Tadalafil and erections - how often and for how long

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DaneS89

Random question to you guys - how much "erection time" should we be getting out of our daily dose of tadalafil? Night time erections, thats a good thing of course - expected and desirable. But some mornings, my cock will stay hard or semi erect or be 'up and down' for the first hour or so after waking. Most of the time I just enjoy them. They feel good and healthy and occur at times when erections are normal. It usually only happens when I've abstained for a while and would be naturally horny, so theres a clue in there, and I just let them happen. There are other times though when they feel a bit awkward and artificial and don't coincide with me feeling aroused and seem to last a bit too long. And to make it more confusing still, there are other times when I get little-no erection time out of tadalafil, like, if I'm in a refractory period or have masturbated too much. Erections are good and therapeutic for peyronies...but where or what it is the limit? Is this a good problem to have, or an actual problem?

Edit: to add for clarity, I am still in control of these erections. They are not painfully rigid or prolonged. I can make them go down if I want and they will go down in response to stress or anxious thought, so it's not completely 'mechanical'
 
Peyronies onset - Oct 2022 - initial plaque mid shaft resulted in approx 25 degree bend, newer smaller plaques have developed since
Treatment regime - Trental, Cialis, supplements alongside diet and lifestyle changes
Age 34

Mikel7

As far as erections go they are governed by a cascade of events. Some you have no control over as your nighttime erections go. Testosterone's contribution of DHT is the powerhouse and a small percentage of estrogen contributes to your libido also. Cialis helps by keeping the chemical reactions from disintegration your nitric oxide in your penis. Erections themselves are great for stretching and healing the penis. Anytime you have them without pain is a wonderful experience - as long as they don't lead to a priapism. Erections under 4 hours randomly are not going to hurt you. Now if you masturbate roughly and it makes your peyronies worse then you need to lay off it for a while.
Lump 4/2020, age 63 , Dr Levine 6-26-20, Dors Curve 11/2020, Peyronies
Vit E400mg, COQ10, Heat Therapy, Penimaster, Pentox, Cialis, Restorex
SNHL 7/2020 - Stopped all Meds because ototoxicity  Heat/traction/VED are working. CPPS Diagnosis - Stable :)

DaneS89

Hey and thanks for the reply and info. So 4 hours is when it becomes a concern and less than that is all good? That's really good to know. They don't last 4 hours continuously, that's for sure, but some mornings/days I can be in and out of state of erection for maybe a few hours. Priapism would be the obvious concern in raising this kind of subject but I was also worried that just having long-lasting erections without reaching the threshold for priapism could do harm also, just to a lesser extent. I let them happen because I lean into the belief that erections are good for peyronies and help to stretch and keep pliable the tissues, maintain length etc. I think thats why in my case I have had minimal loss of length despite having other aspects of the condition hitting me quite hard (loss of sensation, hourglassing).

That segues into another, related question and possible concern I have with the same 'is it helpful or is it harmful' dilemna to it. Edging. Do you or any other guys reading this have ideas/opinions about that? Perhaps I should take the question to another thread given that its a new subject? Anyway, thanks!  
Peyronies onset - Oct 2022 - initial plaque mid shaft resulted in approx 25 degree bend, newer smaller plaques have developed since
Treatment regime - Trental, Cialis, supplements alongside diet and lifestyle changes
Age 34

Mikel7

Start a new thread regarding edging. Possibly under the open questions board.
Lump 4/2020, age 63 , Dr Levine 6-26-20, Dors Curve 11/2020, Peyronies
Vit E400mg, COQ10, Heat Therapy, Penimaster, Pentox, Cialis, Restorex
SNHL 7/2020 - Stopped all Meds because ototoxicity  Heat/traction/VED are working. CPPS Diagnosis - Stable :)

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FrankPD

I've been on Tadalafil for over a year now.  Recently my morning erections have been crazy solid!  Sometimes they last for a few minutes. I'm not controlling them, just wake up that way.

Also for some reason around 4am every night I wake up and there it is.  
I have a girlfriend
Age 48, No injury
Diagnosis January 2022  
Six plaques
Hourglassing when flaccid and semi-erect
Only have my congenital curve
Massaging with vitamin E cream twice a day 
5mg Tadalafil, Healthy diet
Discomfort/aching sometimes

Mikel7

I know that for me when I was taking Cialis I would automatically wake up when I had an extremely hard erection from it. Absolutely normal.
Lump 4/2020, age 63 , Dr Levine 6-26-20, Dors Curve 11/2020, Peyronies
Vit E400mg, COQ10, Heat Therapy, Penimaster, Pentox, Cialis, Restorex
SNHL 7/2020 - Stopped all Meds because ototoxicity  Heat/traction/VED are working. CPPS Diagnosis - Stable :)

Sonic

Quote from: Mikel7 on April 17, 2024, 05:54:04 AMI know that for me when I was taking Cialis I would automatically wake up when I had an extremely hard erection from it. Absolutely normal.

