While libido drops for most men on ADT, sexual function is still an important component for many, and educating on what to expect will help prevent disappointment or confusion.  First, some men can get an erection with testosterone suppressed, but it is less common and not as firm an erection ...

I agree with the answers posted by Dr. @Bridget F. Koontz and Dr. @Mitchell S. Anscher. I do think that the efficacy of 5-PDE inhibitors is less when patients are on hormone ablation therapy (and patients do not get as firm of an erection). However, I usually have these patients take 5-PDE inhibitor...

I agree with Dr. @Bridget F. Koontz. I have not had a lot of patients requesting treatment for ED while on ADT because of the accompanying loss of libido. For the occasional patient requesting therapy, I have started with the 5-PDE inhibitors if there are no medical contraindications. I have had som...

I have found it important to take a step back when talking to patients about sexuality during and after treatment. While most men think they understand their own sexuality, it is more common for false assumptions to confuse and frustrate rather than help. I take the time to discuss the distinctions ...