about this issue if you choose another form of treatment for prostate cancer.
Because of the male anatomy and the nerves that operate the prostate and seminal vesicles, there is no way not to damage some of them in a surgical procedure. Surgeons will use nerve sparing surgical procedures, but reality must also be understood here: some nerves will have to be cut and you will lose some potency following this procedure. The goal is to return your potency to the best it can be following surgery. This may take as much as 18 months to become restored or to reach the peak of your potency. It is a time for patience and focusing on what matters in life. That is why I spent time in an earlier blog writing about one’s personal attitude toward sexuality and the sexual act. If this subject is not considered when you have prostate cancer, it can become a stumbling block for you in seeking medical attention and in your attitude during recovery.
Again, there is a range of potency following a prostatectomy. It can be less than 65% up to 70% or so with the help of ED drugs like Viagra, Cialis or others. The ability to have an erection at 100% the strength pre-surgery is not a reality. But, my experience is that I can have good sex and maintain an erection during intercourse that makes lovemaking enjoyable.
One of the first things that struck me about potency is that I can still have an orgasm. It is different, but it still feels very good. What is also interesting is that because I no longer have a prostate (which mixes the semen and sperm) or seminal vesicles (which produce semen or ejaculate) there is no longer an ejaculate. Because there is no ejaculate, sexual intercourse is actually clean—no body fluids to deal with after intercourse.
An erection does not happen as quickly following this surgery. While I am still stimulated visually, it takes manual stimulation to help achieve an erection. I can maintain an erection for a period of time, but it is not as long in duration as it used to be. Without an ED drug, I have a more difficult time getting and maintaining an erection.
The use of ED drugs is helpful. I use Viagra. But there is a loss of spontaneity with these drugs. Most of them require you take them at least 1 hour before intercourse so that they are in your system. Also, you cannot eat a meal in the 45 minutes before you take the drugs if they are to have their full effect. Thus, you have to time you opportunity. I chuckle to myself when I see the ED drug commercials and they say, “When the time is right.” That is exactly the point. You have to plan to use these ED drugs. This changes the communication about sexual activity with your spouse. You do have to plan and communicate that the ‘time is right’ for you to engage in sexual activity. It will take energy, planning, and communication. My advice is not to allow this to become a barrier, but to talk frankly with your spouse about this timing and the use of ED drugs.
You can take ED drugs in various dosages. I use either 100 mg or 50 mg. I find that with the 100 mg, I am able to have an erection for up to one day. So, if I take it on a Friday evening, I can still have the ability to get and maintain and erection the following day. The 50 mg allows me to have an erection for about 4 to 6 hours. Finding the right dose will be trial and error with your doctor.
The side effects are also as they describe in advertisements. I begin to get a stuffy nose as the medication is taking its full strength; so I know when it is fully in my system. I also get flushed and warm in my face. I do have a slight back ache after the drug begins to wear off. And, for me, the most pronounced side effect is that I do get a headache. With the higher doses, my headache is more intense than with the smaller doses. I am fortunate not to have experienced nausea, which is a potential side effect.
One thing to keep in mind about ED drugs is they will not help you have an erection, but will help you maintain one once you do have it. What this means is that if you are not able to have an erection, the ED drugs will not provide one. The drugs, as I understand, work to seal off the blood that flows into the vessels (soft tissue) of the penis, making the blood engorge the penile tissue and “sealing” it so that the tissue stays erect for a longer period of time.
I would also say one other thing about ED drugs and my use of them. They do not always guarantee that I will be able to keep an erection during intercourse. I have been pretty lucky most of the time, but there have been occasions when my erection begins to fade way during intercourse. This is disheartening for me and I feel badly for my wife in this moment as well. But it is a part of the relationship change and enhancement. It means that you and your spouse will have to discuss this potential and to support each other during your lovemaking and the times beyond. Lovemaking will not be simply about performance, as it may have been in one’s youth. It will really be about intimacy and pleasure with your spouse that can take on new meaning and new adventures in the bedroom.
