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Medical Forum / Diseases and Disorders / Prostate BPH / January 2007returning once again
I've been reading this ng off and on for about 7 years. I have BPH, I had TUMT about 5 years ago, so far I've had no problems with flow and it seems to have worked pretty well. My prostate continues to become larger and larger. I don't remember the size of my prostate, I think 80 grams (?) Does that seem feasible? My PSA's have pretty much been all over the place from the 4's up to 9. I was using Saw Palmetto until I heard it can give false low readings. Since I've stopped using it, my PSA's have been in the 6 area. I've had 4 biopsies, they've all come back clear. My uro put me on Avodart a month ago to, hopefully, shrink my prostate. Since then I can't seem to maintain an erection for more than a couple minutes. It's almost impossible for me to have an ejaculation. I don't like this at all. My uro advised against using Viagra and the other ED meds due to Ischemic Optic Neuritis which I was diagnosed with 4 years ago. I wasn't aware of the connection between Viagra and ION until recently. I haven't talked with my optometrist about the possibility of Viagra being the cause of the ION, although I'm due to see him in a couple weeks. . Is this a common reaction to using Avodart? Is there any hope of regaining the ability of getting an erection? Are there any other options to raising an erection without the use of Viagra and it's counterparts? Is the pump a viable option? It's not exactly a spontaneous thing. I'm aware of the injection method, but the expense hardly seems worth it. I'm very up-front with my uro, I'm not shy about asking him anything and everything, although I haven't talked to him since starting Avodart. I see him every 4 months, next appt is in April. IS MY SEX LIFE OVER? I'm "only" 60 years old. I'm not ready for a life without sex. Comments anyone? >I've been reading this ng off and on for about 7 years. I have BPH, I had >TUMT about 5 years ago, so far I've had no problems with flow and it seems [quoted text clipped - 23 lines] >without sex. >Comments anyone? Maybe ask your uro if Proscar is an option for you. I understand that it does not kill off the libido as much as Avodart does. Ed He put me on Proscar before I had the TUMT and it didn't seem to do much good. > >I've been reading this ng off and on for about 7 years. I have BPH, I had > >TUMT about 5 years ago, so far I've had no problems with flow and it seems [quoted text clipped - 28 lines] > > Ed >He put me on Proscar before I had the TUMT and it didn't seem to do much >good. Proscar doesn't do much to relieve symptoms. Its purpose, like Avodart's, is to stop the prostate from growing. That's worth something, don't you think? Ed Thanks to everyone for all the feedback. I'll be checking in on the impotence ng and see what informatin I can gather there. >I've been reading this ng off and on for about 7 years. I have BPH, I had >TUMT about 5 years ago, so far I've had no problems with flow and it seems [quoted text clipped - 17 lines] >viable option? It's not exactly a spontaneous thing. I'm aware of the >injection method, but the expense hardly seems worth it. You should ask on alt.support.impotence about the injections. Many of the regulars there use them and don't seem to have a problem with their cost. I don't myself but I think your anticipation of high expense is perhaps due to a misunderstanding of the dosage. The biggest problem I would see is the fear of injuring something although the guys there say this is unfounded. You could also try Yohimbine for (mainly) facilitating ejaculation. It only seems to work for about 30% of the guys who try it but you might be lucky. Not for use if you have hypertension or are subject to anxiety attacks. Another alternative is MUSE, pellets that you insert in your urethra. The problem here is that most guys think that they cause significant penile pain but again not all. Some people have success with the pump but others report that it just gives them a "chubby" (increase in size without stiffness) and of course it doesn't do anything for ejaculation. Avodart and Proscar work on the problem of hyperplastic tissue by eliminating the body's ability to convert testosterone to DHT however this is only part of the reason for the growth. The other side seems to be an increase in estrogen (E2) which protects the prostate cells from programmed cell death. It's not at all conclusive but there's a new drug in clinical trials (someone said it's J&J's) which seems to work on this theory. If it's successful it might be a way of reducing prostate size without killing the sexual function. Google is your friend. I had the same reaction to Avodart - complete loss of libido, poor erections, retro, all within a couple of days of starting it. I quit it after a couple of months with no BPH syptom relief, and had only partial return of libido, etc. There were some very old posts on this NG that said these side effects of Avodart were permanent, and my experience seems to bear that out. I wound up with low testosterone, and I think the Avodart may have contributed to that, since it raises E2, which is converted from testosterone and drives the T down. Anyway, if you are having these symptoms, I would get off the Avodart immediately, if having a sex life is an any way important to you. And the low T and high E2 make you weak, tired, and foggy-brained in addition to the sexual effects. If you're not having BPH symptoms, the 80 gram prostate isn't that big a deal. You can always get a PVP if you start having problems. > I've been reading this ng off and on for about 7 years. I have BPH, I had > TUMT about 5 years ago, so far I've had no problems with flow and it seems [quoted text clipped - 23 lines] > without sex. > Comments anyone? test > I had the same reaction to Avodart - complete loss of libido, poor > erections, retro, all within a couple of days of starting it. I quit [quoted text clipped - 52 lines] >> without sex. >> Comments anyone? |
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