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Are Penis Pumps Safe?

Medical penis pumps

Medical Grade vacuum penis pumps are safe

Medical grade penis pumps are one of the most reliable and effective treatments available for erectile dysfunction.  When the FDA designated vacuum therapy as a class II medical device in 1982, then requiring a prescription from a physician to dispense the treatment, there was a little clinical experience to draw from.  The agency, as well as physicians and men considering the treatment, wanted to know in addition to effectiveness, are penis pumps dangerous? Are penis pumps Safe?

For more information, check out our “Guide to Penis Pumps“.

Can using a penis pump have any consequences on my health?


Medical penis pumps


With many years of clinical experience and over 800 published clinical studies in place, penis pumps are considered by many of the furthermost respected urologist and sexual health practitioners as not only the safest but one of the most reliable treatments for ED.  Most of the health consequences from using  Soma Therapy-ED are extremely positive! Positive results include, but are not limited to the following:


Penis Pump Side Effects


Side effects that occur from using a penis pump are usually negligible, mild or in many cases result from improper use of the device.  Risks to health have been recognized by the FDA and design features have been identified to minimize these risks.  This is one of the primary reasons to use a medical penis pump rather than a novelty device.   The following design features are recommended by the FDA to minimize the potential risk of injury to the user.



Design features for a Penis Pump


Manual Safety Mechanism – A vacuum device should include a manually operated mechanism to quickly release the vacuum pressure. The design should not include design features for extended continuous use.

Vacuum Level- Vacuum pumps typically draw a vacuum of fewer than 17 inches of mercury.  If the vacuum range of a new device differs substantially for that specification, manufacturers should conduct studies to establish the acceptability of the vacuum drawn by their device.  The manufacturer should perform tests to verify the maximum vacuum level. The device should include an automatic safety valve to limit vacuum pressure to safe levels.

Shape and Surface Design- Vacuum pumps should have smooth surfaces and shapes.  Vacuum pumps should not include design features that promote extended application and use of the device beyond the limited time needed to draw a vacuum and to create an erection.

Electrical Safety – An electrically powered vacuum device should have adequate electrical isolation between the user and the power source of the device. The device leakage current should not exceed a safe limit according to the standard IEC 60601 1, Medical Electrical Equipment – Part 1: General Requirements for Safety (General).


Design Features for Constriction Rings


Manual Safety Release Mechanism – The device should have a simple and quick method to manually release the device. Quick release mechanisms for constrictive devices should include a sufficiently wide tab, handle, loop, or other means for the user to eliminate continued application of constrictive pressure and remove the device. The design should not include design features for extended continuous use.

Pliable Materials – The materials used in constriction rings should minimize the potential for injury to the user or partner by using soft and pliable materials. The materials used should not cause adverse tissue reaction with respect to cytotoxicity, sensitization, or irritation. 

Shape and Surface Design – Constriction rings should include a smooth shape and surface design to minimize protrusions and pressure points to the user and partner. Constriction rings should avoid design features that promote the use of the device beyond 30 minutes.


Are Penis Pumps Harmful?


The following warnings should be considered before using a penis pump:

  • stop using the vacuum pump if you experience any pain.
  • do not use under the influence of alcohol or drugs, since such use may impair the user’s judgment and increase the risk of injury to the penis.
  • do not use if the user has sickle cell disease, has a history of prolonged erections, or is taking large quantities of aspirin or other blood thinners, as these conditions increase the risk of bruising and hematoma.
  • misuse of the vacuum pump could injure the penis.  Attempting to apply excess vacuum for the purposes of penis enlargement is an example of misuse.


Best Penis Pump Results 


In order to handle the most common issues that can be easily overcome with practice and technique speak with an Augusta Medical Systems technical trainer and/or consider the following:


No erection


Likely cause – No vacuum because of air leak caused by poor seal.

Remedy– Use more lubricant; apply firm pressure to the body; trim pubic hair; check device for air leaks.

Comments – Problem is most often associated with inexperience; it resolves as you become more adept at using the device.


Partial erection


Likely cause – Incorrect cylinder size; incorrect insert or seal ring size; not enough practice sessions.

Remedy – More practice using the device; use a larger cylinder insert.

Comments – Problem most often improves with continued use of the device.


Rapid loss of erection


Likely cause – Vacuum lost because of air leak from faulty equipment, poor seal, inadequate lubrication, or excessive pubic hair.

Remedy – Same as for “No erection.” Also: use smaller cylinder insert; use smaller or double tension rings; remove tension band carefully.

Comments – Requires that you experiment with varying sizes of seal rings, inserts, and tension bands.


Delayed loss of erection


Likely cause – Insufficient tension from bands or rings.

Remedy – Use smaller or combination of tension rings or bands; use the two-step application method (call Augusta Medical Systems customer support about this)

Comments – Requires that you experiment with various tension bands.


Pulling of the skin of the scrotum


Likely cause – Lubricant on scrotum; improper pumping technique; too large insert or seal ring; inexperience with the system.

Remedy – Remove lubricant from scrotum; use a smaller insert or seal ring; use the modified pumping technique; continue with practice sessions; angle cylinder
downward during pumping.

Comments – Problem should disappear as you become more adept at using the device.


Discomfort during pumping


Likely cause – Too rapid pumping; pulling of scrotal tissue.

Remedy – Slower pumping; continue to use the device.

Comments – Problem usually resolves as you become more adept at using the device.


Discomfort from tension ring


Likely cause – Tension ring too small; Anxiety.

Remedy – Use a larger tension ring; continue to use the device.

Comments – Problem usually resolves as you continue to use the device.


Discomfort during intercourse


Likely cause – Inadequate lubrication; pressure on a sensitive area.

Remedy – More lubrication; position changes.

Comments – Problem may disappear as you become more adept at using the device.


Discomfort during ejaculation


Likely cause – Long period of abstinence; infection or inflammation of the prostate gland.

Remedy – Continue to use the device.

Comments – Problem usually resolves as you become more adept at using the device.


Redness, irritation, or bruising


Likely cause – Too rapid pumping; overpumping.

Remedy – Slower pumping; fewer pumps.

Comments – Consult your physician if this problem persists past the first few practice sessions.


Penis feels cold (to you or your partner)


Likely cause – Constriction of blood flow to the penis; lubrication.

Remedy – Wash off lubricant or warm lubricant before use.

Comments – Consider trying Zestra.


Why purchase from Augusta Medical Systems?


Augusta Medical Systems products have been prescribed widely by physicians around the world.  you can now buy directly from the manufacturer without a prescription! Don’t settle for less, buy the best!

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What are the benefits of an Electric Penis Pump?

electric penis pump

electric penis pump

The term “electric penis pump” has an illuminating quality.  Expressions such as electric billboard or electric lightbulb might elicit a more rational use of a multi-word term starting with the word “electric” in most of our minds. 

So, an electric penis pump sounds as if it could be a sci-fi creation or perhaps a bionic penile implant.  The truth is not quite as mysterious, so what are the benefits of an electric penis pump?  What is an electric penis pump?

