{"id":1029,"date":"2012-06-25T07:06:00","date_gmt":"2012-06-25T12:06:00","guid":{"rendered":"http:\/\/warrenharris.net\/blog2\/?p=1029"},"modified":"2012-06-25T15:16:06","modified_gmt":"2012-06-25T20:16:06","slug":"pain-painkillers-erectile-dysfunction-and-you","status":"publish","type":"post","link":"https:\/\/warrenharris.net\/blog2\/pain-painkillers-erectile-dysfunction-and-you\/","title":{"rendered":"Pain, Painkillers, Erectile Dysfunction and You"},"content":{"rendered":"<p>In the <a href=\"https:\/\/warrenharris.net\/blog2\/?p=821\">Big Blog<\/a> that started all this blather, there&#8217;s a section on pain medications and their side-effects. \u00a0This page is the logical progression from that section. \u00a0Once again I am not a medical professional. \u00a0What I write is from personal experience, conversations with my peers and over 60 years on this planet observing the Human Condition.<\/p>\n<p>When it comes to Erectile Dysfunction, popularly called ED so you won&#8217;t feel so bad when you have it \u00a0[Right&#8230;] most men never thought this would happen to them. \u00a0The ability to \u00a0achieve <em>and keep<\/em> a big fat erection is considered part of being a MAN. \u00a0If you can&#8217;t, somehow you&#8217;re not as much a Man as you <em>should<\/em> be. \u00a0Call it what you want, that&#8217;s the way we&#8217;re wired. \u00a0No man want&#8217;s to hear from his mate: &#8220;That&#8217;s OK baby, it happens to everybody sometimes.&#8221;<\/p>\n<p>Seriously.<\/p>\n<p>While some women seem to think men are just sex machines that will start snorting and pawing the earth like a bull in heat at the slightest come-on from a semi-attractive woman &#8211; and <em>bang &#8217;em like a cheap drum<\/em> all night long at the drop of a hat &#8211; they are a little off the mark.<br \/>\nMost men would also like to think this is true.<br \/>\nAnd in our younger days, for <em>some<\/em> of us it <em>was<\/em> true.<br \/>\nHowever&#8230; \u00a0Even under the best of conditions, sex for men is as much psychological as it is physical &#8211; perhaps even more-so.<\/p>\n<p>It&#8217;s not as much fun for either partner if it&#8217;s over almost as soon as it started. \u00a0And most men will freely (though not happily) admit they are <em>not<\/em> up to the &#8220;ideal&#8221; 10-15 minutes of rutting like pigs in heat before both partners lie panting, glowing and sticking to the sheets. \u00a0If most men can make it to 3 minutes it&#8217;s a real accomplishment, requiring mentally ticking off baseball scores from the 50s in reverse order, designing a spreadsheet or building a honey-do list in their heads &#8211; all while trying to appear lusty, virile and focussed &#8211; and saying just the right thing at the right time.<\/p>\n<p>This is a lot of pressure. \u00a0Both mental and physical. \u00a0And when your plumbing starts to <em>not<\/em> do it&#8217;s job like it used to, you can&#8217;t have <em>any<\/em> part of the equation stop operating at peak efficiency or there&#8217;s going to be a failure somewhere.<\/p>\n<p>And then somebody&#8217;s left unfulfilled.<\/p>\n<div id=\"attachment_1049\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/i0.wp.com\/warrenharris.net\/blog2\/wp-content\/uploads\/2012\/06\/Sexpectations.jpg?ssl=1\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1049\" data-attachment-id=\"1049\" data-permalink=\"https:\/\/warrenharris.net\/blog2\/pain-painkillers-erectile-dysfunction-and-you\/sexpectations\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/warrenharris.net\/blog2\/wp-content\/uploads\/2012\/06\/Sexpectations.jpg?fit=1024%2C286&amp;ssl=1\" data-orig-size=\"1024,286\" data-comments-opened=\"1\" data-image-title=\"Sexpectations\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Sexpectations &amp;#8211; Copyright 2012 VividPixelz.net&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/warrenharris.net\/blog2\/wp-content\/uploads\/2012\/06\/Sexpectations.jpg?fit=1024%2C286&amp;ssl=1\" class=\"size-medium