New UK member, hoping I will get better

Thanks Greek! Yeah, its a weird thing about the vitamin D. Its a weird thing generally whats going on with my erections!

So this is a picture of the product that my GP prescribed me: https://www.ebay.co.uk/itm/HuxD3-Colecalciferol-20000iu-Vitamin-Hux-D3-Capsules-Vegetarian-Kosher-Halal-/152474665605?var=

I think my D levels were something like 22 and anything less than 30 is considered low. Supplementation is still recommended for people with 30 - 50 and ideally 75 is optimal. So my levels were pretty low really.

It looks like most vitamin Ds that you get in boots etc are around 1000iu so the product I was prescribed is like 20x stronger. Bear in mind though, I was told to take one tablet a weak but I have noticed that my erections don’t last that long. After 4-5 days, I can feel them starting to weaken again and I need another tablet soon.

Hope this is helpful Rmoney96 :slight_smile:

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That’s interesting Will, thanks for sharing.

I wonder if you could get your vitamin D tested daily for a week or at least on the day at which your condition deteriorates? If the vitamin D is the fix for you at the moment, you should be able to see the vitamin d level correlate directly with your condition.

Warning: half baked theory coming.

As vitamin D can be stored by the body, I wonder if you have exhausted it all by 5 and that would mean you could do with taking it on a 5 day cycle rather than 7? Maybe mention it to the doc.

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Interestingly, I was doing some reading last night and vitamin D does have some effect on nitric oxide. I notice that the PDE5 inhibitors also largely have their effect through blocking the break down of nitric oxide. I would describe the feeling I get after taking vitamin D as if I have taken a tadalafil. It feels like there is more blood to rush into the penis. I still struggle to maintain the erection and it needs a lot of stimulation bit I do feel there is more blood flow.

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Hi Greek,

Very sensible mate - I do plan to get my levels tested again and I need to work out a more sustainable way of getting my vitamin D. I wonder if I would do better with a daily dose, but lower. Perhaps - 1000 to 2000iu a day. This should still be pretty safe I think but i’ll discuss it with the doctors. Will let you guys know when I get my levels rechecked.

I’ll just say again, I wouldn’t consider this a cure really for me - I still have problems especially with spontaneous erections and it takes a long time to get erect. But, it is better than not being on it. This might not be something which works for everyone, perhaps if you are low in vitamin D?

This could also all be in my mind! Lets see how the coming few weeks go really with the vitamin D and erections. I’ll keep everyone up to date.

How you doing Greek? You still getting better mate? Hoping you are close to fully recovered now mate :slight_smile:

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Hey guys, I can second this too. Vitamin D is good for erections and testesterone. I haven’t been getting enough sun these past 3-4 months but last 3 days I made sure to go out in the sun (even though its cold as hell here) without a shirt on for 30 mins or so. It definetely improved my libido a bit and I had better sleep too… And this is just 3 days of sun for 30 mins…

Thanks for your support Scotsman! Good advice about writing everything down, really sensible.

How are you doing these days? I remember you had a success post a while ago. Do you feel like you are still making improvements?

Hope your doing well buddy :slight_smile:

Will

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Hi there Will. I’m doing not bad thanks :slightly_smiling_face:

After my celebratory post I went back and had another look at my dick, which resulted in a bit of a come down. It still measured the same but still didn’t look quite right. I think that I’ve had difficulty with blood flow to the whole of my penis, and although that has improved, there is still some tapering. I’m trying to hold on to that amazing feeling that I had however that I could get back what I had lost. I think that I was just overwhelmed by the fact that I didn’t have a dick under 5" like when I first became aware of the changes. I hope that all of us here can get that feeling when things revert to as they should be. Although I have revised my initial assessment of improvement, the main thing is that there is an improvement :+1:

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So brief update guys. Not great news unfortunately.

So I took a high dose vitamin D on Tuesday night. Had a few good days of erections but by Friday/Saturday (when the vitamin seems to be running out) I am pretty much back to square one. I’ve been taking the vitamin pretty continuously over the past few weeks so just thought i was perhaps improving naturally and maybe i could even stop the vitamin one day. How wrong I have been. I realise now after the vitamin is leaving my system that it really does a lot and my erections without it are poor. In fact, it more just generally sexual dysfunction. My orgasm seems strange too, like I want to cum quickly but when its actually approach it sort of seems delayed at the last minute. And I can’t get a full erection. So I feel pretty gutted.