For more information, check out our “Guide to Penis Pumps“.

Using a penis pump


A penis pump is used to treat erectile dysfunction. Using a penis pump is a simple process which requires creating negative pressure or vacuum in a cylinder placed around your penis. 

The pressure must drop in the cylinder which pulls blood flow from the body into your flaccid penis to fill the void left as negative pressure is removed from the cylinder by the pumping mechanism. Blood flow created in a vacuum within a cylinder is what creates penile rigidity and increases penis size.  In order to draw air out of the cylinder, a pumping mechanism is required.  


Electric penis pump


AMS Battery Negative Pressure Device

The term electric penis pump refers to the pumping mechanism attached to the cylinder.  For the Augusta Medical Systems product line, as well as others, the electric penis pump is simply a battery-operated device activated by a button.

The vacuum head is attached to the cylinder and the battery-operated vacuum head pulls air from the cylinder when the button is pushed. It is simple to use and effective.




Manual penis pump


AMS Manual Negative Pressure Device

A manual penis pump is a vacuum head that is activated via a lever that must be squeezed or a push-pull activity that requires some motion to activate the vacuum pump.  Augusta Medical systems has created a technology known as the ultra-ease™ mechanism for the manual penis pump. 

The ultra-ease mechanism works within the lever and ensures that as vacuum pressure is created in the cylinder the amount of force exerted on the lever does not change or need to be increased. 

Other manual vacuum therapy devices require additional force as negative pressure builds up in the cylinder.  One finger is all that it takes to operate the vacuum pump, making Soma Therapy very simply exceptional to use compared to other vacuum penis pumps.


Electric penis pumps advantages


The original battery-operated penis pumps were created for very specific men with very unique needs.  Men who have arthritis or some other medical condition which makes use of the hands difficult find the battery-operated device easier to use.  Spinal cord patients frequently use vacuum therapy to treat erectile dysfunction and often these men and their partners find the electric penis pump advantageous.

Others like the simplicity and convenience of high-quality products that are simple to use and gravitate to using the battery operated or electric penis pump. Often preference dictates the decision to use the powered vacuum head.

Electric or battery-operated devices have become very popular and men without the medical conditions for which these products were designed, buy and use them every day. As a matter of fact, Augusta Medical Systems is the only manufacturer that offers a lifetime warranty option for battery operated devices at the time of this article.  The high quality and superior design of Augusta Medical Systems products allows for this option. 


Electric penis pump disadvantages


The electrical or battery-operated penis pump is typically an added expense.  This is still minimal compared to other treatment options but a consideration nonetheless.  Men who have used both the manual and battery-operated vacuum head seem to have a common opinion after comparing one to the other.

Men tend to feel that using the manual device allows them more control over the process of creating an erection. Part art and simple science, the Ultra Easemechanism combined with practice is a great substitute for the battery-operated device. For many men who choose our manual device over a battery-operated, the Ultra Easemechanism is the reason why.


Penis enlargement pumps


Electric penis enlargement pumps seem to be a very popular online adult novelty product.  Many seem to tout high-powered battery operated electrical pump heads as superior products.  It is very important to greet these claims and advertisements with extreme skepticism.

Not only unproven and without any real evidence that penis size is permanently enhanced using a penis pump, pulling excessive vacuum is known to rupture or harm blood vessels in the penis. The FDA has sanctioned no approved claim for penis enlargement using a penis pump.


Medical Grade Vacuum Device


Medical Grade vacuum device


Design features specified by the FDA are very precise around the recommended amount of vacuum that can be pulled safely using a vacuum pump.  17 inches of mercury is the maximum vacuum considered safe. This is not for extended use either. This is an important reason to stay away from electric penis enlargement pumps.


Risks to health when men attempt to apply vacuum pressure to the penis for permanent male enhancement or penile enlargement as specified in Class II Special Controls Document issued on December 28, 2004, may include bruising or rupturing of blood vessels within the penis or scrotum, resulting in petechiae, hemorrhage, or the formation of a hematoma.


Penis size


Many reports of permanent penis enlargement using a penis pump can be easily explained.  Men who post comments on blogs or post testimonials attesting to permanent increases in size may have experience penile rehabilitation and a return to full erectile capacity rather than permanent penile enlargement.  It is well documented that the absence of regular erections can result in penile atrophy, programmed cell death and loss of penile length.  The regular creation of erections using a penis pump is thought to rehabilitation tissues and restore penile health and return full penile rigidity.  This is not penile enlargement but possibly penile rehabilitation.  Erections create penile health.



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Shockwave therapy for ED

Shockwave therapy for ED

Shockwave therapy for ED


Shockwave therapy for erectile dysfunction is the latest modern medicine in-office procedure available to treat erectile dysfunction.  At the time of this article, Gainswave has in-office providers in at least 30 states around the country. It’s not just Urologists who are providing this treatment.  Chiropractors, Internists, Endocrinologists, and medical spas are treating erectile dysfunction using extracorporeal shock wave therapy.


For more information, check out our “Guide to Erectile Dysfunction“.


Extracorporeal shockwave therapy


What is extracorporeal shockwave therapy?  What types of conditions besides erectile dysfunction are treated using this technique?  How does the FDA view the treatment of ED using extracorporeal shockwave therapy?  How effective is this type of treatment?  What is the cost?


Shockwave therapy


shock wave therapy machineShockwave therapy uses acoustic waves which are created by an external device. The energy created by the waves stimulates tissues and encourages rejuvenation. 

The types of tissues that many physicians claim can benefit from extracorporeal shockwave therapy are tendons, soft tissues as well as bones or skeletal structures in the body.


Shockwave therapy machine


There is a multitude of various shockwave therapy machines and treatments available.  Prices on consumer models start at $40.00 for simple models to professional grade machines that claim to treat erectile dysfunction for several thousand dollars.

There are a variety of medical grade and non-medical devices available.  The FDA designates extracorporeal shockwave therapy machines as class II devices.  Most medical devices are class II devices, common examples include powered wheelchairs and penis pumps. 43% of medical devices fall under the class II category.


Shockwave treatment


Shockwave therapy also known as (ESWT) extracorporeal shockwave therapy has many applications.  Most are related to the treatment of pain, physical therapy or orthopedics. The following are just some of the known uses and conditions treated:


Shockwave therapy for ED


Shockwave therapy for erectile dysfunction is not approved to treat erectile dysfunction by the FDA.  Many notable sexual health thought leaders such as Dr. Arthur L. Burnett, professor of urology at John Hopkins University school of medicine and Dr. Irwin Goldstein, director of San Diego Sexual Medicine have been optimistic and outspoken regarding the future potential of shockwave therapy for ED.

As of the time of this article, clinical trials for shockwave therapy have produced encouraging results.  However, shockwave therapy for the treatment of erectile dysfunction is still considered experimental.  Treatment of erectile dysfunction using shockwave therapy for ED is an off-label use and making claims that it can treat erectile dysfunction as well as promoting shockwave therapy for the treatment of erectile dysfunction could be tricky.


