i was under the impression many on here had their prostate removed, that and the lupron shots more or less dampen sex drive. since the body no longer produces testesterone. in my case i was having trouble in that area before the surgery.before i was diagnosed the first urologist i went to gave me this cream to apply once a day after i shower.it only helped with ejaculation. after i was diagnosed, i stopped using the cream. he then recommended me to another urologist who did the biopsy and the mri which showed the cancer.i was then informed if i could not rise to the occasion before i probably won,t be able to