Prostate Restored
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Does a man need a prostate to have an erection?

Your prostate is next to key nerves, blood vessels, and muscles that help you have an erection. Surgery and radiation to treat your cancer can damage these areas, making it more difficult to get an erection or have an orgasm.

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While most men will face some issues in the bedroom after prostate cancer treatment, these problems are often temporary or treatable. You might feel frustrated at first, but be patient. With time and the right treatments, you can likely have a fulfilling sex life after prostate cancer. What to Expect Your prostate is next to key nerves, blood vessels, and muscles that help you have an erection. Surgery and radiation to treat your cancer can damage these areas, making it more difficult to get an erection or have an orgasm. (If you were having trouble getting an erection before your treatment, you probably still will.) Hormone therapy lowers the amount of testosterone in your body, which won't help your sex drive and performance. The most common complaint after certain treatments -- for about 8 out of 10 men -- is erectile dysfunction (ED). This means you can't get or keep an erection that's hard enough for penetration. But even if you have ED after your treatment, you can still have an orgasm. In fact, most men can have one without an erection.

You may also have: Dry orgasms, when you don't release semen

A smaller penis

Less interest in sex These issues may last several weeks or much longer. It depends on the type of treatment you have and how you feel. Up to half of men who have nerve-sparing prostate surgery or radiation therapy see improvement in having sex within a year after their treatment. Penis Rehab Penile rehabilitation is a way to get your penis back into shape after surgery or radiation. The idea is use it so you don't lose it. While there's not a lot of data behind the theory of penile rehabilitation, supporters say frequent erections can raise oxygen levels and improve blood flow, which can keep your penis healthy. If you want to try this, you'll need to commit to regular penis stimulation. ED treatments can also help with this process. Ask your doctor if rehab might work for you.

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Can Viagra affect PSA?

PSA levels can vary throughout the day. There is noevidence that sildenafil, without sexual intercourse,alters these levels.

Two of my patients are older men (aged 62 years and 68years) who have benign prostatic hyperplasia; their prostatesare soft and nontender. Recent prostate-specific antigen(PSA) measurements revealed elevated levels-from 3.5 to4.4 ng/mL in the 62-year-old man and from 4.2 to 5.8ng/mL in the 68-year-old man. Both patients had takensildenafil and had sexual intercourse the day before the examination.Could the elevations in their PSA levels be aneffect of sildenafil? If so, how long does this effect persist?

-Leonard B. Beller, MD

Los Angeles

PSA levels can vary throughout the day. There is noevidence that sildenafil, without sexual intercourse,alters these levels. However, the results of a number of trials suggestthat intercourse may affect PSA values. Mycolleagues and I conducted a study that showed intercoursehad no effect in men with normal baseline levelsbut was associated with increased PSA values in men whohad an elevated baseline measurement.1 I have also foundthat bicycle riding and digital rectal examinations do notaffect PSA levels.2,3 Therefore, I believe the degree of change seen inyour patients warrants further investigation. The normalPSA level for men of this age is less than 3 ng/mL.

-

E. David Crawford, MD

Professor of Surgery and Radiation Oncology

University of Colorado

Denver

REFERENCES: 1. Stenner J, Hathaus K, MacKenzie SH, Crawford ED. The effect of ejaculationon prostate specific antigen in a prostate cancer screening population. Urology.1998;51:455-459. 2. Safford HR, Crawford ED, MacKenzie SH, Capriola M. The effect of bicycleriding on serum prostate specific antigen levels. J Urol. 1996;156:103-105. 3. Crawford ED, Schutz MJ, Clefan S, et al. The effect of digital rectal examinationon prostate specific antigen levels. JAMA. 1992;267:2227-2228.

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Imagine Your Moment Of Freedom!
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Fluxactive Complete is conveniently packed with over 14 essential prostate powerhouse herbs, vitamins and grade A nutrients which work synergistically to help you support a healthy prostate faster

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