Peyronie’s Disease


Peyronie’s disease is penile curvature that is characterized by fibrous scar tissue.  One might deduct that if shockwave therapy can be used to break up kidney stones that it could be used to break up plaque and fibrous scar tissue in the penis of a man who suffers from Peyronie’s disease.  Shockwave Lithotripsy is one of the most common treatments for kidney stones, so why not shock waves to treat peyronie’s disease? Fibrous scar tissue and kidney stones are thought in many cases to consist of calcium.

Gainswave claims on its website that shockwave therapy has been shown to be an effective procedure to break down the scar tissue and reduce the curvature of the penis for someone suffering from typical peyronie’s disease. The logic is there.  However, clinical studies have produced contradictory findings.

A 2015 clinical study concluded that in a carefully selected group of men with Peyronie’s disease that low-intensity shock wave therapy appears to be safe, has moderate efficacy, and is associated with a high patient satisfaction rate in the short term.

These results are substantially different from a 2004 source which concluded the following:

“In theory, it might appear plausible to break up plaques of the tunica albuginea (in the penis) with shockwaves.  Thus far sound experimental evidence and explanation of the shockwave’s impact and effect on fibrous or even calcified plaque of the tunica albuginea of the corpus cavernosum is still missing.”


Gainswave therapy reviews


Discussion forums and blogs don’t seem to be quite as optimistic about the results of shockwave therapy for ED as does the Gainswave testimonials from their own website.  Experienced and critical sexual health professionals are quick to dismiss testimonials from younger healthy men who don’t have a medical condition in which ED is secondary.  Creating performance enhancement and treating erectile dysfunction are often confused with each other and are not in fact one in the same.


Shockwave therapy for ED cost


According to an August 2017 article published in the Urology times, Dr. Harold Reed reported that shockwave therapy for ED can cost as much as $ 19,000.00 if the patient must return many times for follow up treatments. He also does not believe that Shockwave therapy is a cure for erectile dysfunction as some claim. Gainswave cost $ 500.00 per treatment with a recommendation of a 6 to 12 office visits in a treatment protocol. This places the basic treatment package between $ 3,000.00 to $ 6,000.00. 


How to increase blood flow to the penis


Shockwave therapy is based on the notion of using shock waves to impact blood vessels in the penis that are lacking in blood flow.  Nothing creates more blood flow to the penis than the process of creating and releasing erections.  A vacuum erection device can be used to create and release multiple erections in one therapeutic session. 

The FDA has cleared the use of a penis pump for penile rehabilitation to rehabilitate penile tissues.  This is a much stronger medical claim than shockwave therapy and you can purchase directly from the manufacturer without repetitive office visits for under $ 200.00!




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Erectile Dysfunction Injections

penis injection

penis injection

Ronald Virag is credited with discovering the first erection injection in 1981. He injected papaverine into the penis of a patient in his care who was undergoing a surgical procedure he designed known as penis dorsal arterialization. The procedure was intended to treat erectile dysfunction. An erection was created through the erectile dysfunction injection rather than the surgical technique.

He experimented with the procedure and enlisted several hundred men to replicate his initial success. The results would produce the first erectile dysfunction injection currently known in medical practices and literature as an intracavernous injection to treat erectile dysfunction. 

Penile injections were the first drug approved by the FDA in the early 1980s.

The treatment of erectile dysfunction was still in its infancy in the early 1980’s.  Bradley & Scott had performed the first successful internal surgical penile implant less than a decade before in 1973. Geddings Osbon was in the process of getting the FDA to approve a vacuum erection device in 1982 which produces an erection.

So, the medical community was only beginning to learn about treatments for impotence in a basic way.

Penile injection physician


Noted physician Sir Giles Skey Brindley was determined to change this. He decided to bring attention to penis shots in 1983 when he injected himself at the Urodynamics Society conference in Las Vegas at the podium in a lecture hall. Whereby he invited medical attendees to come forward and inspect his fully exposed and erect penis. 

While most attendees were shocked by Dr. Brindley’s methodology, it wasn’t long before penile injections were being regularly prescribed and administered around the world.

To this day Urologist who attended the event consider Dr. Brindley’s unveiling of penile injections as a right of passage into the treatment of erectile dysfunction in which they were proud to be a witness.  


Penis injection for ED


Papaverine was the original medication to be injected directly into the side of the penis thus producing an erection.

Combining two medications for the purpose of creating penis injections has become a common compound referred to as a bi-mix.

The combination of three medications is frequently referred to as a tri-mix and four medicines as a quad-mix.

Tri-mix medications, as well as other cocktails of medications used for penile injections, are composed of alprostadil, phentolamine, papaverine, and atroine. 

Compounding pharmacies mix and produce these types of penile injections.

Typical formulas might be:

  • Tri-mix PGE1 – (Alprostadil) + Phentolomine + Papaverine
  • Bi-Mix – Phentolomine + Papaverine
  • Quad-mix – PGE1 (Alprostadil) + Phenolomine + Papaverine + Atroine.

This, of course, is decided under the supervision of a physician who will choose which preparation and dosage is the best starting place for you. 


Alprostadil Injection


Caverject and Edex became approved prescription drugs in 1995 and 1997 respectively making penile injections available by prescription as a prepared formulation without the need of a compounding pharmacist and through a regular pharmacy.

Bi-mix, tri-mix, quad-mix all require specialty compounding in which the compounding pharmacist mixes the medications to meet the specific requirements of the doctor and patient.

Many physicians prefer individualized or personalized mixes compared to prepared medicines such as Edex and Caverject.


Shots for erectile dysfunction



shots for erectile dysfunction

Penile injections produce an erection by relaxing the smooth muscle and opening up blood vessels in the penis when injected directly into the side of the penis. 8 out of 10 men achieve firm erections using injections therapy.

Penile injections are also known to work for men with a broad range of underlying medical conditions. 

While oral medications are systemic once they are digested and circulate through the entire body via the blood stream, injecting the medication directly into the penis ensures that the treatment is localized only to the penis. 

This is good for men who have cardiac conditions and don’t want to ingest a vasodilator that could impact their heart.


Penile injection instruction


Before learning self injection, which is the goal.  You must have your first injection(s) with a doctor.  This is to diagnosis the effectiveness of the treatment and to determine how much medication will be necessary to create an erection for sexual activity.

Once you learn the process and the amount of medicine required, most patients gain confidence and become accustomed to sticking a needle in their penis.


How to inject your penis


These steps are outlined by Urological Care who does a very thorough job of illustrating the process.  However, there is no substitute for working with a trained medical practitioner in a clinical environment. 

It is important to rotate injections between the left and right side of the penis to minimize negative side effects.  Plague build up at injection sites can create unwanted side effects.


Trimix side effects


Tri-max formulations are one of the most popular penile injections.  The side effects of Tri-mix injections are similar to other formulations or prescription medications such as Caverject or Edex. 

