Dear Michael,
About five years ago I was diagnosed with acromegaly. Within 3 years of that, I had the tumor partly removed. They could not remove all of it. Now I take somatuline gel 120 mil a month.

Two  years ago my doctor asked me how my erections were, and I told him as good as a twenty year old, which was true at the time. However, over the past year, my libido has evaporated! I never wake with an erection, and if I think of something very erotic to me, I don’t get hard!

I can induce an erection with masturbation. My staying power is still quite good. They have me on erection drugs, which help, but I usually try to do without them.

I’m very active. I teach karate. I have some stomach bloat which is probably due to the medication. I have cut down beer  to get the bloat down. It’s just amazing that you have super erections one day and struggle the next. Do you have any suggestions?


  • Michael Castleman says:

    You don’t say how old you are, but what you describe—strong erections and good libido and then fairly quick loss of both over the past year with erection through masturbation still possible—is what happens to a lot of men around age 50. Erections become iffy and suddenly it takes effort to become aroused. So maybe aging is a factor in your situation. Or maybe not. You might read my article, Balky Erections? Or ED?

    Which brings me to your acromegaly. As you must know, it affects the pituitary gland and pituitary hormones govern a great many body processes, including sex. The endocrine (hormonal) system is very complex, so I can’t comment on your treatment and whether it might have something to do with your libido/erection loss. But that’s certainly possible.

    I suggest you consult a sex therapist who knows a sexual medicine specialist. To find a sex therapist near you, visit the American Association of Sex Educators, Counselors, and Therapists, the Society for Sex Therapy and Research, or the American Board of Sexology. To get to the bottom of your issues, I’d urge you to find a sex therapist who knows and can work with a sexual medicine specialist.

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