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Best Penis Pump Results


Clinical education on best penis pump

For over the past 35 years we have worked directly with prescribing physicians, product users, and clinical educators around the world to manufacture, define and re-define the best penis pump.  Through the years, multiple new technologies created by the founders of Augusta Medical Systems have produced the following brands:

What is a penis pump

A penis pump is a class II medical device described by the FDA as an External Penile rigidity device.  These devices are also known as vacuum erection devices, a negative pressure device, erectile dysfunction pumps, vacuum constriction device or a vacuum therapy device. They are used to create and maintain an erection. 

The following components are assembled to create a penis pump:

 Vacuum HeadVacuum Head

The specially designed lever can be activated with one finger for effortless creation of vacuum or negative pressure.  It is called the Ultra Ease™ lever.  The vacuum head is used to create vacuum.

The black button featured on the back of the vacuum head is a release button which instantly releases all vacuum in the cylinder.     

The AMS Battery Negative Pressure Device is available for men who want to create vacuum with the touch of a button.

Penis Pump Cylinders Cylinder

The penis is inserted into the cylinder(s) and vacuum creates an erection.  Five cylinders are available to accommodate anatomical differences that naturally exist from man to man.  The Soma Therapy OTC Manual system and the Soma Therapy OTC – Premium both come with the most commonly used cylinder. SOMAerectStf and SOMAerectStf Plus both come with the 3 interlocking cylinders.  Additional cylinders are available via special order. Utilizing the cylinder that most closely matches your fully engorged erection allows for the most efficient use of vacuum and easy creation of full penile rigidity.  The unique Stf product line excels in vacuum efficiency!                                                                                                                                                                                                                                                                                                                                                                                                                                                              

Tension system for penis pumpTension System or Rings

Used to hold or maintain an erection. The precise balance of tension and comfort is necessary to maintain an erection.  The SureFit™ collection of tension systems comes with each vacuum therapy device.  In addition to the SureFit™ collection the following comprehensive selection is available:


SureEase Ultra

SureEase Comfort



Comfort Inserts for Penis Pump

Comfort Inserts

Soft adjustable inserts fit on the end of the cylinder.  Comfort inserts also slightly decrease the diameter of the cylinder to further customize the cylinder for a snug fit against the body then applying the system.

 SomaTherapy-ED® LubricantSomaTherapy-ED Lubricant

Specially developed for Augusta Medical Systems vacuum therapy systems.  To ensure optimal performance in achieving an erection.


How to use a penis pump







Erectile Dysfunction Pump containing flaccid penis

Apply the system over the penis







Cock Ring is moved from erectile dysfunction pump to erect penis Squeeze the lever 3-5 times, wait 10-15 seconds, repeat the process until the penis is fully engorged.







cock Ring on erect penis released by pulling tabs Once you have achieved a full erection, slide the tension system to the base of the penis, maintaining the erection while removing the cylinder.




Best Penis Pumps



Superior product performance, unequaled quality standards and well thought-through design features all make for a first-rate user experience and successful treatment outcomes. A commitment to continuous product improvement has evolved to create the finest medical penis pump products, known as the SOMA product line.

Physicians prescribe and continue to refer Soma Therapy-ED products to their patients on a daily basis to treat erectile dysfunction around the globe. Before Medicare discontinued coverage of the penis pump in the United States a.k.a as the vacuum erection device or erectile dysfunction pump in 2015, prescriptions were necessary for Medicare and private insurance reimbursement which has all but disappeared since 2015. 

Urologist at the following institutions have referred or prescribed Soma Therapy-ED:

* Prescriptions are not endorsements, none of the above intuitions are endorsing Augusta Medical Systems or Soma Therapy-ED

How to make a penis pump

Subject to the September 10, 1997 FDA policy modificationsPenile Rigidity Devices manufactured for sexual pleasure do not have to register or be listed with the FDA so long as their products “do not make medical claims.”  Those companies who do not list with the FDA, are not routinely inspected for Good Manufacturing Practices and the Quality System Regulation by the FDA, thus they are flying under the radar.

Prior to 1997 all penis pumps were required to strictly adhere to good manufacturing practices and the quality system regulation which required devices and the manufacturers that produced them to submit to audits of their devices and quality systems.  Strict adherence to design features and labeling claims were in place to prevent risks to the health of men who use these types of products.

It is now difficult for men to differentiate between medical devices and sex toys.  On-line sites don’t do much to help direct men toward medical devices and away from toys.

Top Rated Penis Pumps

Finding reliable unbiased ratings of penis pump products on-line is difficult.  Medical professionals who prescribe these products don’t normally participate in comprehensive product ratings.  Augusta Medical Systems distributes its products by physician referrals and/or prescriptions.  Otherwise you can buy direct from Augusta Medical Systems.

Affiliate marketing sites  or one-line retailers use product ratings as a popular way to give high ratings to the products that they earn a commission on or promote a sale of.  Examples of sites that rate penis pumps are:

Does a Penis Pump Work?

Clinical studies clear medical penis pumps for two primary labeling claims:

  1. To create penile rigidity
  2. For penile rehabilitation

Do penis pumps actually work?

When a novelty product or sex toy begins to make medical claims and venture outside of the intent of the 1997 non-prescription FDA ruling, with claims such as treating erectile dysfunction, they maybe unadulterated or unapproved claims. Over-promising and under-delivering has become common in the market for penis pumps.  As soon as you see claims that are in fact medical, buyer beware!

The following medical claims associated with a penis pump in the United States are not backed up by science and depending on the context of the claim may in-fact violate the FDA claims guidelines:

Are penis pumps safe?

