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What's up. I've been on bicalutamide 100mg and raloxifene 60mg for 7 months. No ED issues at all, no shrinkage, libido is normal, etc. (I still have gyno signs so I'm probably going to increase raloxifene dose to 90mg). But yeah, dick works fine. I haven't been posting here because I'm just waiting for hair growth. It's damn slow.
Effect of Casodex on sleep-related erections in patients with advanced prostate cancer.
https://www.ncbi.nlm.nih.gov/m/pubmed/1378907/
I have a somewhat reasonable theory that erections - especially spontaneous/nocturnal erections - "exercise" your penis and maintain penile length. Various studies suggest but don't outright state that nocturnal erections maintain penile tissue and prevent atrophy. In the Sildenafil (Viagara) studies below they found that increasing bloodflow at night with Sildenafil improved metrics during the day. My conclusion: Anti-androgen treatments that reduce spontaneous or nocturnal erections can cause shrinkage. From that conclusion I chose bica. Bicalutamide has one of the lowest chances of sexual dysfunction and erectile issues.
Effect of penile size on nocturnal erections: evaluation with NPTR testing with men having micropenis
https://www.ncbi.nlm.nih.gov/m/pubmed/15690064/
How Your Penis Exercises While You Sleep
https://prostate.net/articles/how-to-exercise-your-penis/
Overview of Contemporary Penile Rehabilitation Therapies
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2531200/
I posted this in a diff thread but I'll expand on it. The citations for that sentence are all ADT papers which lump bica in with other ADT methods like GnRH agonists and physical castration. BIG DIFFERENCE. Those other methods reduce T production which kills all of its derivatives - like DHT, E, and some other neurosteroids which all affect libido and erection. Bicalutamide only blocks the androgen receptors while preserving T production, so the testes are still active (preventing testicular atrophy) and so are the neurosteroids (which enable erections to prevent penile atrophy). The wiki is wrong, lumping bica with castration is lazy. Search for "bicalutamide monotherapy" to get accurate results. Here's an example:Wikipedia states these side effects for men https://en.wikipedia.org/wiki/Bicalutamide#Side_effects
may occur in men.[87][90][18][91]
- breast changes
- physical feminization and demasculinization in general
- including reduced body hair growth
- decreased muscle mass and strength
- feminine changes in fat mass and distribution
- reduced penile length,
- decreased semen/ejaculate volume
Confirms some of these side effects
https://books.google.co.uk/books?id=_4SwO2dHcAIC&pg=PA1297&redir_esc=y#v=onepage&q&f=false
Effect of Casodex on sleep-related erections in patients with advanced prostate cancer.
https://www.ncbi.nlm.nih.gov/m/pubmed/1378907/
No significant modifications in regard to number of nocturnal penile tumescence episodes, maximum penile circumference and total rigidity time were found before and after therapy. Only 1 patient reported a decrease in sexual drive and libido.
I have a somewhat reasonable theory that erections - especially spontaneous/nocturnal erections - "exercise" your penis and maintain penile length. Various studies suggest but don't outright state that nocturnal erections maintain penile tissue and prevent atrophy. In the Sildenafil (Viagara) studies below they found that increasing bloodflow at night with Sildenafil improved metrics during the day. My conclusion: Anti-androgen treatments that reduce spontaneous or nocturnal erections can cause shrinkage. From that conclusion I chose bica. Bicalutamide has one of the lowest chances of sexual dysfunction and erectile issues.
Effect of penile size on nocturnal erections: evaluation with NPTR testing with men having micropenis
https://www.ncbi.nlm.nih.gov/m/pubmed/15690064/
Comparison of the results of NPTR of control group with study group revealed that number and duration of erectile episodes (P < 0.001), duration of tip rigidity > 60% (P < 0.01), TAU tip and TAU base (P = 0.001), and RAU base (P = 0.01) were found to be significantly lower in men with micropenis. In conclusion, our study showed that men with micropenis are associated with decreased nocturnal erectile activity.
How Your Penis Exercises While You Sleep
https://prostate.net/articles/how-to-exercise-your-penis/
Overview of Contemporary Penile Rehabilitation Therapies
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2531200/
Investigators found that the 50 mg group did not experience any loss of smooth muscle compared with baseline, and the 100 mg group actually showed an increase of smooth muscle content when compared to the baseline. There was no control group, and no clinical correlation between smooth muscle preservation and erectile function is made in this study.
The study found that the groups receiving daily Sildenafil were able to have return of rigidity (R > 55%) at seven times the nadir value compared to minimal improvement in the control group. This improvement of erection was also seen by the investigators for RAU (rigidity-activated unit—a time-intensity measurement that represents the area under the rigidity curve during a qualified event), with the additional finding that the 100 mg group experienced continued improvement after the discontinuation phase, while the 50 mg group began to experience decline in RAU.
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