I have been candid here related to my experience with sexual potency following a prostatectomy. I did not find as much information as I would have liked in my own journey, so I share my experience in the hope that it will give encouragement in your own journey. No part of my experience is meant to dishearten you, but to help men know there is potential for a satisfying sex life after this procedure. It will just be different and will open new discussions and intimacy with your spouse. And in the end, I believe this is what love is really about—sharing ALL the moments and commitments of life with the person who is your spouse.
Blessing, grace and peace.
David Neidert
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February 4th, 2010
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Prostate Cancer: My Experience with a Prostatectomy
February 3rd, 2010
A prostatectomy was my decision for curing my prostate cancer. At 53 when diagnosed, this was the best option for me. I went into this surgery well informed concerning all the positives and negatives of this radical surgical procedure. My goal for it was the cure of my cancer and the opportunity to live well in the aftermath of this diagnosis.
During the consultation with my urologist, he explained the procedure very well and in detail, which included many drawings. Right at the top of the page was a list of risk factors which he wrote in doctor-prescription type penmanship. The risk factors of this surgery are: bleeding during surgery, infection following surgery, incontinence, impotence, anesthesia related risks (including death), damage to adjacent nerves and structures, a pathology report during the surgery that shows the cancer has spread to the bladder or other tissue surrounding the prostate. While most of these are rare, it is important to know that these things still happen in the best of situations.
At this point, we began discussing the surgical procedure, whether it would be done by the surgeon actually cutting me open or through a mechanical process called Di Vinci. The Di Vinci is very successful and is widely used. There are pros and cons to it. Since I did not choose this method, it is important to have a detailed conversation with your doctor about it. I chose being cut open by my surgeon for one reason: he had trained to do this procedure in this manner and had performed over 600 surgeries like this. I had confidence in him to actually use the scalpel as trained as well as having honed this skill over many years. Additionally, this visual procedure allows the surgeon to see all of me at once, not only areas of me through a monitor, as with the Di Vinci process.
As a side there is one item to ask your surgeon. How many of these procedures have they performed? This is very important because of the male anatomy in the groin area. This surgical procedure, whether Di Vinci or manually, has potential to cut a number of nerves. Nerves will be cut related to the prostate which effect the eventual potency issues faced in the future. The surgeon is really trying to perform “nerve sparing” procedures, that is cutting as few of these nerves as possible. Also, nerves that operate your bladder and also operate your legs run through this area of your groin. One of the first orders of business is for the surgeon to locate and protect the nerves that go into your legs. If this is not done properly, any disturbance or nick of them will cause you problems in walking. I share all of this so that you see why you should ask the surgeon or listen for how many of these surgeries they have performed. If your urologist has not performed at least 100 of these surgeries, ask for a second opinion or locate a surgeon who has a successful record with this procedure. Remember YOU are responsible for your own health care and YOU have the right to get the best care, particularly with a procedure that will affect you for the rest of your life.
Your surgeon will be removing your prostate and seminal vesicles during this procedure. These two glands attach to your urethra (the tube that takes urine from your bladder down your penis to be expelled). This “component” will be removed in one piece. It is attached by nerves that come into play during sexual activity and give you the ability to have an erection. This is where the surgeon will use nerve sparing procedures—attempting not to damage the nerves that will give you the ability to have an erection in the future. This prostate/ seminal vesicle component is also attached to the vas deferens, which is how sperm get from your testicles. These tubes will also be detached. Finally, because this component is connected to your urethra, this tube going to your bladder will be cut on each side where the semen enters your urethra during sexual activity, the component removed, and your urethra sown back together again. This part of the process will require that you have a catheter during the first 12 days or so after surgery. This is because this internal stitching and section must heal. The catheter will help keep the urethra open during the healing process. You will wear this catheter home; it will likely be removed by your surgeon at your first follow up visit (but your surgeon will explain all of this as well as the maintenance of this catheter).
