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  • ONLY have erections while I sleep ... what gives?

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    Old 01-24-2020, 01:28 PM   #1
    Cajun Cupper
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    Join Date: Jan 2020
    Location: Albany, Louisiana
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    Lightbulb ONLY have erections while I sleep ... what gives?

    I am 19 months out of Nerve Sparing Robotic Prostate surgery. Still no action down there, except when I sleep. I've taken 5 100MG Viagras at one time and it's barely enough for intercourse and doesn't last that long. But, my boy wakes me up at night hard as a rock. It seems as though all the pipes are working so can anyone explain this to me?

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    Old 01-27-2020, 05:54 AM   #2
    Join Date: Dec 2019
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    Re: ONLY have erections while I sleep ... what gives?

    Hi CC. Take heart -- if you have morning erections, it is a great sign. Be patient!

    Did you say you take 5 sildenafil? I hope these are the 20 mg, for a total dose of 100 mg, the max. approved dosage, and not 5 of the 100 mg tablets !?

    Perhaps try tadalafil (generic Cialis). Sometimes one medication works better than another. Note that the dosage is different.

    All the best,

    69 yr at Dx, BPH x 20 yr, 9 (!) neg. Bx, PCA3-
    7-05-13 TURP for BPH (90→30 g) path neg. for PCa, then 6-mo. checks
    6-06-17 Nodule on R + PSA rise on finasteride: 3.6→4.3
    6-28-17 Bx #10: 2/14 cores: G10 (5+5) 50% RB, G9 (4+5) 3% RLM
    Nodule negative for PCa. Bone scan, CTs, X-rays: neg.
    8-7-17 Open RP, negative frozen sections, Duke Regional Hosp.
    SM EPE BNI LVI SVI LNI(5L, 11R): negative, PNI+, nerves spared
    pT2c pN0 pMX, G9 (4+5) 5% of prostate (4.5x5x4 cm, 64 g)
    Dry; ED OK with sildenafil
    Decipher 0.37 (Low Risk), uPSA: 0.010 (3 mo.)...0.013 (2 yr. 10 mo.)

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    Old 01-27-2020, 08:54 AM   #3
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    Re: ONLY have erections while I sleep ... what gives?

    Viagra didn't work for me. Cialis did.
    Born 1953; family w/PCa-grandfather, 3 brothers;
    7-12-04 PSA 1.9; 7-10-06 PSA 2.0; 8-30-07 PSA 3.2; 12-1-11 PSA 5.7; 5-16-12 PSA 4.76; 12-11-12 PSA 5.2; 3-7-16 PSA 7.2;
    3-14-16 TRUS biopsy, PCa 1%-60% across 8 of 12 samples, G3+3;
    5-4-16 DaVinci RP, Path-65g, lymph nodes, seminal vesicles, capsule, margin all neg, G3+4, T vol 35%, +pT2c, No Incontinence-6mos, Erections-14 months;
    6-30-20 PSA less than 0.02, zero club 4 yrs

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    Old 01-28-2020, 03:27 PM   #4
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    Re: ONLY have erections while I sleep ... what gives?

    My surgery was 12/9 and nothing yet. The doc has me on 5 mg of cialis that I take in the am. At the last appointment he said I could experiment a couple times a week taking an additional 10mg to see if I could make magic.

    I've wondered if taking it at night would be better since my testosterone levels are higher in the AM? Taking the pills in the AM and waiting until the kids go to bed at 11pm probably is counter productive. Maybe the combo of the extra pills will work at night instead....wake the wife up with a surprise.

    How is your testosterone? Mine is low but before surgery I could get okay erections in the am even without the meds. Night erections were just coming back before the surgery.

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