wp-image-1049\" title=\"Sexpectations\" src=\"https:\/\/i0.wp.com\/warrenharris.net\/blog2\/wp-content\/uploads\/2012\/06\/Sexpectations.jpg?resize=300%2C83&#038;ssl=1\" alt=\"Sexpectations\" width=\"300\" height=\"83\" srcset=\"https:\/\/i0.wp.com\/warrenharris.net\/blog2\/wp-content\/uploads\/2012\/06\/Sexpectations.jpg?resize=300%2C83&amp;ssl=1 300w, https:\/\/i0.wp.com\/warrenharris.net\/blog2\/wp-content\/uploads\/2012\/06\/Sexpectations.jpg?w=1024&amp;ssl=1 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><p id=\"caption-attachment-1049\" class=\"wp-caption-text\">Sexpectations &#8211; Copyright 2012 VividPixelz.net<\/p><\/div>\n<p>Now let&#8217;s just complicate all this with P.A.I.N. shall we?<\/p>\n<p>When you&#8217;re in chronic pain, especially low back or leg pain, think about the impact on good old-fashioned sex. \u00a0Even more-so with some kinky sex that requires better balance&#8230; \u00a0<strong><em>Now<\/em><\/strong> how easy is it to achieve and keep that Manly erection do you suppose? \u00a0I&#8217;ll tell you one thing. \u00a0I sure didn&#8217;t get any\u00a0<span style=\"text-decoration: underline;\">better<\/span>. \u00a0Now you&#8217;re in Pain while trying to maintain an erection and do all those other things that make for a happy, satisfied mate &#8211; and self. \u00a0And the pressure mounts.<\/p>\n<p>For many of us, the only solution to our Pain problem is Painkillers. \u00a0And like with any other medication, most high-powered prescription painkillers come bundled with side-effects. \u00a0And several of these side-effects have both direct and subtle effects on the ability to have and enjoy sex. \u00a0The big list of side-effects is <a title=\"Partial List of Painkillers and Side-Effects\" href=\"https:\/\/warrenharris.net\/blog2\/?p=821&amp;page=8#partial list\">right here<\/a> in the Big Blog, but let&#8217;s enumerate some specific physiological side-effects of painkillers here:<\/p>\n<ul>\n<li>Sexual dysfunction<\/li>\n<li>Constipation<\/li>\n<li>Swollen prostate<\/li>\n<li>Incomplete urination<\/li>\n<\/ul>\n<p>Let&#8217;s start at the top: \u00a0<span style=\"text-decoration: underline;\">Sexual Dysfunction:<\/span> \u00a0The more painkillers you have coursing through your bloodstream, the more it depresses not only your libido, but your respiration, blood flow and a lot of other fairly critical components. \u00a0If you&#8217;re heavily medicated enough, even if you <em>wanted<\/em> to actually have sex, getting it to <em>happen<\/em> is not only complicated, but at some point, just not worth the planning, timing and effort. \u00a0Especially if there&#8217;s a better-than-average chance at it not being&#8221;successful&#8221;.<\/p>\n<p>There are plenty of medications for ED on the market. \u00a0None of them are covered by your medical insurance and they&#8217;re all pretty expensive. \u00a0Do they work? \u00a0Depends on the exact nature of your problem. \u00a0Viagra, Cialis and their kin, work by increasing the blood flow to your genital area. \u00a0In addition, it increases the blood flow in most other places as well, making you look \/ feel flushed and sometimes resulting in headaches. \u00a0All of these have the potential to solve the &#8220;plumbing&#8221; issue by just dramatically increasing the blood flow &#8211; and voila! \u00a0An Erection. \u00a0A BIG Manly erection!<br \/>\nSwell &lt;rimshot&gt;<br \/>\nNow what do we do with this thing? \u00a0Well hopefully you <em>know<\/em> the answer to that question or you shouldn&#8217;t have taken the little blue (or orange) pill in the first place. \u00a0The result lasts for a few hours and then things return to normal.