Following the surgery is the time of healing. The healing process for me went like this: surgery was about 2 or so hours, I spent 3 days in the hospital, 12 days at home recovering with the catheter, office visit to remove the catheter (I used men’s urine pads after this for a while because there may still be some leaking as the bladder heals and becomes stronger), 2 weeks without driving (in that same period as the catheter), 2 weeks of lifting nothing more than a milk jug, 2 weeks more of nothing over 20 pounds, after 4 weeks as advised by your surgeon.
The first 10 or so days at home were difficult. Because of the incision running from just under my navel to about the middle of my pubic bone, I could not get around very well. I spent a good deal of time lying in bed. The catheter also kept me from getting around much. But, after the first week, I did find that just walking around in my house began giving me the stamina I needed to get stronger. After the catheter was out (as well as the staples holding the incision together), I began walking outside (it was April of the year). I walked a little every day and increased it over the weeks of my recovery until I was finally walking five miles every day. I would highly recommend walking as a way to increase your stamina and energy during this time of recovery.
It was during this point that the waiting begins. The honest surgeon will tell you that it will take roughly one year to 18 months to heal fully from this surgery. It is during this time that one has to be patient with the issues of incontinence and impotency. Here is where your confidence and communication with your surgeon are critical. Constantly talk about each; be honest with how your body is responding during this time of healing. It is no time to be macho in this healing process. Playing that form of pride may hinder your complete recovery or not allow you to take appropriate steps if other medical measures are needed.
For me, this time of recovery was filled with prayer, reading, reflection on life, listening to music that gave me strength, being with family, relying on family, and considering the good that could come out of this moment in my life. Prostate cancer IS a life long journey. This time of recovery can give you the opportunity to consider it, plan for it, and focus on living well in the midst of your journey.
Blessings, grace and peace.
David Neidert
The Great Vasectomy Myth: Impotency
February 3rd, 2010
For most men, the idea of vasectomy, a surgical procedure to cut and close off the tubes that deliver sperm from the testicles, is a complete no-can-do associated with being sexually dysfunctional in the male psyche.
According to the latest issue of Population Reports, titled published by the Johns Hopkins Bloomberg School of Public Health, vasectomy is simpler and more cost effective than female sterilization and offers men a way to share responsibility for family planning.
“The most entrenched and powerful rumors concern manhood, masculinity, and sexual performance. Many men confuse vasectomy with castration and fear, incorrectly, that vasectomy will make them impotent,” says the report. But in fact, “Castration involves removal of the testicles. In contrast, vasectomy leaves the testicles intact, and they continue to produce male hormones.”
the male mastectomy? Prostate cancer lays a heavy hit on the male
February 3rd, 2010
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Viagra and smoking
February 2nd, 2010
Does smoking really affects sexual performance?
There is clear evidence linking smoking and sexual performance. A research proved that smoking may be one of the main causes of impotence. Smoking is often associated with build up in the heart walls. This can cause erectile dysfunction. Smokers have higher risk of development of erectile dysfunction compared with those who have never smoked. 15% of men who smoked or smoke have experienced impotence. Smokers are likely to suffer from ED. Smoking can cause not only erectile dysfunction. Smoking also KILLS. And if in the case of ED drugs like Viagra, Cialis or Levitra can help – the second option seems quite unpleasant.
Headache and dizziness are the most common side effects from taking Viagra, but for smokers these side effects may be more prominent.
Stomach upset is also very common side effect of Viagra. But smoking can affect the digestive system too and can cause erection disorder
Quitting smoking doesn’t mean that erection problems will disappear in one second. But Viagra like drugs will surely work better.
Another side effect of taking Viagra is stomach upset but it is also shown that the negative effects of smoking can also affect the digestive system. This could very well the cause of erectile dysfunction. The bad news is that they are not left to stop erectile dysfunction, because if the damage is already done, it’s too late, but it can help to contribute some improvements and also to the Viagra to work better. Since everyone is different, it can improve or not improve.
If smoking contribute to erectile dysfunction and you are taking Viagra to treat ED, then why smoke?