Penis enlargement pumps may intentionally or unintentionally encourage a user to over pump to gain penile length. The FDA lists the following outcome that can be directly related to over-pumping.

FDA Precautions

Device use may bruise or rupture the blood vessels within the penis or scrotum, resulting in petechiae (a small purplish spot on a body surface, such as the skin or a mucous membrane, caused by a minute hemorrhage), hemorrhage (flow of blood from ruptured blood vessels), or the formation of a hematoma (localized swelling filled with blood resulting from a break in a blood vessel).

Devices that meet FDA design features have a manual safety release mechanism.  Further, FDA design features mandate that vacuum pumps draw a vacuum of less than 17 inches of mercury.  This also can prevents damage to the penis caused by over-pumping.

Increase blood flow to the penis

Penis pumps are designed to increase blood flow to the penis.  The best penis pumps can achieve this efficiently, comfortably, and with high levels of consistent predictability. Augusta Medical Systems has proven that it manufactures the best penis pump.  Our testimonials are from men just like you.  For more information please give us a call at 800-827-8382.

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How to get an Erection on Command with a Penis Pump

Erection on command

Erection on commandThe physiology of erectile function is not simple. It involves nitric oxide pathways. Nerves and hemodynamics (dynamics of blood flowing) must work together to produce an erection. If you’re a man with normal erectile function, you may wonder how to get an erection on command. The best time for sexual intercourse can occur without a plan or schedule. A man under 30 without ED is not always able to get an erection on command. If you have sexual health challenges or experience erectile dysfunction, it is a more difficult question. How do you achieve an erection on command?

Is timing important when choosing a sexual health aid? What is the quickest way to increase penile blood flow? How do you achieve a harder erection in the least amount of time? Viagra, Cialis, and Levitra are popular. Do they work on command or quickly?

Sex Pills for men

Oral medications are a very common treatment for ED. The best sex pills for men are prescription. Prescription medications for sexual health often impact nitric oxide synthesis. As a result of the medical findings around nitric oxide, l-arginine is found in many over the counter supplements.

Usually, over the counter medications are unregulated by the FDA. Many are not safe to use. Others only work for men without erectile dysfunction if they work at all. These are best described as performance enhancement supplements.

Depending on your medical condition, prescription oral ED medications may not work. Half of the prescriptions for oral ED medications are not refilled. This may speak to effectiveness. If you are a man who can take a prescription pill for ED that is great. Even then it usually takes 30 to 60 minutes after taking the medication to produce results. So if you want to create an erection on command, a pill might not do the trick.

Harder Erections

One of the common complaints among viagra users is the low quality of erection produced. Most men must wait 30 minutes to an hour after taking the pill for results. Many men then only experience a semi-erect penis. This is one of the advantages to correct use of a medical grade penis pump. Used properly you can achieve an erection that is your fullest natural erection on command.

How to use a penis pump for erections on command

With a minimum amount of practice, you can create an erection using a penis pump. It only takes 2-3 minutes. As you ingest Viagra and nitric oxide causes smooth muscle tissues in the penis to relax you could have easily created an erection with a penis pump. By the time the drug begins to take effect, you are having sex with a penis pump. The process involves 3 simple steps:


Erectile Dysfunction Pump containing flaccid penis


Apply the system over the penis.





Harder erections


Activate the pumping mechanism. This will draw blood into the penis, causing an erection.





Harder erections


Once the penis is fully engorged, the tension ring is placed at the base of the penis, maintaining the erection.






Penis Exercise

As you learn the process of how to get an erection on demand, penis exercise is possible. Penis exercise is a process prescribed by sexual health physicians. Following prostate surgery, men often lose nighttime erections. These are called nocturnal erections. Nocturnal erections occur 3-5 times per night. They are considered to be associated with penile health.

Creating erections draws oxygen-rich blood flow into penile tissues. The process of blood flowing into a non-erect penis stretches tissues. This prevents tissue atrophy and maintains penile length. You can use a penis pump to mimic nocturnal erections. To use a penis pump for penile health do the following:

  1. Apply the system over the penis.
  2. Activate the pumping mechanism. This will draw blood into the penis, causing an erection.
  3. Release the erection in the cylinder and perform the first and second steps again.

Repeat penis exercises using a penis pump 3-5 times per week. Each session should last for approximately 20-30 minutes. You don’t have to be a prostate cancer survivor to lose nighttime erections. Diabetes and hypertension medications often cause a loss of nocturnal erections. Other medical conditions are associated with the loss of nocturnal erections. Even severe lack of sleep can be associated with this loss.

Repetitive erections keep the penis healthy. This can improve your erections. Harder erections can then become more likely.

Can a penis pump assist with premature ejaculation?

What is premature ejaculation? This is when men are not able to keep an erection without releasing semen. After semen is released the erection is lost. Erectile dysfunction is defined as the lack of ability to achieve an erection and maintain it. Premature ejaculation prevents men from being able to maintain an erection.

When you use a penis pump, a penis ring is placed on the base of the penis. This is what maintains an erection after it is created. When you learn how to use a penis ring you learn how to maintain an erection. You can keep an erection up to 30 minutes with a penis ring in place. In some men, this is a confidence booster. In other men, this is a way to maintain an erection to please a sexual partner.

Penis Pump Results

Over 90% of men who suffer from erectile dysfunction can achieve an erection with a medical grade penis pump. For best results, you can buy directly from the manufacturer. Augusta Medical Systems is the premier manufacturer of American made vacuum erection devices. No prescription is required. Regardless of non-prescription status, it is important to discuss sexual health issues with your physician. Erectile dysfunction can be the first symptom of an undiagnosed medical condition.

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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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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!