I'm 66 years old with chronic ED. It began to arise many years ago and I consulted a Urologist who prescribed 'Caverject' prostaglandin injections which worked but were grossly inconvenient as I was travelling internationally a lot. Then he prescribed 'Viagra' which worked well with the maximum dose (100mg) for some time. However, that also lost its efficacy about 5 years ago and as of now, I'm completely unable to achieve an erection. I've tried 'Levitra' (maximum recommended dose) and 'Viagra (100mg) but without success. It's also becoming increasingly difficult to achieve erection by masturbation. I've tried a vacuum pump but that doesn't work either. When I masturbate - maybe once a week, I can achieve sexual climax and ejaculation but with a very weak 'erection' totally unsuited for sexual intercourse. The appearance, quantity and consistency of my ejaculate all seem to be the same as they always have been. I have no pain or irritation during or after ejaculation
When sexually involved with my lady friend, I get the sensation of being erect but that's all and never any erection to go with it. I have no adverse symptoms of anything else. No pains or any particular difficulty urinating - though not as strongly as I once could. I'm not incontinent at all. I'm somewhat overweight and I've had high blood pressure diagnosed over a year ago but now under control. I don't smoke or drink alcohol, nor do I use any form of drugs. I have Fatty Liver Disease and an enlarged aorta. I've never had any serious illness. So far as I know I do not have any emotional cause for this and the fact that I've gone so gradually from being sexually active around 16 years ago, to being totally incapable today - suggests that the cause is a long term physical deterioration of something somewhere.
Does anyone have any sensible if not qualified advice to give me, please? I might also add that I live in China where I have a major language problem and where English-speaking urologists are thin on the ground. I've tried various over-the-counter Chinese preparations but they don't work either
Dave
It is possible that you have low testosterone — any competent physician can order a blood test to check for that. Also, if you are still on blood pressure meds, they can impact your sexual response. Good luck on having these two possibilities checked out.
(signed) an AASECT Certified Sex Therapist
Thanks for your response. My high blood pressure was only diagnosed a little over a year ago and my medication for that condition has only been taken since then. But the ED problem began many years ago. So, although I am well aware that bp medication can have an effect on sexual arousal, it has only entered the picture relatively recently. Also, one of the two daily tablets I take is a diuretic (irbertesan) which I was told might be part of the current problem. So I stopped taking that one altogether for around 2-3 weeks but there was no tangible difference in my lack of erectile ability. But I will deal with the possibility of testosterone deficiency as soon as possible.
Dave
First off:
Why not look at Ed, Erectile Dysfunction in a whole new light,which will be a totally different concept on male sexuality. If you can, or can not, get an erection or even maintain that erection long enough to complete vaginal intercourse. Well, The male ego being what it is, is going to make you feel less of a man. But it needn't be that way at all,as you'll soon see. Most of us men have been brought up to equate our sexuality with our penis, and if it doesn't work within her vergina everytime, we feel like a sexual failure in or out of the bedroom. Your first sex toys are on the end of your hands,your fingers, and you have a wonderful penis within your mouth,your tongue, that can put to shame any old, blunt penis. So regardless of what your penis will do or not do,those other eleven penises will never let her down nor you either. Me, for one, I love the up close and personal enjoyment of oral sex, and it is a great way to say, "I love you" with my fingers or my tongue. Best of all, I don't have to worry if my penis will work or not. As for her orgasms, note plural, and they are not dependent on my penis. Why don't you try this new approach to your ED, Problem. I am 81, years young and it works quite well for me, but then you'll have to do an ego and a mind warp, but then it's worth it to once again feel like a man, and a great lover.
First off:
Why not look at Ed, Erectile Dysfunction in a whole new light,which will be a totally different concept on male sexuality. If you can, or can not, get an erection or even maintain that erection long enough to complete vaginal intercourse. Well, The male ego being what it is, is going to make you feel less of a man. But it needn't be that way at all,as you'll soon see. Most of us men have been brought up to equate our sexuality with our penis, and if it doesn't work within her vergina everytime, we feel like a sexual failure in or out of the bedroom. Your first sex toys are on the end of your hands,your fingers, and you have a wonderful penis within your mouth,your tongue, that can put to shame any old, blunt penis. So regardless of what your penis will do or not do,those other eleven penises will never let her down nor you either. Me, for one, I love the up close and personal enjoyment of oral sex, and it is a great way to say, "I love you" with my fingers or my tongue. Best of all, I don't have to worry if my penis will work or not. As for her orgasms, note plural, and they are not dependent on my penis. Why don't you try this new approach to your ED, Problem. I am 81, years young and it works quite well for me, but then you'll have to do an ego and a mind warp, but then it's worth it to once again feel like a man, and a great lover.
Thank you, Doug, for your advice. However, it is advice that I have been giving others. My young girlfriend (yes I had one of those for two years!) told me that she considered my "alternative performances" to be much better than the real thing. So, yes, I am well aware of all that you say and indeed am definitely one of the world's more innovative experts in that department. I tried swallowing Andriol (testosterone tablets) for what did turn out to be a significant tt deficiency but they had no discernible effect. So I stopped taking them and now as my girlfriend has gone for higher education in another Country, I have given up on sex and will do without, If I had the time and money, I would probably lash out on penile implants.
Maybe I'm looking for the Holy Grail but Thanks again
Well, Dave: Glad that you have found other ways to love a woman much as i have. If you can get your hands on the book, "The Hite Report", by Shere Hite. It will give you great insight into how women think and feel about sex. It was published in 1976 by MACMILLAN PUBLISHING CO, INC. But what it has to say fits the times to a tee.
Do enjoy self-pleasuring as it is needed to keep your body parts working and in good shape. And some good Porn is also my recommendation.