Side effects of penile injections may include the following:


Penis Pump


Penis Pump


Vacuum therapy devices also known widely as penis pumps are incredibly effective treatments for erectile dysfunction.  Side effects are minimal, effectiveness is over 90% and the costs are as low as $ 200.00.  Penile injections can cost between $ 1,000.00 and $ 3,000.00 per year.

The penis pump has an added attraction for men that use penile injections and would like to reduce their exposure to negative side effects.

Penile Fibrosis, which the authors of some clinical studies believe leads to Peyronie’s disease or curvature of the penis, is thought to be highly correlated with habitual use of penile injections.

By altering between penile injections and the use of a penis pump the exposure to penile injections has the potential to be cut in half.  It is very common for men to use penile injections sometimes and vacuum therapy devices other times. 

Treating erectile dysfunction does not have to be a choice between one treatment and another. Thought leaders and knowledgeable medical specialist simultaneously employ several treatments in many cases for a single patient to combat erectile dysfunction.


Penis pumps and erectile dysfunction injection


The use of penis pumps and ED injections together is not a new concept. In 1988 a published study concluded that a medical penis pump could be used to augment a partial response to intracavernous injections and that the availability of injections and vacuum constriction devices provide men with a more complete nonoperative ED treatment program.

A 1995 source published in the Journal of Urology also concluded that external vacuum devices, also known as penis pumps, can augment a partial response to intracavernous injections and the combination may make for an excellent alternative to utilize before a penile implant.

So, combining penis injections and penis pump use has the potential to both minimize side effects of injections and improve the results when partial results from penile injections need to be improved for sexual activity.

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Testosterone and Erectile Dysfunction?

Man with low testosterone

Man with low testosterone

Men with low testosterone are the subject of a huge wave of direct to consumer television, internet, and radio educational campaigns.  Low-T is the catchphrase used to coin a condition known in medical prose as hypogonadism.


For more information, check out our “Guide to Erectile Dysfunction“.


In short, it seems that according to the latest and greatest medical thinkers that not only women experience menopause but so do men. Officially defined as the reduction of hormone secretion or other physiological activity of the gonads (Testes or ovaries), male menopause involves a reduction in testosterone production.  Do a reduction in testosterone and erectile dysfunction go together?

Research has proven two significant facts dismissing the direct correlation between low testosterone and ED problems:

  1. Normal erectile function does not require normal testosterone levels
  2. Increasing testosterone levels does not increase frequency or strength of erection


If this is true, why do we see sexual dysfunction listed as a symptom of low testosterone (Low-T) in men?


Low testosterone and sex


Testosterone and libido


Testosterone is important for sexuality and sexual desire in both men and women.  However, what does a man do who experiences erectile dysfunction and has an increase in desire without the ability to create an erection for intercourse? It is widely known that testosterone isn’t a helpful treatment for ED, however, it is great for increasing sexual desire.

Sources support testosterone and Cialis for men who are taking testosterone replacement therapy and suffer from ED.  A penis pump is also a great option for men.  Especially if they don’t want to introduce chemicals or drugs into their bodies.

Many men who have organic impotence as the underlying cause of ED may not respond well to oral erectile dysfunction medications, thus making a penis pump an even better option for treating their erectile dysfunction with or without testosterone replacement therapy.

Are there any circumstances when testosterone replacement therapy can be a treatment for erectile dysfunction?  Testosterone replacement therapy has the potential to be a treatment for cases in which the underlying cause of erectile dysfunction is psychogenic

Testosterone replacement therapy is known to have a positive impact on men who have depression or cognitive impairment related to low testosterone.  If erectile dysfunction in men is related to either of these conditions there is some probability that testosterone replacement therapy could have a positive impact on erectile dysfunction.


Symptoms of low testosterone in men


Symptoms of low testosterone can occur when testosterone levels decline in men.  As a point of reference, the below chart demonstrates a range of what is considered normal testosterone levels at various ages.


Testosterone level chart






The following symptoms of low T are common:


What is testosterone replacement?


Testosterone replacement therapy (TRT) is a method of supplementing testosterone by the delivery of additional synthetic testosterone into the body to compensate for deficits in normal testosterone levels.   The pituitary gland and brain control the production of testosterone. So, supplementation occurs when this normal cycle of creation produces less of the hormone and administration or additional testosterone occurs.


There are many forms of testosterone supplementation, the following methods are commonly used:


There are many controversies that exist around benefits and risks associated with testosterone replacement therapy. The touted benefits include:


Can low testosterone cause ED?


At a minimum, low testosterone can reduce the ability to have enjoyable sex.  Low testosterone is often the cause of decreases in libido and if natural testosterone is reduced to significantly low levels all men will experience some decline in sex drive.

It is not unusual for other issues to be responsible for a decrease in sex drive, so it is best to work with your physician to get your testosterone levels checked before jumping to conclusions about changes in libido or sex drive are the result of low-T.  Stress, lack of sleep, and mental illness may all be related to loss of libido and sexual desire.


Testosterone and erections


The endocrine system through the normal functioning of the testes is responsible for the production of both testosterone and sperm.  Very seldom are problems in the endocrine system and testosterone production directly linked to erectile dysfunction.  Exceptions may exist, but they are rare.

This said, some men with normal testosterone levels and ED are given exogenous androgen therapy and report improvements in erectile function.  It is suspected that performance enhancement may be possible and often occurs through testosterone replacement therapy.  Typically, these men do not have organic erectile dysfunction. They are healthy and do not have a diagnosis of either moderate or severe erectile dysfunction.

 In cases of improved erections and testosterone replacement therapy, the cause of ED, if erectile dysfunction is present, is often psychogenic rather than organic.  In this respect, testosterone therapy replacement and use of PD5 inhibitors in healthy men may both improve erectile function in men that are able to achieve nocturnal erections.


Testosterone booster benefits


Natural testosterone boosters are thought to be found in foods, herbs, and certain vitamins.  If you are concerned about synthetic testosterone side effects to talk to your doctor about any of the following natural testosterone boosters:



Side effects of taking testosterone


The popularity of testosterone replacement therapy is skyrocketing.  Published studies indicate that as many as 10 million men who were taking testosterone were recently tracked and studied. Direct to consumer marketing strategies have been successful and the number of men prescribed testosterone has tripled since 2001.

Along with reported benefits, risks and negative side effects are possible with testosterone replacement therapy.  Recently the Journal of American Medical Association (JAMA) published an article that attempts to create a correlation between heart attack and testosterone replacement. 

Dr. Neal Rouzier has publicly criticized the findings while other studies have found no correlations between heart attack and testosterone. While controversies abound, the following side effects should be discussed with your physician.  The following negative side effects are reported by some sources and exonerated by others:


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Physical Activity to Improve Erectile Function

Physical Exercise Improves erectile dysfunctin

Physical Exercise Improves erectile dysfunctin

Erectile dysfunction is the inability to create and maintain an erection sufficient for sexual activity. Moderate or severe erectile dysfunction is typically the result of an underlying medical disorder.  Conditions that cause ED usually also affect blood vessels or nerves supplying the penis.


