Why Every Man Should Take Sildenafil & Tadalafil (even with good erections)

ED Rates

Rena Malik and John Mulhall discuss the complexities of erectile dysfunction (ED) rates post-prostate cancer treatment. John emphasizes that factors like patient age, baseline erectile function, and nerve-sparing techniques significantly influence recovery outcomes. He notes, "The better the nerve sparing, the better the recovery" 1. Additionally, John highlights the detrimental impact of androgen deprivation therapy (ADT) on erectile tissue health, likening it to putting an arm in a cast for a year 1.

   

Orgasm vs. Ejaculation

John explains the distinction between orgasm and ejaculation, particularly in the context of prostate cancer treatments. He clarifies that while ejaculation involves the expulsion of semen, orgasm is a cerebral pleasure phenomenon 2. John shares that about 50% of men report reduced orgasmic intensity two years post-prostatectomy, while 10% experience increased intensity 3. He suggests that pelvic floor exercises might play a role in these variations 3.