Charles: I too have ED problems that by my measurement (tongue in cheek) are frustrating both to me and my partner. My urologist suggests that PD can be the cause. In my case I feel that the cause is more attributable to Zoloft than PD. Viagra -is the 'solution' for me. I too dislike the need to schedule, but that's better than going without. In this same conversation I offer/ask about experiences with delayed ejaculation/PD/Zoloft (or other SSRI's).
Lanny Weddel
.
----- Original Message -----
From: Charles T. Meyer, M.D.
To: [log in to unmask]
Sent: Tuesday, January 02, 2001 5:17 PM
Subject: Re: Bill P. actually posts an on-topic message!
>1. ...any issues that came up with regards to Parkinson's Disease or
>Parkinson's medication and the hip problem or the actual surgery.
> Good luck with the hio surgery. I have not experienced it but give the
> following as a suggestion for all PWP who enter a hospital for any
> reason: Watch carefully that meds are given to you on time during
> the recovery period. Nurses who do not know PD usually do not give out
> meds exactly on time and can be considered "on time" if they give their
> medications out within an hour or so of the directed time. Be sure that
> you have a neurologist who knows PD consulting since problems like this
> come up all the time and require intervention. Talk to the head nurse
> prior to the surgery and let her know rthe importance of exact timing of
> the meds for your comfort and functioning. Remember they will take all
> meds from you when you enter the hospital (unless special arrangements
> are made for self administration) so plan ahead for the inevitable late meds.
2.... swelling of the feet, ankles, and lower leg? Was there
any indication that PD or PD medications had anything to do with it?
As others have mentioned Mirapex can cause significant ankle
swelling and I believe Requip can also although it is not a major problem
with the drug.
3. ... experienced an erectile dysfunction? Was there any indication that
PD or PD medications had anything to do with it?
PD , I am told by an andrologist I consulted several years ago, can itself
result in erectile dysfunction by affecting vasomotor control. Dopamine
mediates arousal and therefore l-dopa, and the agonists cause increased
libido in some of us. However, unfortunately increased libido and
increased quality and quantity of erections do not go hand in hand (so
to speak). I have experienced the increase of libido without the
erections to go with it. The thoughts are there sometimes obsessively
without the ability to carry them out easily without Viagra. It also at
times interferes with my relationship with my wife because of my constant
desire and decreased ability to perform both from physical disability and
with firm erections.
.
I agree with the person who posted about the decreased spontaneity with
Viagra which is quite helpful at times. Lovemaking needs to be scheduled
which often takes away some of the fun(but certainly not all of it.)
I am curious how many men have experienced significant erectile problems
or hypersexuality. If you don't want to post your response email me
direct at [log in to unmask]
Charlie
. Charles T. Meyer, M.D.
Middleton, WI
PD DX 12 years (at age 44)
Age 56