<\/p>\n<p>However&#8230; \u00a0If your receptors are soaked in narcotics to the point that you&#8217;re falling asleep at dinner, you may still have problems even ED medications can&#8217;t solve. \u00a0Like now you have this big fat erection and it just won&#8217;t last. \u00a0Or it does last but again &#8211; there&#8217;s no Big Finish. \u00a0Dammit! \u00a0All that planning, work (healthy complexion) and no Big Finish. \u00a0Now if you just want some cardio exercise and a mighty sweaty and (hopefully) satisfied mate, go for it! \u00a0But you could just buy her some chocolate and get on the exercise bike too&#8230;<\/p>\n<p><span style=\"text-decoration: underline;\">Constipation:<\/span> \u00a0 Just consider that when it feels like you have a cinderblock in your belly, you&#8217;re not likely to feel all that sexy. \u00a0If you&#8217;re physically uncomfortable, sex isn&#8217;t going to be very high on your priority list. \u00a0It can be downright painful and a complicated juggling act to remain regular while adjusting your pain meds as your symptoms change. \u00a0This is something you really want to get under control for every possible good reason and keep it that way. \u00a0Start with lots of water and start adding stool softeners, fiber capsules, Magnesium, etc., until you have a balance. \u00a0It&#8217;s well worth it.<\/p>\n<p><span style=\"text-decoration: underline;\">Swollen Prostate:<\/span> \u00a0The <a href=\"http:\/\/en.wikipedia.org\/wiki\/Prostate\">Prostate<\/a> is a very important little organ. \u00a0Several medications can cause it to become swollen (just like prostate cancer can). \u00a0When this happens, urination and sexual function are both adversely affected. \u00a0There are 3 components that make up semen and the prostate contributes one of them. \u00a0The prostate is also partially responsible for the pressure with which that sticky white stuff comes squirting out. \u00a0More pressure = more fun for everyone, especially if you&#8217;re in a contest for distance&#8230; \u00a0In addition, the urethra passes right through the prostate. \u00a0So when it&#8217;s swollen, none of these functions work at full potential. \u00a0Some, if not all, can barely function at all.<\/p>\n<p><span style=\"text-decoration: underline;\">Incomplete and frequent urination<\/span>, dribbling and general unsatisfactory emptying of the bladder all go along with an enlarged prostate.<br \/>\n(It used to sound like someone was running a garden hose into the toilet when you were in there and now it\u2019s a lot of dribbling and splattering and you need a paperback to amuse yourself while waiting to finish\u2026)<\/p>\n<p><strong>But wait &#8211; there&#8217;s more<\/strong>!<br \/>\n<span style=\"text-decoration: underline;\">Difficulty in achieving \/ maintaining an erection<\/span><br \/>\n<span style=\"text-decoration: underline;\">Pain in the back, thighs, hips&#8230;<\/span><\/p>\n<p>So if \/ when you have an enlarged \/ swollen prostate, you&#8217;re going to want to fix this pronto, aren&#8217;t you? \u00a0Well&#8230; \u00a0Not so fast there, buddy. \u00a0Sometimes the cure is worse than the original problem. \u00a0There are some products on the market, including <a href=\"http:\/\/www.webmd.com\/drugs\/drug-4154-Flomax+Oral.aspx?drugid=4154&amp;drugname=Flomax+Oral\">Flomax<\/a> to reduce an enlarged prostate and solve these problems. \u00a0And some of them work for some people. \u00a0And then there are the <a title=\"Flomax side effects\" href=\"http:\/\/prostate.emedtv.com\/flomax\/flomax-side-effects.html\">side effects<\/a>&#8230;<br \/>\nLike you&#8217;re able to get and keep an erection (at least better than before) but now you put in &#8220;a full day&#8217;s work&#8221; and no Big Finish if you get my drift. \u00a0Now wait just a darned minit here! \u00a0All this work for no Big Finish? \u00a0WTF? \u00a0So now at least <em>One<\/em> of you is (potentially) happy and the other one is just exhausted.<br \/>\nNot exactly the desired effect, but not an uncommon outcome &lt;rimshot&gt; in many cases.<br \/>\nIt&#8217;s just frequently the other way around&#8230;<\/p>\n<p>Something to consider. \u00a0And this doesn&#8217;t happen to everyone so once again, <span style=\"color: #00ccff;\">Your Mileage May Vary<\/span>.