For more information, check out our “Guide to Erectile Dysfunction“.


One of the leading cause of erectile dysfunction is arterial dysfunction or any of a host of cardiovascular conditions which will ultimately lead to heart disease.  While pills, pumps, injections, and surgical procedures are available to treat erectile dysfunction, physical activity has been proven as a protective factor to improve erectile function.

The journal of The International Society of Sexual Medicine released a March 2018 systematic review on physical activity and ED.  The review suggests that the role of non-pharmacological lifestyle changes is becoming recognized by more medical practitioners as an effective way to combat erectile dysfunction. 


Aerobic Exercise Erectile Dysfunction


A comprehensive review of 10 articles concluded the following:

Recommendations of physical activity to decrease ED should include supervised training consisting of 40 minutes of aerobic exercise of moderate to vigorous intensity 4 times per week. Overall, weekly exercise of 160 minutes for 6 months contributes to decreasing erectile problems in men with ED caused by physical inactivity, obesity, hypertension, metabolic syndrome, and/or cardiovascular diseases.

The American Journal of Cardiology also published a 2015 study on erectile function and a walking exercise program.  The results indicated that an unsupervised home-based progressive walking program seemed to improve erectile function in men.  All participants in the study published were at low cardiovascular risk after being discharge from the hospital following myocardial infractions.


Erection Killers


Lifestyle is Erection Killer


Blood flow and aerobic exercise improve erectile function. So why are so many Americans struggling with regular exercise? According to Scientific American, sitting for more than half of the day is a noteworthy culprit.  The article: Killer Chairs:  How Desk Jobs Ruin your Health, makes a sobering statement: “Those who sat for more than four hours a day while watching television had a 46 percent increase in deaths from any cause when compared with people who sat in front of the tube for less than two hours.”

Apparently, the prevalence of erectile dysfunction and a sedentary lifestyle are highly correlated. Many of us work behind desks and go home to watch television in our leisure time.  Dieticians and health experts put a lot of focus on what we eat.  While this is an important focus, we must also be mindful to make room in our busy routines for aerobic exercise.


erectile dysfunction cure exercise


Kegel exercises

Beyond simple aerobic exercises, kegel exercises were noted in a 2005 clinical study in which 22 out of 55 men with ED reestablished normal erectile function as a result of pelvic floor exercises. 

While kegel exercises are not aerobic exercises, they are well known for assisting women in promoting urinary continence and sexual health after child birth. Applications of Kegel pelvic floor exercises for men and male sexuality are well established as beneficial.

The science shows that pelvic floor exercises can have a positive impact on your ability to get and sustain an erection. However, you shouldn’t think of pelvic exercises as a 100% erectile dysfunction cure.


erectile dysfunction exercises


In the absence of normal and regular erectile function, rehabilitation exercises are thought to promote overall nerve and vascular recovery. The term used by Urologist to describe erectile dysfunction exercises is penile rehabilitation.  Penile rehabilitation programs are like a form of physical therapy.  These programs help men recover their erectile function by inducing erections to “exercise” the penis.

Typically, these treatment protocols are prescribed by Urologist following a prostatectomy. Erections may be stimulated through oral medications, injections into the penis, penile suppositories, or penis pumps.  Much like aerobic exercises penile rehabilitation programs improve blood flow to the penis.


Penis Pumps


Any medical intervention that creates erections will stretch blood vessels in the penis which is beneficial to penile tissues.  The advantage of using a penis pump for erectile dysfunction exercises is that multiple erections can be created and released in one exercise session with complete control of the process.

In addition to the ability to create and release multiple erections with complete control in one exercise session, cost and toxicity are also considerations that make an erectile dysfunction penis pump the penile rehabilitation treatment of choice.

Other medical interventions come with a cost for each administration regardless of whether it be a pill, penile suppository or injection that creates the erection.  Incremental costs association with using pills, injections, and penile suppositories can be prohibitive for exercise purposes.  From a cost perspective, an exercise regimen with an erectile dysfunction penis pump comes with no or very little incremental cost.

Many men choose to use pills, injections, or penile suppositories for sexual intercourse, if they are successful candidate for these options. They may then use a penis pump for erectile dysfunction exercises. So long as side effects and the potential for toxicity that comes with drugs is acceptable.

Administration of drugs introduces foreign substances into tissues and the blood stream with some prospects of experiencing adverse side effects.  Oral ED medicines are known to have side effects such as headaches, blurred vision, or upset stomach.  Painful erections that last 4 hours or longer have been reported as adverse side effects of penile injections.  This is a condition known as priapism.  So, for the purpose of ED exercises drugs may not be a choice you are willing to make.


ED Exercises


ED exercise is a term that can be applied in various ways. Medical interventions provide a form of ED exercise that stretches flaccid penile tissues.  This form of ED exercise including the use of pumps, pills, injections, or suppositories is often necessary in cases in which impotence or erectile dysfunction is defined as moderate or severe erectile dysfunction.  These conditions are a reality for men that are unable to achieve nocturnal erections or create natural erections.

Kegel Exercises are a form of ED exercise based on another 2004 study that has demonstrated effectiveness in treating erectile dysfunction.  However, this study like many others cited, does not make clear the pervasiveness of organic ED in all of the men who are participating in the study.  So, there are questions as to whether or not Kegel exercises are preventative or have the ability to reverse moderate to severe ED. 

Physical or aerobic erectile dysfunction exercise is becoming recognized by thought leaders as perhaps the best preventative ED treatment. Given the rise of obesity rates in young men, aerobic exercise is a lifestyle choice that has multiple benefits.  30 minutes of aerobic exercise 3-5 times a week can prevent heart disease and erectile dysfunction.

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Penis Pumps Covered by Medicare

Penis pumps covered by Medicare discontinued by Congress

Penis pumps covered by Medicare discontinued by CongressFor 25 years Men suffering from erectile dysfunction could expect Medicare Part B would cover 80% of the cost or allowable set for Medicare beneficiaries to purchase a penis pump.  The primary requirement was that the underlying diagnosis or cause of erectile dysfunction was a covered condition.


If you were a man that had a  Medicare supplement plan F or G, or you had a secondary insurance policy without a sexual dysfunction exclusion designed to pay what Medicare would not, then 100% of the cost would likely be covered.  In July of 2015 Congress passed a law that completely discontinued Medicare coverage.

For more information, check out our “Guide to Penis Pumps“.


Medicare approved ED Pumps


The Department of Health and Human Services issued the following statement in 2014:

Section 203 of the Achieving a Better Life Experience (ABLE) Act of 2014 implements changes to treat VES prosthetic devices and related accessories as statutorily noncovered in the same manner that erectile dysfunction drugs are treated in Part D. Effective for claims with dates of service on or after July 1, 2015, DME MACs will deny claims submitted with HCPCS codes L7900 and L7902.


