Yes, Viagra should be taken on an empty stomach, since food (especially fatty food) reduces the effectiveness of Viagra by as much as 50%. Preferably wait 2 hours after your last meal. Also, Dr. Mulhall says that Viagra maximizes in the bloodstream 1 hour after you take it. So, bottom line: Finish dinner by 6, take Viagra at 8, bedtime at 9 :)
Also, adrenaline (which is produced by your body when you are anxious or stressed) reduces erection outcomes. So, if you are anxious or stressed about
the possibility of not getting an erection, you are almost guaranteed not to get one.
Also, Dr. Mulhall says that for the average patient, ED due to prostate removal gets progressively worse during the first 3 months. So, some guys are lucky and can get erections naturally or with Viagra during the 2nd month (I wasn't one of those lucky ones) and then lose their ability to get erections until full recovery begins several months later.
Even if you fail to get good erections naturally or with Viagra, injections generally work great. At first it is distressing to stick a needle into willy, but the outcome it generally excellent.
More details on these topics are covered in Dr. Mulhall's book (link below in my signature).
Diagnosed and treated in 2013 at 41 years old.
DX 1/28/13 (PSA 9; BX G3+4, 5 of 12 cores). RALP 4/3/13 w/ Dr. Tewari.
Nerves spared, T2c, N0, G4+3, tumor 10%, organ confined, -margins, -EPE, -SVI, +PNI.
Full continence. PSA undetectable.
Using bimix+pills for ED rehab and penile extender for early Peyronie's w/ Dr. Mulhall.
/ Surgery Recap
/ Pathology Report
/ PSA History
I recommend these links for anyone newly diagnosed with PCa:
- NCCN Prostate Cancer online book
(PDF download version
- Questions to ask a Robotic PCa surgeon
and/or a Brachytherapy radiation seeds specialist
- Dr. John Mulhall's excellent book
and YouTube videos (I
) on ED due to PCa