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1116669 tn?1269143266

Taboo? Sexual performance issues secondary to HCV?

I have read stats (sorry they are not at my fingertips) that ascertain an association between erection difficulties and HCV and/or advancing liver disease. I'm sure most have read of the association between HCV and depression which of course can contribute to such problems. I am interested in others experiences. I do not see this as a "social community" posting as it is a physiologic outcome of HCV i.e., erection difficulties with the advncing of Hepatitis C?
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3588970 tn?1352500746
I don't think there's any question of it. Too, having been HIV positive for 21 years, I can tell you both diseases have a deflating effect.  I coped by using Testim up until the time I started triple tx then decided the stop to reduce the liver load.  I have had one hard on in three months.  But I must tell you: between the two viruses, genetic depression in my family, and the drug and sexual addiction/dysfunction, I am for the moment happy not to be a slave to my crotch.  ;)
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Avatar universal
I don't know about erections, but a decreased libido is pretty common with HCV, I believe.
I don't know the statistics on it, but it seems to return with the eradication of the virus, even if one is cirrhotic.

"I am for the moment happy not to be a slave to my crotch.  ;) "
There is a lot to be said for that. Who needs that sort of pressure when treating and healing?
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Avatar universal
Here I go again as a contrarian.

I have HCV.  I don't know how long I have had it; could be since the mid 70's. My latest suspicions are that since my LFT's were perfect in 1990 (w/ moderate drinking) and out of range in 2002 (while not drinking) that I could have possibly been infected more recently.

I'm rather normal or better than normal physically and I would say that I seem somewhat unaffected by HCV and the thread topic, although I am within spitting distance of 60 years old.

.....I prefer the term *indentured servant* to that of slave.  : )

I also are aware that TX can impact of many of the same issues as is attributed to HCV.  As in all things that relate to sexual performance and satisfation, ED, etc....... it is often very very difficult to "peg" the cause to the effect.

willy
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3588970 tn?1352500746
I hope everyone else thinks it's just too funny to get a response from "willy". No disrespect -  LMFAO!
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3230925 tn?1397615965
It's not uncommon for men with HCV to suffer from ED and for the most part it as nothing to do with how well the libido is.In my case I can tell a significant difference between pre treatment and after treatment.Each case can be different,you also have to take in consideration such things as age,other medical conditions,drinking,smoking,some medications the person might be taking,or use of illicit drugs.So sometimes it as nothing to do with HCV or it could be a number of things listed above in combination with HCV.
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Avatar universal
I think Hep C, age, cirrhosis all play apart in it, which reminds me of this saying..... Sorry can't help myself.

I AM OLD AND FEEBLE ,AND MY PILOT LIGHT IS OUT .WHAT USED TO MY SEX APPEAL ,IS NOW MY WATER SPOUT..I USED TO BE EMBARRASSED TO MAKE THE THING BEHAVE FOR EVERY SINGLE MORNING IT WOULD STAND UP AND WATCH ME SHAVE .NOW I'M GROWING OLDER AND IT SURE GIVES ME THE BLUES, TO HAVE THAT THING HANG DOWN MY LEG AND WATCH ME SHINE MY SHOES.
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Avatar universal
OMG, I cannot stop laughing.
It doesn't take long to revert to adolescence when this issue comes up.
Very funny
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Avatar universal
Thanks for the laugh!  OMGGGGGG Cracking up here
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446474 tn?1446347682
Can-do - you the man!
Thanks for that old ditty.

Hector
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3230925 tn?1397615965
How about the women,are you suffering from a draught or is it business as usual?
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446474 tn?1446347682
Now on a serious note if I may...

I will only comment on decompensated cirrhosis and sexual dysfunction and ED (erectile dysfunction).

If we think of the complications of decompensated cirrhosis we can see many factors that can contribute to the loss of sexual interest in patients with advanced liver disease. Extreme fatigue, weakness, nausea and general sickness which are common in these patients don’t inspire thinking of or desiring sex. Neither does ascites and edema and pruritus (itching). Also it is common to lose one’s appetite and desire to sleep as well as one’s sexual desire. Irritability, inability to concentrate, loss of memory, confusion, or depressed levels of consciousness because of hepatic encephalopathy (HE) contribute as well. And of course many patients become clinical depressed as they are overwhelmed by the loss of their health by a life-threatening illness. Depression can of course lead to anhedonia (loss of pleasure in all things) including sexual pleasure. In addition to the above, liver failure can produce kidney issues including diabetes which is known to cause ED.

