<div dir="ltr"><div class="gmail_default" style="font-family:"comic sans ms",sans-serif;font-size:small;color:rgb(0,0,0)"><p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman",serif;color:rgb(34,34,34)"><span style="font-size:11pt;font-family:Calibri,sans-serif">Cialis doesn’t exactly in itself cause arousal; rather it simulates it. When using Cialis I can get an erection very easily, a bit like I did when the hormone levels were an order of magnitude higher. I wear loose baggy pants so it doesn’t show when that happens. My theory is that Cialis use makes me a kinder, friendlier person, more approachable, less sanctimonious perhaps, more human. I like me better on Cialis.<u></u><u></u></span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman",serif;color:rgb(34,34,34)"><span style="font-size:11pt;font-family:Calibri,sans-serif"><u></u> <u></u></span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman",serif;color:rgb(34,34,34)"><span style="font-size:11pt;font-family:Calibri,sans-serif">Your thoughts please sir?<u></u><u></u></span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman",serif;color:rgb(34,34,34)"><span style="font-size:11pt;font-family:Calibri,sans-serif"><u></u> <u></u></span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman",serif;color:rgb(34,34,34)"><span style="font-size:11pt;font-family:Calibri,sans-serif">spike</span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman",serif;color:rgb(34,34,34)"><span style="font-size:11pt;font-family:Calibri,sans-serif"><br></span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman",serif;color:rgb(34,34,34)"><span style="font-size:11pt;font-family:Calibri,sans-serif">Are you on the daily Cialis? Would seem so. I only began to use C after prostatectomy and it was the 20 mg dose. It has done nothing for me unless I was in a sexual situation. It caused no arousal at all. Whether that's the result of age, hormone level, or the surgery is problematic.</span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman",serif;color:rgb(34,34,34)"><span style="font-size:11pt;font-family:Calibri,sans-serif"><br></span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman",serif;color:rgb(34,34,34)"><span style="font-size:11pt;font-family:Calibri,sans-serif">My understanding is that it does not stimulate arousal but enable it when a situation calls for it. Wait - you said 'simulate'. >???? What is a simulated erection? Or do you mean cognitive wish for sex?</span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman",serif;color:rgb(34,34,34)"><span style="font-size:11pt;font-family:Calibri,sans-serif"><br></span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman",serif;color:rgb(34,34,34)"><span style="font-size:11pt;font-family:Calibri,sans-serif">I am off the charts low in testosterone but they won't give me any because of the prostate cancer, which eats it as prime rib. Still, one pill will last me three nights. I won't pretend that it's the same as before the surgery and I can't last as long (or maybe go ahead with orgasm because I am afraid of losing it).</span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman",serif;color:rgb(34,34,34)"><span style="font-size:11pt;font-family:Calibri,sans-serif"><br></span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman",serif;color:rgb(34,34,34)"><span style="font-size:11pt;font-family:Calibri,sans-serif">I have always been low in testosterone, which hasn't stopped me from a normal sex life - above average if you count times per week.</span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman",serif;color:rgb(34,34,34)"><span style="font-size:11pt;font-family:Calibri,sans-serif"><br></span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman",serif;color:rgb(34,34,34)"><span style="font-size:11pt;font-family:Calibri,sans-serif">As for the emotional effects you refer to I do not have them and have never heard of them. Placebo effect is a possibility, of course. Have you Googled this?</span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman",serif;color:rgb(34,34,34)"><span style="font-size:11pt;font-family:Calibri,sans-serif"><br></span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman",serif;color:rgb(34,34,34)"><span style="font-size:11pt;font-family:Calibri,sans-serif">While we are on this subject, I think it's just rotten that Medicare doesn't pay for </span><span style="font-family:Calibri,sans-serif;font-size:11pt">Cialis for people like me: prostate surgery. They are pretending that good sex is not part of a healthy life. Of course it would ruin their budget.</span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman",serif;color:rgb(34,34,34)"><span style="font-family:Calibri,sans-serif;font-size:11pt"><br></span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:"Times New Roman",serif;color:rgb(34,34,34)"><span style="font-size:11pt;font-family:Calibri,sans-serif">bill w</span></p></div></div><div class="gmail_extra"><br><div class="gmail_quote">On Fri, Jun 17, 2016 at 2:56 AM, Anders Sandberg <span dir="ltr"><<a href="mailto:anders@aleph.se" target="_blank">anders@aleph.se</a>></span> wrote:<br><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex"><span class="">On 2016-06-16 11:27, BillK wrote:<br>
</span><span class=""><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex">
I have the feeling that all this philosophising about pain and<br>
suffering is all very well and good.<br>
But it will get thrown out as soon as raging toothache, bad migraine<br>
or gallstone blockage pain arrives.<br>
<br>
When you are writhing in pain, screaming for codeine, philosophy<br>
somehow doesn't seem that important. ;)<br>
</blockquote>
<br></span>
As the Bard wrote, "There was never yet philosopher that could endure the toothache patiently".<br>
<br>
But actually, when I did have a toothache I tried the pain management techniques. Generally, pain is very distracting, but both associative and dissociative methods do work. However, they require mental processing cycles, so painkillers are very useful if you have other things to do.<span class="im HOEnZb"><br>
<br>
<br>
-- <br>
Dr Anders Sandberg<br>
Future of Humanity Institute<br>
Oxford Martin School<br>
Oxford University<br>
<br></span><div class="HOEnZb"><div class="h5">
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