Letter of Medical Necessity


On July 21, 2014 medical necessity documentation requirements were significantly modified by Medicare. 

When this happened the number of claims paid by Medicare was considerably reduced.  Documentation requirements became burdensome, many physicians struggled to keep up with these requirements and many claims did not qualify for payment. 

The following items became a requirement for a vacuum device or penis pump to be covered by Medicare in July of 2014:


  • Hand written notes rather than forms (which were used in the past).
  • Written documentation of other ED treatments attempted and failed, the lack of other attempted treatments became enough reason to reject a claim or request for payment.
  • Untreated hypogonadism or hyperprolactinemia must be ruled out in the patient records.
  • Documentation of a rectal prostate exam in the doctor’s notes 12 months prior to a written prescription.
  • Clear written explanation of the medical necessity of the device should be detailed in the hand-written records.


It was recommended that all device suppliers obtain a full record of the beneficiaries’ medical record and if the July 2014 requirements were not met it was the job of the company selling the device to review the records and determine if the physician’s records were sufficient to dispense.

This was all prior to the passing of the ABLE act.  So, for all practical purposes Medicare coverage was significantly reduced in July of 2014, a full year before the treatment was officially terminated.

Prior to July 2014 a prescribing physician was required by Medicare to:

  1. designate by code that the cause of erectile dysfunction was organic (607.84) and not psychogenic (302.72).
  2. Secondly the physician needed to identify by code the underlying cause of erectile dysfunction such as diabetes or hypertension to get claims paid.

Before medical documentation requirements imposed in 2014, a letter of medical necessity for a penis pump was typically issued by a physician when a request or claim was being rejected or denied, for the purpose of appeal.


Why did Medicare decide to cover the penis pump?


Medicare began covering the penis pump in 1990.  The FDA approved the first vacuum erection system for sale by prescription in 1982 and within several years Medicare beneficiaries became aware that Medicare was paying $ 10,000.00 – $ 15,000.00 for surgical penile implants

In addition, Medicare had billing procedure codes for removing defective implantable components and additional procedure codes for follow up surgeries to maintain surgical penile implants.

At the time surgical Implants for erectile dysfunction were costing the government a lot of money. External penis pumps made a lot of sense for Medicare.

Men began a letter writing campaign in the mid 1980’s to have external vacuum therapy products for erectile dysfunction covered by Medicare.  It didn’t require much common sense for Medicare to decide to begin covering the therapy.

It was inexpensive to pay several hundred dollars for a non-invasive, non-surgical device that was effective in over 90% of men with few side effects compared to the surgical procedures they were covering at the time.


Medicare Coverage for Erectile Dysfunction


When Medicare covered penis pumps, the principle reason for coverage was related to treatment of the underlying cause of the condition and not sexual activity, even though it is known that sexual activity has health benefits. 

For example, if you are a man with diabetes various supplies that are related to the treatment of diabetes are covered.

Erectile dysfunction is a common side effect of diabetes. Thus, a penis pump was a covered item.

This approach was true for men with a diagnosed primary health condition which is covered by Medicare such as heart disease, prostate cancer and other conditions that impact multiple facets of life and health. 

In the example of diabetics with erectile dysfunction, a vacuum erection system was considered like diabetic shoes as both improve blood flow.


Why did Medicare decide to stop coverage of the penis pump?


Prior to congress passing the ABLE act which discontinued coverage, Medicare established a statutory prohibition on erectile dysfunction drugs.  Penis pumps were exempted from the statute and remained a covered item.

In 2013 Medicare released findings that Medicare was paying twice as much as the Veterans Administration for penis pumps. This report became national news.  It is not known if negative press coverage played a role in eliminating coverage.  However, it was only 24 months later that congress decided to abolish coverage.


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How does a penis pump work better than prescription sex pills?

Sex Pills Viagra

Sex pillsPrescription medications are practically an essential part of modern life.  According to available statistics people in the United States spent 360.1 Billion dollars on prescription drugs in 2017.  Our familiarity with pill taking is so ingrained in our collective and individual behavior, that taking medications is not second nature, it is our first nature.

For more information, check out our “Guide to Penis Pumps“.

We intuitively turn to medications to provide, if not the best, the primary or easiest solution to most medical issues. According to the Center for Disease Control and Prevention (CDC) 76.2 % of office visits to physicians in 2016 involved drug therapy. We are a society of pill takers.

Furthermore, the relationship between pill taking and sex is especially significant for baby-boomers.

When baby-boomers championed social change, individual freedoms and launched the sexual revolution in the 1960’s, campaigns by people like Estelle Griswold went all the way to the U.S. Supreme Court, where on June 7, 1965, it was ruled that under the First Amendment, it was not the business of the government to dictate the usage of contraception by married couples.

Personal and sexual freedoms were built largely around a medication that empowered women to separate having sex from childbirth, the pill. Birth control medications have given women control of their bodies and destinies.

 Sex Pills ViagraAs baby boomers began to age and were told in masses to “remember the good years” and accept erectile dysfunction or impotence as a normal part of aging, the promise of renewed youth and a second sexual revolution began. Pfizer sold one billion dollars-worth of Viagra its first year on the market. 

Once again, the generation that made individual and sexual freedom its mantra had another tool to navigate their sexual future and take control of their quality of life.

Is it any wonder that prescribing physicians and men seeking to reclaim the loss of their sexual life look to prescription sex pills as the first step treatment for erectile dysfunction? Are ED medications truly the best way to treat erectile dysfunction? So how does a penis pump work better than ED medications? Does familiarity with pills equal the effectiveness of a device?

What parameters can be used to compare prescription sex pills to a penis pump? What aspects of medical interventions are important to the couples who use them and live with the results of their choice in erectile dysfunction treatment.

ED solutions can be considered by how they fit into the following categories:


Spontaneous Sex


For the purpose of our comparison, spontaneous sex means the amount of premeditation and planning necessary to engage in sexual intercourse compared to the instantaneous following of a natural tendency.


Viagra becomes effective about 30 minutes after taking it, you then can achieve an erection during a 2 to 3 hour window before it wears off. Levitra becomes effective in also 30 minutes and will leave your system in around 5 hours. Cialis likewise will take effect in 30 minutes but can remain in the system for up to 36 hours. According to Mist Pharmaceuticals, LLC who supplies  Stendra it can start doing its thing in as little as 15 minutes, and its effects last up to 6 hours.


Assuming you have learned to use a penis pump and the desire for sex is in close proximity to your device, you can achieve a full erection 2-3 minutes after spending 3-5 minutes retrieving it from storage.  It could require as little as 5-10 minutes to become intimate following an unplanned natural tendency or impulse for sexual intimacy.


It might be said that couples who are married or cohabitate tend to engage in sexual activity in their home. In these cases, a penis pump could be more spontaneous than oral ED medications. This definition of spontaneity is solely based on an urge for unplanned sexual intimacy and the time necessary to consummate the desire. 


