Advice for erection problems etc

@arctic22 I'm 72, had HoLep done 2 years ago, took about a year for good erections to stabilize, and was off BP meds. My doctor put me back on BP med about 7 months ago, but even then could get sustaining erections...until recently! I'm now struggling with KEEPING an erection, which is very frustrating for me - my wife is a real trooper throughout this whole ordeal! I'm now wondering if it's the BP meds or something else. I'm in excellent health and active! The desire is strongly there, but even with taking Cialis 20mg for many years, it doesn't seem to be helping much. I mean, I can get a good erection while standing up, holding my wife and her responses are very stimulating. But when I go to enter her, I lose the erection right away - even using a gel!

I've seen a lot of implants but they just seem awfully awkward, with the pump being the one my urologist suggested, but I'm not keen at having to "air up" my penis before sex! Seems very mechanical.

I will look into the Franktalk site but would like some continued information about this subject.

@jsimek I've used Cialis 20mg for more than 20 years now - I'm 73 - and always it worked. I had HoLep surgery two years ago and had continued good results up until a couple months, or so, ago. I'm in excellent health and active. I had to go back on BP meds about 7 months ago, but it didn't seem to cause any issues until a couple months ago. Upon advice from my urologist, he had me taking 5mg per day - to keep the blood flow up - and take 3 more when I'm ready for sex. That kind of worked but now I'm having real issue with staying hard! I'm not sure where to go from here, but I'm going to try taking a 20mg pill a couple hours before bedtime tonight and see what happens...!

I'm also looking into possibly taking some cinnamon powder, which supposed to help with blood flow and see if that helps.

@air4dave I would suggest trying trimix
It’s working nicely for me but just very firm
My urologist suggests changing proportions of trimix to be harder
I also want to know about quad mix
The finasteride suppresses sexual desire and quad mix has a forth med that is for mental stimulation

@jsimek I've used Cialis 20mg for more than 20 years now - I'm 73 - and always it worked. I had HoLep surgery two years ago and had continued good results up until a couple months, or so, ago. I'm in excellent health and active. I had to go back on BP meds about 7 months ago, but it didn't seem to cause any issues until a couple months ago. Upon advice from my urologist, he had me taking 5mg per day - to keep the blood flow up - and take 3 more when I'm ready for sex. That kind of worked but now I'm having real issue with staying hard! I'm not sure where to go from here, but I'm going to try taking a 20mg pill a couple hours before bedtime tonight and see what happens...!

I'm also looking into possibly taking some cinnamon powder, which supposed to help with blood flow and see if that helps.

@jsimek I've used Cialis 20mg for more than 20 years now - I'm 73 - and always it worked. I had HoLep surgery two years ago and had continued good results up until a couple months, or so, ago. I'm in excellent health and active. I had to go back on BP meds about 7 months ago, but it didn't seem to cause any issues until a couple months ago. Upon advice from my urologist, he had me taking 5mg per day - to keep the blood flow up - and take 3 more when I'm ready for sex. That kind of worked but now I'm having real issue with staying hard! I'm not sure where to go from here, but I'm going to try taking a 20mg pill a couple hours before bedtime tonight and see what happens...!

I'm also looking into possibly taking some cinnamon powder, which supposed to help with blood flow and see if that helps.

@air4dave Update:
After doing some more research and speaking with one of the commentators on this site, I started doing pelvic floor exercises. That actually has been very beneficial and works for me. I am not interested in doing the implant route, but I can understand going this route for those who have way worse problems than I had!
Doing the pelvic floor exercises after a week and a half proved to be the solution to keeping my erection. It doesn’t always work for me, but 90% of the time it does.

@air4dave what pelvic exercises are you doing?

@ohioman I have looked into several different youtube videos and mayo clinic explanations/solutions. I'm definitely NOT going through anything permanent, such as implants! I had heard about doing the Pelvic exercises but felt they were foolish...until a few weeks ago. I still watch this AI gal on YT (she's easy on the eyes and speaks clearly). Her name is Elena and I started with this:https://www.youtube.com/watch.
Then, I typed in Pelvic floor exercises - Kegal it's also called - and watched this: https://www.youtube.com/watch
This is what I still do daily! I actually have it on my phone's calendar to repeat everyday so I don't forget. After doing this several times a day...in a week we tried sex again - it worked! So...I keep doing it every day. It's been about 5 weeks now and we have sex weekly. Recently, however, I couldn't achieve a sustained erection but, I just waited another few days and it worked again. So...advice: be patient, force yourself to not think about your "failures". The more DOUBT you can get out of your mind the better you will perform. Watch some of these videos, discuss it with your wife, or partner, and give yourself time to make some changes in your life.
Have you had prostate surgery of any kind?

@air4dave thanks! No prostate surgery. Active Surveillance (Gleason 3 + 3), though bump in PSA suggesting time for another MRI

Had the penile doplar done showing reduced blood flow coming in (though no leakage out). Just looking for ways to get past current wobbly erections.