Speaking of Cialis and prolonged erections I have a question. I had an episode around 4 years ago where I was taking this, (10mg). Woke up one morning with a erection that was quite literally hard as a rock, I wouldn't say it was painful but it definitely felt uncomfortable, took around 30 mins for this to go down, the issue is I do not know how long this erection lasted in the sleep. I hade some penile aching for around 3 days after this episode.

Sometimes i think to myself that I might have had a priapism while sleeping and that this event is what triggered my peyronies or some type of inflammatory process. Could it be possible?
30 years. Sudden rightwards curve detected in June 2020
Narrowing on right side and about a 20° curve to the right.
ED + instability due to narrowing.

RexRG

My onset was after a few nights of extreme NTEs. Maybe a week of them. When they stopped, I noticed the lump at base, then another lump a couple of weeks later. I'd just increased the TRT dose a week or two before.

Yes, I think it's possible that very hard erections can be a factor.

But what can you do?
67, diabetic, retired
20cm 1cm RTE Coloplast Titan 1/30/24 Faysal Yafi

Mikel7

I'm sure that anything related to peyronies is a possibility because of its unpredictable nature. Peyronies can strike a man sometimes without any prior event. Priapism from NTE is probably very rare. I do know that Cialis and like minded drugs do give a man a very very rock hard erection.
Lump 4/2020, age 63 , Dr Levine 6-26-20, Dors Curve 11/2020, Peyronies
Vit E400mg, COQ10, Heat Therapy, Penimaster, Pentox, Cialis, Restorex
SNHL 7/2020 - Stopped all Meds because ototoxicity  Heat/traction/VED are working. CPPS Diagnosis - Stable :)

Sonic

Quote from: RexRG on April 17, 2024, 10:11:59 PMBut what can you do?

True, not much can be done except trying to self help with traction or ved. I really used to be stuck in a loop where I kept dwelling on it every single day, I am very pleased that I have now reached a point where those days have become very few. I've just accepted it. Some days I still think about how everything was prior to the condition but those thoughts are incredibly harmful. Still happens from time to time where I think about all these different possibilities and what could have triggered it, I guess that is just a part of normal human behaviour but generally I have moved on.
30 years. Sudden rightwards curve detected in June 2020
Narrowing on right side and about a 20° curve to the right.
ED + instability due to narrowing.

MarkBaines

It sounds like you're experiencing a range of responses to your tadalafil dosage, which is not uncommon. Tadalafil, like other medications for erectile dysfunction, can have varying effects from person to person and even from day to day based on factors like arousal levels, stress, and refractory periods.

The fact that you're still in control of these erections and they're not painfully rigid or prolonged is a good sign. It suggests that your body is responding appropriately to the medication. However, if you're concerned about the frequency or duration of these erections, it might be worth discussing with your healthcare provider.

In terms of what constitutes a "good" amount of erection time, it's subjective and varies depending on individual preferences and health considerations. Generally, having regular, spontaneous erections, including morning erections, is a positive indicator of erectile health. However, if you're experiencing discomfort or if the erections feel unnatural or excessive, it's important to seek guidance from a medical professional to ensure everything is functioning as it should.
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Legacy

How much Tadalafil are people taking?

I've had some for a while now, but didn't realise it was a daily pill rather than an as needed, my bad.

I started taking 20mg most days about a week ago, what should I be experiencing?  
Sexual injury July 21. Painful erections, diagnosed Peyronies. Only just noticed the deformation, no proper growth in the 3rd of erection, no bend, proper erection though,
60, single, minimal sexual activity. Can live without sex, but...

Mikel7

The usual starting dose for Cialis is 2.5mg daily. It can be increased after the initial break in period to see if you have any side effects.
Lump 4/2020, age 63 , Dr Levine 6-26-20, Dors Curve 11/2020, Peyronies
Vit E400mg, COQ10, Heat Therapy, Penimaster, Pentox, Cialis, Restorex
SNHL 7/2020 - Stopped all Meds because ototoxicity  Heat/traction/VED are working. CPPS Diagnosis - Stable :)

FrankPD

Quote from: Sonic on April 17, 2024, 12:29:27 PMSpeaking of Cialis and prolonged erections I have a question. I had an episode around 4 years ago where I was taking this, (10mg). Woke up one morning with a erection that was quite literally hard as a rock, I wouldn't say it was painful but it definitely felt uncomfortable, took around 30 mins for this to go down, the issue is I do not know how long this erection lasted in the sleep. I hade some penile aching for around 3 days after this episode.

Sometimes i think to myself that I might have had a priapism while sleeping and that this event is what triggered my peyronies or some type of inflammatory process. Could it be possible?

Sorry for the late response but I don't know.  The solidness I feel some mornings are really unlike anything I've ever felt down there.  For that reason I don't think it caused my Peyronies Disease.
I have a girlfriend
Age 48, No injury
Diagnosis January 2022  
Six plaques
Hourglassing when flaccid and semi-erect
Only have my congenital curve
Massaging with vitamin E cream twice a day 
5mg Tadalafil, Healthy diet
Discomfort/aching sometimes