Natural Premature Ejaculation Remedies
February 2nd, 2010
Every sexually active man wants to last longer in bed. Unfortunately, a lot of them ejaculate and reach orgasm too fast – one to three minutes after the penetration. In most sever cases ejaculation occurs even before penetration or right after it.
Doctors call this sexual condition (when man has no control over his ejaculation and it occurs before he wants it) premature ejaculation (in short PE). There are some physical factors that can cause premature ejaculation, such as infections of urinary tract or prostatitis, but nowadays doctors agree that most of the causes are of psychological nature.
And a lot of medical professionals agree that natural remedies can help prevent premature ejaculation and help last longer in bed. A lot of such remedies are available over the counter in most pharmacies.
First of them is plant Angelica. It can grow up as high as 6 feet. It is known under different names – European angelica, garden angelica, Archangelica officinalis, angelique, root of the holy ghost, wild angelica and others. The oil extract from its root is used to treat premature ejaculation. It should be applied directly to the skin of the penis.
Another plant helpful to men who suffer from premature ejaculation is the California flower Hibiscus. It can help in relaxation and restoration of warm relationsips between sexual partners which in turn can help man control his ejaculation .
Fo ti (or Ho Shou Wu) is a very well-known plant used in Chinese medicine for ages. The properties of Fo ti are similar to famous ginseng. It can preserve youth, increase ones energy and restore lowered sexual functioning. Fo to is used for treating not only premature ejaculation, but premature senility, erectile dysfunction and infertility as well. It can even increase sperm count – all that made Fo ti one of preferred plants used in Chinese medicine. It is sometimes even called ““
There is Asian perennial plant named Bu Gu Zhi, Psoralea corylifolia or Cullen corylifolium. Its seeds are used as and also for treating febrile diseases, frequent urination, lower back pains, incontinence and impotence.
The FDA (American Food and Drug Administration) does not inspect or in any way regulate the use or prescription of herbal natural remedies, it does not approve their use for treatment of any health conditions.
The point is that herbal remedies can also cause adverse side effects along with healing properties. In mild cases some of them go away as soon as you stop taking remedies or as your organism adjusts to them, but in rare cases the side effects can be quite serious. In such case you are strongly recommended to seek immediate medical attention.
Viagra vs. Cialis vs. Levitra: Differences and Similarities
January 31st, 2010
A good point of view by John Scott
Ready to combat ED but confused about which type of PDE-5 inhibitor to take? You’re not the only one. Of the 3 FDA approved PDE-5 inhibitors, Viagra (sildenafil citrate) is definitely the most popular, but popularity alone shouldn’t be a determining factor. The more recently approved Cialis (tadalafil) and Levitra (vardenafil hydrochloride) are also highly effective and very safe alternatives, although they may not be as popular yet. The problem for most people is actually deciding on the best alternative for them.
For starters, all three drugs are PDE-5 inhibitors so they help relax compromised or hardened penile arteries thus allowing more blood to flow into the penis and subsequently cause an erection. All three drugs also help keep high levels of cGMP within the penis. What’s cGMP? It means cyclic guanosine monophosphate and it is an incredible substance which is naturally produced by the penile tissue in response to sexual stimulation and which aids vascular muscle relaxation. When high levels of cGMP are present, the penile arteries become relaxed and a natural and stiff erection will occur.
Unfortunately, in most men suffering from E.D., the PDE-5 enzyme neutralizes any available cGMP and without cGMP an erection will become flaccid or will not occur at all. That’s where PDE-5 inhibitors such as Viagra, Cialis and Levitra come in. These drugs “inhibit” or block the unwanted PDE-5 and hence the very much wanted cGMP is allowed to remain within the penis after sexual stimulation occurs, thus aiding the erection process and keeping the penis erect. The question is, “Since all of these drugs have the same effect, why should I choose one over another?”
