I was diagnosed about 2 year ago with a pituitary macro adenoma that for all purposes left my libido shot to hell. I have been treating it medically and the MRI results are showing a marked improvement in the size of the tumor and blood tests indicate a prolactin output drop from 600 to 25. As expected I have been supplementing both thyroid and testosterone for the entire time of my treatment.
I also want to mention that I started experiencing sexual side effects to one degree or another almost 10 years prior to my diagnosis. It almost ruined my marriage. Loss of libido, and ED are a killer to a guys ego and it began to affect me mentally. (Depression and anger issues.) My sex life was virtually done.
Now, I'm at a point in my treatment where I would expect to see a significant improvement in this area of my life, but for whatever reason I'm not seeing it. I've incorporated Cialis into my meds, but it only helps so much. I either cannot get an erection or cannot maintain one. It's almost as if the more I try to stay focused on the act, the more it becomes like an exercise and I am more aware of my condition than I am "in the moment". My fear is that the extensive timeframe of poor performance has left me mentally incapable of a normal sex life.
Has anyone else had these types of problems in relation to the sexual implication of a pituitary tumor or am I an anomaly? Is there some additional medical possibilities or do I need to seek mental health treatment?
Also, I struggled with posting this for some time. It's a topic that's not easy to broach with others and I would greatly appreciate your input as I have found very little elsewhere on this specific aspect of my condition.