I tried taking a lower dose of the vitamin D, kind of wondering if a lower dose daily would help (as oppose to the weekly high dose), I don’t think it will really. I think there is something specifically about giving my body the high dose which gives it a ‘boost’ for several days and good erections.

The problem of course is I can’t stay on high dose Vitamin D! I’m gonna get a blood test to check my levels this week hopefully but if I stay on this dose it would probably be a few months before my levels are starting to get quite high. There is a risk of toxicity in high levels in the body so given I’ve already fucked myself with finasteride, I don’t want to screw my body up more with crazy levels of vitamin D.

So I feel kind of gutted guys. Back to square one. Where do we go from here? I really wish I had pushed harder now at my andrology appointment this week. I just thought I was improving this week and that is what I said. In light of this weekend. It is clear I still have big issues.

So I am now 4 months off finasteride and my erections are definitely still very weak. ejaculate clear, no sponaneous erecitons, etc. I really feel so scared and fucked now! What are the chances of improving after four months?!

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Hi Will
So so sorry to hear this bad news mate i truly feel for you pal it’s a horrible situation to be in i still remember the early days of realization of the damage i had done taking Finasteride it’s totally mind blowing.
I had my fingers crossed for you mate last i heard things were looking up.
Don’t beat yourself up about not pushing harder at the hospital you will get another shot at your next visit this time you will be more mentally prepared.
I have my appointment coming soon I will push forward for help as much as possible we can compare notes share experiences and fingers crossed see a positive outcome to this.
You take care mate will pm you :+1:

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Hi Baz,

Thanks so much mate for your kind message. You’ve been a big support to me on this site. Yeah, it is pretty rubbish. Going to see the GP this Wednesday to get a blood test for Vitamin D. See what my levels are like. If its still kind of low-moderate, I think I’ll carry on with the high dose treatment for a little longer but just monitor my levels closely. I am just wondering if I keep on with the treatment and keep the erections strongish, will that lead to some permanent positive changes in the penis? Like penile rehabilitation? Its possible - its also possible it won’t!

I do have the possibility to go back on viagra/cialis but I must admit I’m scared of the side effects. I know they are meant to be safe drugs generally but I did get some side effects and since I’ve developed tinnitus recently there is a chance the drugs could make it worse.

How are you doing mate? Definitely push hard when you go for your urology appointment and say its been a bloody nightmare for you! Get as much help and treatment that you can! Really pleased you have this treatment coming up mate :slight_smile:

Hows the other things? The Ank Spond still a problem or is that any better?

Will

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Cheers Will
I will keep you posted on things mate
I’ve also contacted a few other guys on this forum that are uk based we all have very similar issues mainly the sexual issues so it’s a good base to be working from as what works for one of us should work for all of us in theory.
It seems to me that its all a trade off you either get more prominent sexual issues or mental issues but either way you will get a dose of both sets of issues although I sometimes suspect that the sexual issues cause the anxiety and depression being that sexual issues are so demoralizing for guys .
Saying that it could work the opposite way for the guys with more prominent mental issues as there mental issues Could be the thing standing in the way of their less agressive sexual problems.
Ive read one or posts with people saying that their is two types if pfs this does make sense as things do seem to be split between mental and sexual states but i still feel its a one thing will fix both situations regardless as the issues have been started relating to 5ar.
The strangest thing is that alot of us with the sexual issues feel that its a blood pressure problem and most respond well to drugs like viagra Calais etc this is very confusing as i don’t see a link unless it’s to do with actual tissue changes ? Alot of guys do state penile shrinkage sagging skin smaller testicles etc it’s like the drug was creating feminine characteristics i.e loss of body hair to legs chest and eyebrows muscle wastage / loss also gyno in some cases.
You would expect low testosterone levels but they rarely seem to be the problem.
I wish i had my bloodwork done prior to finasteride but this seemed pointless to me at the time as i wasn’t expecting problems at all and the fact that i was using anabolics and high doses of ibuprofen just made it even more pointless as this would of changed my natural profile anyhow.
I can’t get my head around it all as im not really medically minded as such im just trying to piece things together.
How a little tablet can create all of these issues is just crazy but if you think about how the average pain killer works by blocking signals to the brain thats pretty amazing in itself.
The more i think about tampering with your hormones for a period of time the more i see the dangers but it still comes back around to the questions of why don’t things go back to normal once the drug is stopped and why do i feel a blood flow issue is present ?
Other things that don’t make sense are lack of libido I mean i can understand no nocturnal or spontaneous errections if your impotent due to blood flow issues , poor blood flow Would even make sense with the lack of sensation in the penis along with it being cold to touch as many have reported but blood flow issues wouldn’t account for lack of sexual interest in general.
Sorry if ive left you as confused as i am about it all mate i will keep you updated on things my end.
One last thing i wouldn’t worry too much about the side effects of Viagra and Calais etc from what i have read about them they are very safe to use long term but obviously do your own research on these please mate as you know if you have any other medical issues that may be a problem with these drugs.
The hardest part is getting over this issue mentally mate it’s just not natural.

