2nd Round of Chemo Done

Had my 2nd round of chemo this past Thursday. Prior to that, I met with my onc and said after one round of chemo and one shot of Lupton, my PSA dropped significantly from 415 to 6.5. We were both thrilled. Also met with my urologist last week who said he will monitor my quality of life. He knew that my sexual libido would be impacted and he recommended viagra or an injection to the penis with using a pump will reverse the erectile dysfunction to get my mojo back. Of course my eyes lit up and expressed my interest. I am 52 and have not made love to my wife for nearly 4 months but she has been so supportive since ive been diagnosed. Does viagra or usage of a pump work to reverse the ED? May God bless us all- Nick

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  • Hi, at your age try Viagra or Cialis, it may work. I have been on Lupron for 5 and 1/2 years and to be honest I am not seeking an orgasm. I fine that loving and hugging and using other means of vibrators etc. are just as effective for the spouse. What I m trying to say is that my sex drive is not what it was, but I am alive with a PSA of 0.00 and very few side effects. My life has changed. For example when I was younger I would go to a bar and look at women across the bar and say to myself "do her" or "not do her." Well now I think of all women and men for who they are not inside as a good or bad person. This is a wonderful way to live and can be a loving experience, just a little different. However, I am 71 years old, so at 52 why not use Viagra? Hope you understand that I am still a loving person. Good luck.

  • Thank you Jim. I don't see the urologist again until Oct then I will seek viagra. We agreed to wait until I am finished with chemo in mid July. Good advice- Nick

  • Well, I got Cialis from my urologist and also my general practitioner offered it to me. There is no problem with Lupron and erection medicines. By October your libido may change, so I recommend a phone call soon. I get an injection every three months, and I would not wait until October. Did your oncologist explain that Lupron removes ALL of your androgens (male sex hormones). You then have estrogen as the predominate sex hormone. The cancer cells in the prostate have a spot on them called to AR (androgen receptor). These cancer cells can not replicate, because an androgen must be present for the DNA molecule to duplicate. Now, some single cancer cells my break off and go into the blood stream, but they can not form tumors because there is no androgens. So they find the inside of a long bone, attach, and sink into the bone. They leave a small pock mark on the surface of the bone, but are stuck there. The number of cells is different for each of us. So, Lupron is a drug used by women to have multiple child births (it is a leutinizing hormone meaning it stimulates the release of ovum.) In men it stops the production of androgens, but remember that you are fooling the base of your brain where sex hormones are blocked or released into the body. If your body is not fooled, the Lupron will not work. So when a prostate cancer cell multiplies it gives off an enzyme which causes an increase in the PSA (which is the amount of this enzyme in the blood). So from time to time your PSA may go up or down to around 1.00 or 2.00. This happens according to the type of cancer you have, but should go back down to near 0.00. When you have a lot of cells in your bones you may need a bone density test to see if your bones are "brittle", especially in the pelvis area. This may take many years to develop, and my oncologist gave me a shot of "Exgeva" every 6 months. This drug is for older people with osteoporosis, so if I fall I will not break a bone. My bone density test was O.K. so he stopped it this year.

    Use the amount of calcium and Vit D3 that your oncologist recommends. On this website many people want to increase these amounts, but my opinion is that too much calcium can make bones brittle and too much Vit D3 can increase calcium absorption, so just beware. I use 1000mg of Calcium and 500 units of Vit D3 daily. Watch multiple vitamins that may contain Vit D3. This does count the normal levels that you receive from food. Good luck and have a wonderful life.

  • Not sure there is an easy answer to your question. I think it depends on how much damage occured. For me, the nerve bundles which control erections were completely removed because of the cancer. So neither viagra nor cialis would fix that. My doctor was confident that injections would work, but I have not gone that far yet. I did read an article where they have had some success with stem cells (https://www.sciencedaily.com/releases/2017/03/170327083718.htm) to fix ED issues specific to rP. So I think there is hope for all of us. I think you should give the oral medication a try to see what happens. If not that, there are other things to try.

  • I will. Thank you cfrees

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