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Sex and the Prostate: Overcoming erectile dysfunction when you have prostate disease

April 21, 2021
  • By Harvard Prostate Knowledge

About the Author


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Paul Alexander
June 13, 2018

Whether you currently suffer from ED or are hoping to sidestep this condition, try these tips to overcome ED for better health and a better sex life.

Start walking. According to one Harvard study, just 30 minutes of walking a day was linked with a 41% drop in risk for ED. Other research suggests that moderate exercise can help restore sexual performance in obese middle-aged men with ED.

Eat right. In the Massachusetts Male Aging Study, eating a diet rich in natural foods like fruit, vegetables, whole grains, and fish — with fewer red and processed meat and refined grains — decreased the likelihood of ED.

Pay attention to your vascular health. High blood pressure, high blood sugar, high cholesterol, and high triglycerides can all damage arteries in the heart (causing heart attack), in the brain (causing stroke), and leading to the penis (causing ED). An expanding waistline also contributes. Check with your doctor to find out whether your vascular system — and thus your heart, brain, and penis — is in good shape or needs a tune-up through lifestyle changes and, if necessary, medications.

Size matters, so get slim and stay slim. A trim waistline is one good defense — a man with a 42-inch waist is 50% more likely to have ED than one with a 32-inch waist. Losing weight can help fight erectile dysfunction, so getting to a healthy weight and staying there is another good strategy for avoiding or fixing ED. Obesity raises risks for vascular disease and diabetes, two major causes of ED. And excess fat interferes with several hormones that may be part of the problem as well.

Move a muscle, but we’re not talking about your biceps. A strong pelvic floor enhances rigidity during erections and helps keep blood from leaving the penis by pressing on a key vein. In a British trial, three months of twice-daily sets of Kegel exercises (which strengthen these muscles), combined with biofeedback and advice on lifestyle changes — quitting smoking, losing weight, limiting alcohol — worked far better than just advice on lifestyle changes.

Elizabeth Lizzie
June 9, 2018

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Contact him for the following and see the great work of Dr Komoh:
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May 28, 2018

This is the first time to use the service of [ dr_mack@ yahoo. com ] ✨ 🍰 ✨ It felt good to have my lover back.

April 30, 2018

Hi ,

I am facing a irregular problem of maintaining erection.One month i get good erection and i do sex regularly but suddenly in next or month later i do not get sexual desire or not able to achieve erection. This problem will remain for a month or so and then following months or two i will get erection again. Second scenario is If i stop intercourse for two months then 3rd or 4th month i will have good erection..please advise is it start of some big problem or just phycological issue. I am also using medication for stomach upset called IBS disease.i work from 2pm afternoon till 12.30 in night.i do face sleep issues when i have to visit bathroom for urination and defection.
Many thanks in adcance

April 9, 2018

I have had BPH prostate surgery in early 2015. I have difficulty in my erection for sex. When I try for orgasm, I feel some pain inside the penis and also a great fear. Therefore, penis does not remain erectile and I get a feeling of frustration and humiliation. I am 82 years and am fit and fine in all other respects healthwise. Please advice. I do not wish to have any medication or surgery. I would very much like natural therapy to get back. Shall feel indebted. Thanks

April 9, 2018

Each and every detail is very informative and educative. I am 82 years but find great interest in sex. I have had benign (BPH) prostate surgery in early 2015. I find pain when I try to reach orgasm and my pennis does not remain in erectile position for as much time as I want to. I feel some pain inside and also a great fear which kills all my instincts. I would very much like to avoid any medication whatsoever but would certainly like to recover my spirits of enjoying sex which I used to. Any suggestion will be of great value to me for which I shall feel indebted. Thanks

February 24, 2018

Following prostrate radiation therapy (seed implants) I began having difficulty getting and maintaining a large and firm erection. Viagra, Levitra, Cialis, and other drugs are too expensive for regular use. I’m now working with my urologist to get the right formula of Trimix for me. The first two formulas failed to produce the desired results and the next injection will be 0.3, the next stronger step. I’m a very large man and I’m wondering if size indicates a larger or stronger dosage is going to be needed. I’m also a very healthy person but in my 70’s. Any advice ?

February 21, 2018

Have not an erection for years am now 60. Also a chronic condition exists am taking meds. Have been trying to regain sex life. I used trimix to no avail. Would definitely appreciate any advice.