You take care mate pm me anytime :+1:

Time for a Christmas update!

So its about 4.5 months now since I have discontinued finasteride. What has changed?

Firstly, the good news. There has been some degree of improvement in my erection. I can now get a reasonably hard erection (enough for penetration). I can orgasm. These are the main positive and there was time after I finished finasteride that I could not get an erection or orgasm.

So now the bad!

  1. It takes a long long time to get an erection with manual stimulate. It can be a few minutes of manually stimulating before I even really start to feel the blood flowing to the penis. And further few minutes before I really feel the erector starting to take hold. I am just wondering what any woman would think of this! I mean, several minutes of pretty intense stimulation just get hard! Not good. Also - no morning or nocturnal erections. No spontaneous erections.

  2. The erection itself needs a lot of stimulation to maintain it. I can get it reasonably hard but as soon as I stop stimulating, I can feel it draining away very quickly. So I probably could have sex (BTW, I’ve not had sex since I stopped finasteride) but it would be quite ‘forced’. I would always be worrying about the erection making it hard to enjoy.

  3. The ejaculate is still extremely clear. I had hope it might start to thicken and get more white but there has not been much change really.

  4. The orgasm is altered. I’ve noticed that after I take some medicines (vitamin D, folic acid or claims) it can cause a sort of delaying effect on the orgasm (which is sort of good really) but when I am not taking these, I seem to have premature ejaculation. It is also weaker generally.

So I am still a long way from normal and experiencing really quite a lot of sexual dysfunction even several months after discontinuing finasteride.

I think what is most psychologically distressing actually is the my first point - the length of time it takes to actually get an erection and the ability get spontaneous erections or morning erections. I used to enjoy getting sexual excited and feel that correspond to an erection without stimulation. Having to manually stimulate it now just doesn’t feel the same.

I am trying to work out why this is and I can only think of two possible reasons really (both pretty bad ones). Firstly, a neurological issue with the penis. The nerves which ‘communicate’ the erection are damaged or malfunctioning. This is why it is taking a long time to get the erection. I have no idea how to test this, I will mention it to the Neurologist when I see them next. I wonder if this is the kind of thing diabetics have? I know they have problems with erections too which can at least partly be attributed to nerve dysfunction. I also am suffering periphperal neuropathy at the moment (more on this later) which is again suggestive of nerve problems. Fuck.

The other possibility is neurosteroids. This seems to be coming up more and more in the research and may possibly explain the possibility of why there is a long delay and no spontaneous erections? Then again, my libido seems reasonable so perhaps not? I really don’t have enough knowledge in this area of biology to comment intelligently.

So the peripheral neuropathy. This is very likely due to Ciprofloxacin, an antibiotic taken for prostatitis. The effect this drug has had on me has been profound, even worse than the finasteride. It is known to have neruotoxic effects for a sub-set of people (I was certainly never warned about this. What does this remind me of - doctors not warning me about potentially devastating side effects to a drug which they said is very safe … answers on a post card). Also, none of the doctors have ever heard of this side effect - (also, what does this remind me of!)

Off to see a peripheral neuropathy specialist in the New Year. Praying this will not turn out to be permanent and with time (months) I will notice improvements in the neuropathy. That being said, it’s be four months since I stopped the Cipro and the neuropathy has got worse, not better. Not a good sign.