For singles who are planning to spend windows of time together as couples, the opposite could be said to be true, so long as they have planned to have sexual intimacy well in advance.


You will have to answer the question of how planning is related to spontaneity based on your own definition and lifestyle.




Oral ED medications are made up of various pharmaceuticals and other ingredients.  When an oral medication is ingested, the total body is affected by the ingested drug.  This is because what is ingested orally enters into the circulatory system.  This is called systemic administration.


Penis pumps are non-invasive or external. No pills, no needles, no surgery means that no foreign substances enter the bloodstream or circulate through the body when using a penis pump.  In terms of penis blood flow, external vacuum pressure is used to facilitate penile engorgement.  No medical intervention compares to this natural method of how to increase blood flow to the penis.




Certain men do not achieve erections from prescription sex pills.  Often an underlying medical condition might preclude a man from effectively using Viagra, Cialis, or Levitra.  According to Michael Castleman M.A.  who has reviewed 14 studies involving 18,337 men, success rates of prescription sex pills are around 50%.


Few men over 50 have tried erection drugs and only half refill prescriptions.  So, while manufacturers claim 70% of men see improvements in prescription sex pills, refill rates don’t support the claim.


ED medications do not always behave in the same manner each time you take them. They make take longer to be effective if you have eaten a large meal. Another factor that impacts predictability is the natural build-up of tolerance to medications over time.  Viagra tolerance, occurs when the body builds up a tolerance to the drug.  Often in these cases, higher dosages of the ED medication must be administered to achieve the same results. 


A clinical study published in the Journal of Urology suggests that higher dosages taken as drug tolerance builds may increase the probability of priapism, or a prolonged erection that is persistent and painful.


Once you spend a little time training yourself to properly use a penis pump, the results are easy to replicate with a high level of consistency. The results do not change based on your food intake.  There is no drug tolerance, so the effects will not change, lessen or quit working overtime.


The results with a penis pump are extremely predictable!




The primary reason that the penis pump is considered the preferred method of penile rehabilitation and used in restoring natural erectile function, is control.  For men who have undergone prostate cancer or are recovering from a radical prostatectomy, it is the amount of control a penis pump has over erectile function.


The ability to create and release erections on demand makes the penis pump the medical intervention that gives men more control over erectile function than any ED medication. 


Once a man has made a decision to ingest an oral ED medication he hopes he is able to control whether or not his partner remains interested in sexual intercourse.  He can control whether or not to answer the door if there is a knock or pick up a ringing phone.  But otherwise, he has lost control of most aspects of when, if, or how the drug will work.




The cost of Soma Therapy-ED when purchased directly from the manufacturer starts at $ 199.00.  You might spend an additional $ 75-100 for tension systems and lubricant over the course of a year with regular and consistent use.


Prescription oral medications vary in a range of costs. Insurance no longer covers the cost of prescription oral ED medications and according to CBS News, the average cost is $ 50.00 per pill.  A 40-year study that surveyed more than 30,000 Americans, found in 2015 that couples who have sex once a week are the happiest.


Based on having sex once a week the cost of a penis pump is covered in one month of pill taking. A couple using an oral ED medication can spend $ 2,600.00 a year. This is considerably more expensive than a couple of hundred dollars, especially if you are on a fixed income.


A penis pump is much more affordable than any other effective ED treatment!


Physician/Rx requirements


  • Oral medications require a visit with your physician and obtaining a prescription.


  • Medical grade penis pumps are available without a prescription and can be purchased directly from the manufacturer.
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Male enhancement pills side effects

sex enhancement pills and the FDA

Male enhancement pills clinical studies

Pfizer laboratories accidently created the market for sex enhancement pills in the 1990’s.  While working with an experimental drug to reduce blood pressure, men participating in clinical trials began having erections. The 1998 by-product of this discovery ushered in a modern day sexual revolutionPrescription drugs for erectile dysfunction were an overnight success and have since become a multi-billion-dollar business.  One can’t live in the modern world and not be acutely aware of the little blue pill that changed the world, Viagra.

Eli Lilly, Bayer Pharmaceuticals, GlaxoSmithKline and Schering-Plough, just to name a few drug companies, jumped on the bandwagon created by Pfizer. They shadowed the newly opened regulatory path toward FDA approval for their own brand of prescription ED pill.  A new era of awareness around the best sex pills accompanied by billion-dollar marketing budgets has created unprecedented sexual health awareness and pills for sex. This wave of FDA approved blockbuster drugs has also given way to something a bit more sinister.

The success of the little blue pill started a shadow industry of over the counter sex enhancers.  How many times have you seen an advertisement for the best over the counter Viagra? According to the FDA, a wave of unregulated male enhancement supplements, many marketed as having natural ingredients, has been thrust upon the public. “Even a cautious consumer can’t tell that these products are, in fact, tainted with undisclosed drug ingredients, because their labels do not list the potentially hazardous ingredients,” says M. Daniel Dos Santos, Pharm.D., Ph.D., of FDA’s Division of Dietary Supplement Programs. 


Sex Enhancement Pills


sex enhancement pills and the FDA

With so many unregulated nutraceuticals, many laced with prescription drugs, unapproved by the food and drug administration, the common side effects of taking FDA approved drugs for ED don’t get the attention they deserve.

It is becoming more difficult for men looking for ED solutions to tell the fact from the fiction. Around every corner, a new familiar looking product promises natural male enhancement or is advertised as a penis enlargement pill.  Meanwhile, no reliable science substantiates any of these claims.


Advertisements during every sporting event known to man depict blissful relationships and happy carefree couples skipping off into the sunset after digesting pde5 inhibitors.  Meanwhile, men considering advertised oral drugs for ED require a magnifying glass and speed reading skills to fully grasp common side effects.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Side effects of Viagra


Side Effects of Viagra

It is well known that the Viagra and other forms of sildenafil usually produce firm erections for healthy men.  For the time being, many men who are diabetic, recovering from prostate cancer or suffering from severe forms of metabolic syndrome report low levels of satisfaction with oral drugs for erectile dysfunction. Of those men who do experience erections sufficient for sexual intercourse some report side effects from Viagra, the most serious of which are:


While these occurrences are not common.  Common side effects such as:

Are widely reported by men who can achieve erections while using Viagra but discontinue use of the drug because the side effects are intolerable.


Male Enhancement Supplements


Men with erectile dysfunction frequently experience coronary artery disease, cardiovascular disease, and are managing blood pressure issues. Common side effects that might be uncomfortable for healthy men can become dangerous for many of the men who have moderate to severe erectile dysfunction.  Male enhancement supplements that claim to diagnosis, treat, and/or cure erectile dysfunction must be reviewed and approved by the FDA. 

Marketing claims that have been established by drugs such as Viagra, Cialis, or Levitra typically meet FDA standards.  The FDA has issued multiple warnings to manufacturers of male enhancement products that contain hidden drug ingredients possibly dangerous to people with diabetes, high blood pressure, high cholesterol, or heart disease.  The following products have received notifications that they violate food and drug regulations:

These are just a small fraction of male enhancement products that are violating the food and drug requirements established for safety. Contact a doctor immediately if you have had an allergic reaction to any male enhancement products.