January 28, 2018

For more than 12 years i have suffered from the problem of weak erection, and for that 12 years you have no idea what i went through in the hands of my various partners. It got to a point that i was running away from my duty as a man.I started searching for solution every were and i became addicted to some certain drugs all because i want to make a difference and show my strength sexually. One day i decided to open up to a friend of mine and that was how i was told about Dr mack. I was given his contact i contacted him and i was told what to do and how to get his products which i did and within the space of days i was cured permanently without any side effects. Today i am super active sexually (lol) and i can perform extensively in bed today as a real man. For his product on erectile dysfunction,premature ejaculation and weak erection problems contact him on (dr.mack201 @ gmail. com).

joe hudson
September 24, 2017

i’m very old but the urge still exists.I have a penal implant that has gone bad,need advice all doctors i have spken to warn me of very bad infections.Wasn’t warned as much when it was done. all I can say is help if U can.
J Hudson

September 4, 2017

can u please make recommendations?

August 22, 2017

Is there any treatment or remedy to overcome dry ejeculation after surgery of prostate?

July 28, 2017

I have consulted more than 7 doctors for my ED problem, but the medicines are not permanent and i lost huge amount, recently i read one of the guide from online and i followed the natural treatment method step by step within few days i recovered fully from ED, Read the full guide from here >> ( ) <<
Have a great day, best guide to overcome from ED


May 7, 2017

I have had BPH since the early age of 50+. It caused me to seek the medical help of an urologist in my early-mid 60’s. I was having to urinate 10-15/day, never completely emptying my bladder. Prescribing Hytrin, a beta blocker, helped for a while, as the medication relaxed the prostate enough to allow passage of more urine. However, it is a blood pressure med. and I was already taking a B.P. med. for that. It was lowering my B.P. to unsafe levels, so the doctor suggested doing laser TUR to reduce the size of the prostate. Afterward my urination was more complete, and solved that problem, but created another in the process. It dropped my libido 50% or more, and introduced a new problem, moderate E.D. I lived with that 10-15 years until, recently, when I was diagnosed with a blocked bowel, not related to the E.D. problem whatsoever. After successful surgery to repair the digestive problem, I was retaining more urine than doctors considered safe, so pressured me to have the TUR, (transurethral resection) surgically in an attempt to remove any scar tissue left over from the laser process. They didn’t warn me that it might lead to impotence or 100% E.D. It has been over 3 months and my condition hasn’t changed. Oh yes, my urination has normalized, but at a loft price to pay. Whether

bruce scott
March 17, 2017

I have a erection problem its not strong.i can’t take two minutes and i ejaculate quick and my penis fall and it will take some time to erect again.

January 20, 2017

I am 63 years and like many people in this age group, I have BPH. My doctors’s drug of choice is Tamsulosin 0.4mg at first it was OK. It even improved my sex life. Later I realized it was ineffective and did not prevent me from waking up 4-6 times at night. My Doctor added Spasmolyte 20mg. One morning one at night. I realized that my erection was seriously compromised. Need to mention that before it I could see the weakness in erection but it made it worst – or so I thought. But it improved my night sleep somehow.
I went to iherb and bought Saw palmetto first tablet was only yesterday, I also bought L-Arginine – not used yet.
I decided to read about them in the web before starting and I am very appalled by what I read – none of them seem to be encouraging. Pls advise

January 7, 2017

I have been injecting myself with trimix for about two years. I seem to have developed scarring on my corpus cavernosa because when erect my penis has begun to curve pretty radically. Will this subside with non-usage or is this now a side effect that cannot be fixed? Please let me know.

March 12, 2017

Please let me know about the side affect as well – i have been using Tricia mix as well and have had the same thing happen to my penis
Strange curve ?

Williams Anderson
January 2, 2017

For the ED and low libido I recommend to see an specialist, my dad was diagnosed with bph and the doc prescribed him alpharise for it, it has been very effective.

Victor Lee
December 23, 2016

This is the latest cure of erectile dysfuntion. Go for electric shock wave therapy. It will work for 90 percent of men.
This treatment of 6 times or 12 times is a permanent solution and you are back to your young days.

October 28, 2016

For the last 4 years i have slightly enlarged Prostate. I urinate very frequently, with a gap of every 30 minutes. But thanks God not during nights. Besides I have absolutely no erection. As if my Penis is all dead. occasionally i Take medicines like Viagra or Men Max, Forta from GNC etc. It does work but other than these i just don’t feel i can ever have sex.

Can you please advise.

Victor Lee
December 23, 2016

Try electric shock wave therapy.permanent cure ED.