Let’s compare the three PDE-5 inhibitors side by side to determine their differences:
Manufacturers:
: Pfizer
: Eli Lilly and ICOS
: GlaxoSmithKline and Bayer
Generic Name:
: Sildenafil Citrate
: tadalafil
: vardenafil hydrochloride
Dosages: Available and Recommended:
: 25 mg, 50 mg, and 100 mg tablets. Most patients begin using the 50 mg pill and either increase or decrease the dosage based on drug tolerance and / or effectiveness. Most healthcare practitioners recommend taking 1 hour prior to sexual activity but studies have shown that can actually be taken anywhere from 30 minutes to 4 hours before having sex.
: 5 mg, 10 mg, and 20 mg tablets. It is recommended that you start out using 10 mg tablets and either increase or decrease the dosage depending on the results achieved. Traditionally, tablets can be taken anywhere from 30 minutes to 12 hours prior to sexual activity. soft tabs (which need not go through the digestion process) may be taken around 15 minutes prior to sexual activity.
: 2.5-mg, 5-mg, 10-mg, and 20-mg. Most people start out on the 10 mg pill and either work their way up or down depending on the results achieved. should be taken anywhere from 25 minutes to 1 hour prior to sexual activity, though some experts claim sex can be initiated in as early as 15 minutes.
How long does the effect last?
: approximately 4 hours
: approximately 17 to 36 hours (This is why they call Cialis the weekend pill.)
: approximately 5 hours
Year approved by the FDA:
: March 27, 1998
: November 1, 2003
: August 20, 2003
Cost of Pill
The cost for each of the 3 drugs is similar though tends to be a bit cheaper.
Success Rate
All three drugs work for approximately 70 percent of all men. Unfortunately, PDE-5 inhibitors won’t work for everyone. Certain men may need to use alternative treatments such as vacuum pump devices or even penile implants.
Side Effects
All three drugs share most of the same side effects. Some men may experience headaches, flushing, back pain, runny noses, stomach aches, or even changes in vision (example: some studies have revealed that on rare occasions a man may begin seeing a bluish tinge but that should go away after the drug has been eliminated from the body). These are all common side effects and should not be reason to worry excessively.
None of the three PDE-5 inhibitors should be taken in combination with low blood pressure medication as this can potentially cause a person to have a heart attack. People with high blood pressure should also take PDE-5 inhibitors only after consulting with their doctor. In fact you should never self-prescribe yourself with any of the 3 PDE-5 inhibitors or any other prescription drug for that matter. Even if you are purchasing your PDE-5 inhibitors online you must still open up and tell the pharmacist everything he/she needs to know in order to properly formulate the correct treatment for you.
What the drug looks like:
: Small blue tablet with the word Pfizer engraved in the middle.
: Yellow tablet that is almond shaped and film coated.
: Orange tablet with a flame logo.
Notable Differences
Basically the only major difference between the three drugs is that begins working the fastest and will work regardless of what kind of food you have previously eaten. has the proven track record and has been trusted by over 30 million men and is the longest lasting. In the end though, the real choice is up to you.
By John Scott
Prostate Cancer Does Not Mean That You Put Your Sex Life to Bed
January 31st, 2010
For nearly 50 years it was thought that it was dangerous to use testosterone in men with prostate cancer. Doctors even used the expression that it was like adding gasoline to a fire and that the cancer would grow and spread if testosterone was given to men with prostate cancer. Dr. Abraham Morgantaler from Harvard has clearly demonstrated that testosterone in some men with prostate cancer may be permissible. (New England Journal of Medicine, http://content.nejm.org/cgi/content/extract/350/5/482) If men have cancer that is confined to the prostate gland that has been treated successfully either with radiation or surgical removal of the prostate gland, and that the PSA has decreased to almost zero and remains at a low level for 9-12 months after treatment, then testosterone can be given to men who have symptoms of low testosterone such as decreased libido, decreased erections, and lethargy. The next step is to obtain a blood test to confirm that the testosterone level is below normal. However, it is imperative that men treated for prostate cancer who are going to use testosterone visit their doctor regularly for a PSA test. If the PSA level increases, then the man must discontinue the use of testosterone. For more information contact your physician or write to me at .
