LG, I love your advice and have a question of my own. I'm a hobbyist younger than 35, and have no problem achieving and maintaining an erection with a woman, for the first "cup" if you will. Now, if a provider is generous enough to offer a second round, there is no problem achieving the arousal the second time, and I am able to maintain it without orgasm for a fairly long period of time(I realize how subjective "long time" is). My problem is always the same. We're in the midst of sex, and after a while, the thought will pop into my head "how come you haven't finished yet." This is my downfall. Without fail, I will lose the erection within minutes of the thought or find that achieving orgasm impossible no matter what the provider does.
Now, I have obtained some Cialis through a reputable source(again, very subjective), and, after careful research on its uses and effects(I am someone in very good health), have used it a few times and the "second round jitters" have gone the way of the Dodo.
My question to you is twofold. Am I putting myself overly at risk? I realize you can't answer fully not knowing me or my heath, but trust that I get physicals yearly and pride myself on maintaining a healthy lifestyle in all other areas of my life. Secondly, and I feel a bit juvenile asking, is doing such a thing out of line to the provider? My meaning: am I getting a "second round" under false pretenses?
Again, I truly admire your posts here on TER and look forward to your response.
Thanks!

Dear jetermvp,

I'm not a physician, so I can't say anything about risk factors in terms of your personal response to Cialis. What I can say is that I am adamantly against obtaining Cialis from anywhere else except a physician, so there's my answer on that one. If something happens...good luck...I think it's stupid to buy legal drugs illegally. Believe me, no doctor will refuse you ED meds unless there really is a physiological contraindication. And if there is, then you'll have some qualified medical advice as to why you shouldn't be taking it, instead of experimenting on your own.

It's very possible that you are experiencing a placebo effect. You may be "talking" yourself out of the jitters independently of the Cialis. In other words, some behavioral interventions such as reframing your thought patterns may very well have this effect. If anything, you may wish to do some behavior mod without the pill to see if it works. But of course, Cialis does give some people wood for hours - witness the college craze of dosing, often with alcohol to maximize being drunk and fucking - so I'm not surprised.

Are you "deceiving" the provider? Hmm...no more than the andropausal guy who takes ED meds and goes at it with gusto. But if you are drilling the provider into the mattress and she begins to squirm and pull away, you'll know why. And then I'd suggest that you heed her subtle cues, lest you should be branded "a lot of work" and find some providers mysteriously "unavailable" or worse, suddenly end up on a DNS list.

Big head/small head/wood head,
the Love Goddess

When my doctor put me on Viagra a couple of years ago he mentioned that the drug's ability to help me achieve and maintain an erection more easily may in fact boost my confidence enough to the point where I may not need the drug anymore.  To a degree he was right, I can do without it about half the time.

The difference between a middle aged guy with high blood pressure and a healthy guy in his mid 30's is not to be ignored however. I get a normal healthy erection from the meds. You may very well be getting "Viagra Dick" (or "Cialis Dick" as the case may be).  Head LG's warning as she is dead on here.  Nothing will get you ignored or placed on a DNS list faster than being known as the guy who mercilessly pounds women into the mattress for 59 minutes out of a 60 minute appointment with a concrete dick.

Self-medication with any prescription drugs is a bad idea.

Have been on Cialis for awhile.... rx'd by physician.

Yes, As Bostonguy says, at my age it helps achieve a normal erection that providers and girlfriend find not rock hard... seems about right.  And it does let me get hard over and over and pretty much as long as I want.  My girlfriend half jokes/half complains... 'you are hard all the time!'

However, I find it difficult to orgasm with a condom and the 'wood head' loses interest after a few minutes.  I've heard difficulty achieving orgasm blamed on the ED meds.... so if it is true you may be defeating your stated purpose.  The med's purpose is to aid erection not orgasm.  True... a good erection can make orgasm easier, but I find even on the med, the guy loses interest if the same stimulation is consistently applied.... harder and harder as orgasm is sought.

As both LG and BG said.... don't pound for 59 minutes.  Stop and smell the roses after a few minutes of same stimulation.  Talk, cuddle, kiss passionately, let her touch you and stroke you for awhile.  Nothing gets me to orgasm like multiple stimulation and passion!  My girlfriend and a couple of the providers I see a lot... after a prolonged session of oral directed totally to their pleasure pull me in so passionately in to a place so wet that orgasm is almost certain.

And even if I don't orgasm, I thoroughly enjoy all aspects of the experience!  Gazing in to her eyes  while gently working inside her is awesome whether orgasm happens or not!

-- Modified on 12/22/2008 5:17:33 PM

Maybe it's an age thing but I'm perfectly satisfied with one earth shattering orgasm in the span of an hour or two.  I can sometimes achieve two but at this point I save that for overnights when I can really relax and take my sweet time.

Not wishing to beat this into the ground but it's important to remember that you are sharing an intimate act with another human being. Regardless of weather you are paying her or not she deserves to be treated with kindness and respect.  With the right lady it will pay dividends that go much deeper than a second pop.

While both viagra and cialis are great for treating ED; and yes giving many that second erection after an initial orgasm for some that simply can not; both have also been shown to increase difficulty in acheiving orgasm. My .02..  How many guys out there are really saying i cant or i have trouble acheiving a second orgasm while on my ED meds.

Taking Cialis the night before and viagra or levitra an hour before game time the day of.

Any danger in that ?

I prefer taking Cialis 30 hours prior (peaks in 6 hours) and again the day of at 6 hours prior. I've had best luck with that... Viagra I now only use if I made a quick decision to see someone and didn't do the Cialis... in that case I take Viagra an hour prior.

The literature on Cialis says it takes up to a week to get a steady state blood level if I remember correctly.

I do a lot of three day weekends or longer with gf or provider, and often can skip the last couple days with that regimen.