One final thing, I was checked for B12 recently and found to be deficient. Given I have neurological side effects, I was given B12 injection and folic acid which made me feel just terrible. Had to stop them. We will see what the neurologist says in the new year. I did note that my erections felt a bit better and I saw a boost in libido when I was on the B12 (1000mcg) and folic acid (5mg). Might be worth checking for you guys your B12 levels. Can’t guarantee it will help but worth considering.

Hope everyone is well and getting better! I am still hopeful for continued improvement over the coming months. I suppose I am sort of heading in the right direction (kind of, very slowly!). I need to investigate if shockwave has the potential to facilitate nerve repair really and investigate if I do indeed have nerve damage in my penis. Will do this in the New Year I think. First things first, need to see the Neurologist and get the peripheral neuropathy under control.

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Any updates? I took a 1mg pill 10 days ago and am pretty impotent. As soon as I woke up the next day… pretty devastated. I can get hard buy touching it a bit and can orgasm to port (just about) but its the lack of sex drive behind it and lack of lust in anything is so depressing. Hoping for some good news mate

I think you’re gonna be fine mate. It’s pretty normal for people to get some side effects initially. For the vast majority of people, these will wear off after stopping the drug. It can take a while though, give it a month or two. Best thing to do is try to relax and don’t read too much on here, there are loads of scare stories. With just one pill you have an great chance of a full recover. Don’t do anything else to try to correct it (other meds, etc). Just have a natural recovery and look after yourself - good food, exercise, etc. Best of luck pal.

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Any update? Curious because our symptoms seem similar. At this point if I can just rely on viagra, so be it even with the potential harmful side effects. I’d have to be grateful since some don’t even get that. Hope your nerve issues have subsided atleast.

It’s been a long time since I’ve posted an updated. There has been improvements since my last post in December 2018 but there is also still what I think is now permanent damaged caused by the finasteride. I can get erections and just about have a sex life but my erection quality is not great. I can’t take viagra or cialis due to a ear issue and do not want to risk sudden hearing loss which is a rare side effect of these meds. I think my life would be a lot better if I could take these medicines and my sex life would probably feel much more normal. I think the smooth muscle of the penis has been damaged and I hope for better treatments in the future (shock wave, prp, stem cell). It’s probably too early to do these yet and I will wait for better scientific evidence and for them to become main stream.

I still have tingling in my feet and legs after the cipro but all nerve testing came back fine. The pain in my penis has largely gone as well although can come back after sex.

So there is positive there but also I have long lasting damage as well. It upsets me still most days to be honest and I still think about it a lot, I never really got over it. But I think I had a very bad case really and I am sure most people will have more mild to moderate cases and can improve much more than me over time. All my urologists advices to be long term low dose cialis to rehabilitate the penis and I think if you tolerate that fine you should do the that. I might have been fine or even cured if I had done that. So worth considering.

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I feel your pain brother. Sorry to make you relive that part of your life but it gives us hope that you were able to gain atleast some function back. There’s no way I can have sex without meds. I know it’s probably not easy for you either without them but it still gives me hope that you can perform somewhat. Thanks for the advice about Cialis and its benefits/risks. Really appreciate you even responding. You’re a bigger man than most. Lots of love brother and I hope you continue to find more happiness and peace.

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You will definitely continue to improve over a year or two I think. Stay on the viagra or cialis if you can. I think you will get to a point you are fine and can have a good sex life. It is really slow though the progress. Improvement over months. It was only when I read back how bad I was I saw I have improved. For example, I said previously how hard to was to get an erection started, even after 4.5 months of the drug. I think this is easier now with manual stimulation so you do keep improving. See a good urologist if you can and I’m sure you will be alright as time goes by

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Pianist_Will
how is your ankylosing spondylitis now?
what are you taking for your nkylosing spondylitis? Is it also helping against PFS?

Hey buddy,

Thanks for the message. My ankylosing spondylitis has always been pretty mild to moderate. Had it for decades now. I don’t think there is any link between my pfs and the ank spond to be honest. That may be different for other people though, pfs seems to affect us all differently. No meds for the ank spond, I just try to live and get on with it. How are you doing?

Will