Hello dear forum,
I have been reading here for a few months now.
Since I think that I have not found this specific answer, I am creating a new thread.
I recently consulted with 3 urologists, all of them told me that I have psychological ED, one of them prescribed generic Tadalafil, in order "to get my confidence back" and a herbal supplement(cavernosal relaxation herbs + tribulus terrestris).
I have never used PDE5 medication, and would like to learn as much as I can if/before I take anything. I previously did a course with another herbal supplement (ginseng, gingko biloba and paullinia cupana) - with no effect. Can you share your experience on the below:
- Do PDE5 Inhibitors permanently cure psychological ED after a while?
- Once taken for 3 months (this was my prescription) - would I be able to have a quality erection without them.
I have purposely not shared my ED story and details, as there is a lot to it and probably will create a separate thread about it.
Thanks you for your replies and take care.
Do PDE5 Inhibitors actually fix psychological ED?
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EveningWood
- Posts: 45
- Joined: Sat Jun 19, 2021 3:12 pm
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eisenhower
- Posts: 32
- Joined: Thu Mar 12, 2015 5:34 pm
Re: Do PDE5 Inhibitors actually fix psychological ED?
Absolutely, PDE5 inhibitors can - operative word being "can" - provide a huge boost of confidence by providing excellent erectile function. I would suggest trying the Cialis first alone, where there is no pressure, so you can see the results for yourself without the "performance anxiety" that can accompany us when we're with a partner. Get comfortable with the side effects (if you experience any), enjoy the great feeling of having a great erection, and then carry that confidence into your next interaction with your partner.
That said, in my experience, even if I am full of Cialis, if I am experiencing a bout of anxiety, it doesn't work. But as soon as I relax, get comfortable, the erection comes - and to excellent results. It's just that when your body is experiencing anxiety, you're in fight or flight mode, and blood is redirected (sadly, away from the penis). Once you calm down, I think you'll find manual stimulation, oral, kissing, hugging, etc., will do the trick, and the erection will indeed come. But the anxiety has to pass first. Just my experience.
In answer to your second question - no, three months of Cialis is not going to make you dependent or affect your natural ability to get an erection whatsoever. These drugs are meant to be taken for years, decades even. If anything, some studies suggest Cialis actually helps men with natural erections after Cialis use ceases - by restoring some diminished natural function.
That said, in my experience, even if I am full of Cialis, if I am experiencing a bout of anxiety, it doesn't work. But as soon as I relax, get comfortable, the erection comes - and to excellent results. It's just that when your body is experiencing anxiety, you're in fight or flight mode, and blood is redirected (sadly, away from the penis). Once you calm down, I think you'll find manual stimulation, oral, kissing, hugging, etc., will do the trick, and the erection will indeed come. But the anxiety has to pass first. Just my experience.
In answer to your second question - no, three months of Cialis is not going to make you dependent or affect your natural ability to get an erection whatsoever. These drugs are meant to be taken for years, decades even. If anything, some studies suggest Cialis actually helps men with natural erections after Cialis use ceases - by restoring some diminished natural function.
Re: Do PDE5 Inhibitors actually fix psychological ED?
I believe your doctor and Einsehower are absolutely right: PDE-5 inhibitors only act locally and do not 'cure' psychogenic ED but they may be helpful. These treatments are not infallible but they will improve your erections, increase your confidence and decrease anxiety levels.
Only your doctor can say what's right for you: maybe you should start with smaller doses and then decrease the doses until you no longer need any medication.
Like I said, this is not a perfect solution: it is normal to fail every now and then, that is not ED and it is nothing to worry about.
In my case, I also take a wonderful anxiety supplement called Seredyn: it does not cause sedation and some of the ingredients may even improve erections (e.g. L-theanine, niacinamide).
Only your doctor can say what's right for you: maybe you should start with smaller doses and then decrease the doses until you no longer need any medication.
Like I said, this is not a perfect solution: it is normal to fail every now and then, that is not ED and it is nothing to worry about.
In my case, I also take a wonderful anxiety supplement called Seredyn: it does not cause sedation and some of the ingredients may even improve erections (e.g. L-theanine, niacinamide).
Age 40. Psychogenic ED for over 20 years. Current regimen: Udenafil 200 mg, oral phentolamine mesylate 40 mg, Seredyn.
Re: Do PDE5 Inhibitors actually fix psychological ED?
eisenhower wrote: That said, in my experience, even if I am full of Cialis, if I am experiencing a bout of anxiety, it doesn't work. [...]
Absolutely. PDE-5 inhibitors are excellent but if you're feeling anxious, depressed or simply not in the mood, they will probably not work.
Age 40. Psychogenic ED for over 20 years. Current regimen: Udenafil 200 mg, oral phentolamine mesylate 40 mg, Seredyn.
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EveningWood
- Posts: 45
- Joined: Sat Jun 19, 2021 3:12 pm
Re: Do PDE5 Inhibitors actually fix psychological ED?
Hi eisenhower and Flavio,
Thank you for sharing your insights and experiences.
