Getting back on the bike will be an ENORMOUS HELP! I’m back to biking 5-6 days a week. I’m going for a ride shortly after writing this post before it get too hot. I limit my ride to about 10 miles but I do interval training and get a great workout. The endorphin rush lasts for hours. My libido has been affected by 1st and 2nd generation ADT however I’ve been able to get a positive response after recovering from a good bike. Not sure of the biological mechanism at work, but for whatever reason my libido is better, not like before ADT but better nonetheless.

ADT lowers testosterone and testosterone drives libido in the brain so the goal is to wake up that part of the brain. Watching or reading erotic might do the trick and might not. Involving a second person while you’re in process to get things going can be disappointing if not outright disastrous. I speak from experience and am in a loving committed relationship with my wife of 44 years. We had a great sex life before my surgery, ADT, and RT and we hope to regain that someday but the reality is that it’s going to be a DIY project until I know what works and can apply in a duo configuration. I have several friends that have gone through the same thing and everyone has told me the same things:
1.) Be patient. Rome wasn’t built in day and this is going to take time.
2.) Do Keagles daily. Orgasms can be more satisfying if muscles contract the way they used to and it’s not all just in your head.
3.) Seek professional help. Centers of Excellence often have clinicians and urologists trained in dealing with ED. I will have my first appointment in August, seven months after my surgery.
4.) Never give up.

Good luck and stay positive!