Erection problems

Trouble getting or keeping an erection firm enough for intercourse is called erectile dysfunction or impotence. While the quality of erections usually declines with age, it can also be affected by worrying about the cancer or damage to the nerves during surgery or radiation therapy.

Erectile dysfunction can sometimes improve. There are also many products to treat the problem, including penile injection therapy, penile implants and PDE5 inhibitor drugs (e.g. Cialis or Viagra), available by prescription. There are also herbal preparations, nasal sprays and lozenges that contain testosterone, but check with your treatment team before using any of these.

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Tips for dealing with erection problems

  • Help keep erectile tissue healthy while nerves heal from surgery by engaging in foreplay and other sexual activity with your partner.
  • Try having sex with a half-erect penis. This may work best with the partner on top guiding the penis inside. This stimulation may encourage further and better erections.
  • Help satisfy your partner and yourself without sexual penetration. Experiment with all-over touching, oral sex, masturbation or sex aids.
  • Ask your doctor about other ways to improve erections, such as tablets or injections, or get a referral to a specialist.
  • If your cancer specialists say it is safe to use with your type of cancer, you could consider testosterone replacement therapy. This may help if you have low testosterone levels.

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Ways to improve erections

There are several medical options available for trying to improve the quality of your erections. Ask your treatment team for more details about these methods.

Vacuum erection device

A vacuum erection device (VED) or vacuum pump device uses suction to draw blood into the penis to make it firm and help maintain a natural erection.

penile injections

Penile injection therapy

This has to be prescribed by a doctor. You will be taught to inject the penis with medicine that makes blood vessels in the penis expand and fill with blood, causing an erection. The erection usually lasts 30-60 minutes.

implants

Implants

A penile prosthesis is inserted during surgery. Flexible rods or thin, inflatable cylinders are placed in the penis and connected to a pump in the scrotum. The pump is turned on or squeezed when an erection is desired.


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Instructions for downloading and reading EPUB files

Apple devices

The iBooks application must be installed on your Apple device before you can read the EPUB.
Different ways to download an EPUB file to your Apple device:

  • email EPUB files to yourself and transfer the attachment to iBooks.
  • copy EPUB files into DropBox (or a similar service) and use the DropBox app to send them to iBooks.
  • open EPUB files directly from Mobile Safari and open them in iBooks, where they are saved automatically by downloading the EPUB from the website.

Need more help? Visit: http://support.apple.com/kb/HT4059

Kobo

To download an EPUB file to your Kobo from a Windows computer:

  • download and save the EPUB directly onto your desktop.
  • connect your Kobo to your computer using the USB cable and tap “Connect” on your eReader.
  • select “Open folder to view files” to view the contents of your Kobo.
  • navigate to where you have stored your EPUB file in “Finder”, in documents or downloads, and drag and drop it into the Kobo window. You can now disconnect your Kobo to read the eBook.

To download an EPUB to your Kobo from a Mac:

  • download and save the EPUB directly onto your desktop.
  • connect your Kobo to your computer using the USB cable and tap “Connect” on your eReader.
  • open your “Finder” application.
  • select “Kobo eReader” from the listed devices to view the contents of your Kobo.
  • navigate to where you have stored your EPUB file in “Finder”, probably in documents or downloads, and drag and drop it into the Kobo window. You can now disconnect your Kobo to read the eBook.

Turn on your Kobo and your EPUB will be located in “eBooks”, while a PDF will be located in “Documents”.
Need more information? Visit: http://www.kobo.com/help/koboaura/response/?id=3784&type=3

Sony Reader

To download an EPUB file on your Sony Reader™:

  • ensure you have already installed the Reader™ Library for PC/Mac software
  • select the eBook you want from our website and click the link to download it.
  • connect the Reader™ to your computer.
  • open the Reader™ Library software and click “Library” in the left-hand pane and select the eBook to view it.

Need more help? Visit: https://au.readerstore.sony.com/apps_and_devices/

Amazon Kindle 2nd Generation devices

EPUB files can’t be read on the Amazon Kindle™. However, like most eReaders, Kindle™ 2nd Generation devices are able to display PDFs. We recommend that you download the PDF version of this booklet if you would like to read it on a Kindle™.
To transfer a PDF to your Kindle™ via USB cable from your computer or Mac:

  • download the PDF directly onto your computer.
  • connect the USB cable to your computer’s USB port, and the micro USB end of the cable to your Kindle™. Note: the Kindle™ won’t be available as a reading device while it is connected to your computer until it has been disconnected.
  • open the Kindle™ drive and several folders will appear inside. The “Documents” folder is where you will need to copy or drag the PDF to.
  • safely eject your Kindle™ from your computer and unplug the USB cable. Your content will appear on the Home Screen.

Kindle also provides a Kindle Personal Documents Service that allows users to send documents as an attachment directly to your eReader. For more information on this service, visit http://www.amazon.com/gp/help/customer/display.html/ref=help_search_1-1?ie=UTF8&nodeId=200767340&qid=1395967989&sr=1-1
For more information on accessing a PDF on your Kindle™, visit www.amazon.com/manageyourkindle, log in to your account and click on Personal Document Settings.
Need more help? Visit https://www.amazon.com/gp/help/customer/display.html?nodeId=200375630

Android and PC

You can also download and open eBooks on Android devices and PCs with appropriate apps or software installed. Suitable eReader apps for Android include Google Play Books, FBReader and Moon+ Reader. Suitable software for PCs include Calibre and Adobe Digital Editions.


This information was last reviewed in May 2019
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