October 26, 2016

my guy suffered from priapism and as a result he was operated and after the operation he does not have erection…please is there any way he can regain his erect ion? please help me

September 7, 2016

I’m 27 with a 24 year old girlfriend we are looking to get married and now I suffer from Ed and I have never numbness from my head of the penis to my anus idk how to get back to normal I’m panicking I can’t enjoy sex I haven’t had and orgasm in two months I need help

fahed ae alomari
August 9, 2016

i need more information about prostate

Khan Mohammad
July 27, 2016

Very much interesting and healing informations. Thanks

July 24, 2016

Very happy to share my testimony! The great man who cures all known diseases, Dr Sebi is a healer, pathologist, herbalist, biochemist and naturalist, who immigrated from Honduras and who has committed his life to the service of helping people cure their diseases. In 1988, he took on the Attorney General of New York in a Supreme Court trial where he was being sued for false advertisement and practice without a license after placing ads in a number of newspapers, including the New York Post where he had announced: “Aids has been cured by the Usha Research Institute, and we specialize in cures for Sickle Cell, Lupus, Blindness, Herpes, Cancer, Als and others. Pre-trial, the judge had asked Dr. Sebi provide one witness per disease he had claimed to cure however when 77 in person witnesses joined him in court, the judge had no choice but to proclaim the Doctor NOT GUILTY on all accounts, proving he did in fact have the cure to all the diseases mentioned in the newspapers. Several celebrities have sought out healing through the Doctor including: Michael Jackson, Magic Johnson, Eddie Murphy, John Travolta and the deceased Lisa Left Eye Lopes who proclaims in the video: “I know a man who has been curing AIDS since 1987”.. i want to inform the public how i was cured from ALS(MND) by Dr Sebi, i visited different hospital but they gave me list of drugs which is very expensive to treat the symptoms and never cured me. I was browsing through the Internet searching for remedy on ALS and i saw comment of people talking about how Dr Sebi cured them from ALS, CANCER, HERPES, DIABETES and so on… when i contacted him he gave me hope and send a Herbal medicine to me through courier service that i took and it seriously worked for me, am a free person now without problem, my ALS result came out negative. I pray for you Dr Sebi. Am fully cured. you can also get your self cured my friends if you really need my doctor help, you can reach him now: (drsebiherbalisthealinghome12@gmail. com) You are indeed a HERO!

Samir Bhattarai
May 29, 2016

my erection was alright ..but 5-6 days before I noticed discharge of white viscous liquid from my penis..a bit pain I notice now around glans..I didn’t have sex yet.I m just 20..but I do agree that my penis used to erect most times when I slept n in morning .I used to masturbate but now I m scared that if I have STDs or uti or prostate infection ..what shud I do? what test to b done to diagonise what has actually happened..will antibiotics work or not..5 days later I recognise my penis didn’t erect .m scared ..can it b treated permanently? pls help.

May 27, 2016

I had radical prostate surgery last September and have had ED since. I would like to know why my penis is quite blue in color and usually very cool at the penis tip. Is this due to low blood flow. I do use the injection method but that only works part of the time and not very erect. Sexual arousal is there with my wife but even with the injection, the penis is still soft and very difficult penetration.

April 21, 2016

Unbelievable, i remembered i was once here in need of help on how to go about the problem of poor penis erection i was

having, i must say those years was so frustrating, the experience was something outside the world of being normal, i could

have sworn that i was witnessing my marraige crumbling to nothing, my wife had to join me in search of various kind of

help, and the search lasted for 1year 4months and like a dove sent from heaven , a cousin to my wife referred me to “Dr

christopher onome”, a specialist with a distance full of knowledge, with his vaccines/medications and his advice on what to

stay clear off and how to approach the problem , in less than 3 weeks i was doing fine sexually, am indeed proud to say am

now a father of a bouncing baby boy and up to this moment am still thinking this all some very big dream that everything is

actually back to normal, i believe i will forever be greatful for his guidance, so am recommending all those who are

currently in the condition i was in back then, or know someone who is in any related problems like unnecessary bleeding,

