Re: Loss of libido- caused by Tramadol
Hi Daniel, First off, Meds for ED, Like Viagra are not addicting, They simply solve a mechanical problem and increase blood flow. The fact you wake up in the morning without a blood flow problem doesn't indicate you have a mechanical problem going on. Labido is sex drive or desire, You can take all the viagra in the world and it doesn't increase labido. Desire is a hormonal and psychological.
Personally I have experienced labido problems from high doses of methadone and Dilaudid, but that's due to it's effect on testosterone levels. Hormones control labido so the first step would be to have your testosterone levels checked, If they are low, supplements can be used. If they aren't, it's more likely a psychological problem caused by pain and performanace anxiety. I would also look at the other meds you take as Tramadol isn't a strong opitae or well known for this side efect.
Another problem with an easy solution like Viagra, is that is also causes some psychological dependence as far as feelng like you won't be able to perform without it, which isn't likely the case, but it's easy to fall into the trap of believeing you can't perform without a little blue pill. However, if you wake in the morning and the plumbing is working, this doesn't indicate you have a blood flow problem that can be solved with meds designed to do nothing more than dialate blood vessels and increase blood flow.
Talk with your doc, get your T levels checked and look at all the meds and be open with your partner. Sometimes all it takes is a little confidence that may have been lost by a few interuptions caused by pain and stress of performing. When we start worrying about not satisfying our partner it just makes things worse, each time we feel we have failed, it makes the next time even more stressfull. Are we going to fail again, is the is the future of my life, will my partner put up with this and for how long? That's all psychological and just as important as blood flow although the two problems are treated very differently.
Once you have ruled out a cause like low T levels, and other medications, My advice is to get back on the bike and practice practice practice. Find what position causes the least amount of pain,, and gives your partner more control over the outcome. The best confidence builder is a satisfied partner, the biggest confidence killer is a non satisfied partner. If your in too much pain at night maybe you need to take advantage of natures natural morning response and get your confidence back in the morning so you can use that condidence to get back into the natural flow of things any time of the day.
Good luck, Dave