The liver plays an important role in the breakdown of sex hormones, such as estrogen or testosterone. With increased scarring of the liver more estrogen remains in the body. So the male patient develops female characteristics, breast growth being the most obvious.

Cirrhosis also causes impotence, infertility, loss of sexual drive, loss of body hair, Decreased muscle mass, gynecomastia (breast enlargement), and testicular atrophy in many male patients. Young cirrhotic women stop having normal menstrual cycles and women experience vaginal dryness, which typically results in decreased sexual interest.

Of course an Urologist who specializes in sexual dysfunction is the doctor who can determine the cause of your ED. If you are male and the problem is due to advanced liver disease, you can be tested to make sure you are physically able to have an erection. You will sign a consent form and an injection of a drug similar to Viagra can be injected directly into the penis. (This procedure is not for everyone!). The things we do for love! Within 5-10 minutes if you think a sexual thought you will get an erection. This indicates the ED and loss of libido is due to HE for those males that suffer with that complication of cirrhosis. Basically the connection between the brain and the penis is disrupted by the encephalopathy.
The good news is ….that after transplant when the patient has a fully functioning liver this along with all of the other complication of cirrhosis disappear.

Sex is like air...
You don't how much you need it until you can't get it.
Hector
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2114467 tn?1358210256
Thanx for the laugh!
C
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1815939 tn?1377991799
"How about the women,are you suffering from a draught or is it business as usual? "
---------------------------------

Never a drought, but rather a slight drop in business towards the end of  30-35 years of HCV.

However, now, after 48 weeks of Tx, business is better than usual, in fact, it is superb.
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Avatar universal
I'm in Wk 16.  Forecast has been "Fair to Partly Cloudy".  But if Beyonce' walked into the room the forecast would change dramatically to "Precipitation 100% Hurricane force winds and flooding in low lying areas"!
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Avatar universal
Surprisingly, the incivek had a somewhat viagra effect. I am 57 and have the usual drop in testosterone, I went from thinking about sex every 7 seconds to thinking about it every 7 days, but the incivek returned it. This was the only good side effect that incivek had. I know it was the tncivek, because it went away with the incivek...Mark
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Avatar universal
My drought started about 30 years ago! Interestingly enough, there does seem to be a little rain these days.
I suspect when the virus exited, it gave room for some life to flow.
Too little too late LOL!
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Avatar universal
But if Beyonce' walked into the room the forecast would change dramatically to "Precipitation 100% Hurricane force winds and flooding in low lying areas"!
Love that! lol 'cept in my case it would be Bobby DeNiro  or Pacino.
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163305 tn?1333668571
I have a theory and last time I mentioned it people thought I was joking but I'm not.
Mine is that low wbc reduce libido. Or at least it seemed to affect me that way.
What made me aware of this was when I was taking neupogen, the changes were noticeable, at least I certainly noticed them.

When you're on tx, your wbc tend to drop, same can be true with advanced liver disease, although I think when you are very ill, your body tends to focus on simply the basics of staying alive.
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1815939 tn?1377991799
"But if Beyonce' walked into the room the forecast would change dramatically to "Precipitation 100% Hurricane force winds and flooding in low lying areas"!

"Love that! lol 'cept in my case it would be Bobby DeNiro  or Pacino. "
__________________________________


Hmm ... in my case, it would be Sheryl Crow OR George Clooney.
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Avatar universal
Woohoo Pooh!!!
Now that would be something...gonna stop there before I say too much. haha
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2059648 tn?1439766665
WOW Hector..... I have to say you nailed this subject.  What a great
answer.  I had never heard of anhedonia.... But I can tell you that was
my Incivek experience.   Thanks for pointing that out.  I found that to
be the hardest part of this treatment.  
Thanks Again : )
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2147300 tn?1369689688
What a nice conversation for intelligent adults.  You guys are a bunch of sexual meteorologists. And I appreciate the break from all the big words.
I need to hang my washcloth over my shoulder since tx started.
Nice thread everyone.
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2035311 tn?1332679977
Well, I had hep c for more than 35 years and I've never had a problem with hydraulics yet. ( Knock on wood...lol )  My wife says it only because I'm so immature.  I'm fifty freakin eight! I've been clear since April and so far so good. I finished 7977 trial on Aug 30.  I do exercise almost everyday. O wonder if that has anything to do with it. I don't want to think about it too much, I might jinx "it"....lol
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3230925 tn?1397615965
Did someone part the red sea? Great posts..LOL
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