From what I've understood from the Urologist, I would need only to take Tadalafil (Cialis) for 3 months, and afterwards 'It will be back to normal'.
My main concern is that even if these medications restore my erection, it would be only temporarily, after each intake (1 full day of effect for Cialis, a few hours for Viagra and Levitra).
However, judging by most users on this forum, once you have ED (whether its psychological, vasculogenic or hormonal), the path is pretty much pills-injections-implant.
Depending on the individual, the pills could be useful from up to a few months to up to 15-20 years (with some users even not experiencing any improvement), another 2-10 years (if you are lucky) from injections and then the implant. The last resort to me seems the scariest, as there is a possibility for the implants to be defective or the body to reject them. Even with luck, you would need to have revisions every 10-15 years. As a 32 year old guy, I am not keen on having so many surgeries on that area.
Flavio - I have read most of the threads regarding psychological ED and your comments in them. Unfortunately, this supplement is not available in the country I live. I have bought however a supplement - mix of herbals, non-sedatory as well, which I can hopefully use as a placebo (condition myself that it would de-stress me).
I am very interested to know (and perhaps other users and lurkers with the same condition), if such issue can be fixed permanently (regardless of time period - month, three months, half and year, etc.)?
Is this possible? Has any user here took a PDE5 Inhibitor for a certain amount of time and didn't need it after a while?
Take care.
P.S. My currently prescribed dosages are 5mg of a Tadalafil (one pill) everyday for three months, and another 15mg (three pills) before sex.
There is also a herbal supplement, mentioned in the OP, but for now I plan not to take it. I want to test how my body will react to just the PDE5 drug.
Thank you for sharing your insights and experiences.
From what I've understood from the Urologist, I would need only to take Tadalafil (Cialis) for 3 months, and afterwards 'It will be back to normal'.
My main concern is that even if these medications restore my erection, it would be only temporarily, after each intake (1 full day of effect for Cialis, a few hours for Viagra and Levitra).
However, judging by most users on this forum, once you have ED (whether its psychological, vasculogenic or hormonal), the path is pretty much pills-injections-implant.
Depending on the individual, the pills could be useful from up to a few months to up to 15-20 years (with some users even not experiencing any improvement), another 2-10 years (if you are lucky) from injections and then the implant. The last resort to me seems the scariest, as there is a possibility for the implants to be defective or the body to reject them. Even with luck, you would need to have revisions every 10-15 years. As a 32 year old guy, I am not keen on having so many surgeries on that area.
Flavio - I have read most of the threads regarding psychological ED and your comments in them. Unfortunately, this supplement is not available in the country I live. I have bought however a supplement - mix of herbals, non-sedatory as well, which I can hopefully use as a placebo (condition myself that it would de-stress me).
I am very interested to know (and perhaps other users and lurkers with the same condition), if such issue can be fixed permanently (regardless of time period - month, three months, half and year, etc.)?
Is this possible? Has any user here took a PDE5 Inhibitor for a certain amount of time and didn't need it after a while?
Take care.
P.S. My currently prescribed dosages are 5mg of a Tadalafil (one pill) everyday for three months, and another 15mg (three pills) before sex.
There is also a herbal supplement, mentioned in the OP, but for now I plan not to take it. I want to test how my body will react to just the PDE5 drug.
Re: Do PDE5 Inhibitors actually fix psychological ED?
EveningWood wrote: [...] Flavio - I have read most of the threads regarding psychological ED and your comments in them. Unfortunately, this supplement is not available in the country I live. I have bought however a supplement - mix of herbals, non-sedatory as well, which I can hopefully use as a placebo (condition myself that it would de-stress me).
[...]
Seredyn is made in the US and it is not available in my country, either. I get help from my brilliant American forwarder: he orders the product for me in the United States and then ships to my country. (I can't post any links but please send PM for more details, if you're interested).
Seredyn is not an ED treatment but I don't think it's a placebo either. Some of its ingredients are proven to improve ED and it's the ingenious combination that makes it so unique.
Age 40. Psychogenic ED for over 20 years. Current regimen: Udenafil 200 mg, oral phentolamine mesylate 40 mg, Seredyn.
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EveningWood
- Posts: 45
- Joined: Sat Jun 19, 2021 3:12 pm
Re: Do PDE5 Inhibitors actually fix psychological ED?
Flavio wrote:EveningWood wrote: [...] Flavio - I have read most of the threads regarding psychological ED and your comments in them. Unfortunately, this supplement is not available in the country I live. I have bought however a supplement - mix of herbals, non-sedatory as well, which I can hopefully use as a placebo (condition myself that it would de-stress me).
[...]
Seredyn is made in the US and it is not available in my country, either. I get help from my brilliant American forwarder: he orders the product for me in the United States and then ships to my country. (I can't post any links but please send PM for more details, if you're interested).
Seredyn is not an ED treatment but I don't think it's a placebo either. Some of its ingredients are proven to improve ED and it's the ingenious combination that makes it so unique.
Hi Flavio,
I have PM-ed you.
Thanks and take care!
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