Delayed ejaculation

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Delayed ejaculation

Postby wgs743 » Sun May 19, 2019 2:19 pm

Has anyone experienced delayed ejaculation or no orgasm when taking Tadalafil 5mg daily for BPH? I have been on the Cialis regimen for a couple of months and have had delayed ejaculation for past 3-4 weeks. No problems before taking Cialis daily, so that seems to be only variable.
I inject 28 units of Trimix, so no erection problem. At 75, I am on a bunch of meds. Wondering about drug interaction. Will see doctor in a few weeks.

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Re: Delayed ejaculation

Postby 60s_surfer » Wed May 22, 2019 3:05 pm

I have no direct experience with Cialis for BPH. There are a number of posts on FrankTalk from men who have ejaculation problems if they use too much Trimix; I have this problem myself. I have wondered whether this problem is due to the erection being too hard. Those of us with BPH already have an enlarged prostate. I wonder if a really firm erection squeezes so hard on the prostate that the semen has trouble getting out. In your case, since Cialis has a long half life, it is probably still having an effect on the blood flow to your erection when you make love. If this idea of over-squeezing has any validity, you might try using a little less Trimix to compensate for the effect of the Cialis. I know in my case that it is a balancing act to find the amount of Trimix that gives me a hard enough erection for intercourse while still allowing me to ejaculate.
71 years old in 2018; married 49 years. ED since 2001. PD5 inhibitors (Viagra, etc.) worked with increasing dosages until side effects got too bad by 2017. Now using Trimix injections. Delayed ejaculation has been a continuing problem since 2012.

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Re: Delayed ejaculation

Postby wgs743 » Sun Jun 09, 2019 12:47 pm

Thanks 60s_surfer.
I never thought of that. I have been increasing Trimix by 1 or 2 units each time to get a long lasting erection after having it go soft too early. I will try backing off dosage and see what happens.

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Re: Delayed ejaculation

Postby bldoink » Sun Jun 09, 2019 3:23 pm

A tiny bit of reading indicates to me that Levitra (Vardenafil) might contribute to anorgasmia but probably not Cialis (Tadalafil).
R.R.P 2011 Mayo Jacksonville, Dr. Michael Wehle. Nerve sparing - badly damaged. C in margin. V.E.D, Viagra and PGE-1 (80mcg/ml) injections @ ~ 12 units. Originally Edex20, then compounded PGE-1 - cost. Inject. ~ 8 yrs. It works. Treasure coast of FL.

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Re: Delayed ejaculation

Postby dtwarren1942 » Thu Jun 13, 2019 12:07 pm

I have used Viagra, cialis, and Trimix without any delayed ejaculations. However, since I started using a VED (the only means that currently is effective) which produces a very hard erection, the tension band has reduced sensitivity, and made it difficult to ejaculate. In order to ejaculate now, my wife needs to work a little harder to stimulate my glans which helps to eventually bring on an orgasm. However the ejaculate is prevented from escaping until the tension band(s) are released.

Based on this scenario, I doubt an extra hard erection would prevent ejaculation.
Age 77
Started Trimix injections 8/'11

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