<\/p>\n<p>Telling both men and women that this is \u201cnormal\u201d under these conditions does not always do a lot to fix the self-esteem issues that go along with what is popularly called \u201cED\u201d for\u00a0<em>Erectile Dysfunction<\/em>. \u00a0Something that, in this case, is frequently caused by the very painkillers needed just to get through the day \u2013 and complicated further by the medications meant to fix the side-effects of these painkillers.<\/p>\n<p>So what&#8217;s the answer?<\/p>\n<p>First and foremost, as a couple you both need to understand both sides of the equation. \u00a0You need to sit down and discuss your needs, expectations and concerns. \u00a0Men can have a particularly difficult time of this. \u00a0When you&#8217;re so busy worrying about the outcome of trying to successfully have sex, that you cannot get it up, keep it up, and \/ or finish up, you need to convey this to your mate.<\/p>\n<p>Secondly you need to talk with your doctor and rule out any other physical problems that could be causing your particular case of ED. \u00a0Prostate cancer is something most men will face if they live long enough, I&#8217;m told. \u00a0Certainly a consideration, it&#8217;s not part of this article, so get yourself checked out by your doctor to find out what&#8217;s going on before you start trying ED medications.<\/p>\n<p>Third and most importantly, you need to work on this together. \u00a0And can you think of a any project that is more fun to pursue? \u00a0If I had to pick any one thing I was going to practice until I mastered it, it wouldn&#8217;t be my guitar. \u00a0Knowwhattamean?<\/p>\n<p>Just because you now have <em>a problem<\/em> doesn&#8217;t mean all the fun is gone from your relationship &#8211; and it certainly doesn&#8217;t mean this is permanent. \u00a0Maybe you need to get creative. \u00a0Perhaps it&#8217;s time to sit down and figure out some options, boundaries and things to experiment with. \u00a0Sometimes a change of pace makes a big difference. \u00a0 There are some things that get better with practice and sex is definitely one of them. \u00a0It&#8217;s easy to fall into \u00a0a rut in your sex life and it&#8217;s always the same old thing. \u00a0Not bad, but not fireworks either. \u00a0So what happened? \u00a0Talk it out and make it a <em>couples project<\/em>. \u00a0Sounds like fun to me.<\/p>\n<p>&nbsp;<\/p>\n<div id=\"wp_fb_like_button\" style=\"margin:5px 0;float:none;height:100px;\"><script src=\"http:\/\/connect.facebook.net\/en_US\/all.js#xfbml=1\"><\/script><fb:like href=\"https:\/\/warrenharris.net\/blog2\/pain-painkillers-erectile-dysfunction-and-you\/\" send=\"true\" layout=\"standard\" width=\"450\" show_faces=\"true\" font=\"arial\" action=\"like\" colorscheme=\"light\"><\/fb:like><\/div>","protected":false},"excerpt":{"rendered":"<p>In the Big Blog that started all this blather, there&#8217;s a section on pain medications and their side-effects. \u00a0This page is the logical progression from that section. \u00a0Once again I am not a medical professional. \u00a0What I write is from personal experience, conversations with my peers and over 60 years on this planet observing the<span class=\"post-excerpt-end\">&hellip;<\/span><\/p>\n<p class=\"more-link\"><a href=\"https:\/\/warrenharris.net\/blog2\/pain-painkillers-erectile-dysfunction-and-you\/\" class=\"themebutton\">Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[6,909,10,11],"tags":[856,932,936,926,935,930,933,925,934,937,928,931],"class_list":["post-1029","post","type-post","status-publish","format-standard","hentry","category-instructional","category-medical","category-recommendations","category-social-commentary","tag-chronic-pain","tag-cialis","tag-constipation","tag-ed","tag-enlarged-prostate","tag-erection","tag-flomax","tag-painkillers","tag-prostate","tag-sex","tag-side-effects","tag-viagra"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.3 - aioseo.com -->\n\t<meta name=\"description\" content=\"Most men never thought ED would happen to them. 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