The achiness in the perineum is a common short-term complaint post-RP and could
be around for months, but the good news is that it is not an indication that the necessary 4-week healing process is incomplete.
Consider Sunday morning (or Saturday morning) rather than Saturday night for your first attempt(s). At the end of the day, our aging bodies are more-and-more fatigued (true for both sexes) and our bodies revive and regenerate with a good night's rest. If you want to stack the odds in your favor for the best possible outcome, consider (especially initially) attempting morning sex. (This is particularly true if you, like me and my wife, like to enjoy a cocktail or two in the evenings; the alcohol also can detract from performance.) What you may find--and what I found--is that mornings work out great, and now we set our morning alarm 30 minutes early to take advantage of nature's regeneration cycle.
You may also want to keep in mind these sildenafil parameters--it typically takes about
30 mins to be effective, maximum effectiveness is at about
1-hour, and the half-life is only 4-hours, but the therapeutic window may last for 12 hours...so knowing that there is no "prescribed" time of day to take it, consider this input. The much longer half-life is one of the things I particularly like about
tadalafil...it's really made for ongoing, continuous consumption rather than the "on-demand" approach for sildenafil or vardenafil. This may be a longer-term medication adjustment for you to consider...but for now, you just want to demonstrate success.
All of the different PDE5's are different...so, again, keeping the longer term in mind, if you experience any unpleasant side effects, I would encourage to jump to one of the other types. They are completely different meds which work in completely different ways biologically (to achieve the same final result), so there is no reason whatsoever to believe that side effects from one will also mean side effects from either of the others...just move on to the next one. It's unfortunately a trial-and-error process.
Post Edited (Blackjack) : 2/6/2019 2:23:12 PM (GMT-7)