Virginia odour, poor penis erection, inability to release sperm (low sperm count), kidney problems, blood in the urine or

whatever is there that’s not normal should try and contact him through his

Jeffrey C. Le Doux
March 26, 2016

I have been having pretty good success with TriMix. Currently I use 0.2 ml of the solution. It provides a reasonable erection. My wife has had 3 back surgeries in the last 18 months. This has its own problems with our situation. About a week and a half ago in the she’s on top position I achieved penetration. She was very warm inside, and we both had an excellent result. The last two times I have achieved penetration, but could not get to the hot spot. She had multiple orgasms both times (including last night. I need some suggestions so I can also get there. I was not even able to manually reach an orgasm. I feel that am doing something wrong or at lest not right. Should I take it slower and easier. Should I up the dosage a bit. When I was instructed I was informed that the dose could go from 0.1 to 0.3 ml for the injection. Should I titrate up a bit to improve the erection?
I should note that I have been on Androgen Deprivation Therapy for 16 months. P.S.A. is currently 0.56 ng/ml and Testosterone is undetectable. (The name of the drug is Firmagon, somebody is a comic.) I did not get all the information about the side effects for 9 months. When I said I was angry, upset and depressed my Urologist finally provided all the information and offered me a a candidate for penile injections. I have been using them for 6 months with some (though not constant) success, I can still orgasm without the TriMix, but cannot achieve penetration without it. My wife’s back is improving, but very slowly.
Can anyone give me some advice on solving my dilemma?

March 22, 2016

My husband and I have lived together 20 years. His ED started in his early 30’s and has gotten worse. He is now 54. He is in denial and too embarrassed to admit to his doctors. He downplays the impact on our relationship. In the meantime, we live a sexless marriage with no intimacy whatsoever. Yes, we have been through counseling, where he makes idle promises. Viagara and Cialis are “too inconvenient” for him. His Dr. tells him all his labs are “normal”.

Suggestions, anyone?

Paul attwell
March 6, 2016

My husband as started with ED in the last 6 to 7 months he is 63 years old and as a benign enlarged prostate, he takes tamlasolin, causing a problem at moment as he is becoming very depressed through it, tried viagra but this is not working is there anything else which will work .

David Asomani
February 27, 2016

Beautiful article. Insightful and simple.

Merchant of Light
January 6, 2016

One last thing…the injection needles are very short and small diameter. No danger about injecting in the wrong spot, or too deep. The shaft of the prnis has very few nerves… So you feel nothing except a small pin prick. There is no pain from injecting the medicine….nothing like getting an intramuscular shot , where the tissues are forced apart to make room for the medicine. The spongy carvernosa tissue readily accepts the volume of medicine…no pain at all. Now, the first time or two…the psychology of it might get to you…. But just “do it!”. She will be so glad that you did!

Merchant of Light
January 6, 2016

Forgot to mention, I am now 67.

Merchant of Light
January 6, 2016

Don’t suffer another day with ED problems! See urologist NOW! 16 year user of Viagra. US pricing of Viagra ($44/pill) is war on men! Buy Canadian for about $14/pill. Name brand! Drugs from India are Total scam…don’t work! For me, Viagra gradually stopped working in 16th year. Take testosterone shots, feel better, but did not help erection problems. Results of Doppler ultrasound indicated I had a “leakage” problem. Urologist recommended implant surgery. (Be careful, this how he makes the most money, as Medicare pays for this!) I chose trying the direct injections! Works fabulous! Rock hard in minutes, lasting for two-three hours. I can control how much Tri-mix to inject! Cheaper than viagra or anything else. I disagree with diagnosis of “leakage”. Believe that inflow was insufficient to cause swelling of penis and subsequent squeezing off of exiting blood flow through veins. Do your homework! Study the chemistry and mechanics of erections! Wife is ecstatic about regained ability to have multiple orgasms regularly! And I feel like a king!

Warren Johnson
December 23, 2015

I have had ED issues since I was in my 40s.viagr, pump, and injection has really not worked.. I am 77 and really not in bad health. I take blood pressure medication. I hear there is a procedure to test and open the veins and atteries in the penis.Anyadvice on this?

December 1, 2015

I am a 65 years old i have e d problem since last 2 years i have tried all pills viagra etc i have tried even esteem e d pump but no results these are the things prescribed by urology dr. Please advise

Hilda Ramirez
October 29, 2015

Good day! My husband is having erection problems, his erection is weak, as soon as we start intercourse brings erection to end,we tried Levitra and didn’t work, he is having lower abdominal pain, because he doesn’t have an orgasm, he is diabetic and has hypertension. He was doing so-so, but the last 4 weeks started getting worse. How can I help him, he is so depressed and wants me to find someone else to satisfy me, I tell him, I don’t care, because I Love him. Please help us.

February 19, 2017

Hilda, I hope you are getting what you need. We have same problem and she won’t let me get someone to satisfy her. I do oral on her clit but at the same time put two fingers in her vagina pointing to the upper side and rub her G spot which is identifiable by the tough spot about 1″ in diameter. She says it is the most intense orgasm she has ever had. Good luck

Fahed AR Alomari
October 16, 2015

i start to have erection disfunction , is that because prostate problem
please advice what I should do.

