T, Cialis, and PSA

 

"I am 58 years old. I have diabetes and have had a loss of body hair on my groin and legs. I lack energy most days and have gained 70 pounds.  I’ve not had morning erections in 3 or 4 years. I can still achieve an erection, (although not as stiff or full), with porn and manual stimulation. Since I can do this I ignored ED as a possible problem.  Wanting to have more energy, and maybe help lose weight I sought the advice of a doctor at a specialty clinic for men and thought that perhaps testosterone and Gains Wave therapy would help. 

 

The doctor found that my testosterone was low normal, 324, (normal is 300 to 800).  He prescribed a natural testosterone cream, not synthetic, and Cialis. Meanwhile he did a PSA test and I was above normal at 4.8, (normal is 1-4). High testosterone levels, as I understand it can later lead to the PSA going up to and 8 or 9 and the possible diagnosis of prostate cancer.

 

I love the Cialis and have had the return of morning erections. Some so stiff, I had to knock out a masturbation session before getting up for the day. Is there any danger in taking the Cialis and increasing PSA levels?

 

Knowing that increased testosterone can lead to increased PSA, I have suspended the cream, pending research. Seems kind of confusing with some people saying to stop the natural testosterone and others to continue, because the PSA rise is relatively small.  What do you know about this topic?   LOVE the Blog!"

I am very happy the doctor prescribed a natural T cream. It's what I use. My T levels were below 100 - but, then again, my balls never fully developed. So, there's that.

Anyway, your PSA may be slightly elevated. But an ejaculation, or even a Digital Rectal Exam (DRE) prostate exam can cause the levels to increase.

The Moffitt Cancer Center's page "Can Testosterone Replacement Therapy Increase the Risk of Prostate Cancer" says,

"According to the results of a recent study, testosterone treatment does not increase a man's risk of developing prostate cancer. In fact, new research suggests that this treatment may actually reduce the risk of aggressive prostate cancer."

Though, it is not risk-free. Other side effects can include "breathing disturbances during sleep, breast swelling or tenderness, ankle swelling and acne."

As for the Cialis? According to the Oncology Times: "Researchers said here at the Genitourinary Cancers Symposium [February 2016] that studies have found no association between patients who take phosphodiesterase type-5 inhibitors such as Viagra (sildenafil) and Cialis (tadalafil) and an increased risk of prostate cancer recurring."

Did he even give the Gains Wave a try? Cialis is one of the drugs to help increase blood flow to attain and maintain an erection. Being able to achieve that without the drugs would seem to be a better course.

I would totally trust a Cancer Treatment Center and Oncologists' opinion on this score. They treat cancer, your regular docs and urologists only diagnose. The adage, If you live long enough, you will develop prostate cancer, is still most likely true. While I wouldn't worry about the Cialis-Testosterone combination, you might still want to have your doctor keep an eye on the PSA levels with regular blood serum tests and a DRE. If they continue to climb, a biopsy would be in order.

But, bear in mind: No jacking off prior to any blood serum test that will include PSA levels. 

Big Enough, Hard Enough

"When the time is right, will you be ready?"

So goes the catchphrase for Cialis. Evidently, the requests for boner pills is coming from younger and younger men. They're citing anxiety as the reason for the Erectile Dysfunction (ED).

Is it performance anxiety? Many, many men suffer from that. Am I going to be big enough, hard enough, last long enough?

Or is it actually stress and anxiety caused by outside influences? Job issues, ability to pay bills, world-wide political unrest? All those things can easily contribute to the inability to get a boner. 

Should men take Viagra (celebrating 20 years of assisted hard-on's) or any other drug to enhance their erections?

In a recent Healthline article Eric Garrison, clinical sexologist says, "Yes, it will give you an erection, but the pill won’t necessarily take away all those feelings of anxiety and stress related to a sexual encounter.

“That nervous piece, Viagra’s not going to get over that. They will still be nervous, but now they are just nervous with an erection.”

Boner pills are essentially safe, yes. But... But, there can be consequences to your health if taken for strictly recreational purposes. The drug lowers blood pressure, opening up the arteries for better flow. Unknown health issues can combine with the drug - or adding poppers (a common party drug used to enhance the sexual experience) can spell serious trouble.

“In the United States, sex is always easier to do than to talk about,” he [Garrison] said. “It’s not about achievement or conquering or those other things. It’s all about pleasure and you can have sexual pleasure without an erection. You can have sexual pleasure without an orgasm, but we tend to think that you need that full Eiffel Tower in our pants.”

Solve outside anxiety with meditation and Yoga rather than boner pills.

Try masturbation without them.

Go into any sexual encounter - even jacking off - with the determination to simply enjoy yourself. Forget about the size of your cock, or how hard it will (or won't) get. The more you relax, the more your mind is occupied with the pleasure, the more anxiety slips away.

If those things don't solve the problem, because ejaculation is essential to your overall mental and physical health

then, of course, go see your doctor.

Speaking of Boners

Speaking of boners... The good doctors Oz and Roizen are always watching out for us men. They have "a new, [ahem] firm warning from anesthesiologists" regarding boner pills.

These little miracle drugs are terrific for those who need them. But, there's a new caution for guys who use them: Stop taking it at least 48 hours in advance of any surgery.

"When combined with anesthesia, medications such as Viagra (sildenafil), Levitra (vardenafil) and Cialis (tadalafil) can cause a dangerously severe drop in blood pressure. That's because ED meds contain -- and promote the body's own ability to produce -- nitric oxide. Nitric oxide opens blood vessels and relaxes muscles, making it much easier for erections to occur. Adding anesthesia and other medications used during surgery to the blood-vessel dilating actions of an ED med can increase those effects." (Bold font is mine.)

An average guy will undergo nine surgeries during a normal lifespan. And an increasing number of men are taking boner meds. Some of whom don't really need them.

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Always tell your anesthesiologist before surgery of all medications. This enables him or her to adjust the anesthesia to keep you knocked out, but alive and

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