How to increase blood flow to the penis


If you would like to experience full penile engorgement naturally, look to Augusta Medical Systems.  The founders of Augusta Medical Systems introduced the first non-invasive FDA approved ED solution to the world in 1982. Augusta Medical Systems now manufacture’s and provides the best penis pump directly to you without a prescription.  No drugs, surgeries, or needles required!  Give us a call 800-827-8382.

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Sex after Prostate Cancer

Sex after Prostate is something couples are interested in

Sex after Prostate is something couples are interested in

The prospects of Surviving prostate cancer have never been better. Due to advances in the  Treatment for prostate cancer and awareness around the need for men over the age of 50 to participate in annual screening for prostate cancer, the 5-year survival rate for most men with local and regional stage prostate cancer is almost 100%. With successful treatment outcomes so high it is natural that men and their partners want to understand what to expect from sex after prostate cancer.


Side effects of prostate cancer


Side effects of Prostate cancer treatment typically depend in great part on how the cancer is treated.  In general, depending on treatment choice, the following side effects may be expected after treatment for prostate cancer:


How is Prostate Cancer Treated?


Beyond how prostate cancer is treated, other variables determine if known side-effects materialize and how severe the occurrences are. Not every man will either avoid or have a guaranteed side effect based solely on a treatment regimen.  Any number of the following factors may determine prostate cancer recovery:



Prostate cancer treatments and side effects


Prostate cancer treatments and side effects for men's care

Prostate cancer treatments and side effects were evaluated by the National Cancer Institute (NCI) who started a health-related steering Committee.  The board was established to identify side effects from different prostate cancer treatments and make recommendations regarding a core set of patient-reported symptoms and health-related quality of life treatment outcomes. The committee consisted of Physicians, researchers, and patient advocates. 

A methodical literature review initially consisted of 1164 articles, 295 articles were disqualified for lack of prostate cancer data, 555 studies were rejected because they had less than 200 patients, 165 papers were then excluded because pre-treatment data was not studied, 72 studies were struck for being a single institute study and 77 clinical studies were used for critical review which provided the basis for observations by the NCI committee.

The Journal of the National Cancer Institute  published their findings in a study titled “Recommended Patient-Reported Core Set of Symptoms to Measure in Prostate Cancer Treatment Trials.”


Sex after prostate surgery


At a minimum you can expect some reduction in the ability to keep an erection after surgery.

Your ability to have an erection after surgery depends:

  • on your age;
  • your ability to get an erection before the operation;
  • whether the nerves were cut or merely handled in the procedure;

Nerve sparing prostatectomy surgical procedures are intended to preserve the soft tissue around the prostate and prevent the surgical procedure from leaving a potent man with erectile dysfunction.

Despite going through this type of procedure many men still have erectile dysfunction. One study found that one year after prostatectomy, 66 percent of men experienced erectile dysfunction after having a nerve-sparing procedure versus 75 percent who did not have nerve-sparing surgery.


Sex after prostate radiation therapy


Radiation treatment of the prostate is described as external or internal. internal radiotherapy (brachytherapy), is a procedure in which radioactive seeds are implanted into the prostate.  External-beam radiotherapy is a procedure in which a machine is used to aim high-energy rays from outside the body into the tumor with radiation therapy.  Both procedures are known to produce significantly high cases of erectile dysfunction.


Sex after brachytherapy prostate cancer


According to a study published in the Journal ONCOLOGY approximately 50% of men who undergo brachytherapy experience erectile dysfunction within 5 years of implantation. Several factors including pre-implant potency, patient age, the use of supplemental external-beam irradiation, radiation dose to the prostate gland, radiation dose to the bulb of the penis, and diabetes mellitus which appears to exacerbate brachytherapy related erectile dysfunction.  Many clinical studies cite even higher rates of erectile dysfunction following brachytherapy, some less.


Sex after external radiotherapy treatment


A clinical study titled Sexual function after external-beam radiotherapy for prostate cancer: What do we know? Published in Critical Oncology and Hematology  summarizes data on the etiology of erectile dysfunction after external-beam radiotherapy for prostate cancer going back 40 years. In summary 60-70% of men experience post radiation ED.


Sex after cryotherapy


Cryotherapy is a process of freezing prostate cancer cells to kill them. Freezing usually damages nerves that are responsible for erections. In fact, as many as 90% of men who experience cryosurgery leave the procedure with erectile dysfunction.  Erectile dysfunction is the most commonly reported side effect of cryotherapy for prostate cancer.


Sexual dysfunction disorders


Sexual dysfunction disorders


In addition to the ability to achieve and maintain an erection sufficient for intercourse the following sexual dysfunction disorders are also common in men who have experienced radiotherapy treatment for the prostate:


Ejaculation and prostate cancer


A radical prostatectomy is a surgical procedure that completely removes the prostate.  Sex after prostate removal is going to be different. Orgasm after prostate surgery does not consist of ejaculation. There is no ejaculation after a radical prostatectomy because the prostate which makes the semen has been removed.  With the prostate gone, there is no semen and fluid build-up in the urethral, this is also known as a dry ejaculation. Most men report that orgasms can be satisfying, just somewhat different.


Side effects of hormone therapy for prostate cancer


Sexual side effects are very common after hormone therapy for prostate cancer.  Erectile dysfunction often develops over time if not experienced initially.  Loss of interest in sex is one of the most typical side effects of men who utilize hormone therapy.


Can you have sex after prostate cancer?


Depending upon your age, your erectile function before being diagnosed and treated for prostate cancer, how far the cancer has progressed, and the treatment employed to remove the cancer it is possible that you will be able to achieve natural erectile function post treatment.


Even with a focus on preventing erectile dysfunction and related sexual dysfunction issues, the chances that medical interventions will be necessary to have sex after treating prostate cancer is greater than 50%.  It then becomes a question of which medical interventions you are a candidate for.  The following medical interventions are available:



Erectile Dysfunction Exercises


erectile dysfunction exercises


Erectile dysfunction exercises also known as penile rehabilitation is frequently recommended after surgery.  Nerves can take as little as six to nine months to heal or sometimes up to several years after surgery. During the period in which severed nerves heal known as neuropraxia you will not be able to achieve erections. 


Using a medical intervention to create erections and mimic the healthful benefits of nocturnal erections directly after prostate surgery will increase blood flow to the penis.  This is thought to significantly improve your probability of regaining spontaneous erections and normal erectile function.


The two most reliable medical interventions following prostate cancer procedures for the treatment of erectile dysfunction are surgical implants and external penis pumps.  A penis pump is considered as the first-line treatment of choice for penile rehabilitation by many physicians. So, it may make sense to start with an Augusta Medical Systems vacuum therapy device.  You can purchase directly from the manufacturer without a prescription!