Daring Steam
March 28, 2017

I guess it is because of Omnic Ocas. Read the brochure on WebMD.

Fahed AR Alomari
October 16, 2015


I am 57 years old , start to feel some prostate symptoms from 4 years.
first time it was urine problem the doc. prescribe medicine name OMNIC , i stop after some time then two month back i had some blood with urine discharged.
Doc said don’t worry and he proscribe for again OMNIC once a day
I need your advice .

March 12, 2017

I am also 57 and have been having prostage problems for 3-4 years
My erections are only 50 % of what they used to be and I have tried viagra ( bad headache )
And am now doing injections with some sucksess, also seams my size had changed and my wife is noticing I am much smaller !
What to do ! Very frustrated – Help

October 6, 2015

Hello everyone. I’m 64, and will be beginning prostate cancer treatments next month. I’m honestly really worried about ED as a side effect, and have been noticing it with my medication already. I am prescribed doxorubicin currently and I can easily afford it with my insurance, but my doctor has suggested viagra as a safe complimentary drug and there is no way I can afford it. I have had my Dr’s unofficial assurance about Canadian pharmacies that ship medication with a prescription. I am a little worried about these sources, does anyone have any experience or insight at all? Thank you for any help!

B Collins
September 4, 2015

I have struggled with chronic military service connected non-bacterial prostatitis (NBP) since discharge over 40 yrs. ago. Recently had several surgeries performed to damaged prostate gland, but still struggle with minor pain, and somewhat with voiding. I also have struggled with ED for 20 yrs. or so. My Urologist says their is no connection, but I believe that my prostatitis cond. could potentially contributing to my ED. I’m I correct?

C Smith
April 24, 2015

I am 65 and have had ED for 4 years or so. I used Viagra but side effects were a problem and did not work. I now take 20mg tadafil which also does not work at all. Testosterone levels are ok. I cannot get an erection at all. NO heart problems but do have diabetes and have had since 2000. It is under control by diet and metformin (in past) and now insulin (20units Lantus once a day) because of long term use of metformin concerns. No erection with masturbation. Vacuum pump does not work other than slight erection which disappears after removal. I am nervous about injections or implant. Are there any other medications which can be suggested? Would a urologist be a specialist I should see?

Daring Steam
March 28, 2017

There are many medicines in Homeopathy which cure this problem. Moreover herbal treatment also helps.

nana kwame ayiah.
March 23, 2015

am from ghana,aged 31yrs suffering from prostate disorders .i want to know that can you give birth whiles suffering from prostate.

March 3, 2015

Thanks to Dr Olumba for the help and for his herbal medication, which help me out of my 5 years plus of weak erection, i am so grateful,it was a shame to me. But i thank God today that my life and body is working properly again. if you are having Erectile Dysfunction or Weak Erection contact Dr Olumba,Email him, or call him +2347068002488

leo west
February 6, 2015

Thanks to Dr Olumba for the help and for his herbal medication, which help me out of my 5 years plus of weak erection, i am so grateful,it was a shame to me. But i thank God today that my life and body is working properly again. if you are having Erectile Dysfunction or Weak Erection contact Dr Olumba,Email him, or call him +2347068002488

January 25, 2015

Dear sir,I am 40 years old since two three years I am getting early discharge problem,I don’t have errection problem. I approached dr. Sreedhars his treatmeting and he going to test NPT it’s too cost for this can help and stop early discharge. Please advise me.

December 16, 2014

I have tried pills they did not work so I guess I will try the injection where can I go to try them

Nasir khan
November 2, 2014

hi I am nasir I want to ask about penis disease. my desire of erection is so weak I got this problem 6 months before. my penis is thin frm the beginning what are the remedies and tell me about some medicine for it

iftikhar ahmed khan
October 16, 2014

its a very best for patient and for knowledge .i want get this think for treatment can possible.

October 6, 2014

hi,am unable to erect after the first round,what may be the causes and what are the remedies

September 12, 2014

how do sustain long term erection during sex, and satisfaction

Oladejo Abraham
January 22, 2017

I need long time erection and 2or 3 rounds of sex I,am 64years

August 29, 2014

hi.. kindly answer my query man having sex regularly for last 25 days but last week noticing he is not able to get erection even though he is trying to have it. is its a start of problem.

Commenting has been closed for this post.

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