I know it has been thouroughly discussed on here, but I think my case could be open to a number of possibilites resulting in my problem, Basically I started accutane a year ago 10mg/2 months 20mg/2-3 months and 40mg/3-4 months I weighed about 65kg at the time. I did not complete my course because I noticed my libido significantly dropping, the ability to maintain a hard erection diminishing and a whole lot of depressive thinking due to this. Which couldn't help. The scary thing is I have never had sex. Most I have ever had was a handjob, (want to really love the girl for my first time) Before the tane I was so excited to get rid of my acne and get out into a relationship now I have no urge to have sex or masturbate.
Now at the time, I crashed my motorcycle and injured my leg and was at home for a long period of time whilst on accutane. I resorted to masturbation to porn everyday and smoking alot of pot 3-4gs a day. Didn't have a problem staying hard (I thought this could possibly be porn induced sexual dysfunction) but then due to further reading on the subject, found that many accutane sufferers require constant or intense stimulation to stay aroused/hard. Now I never get spontaneous erections anymore after the tane.. I used to get them constantly and actually masturbated to reduce the frequency of these things, I would even get them riding my motorcycle! I can only get one now constantly stimulating myself or by stimulating myself to porn. Its as if my libido hopped up and left. Staying hard in condom is a no go. I'm experiencing other symptoms too like a cold shriveld penis always feeling numbish, dribbling urine, constant chapped lips, first nosebleed in years. I very rarely wake up with morning wood, and if I do its weak and before I even step out of the bedroom to head to the bathroom it would be flaccid. I cant remember the last time I stayed hard standing up. Also with the dribbling urine, the certain muscle or whatever that you use to push that last bit of urine out doesn't work, I must push underneath my penis behind my testicles to get the rest out, otherwise if I sit down or unch over urine will leak out.
My first thought was desensitization from porn/over masturbation, but then I gave up the porn and quit the pot. Still no difference in libido. I havent touched my little guy in 4 days and I have absolutely no sexual urges whatsoever. If I start to masturbate eventually it feels good and I get hard but it feels forced and dissapears if I stop touching him. I can't imagine how it will end up with a woman.. Part of me is wishing this is not narrowed down to accutane, but the more I read the more it makes sense.
I tried weighing up different possibilities like I was overthinking too much but I met this gorgeous girl and we cuddled and watched a movie, kissed and whatnot, but I felt nothing. She was pretty much dressed for sex too, It was extremely hard to do but I even considered my own sexuality to be the problem. Which I now positively know is not.. Then resorted to maybe she wasnt my type or attractive enough but not long ago I was thinking about her and looked at her facebook, she has a photo clearly showing her pretty eyes, as soon as I saw this I got butterflies but no reaction down under? (I have since stopped speaking to this girl because I can't stand the embarrassement anymore) I can tell she wants to f&^* the christ out of me, the way she looks at me, and acts. I felt like I was just disappointing her.
I was never depressed before this, at the time of accutane I was a student pilot working toward my CPL but when this hit home I had to give it up as It would be irresponsible to fly in such a depressive state. Many people are saying I can't get it up because I'm depressed. I'm f&*^&&& depressed because I can't get it up!
I'm usually pretty grammatically correct, but my mind is rambling.. sorry if alot of this is all over the place. But i need help, I don't know how long I'm gonna last like this. I cry myself to sleep everynight and think about suicide just to end the embarrassment, I have friends having sex multiple times a day. My refractory period seems to be unlimited unless I force it. This hurts so much.
Does this sound like the after affects of the tane?
Thank you all. I greatly appreciate any replies at the bottom of my heart.
Yo man, calm down! I'm guessing your acne's gone? 
that's good. & if it's not well you can still get a girl! Anyways, this is all in your head. Some may be true but get professional help before doing anything bad. And dont say that's embarrasing cus my dad once got a vaccine in his penis and he started crying infront of me & my mom! Everything can be solved, just be patient. Sex isn't everything out there! You've been thru an accident & acne, you can do this
Yo man, calm down! I'm guessing your acne's gone?
that's good. & if it's not well you can still get a girl! Anyways, this is all in your head. Some may be true but get professional help before doing anything bad. And dont say that's embarrasing cus my dad once got a vaccine in his penis and he started crying infront of me & my mom! Everything can be solved, just be patient. Sex isn't everything out there! You've been thru an accident & acne, you can do this
Thank you for the kind words, my acne is still prevalent but no where near the cystic type it once was. I'm hoping it's just a mixture of heavy depression.. Along with anxiety.. It's running my life at the moment. I will post up here on Wednesday after I go back to see the doc, he acknowledged it wasn't a commonly documented side effect but agreed to research further into the topic for me. I think its more the libido than erections themselves, as I can gain a full erection just not maintain it. I really appreciate your reply, it really made me feel better.
See the long term suffers thread and do a search on the board, Accutane can cause sexual dysfunction. Also, if you live in the U.S. there is a physician in MI that is treating Accutane Victims. Accutane can sometimes cause hormonal issues. His name is Dr. Crisler and he has a website for propecia and Accutane for sexual dysfunction. http://www.allthingsmale.com/forum/forumdisplay.php?8-Accutane-Sufferers-Forum
I know your probably stressed and having anxiety due to this, but please try and just breathe, exercise, meditation and be around your friends and family!
Let me know if you need anything other help Good Luck!
On 6/17/2013 at 10:00 AM, oli girl said:See the long term suffers thread and do a search on the board, Accutane can cause sexual dysfunction. Also, if you live in the U.S. there is a physician in MI that is treating Accutane Victims. Accutane can sometimes cause hormonal issues. His name is Dr. Crisler and he has a website for propecia and Accutane for sexual dysfunction. http://www.allthingsmale.com/forum/forumdisplay.php?8-Accutane-Sufferers-Forum
I know your probably stressed and having anxiety due to this, but please try and just breathe, exercise, meditation and be around your friends and family!
Let me know if you need anything other help Good Luck!
Thank you, I have read much on the subject but wanted to get a view relating to my strange combination, I thought I'd see another doctor today and told him about porn induced sexual dysfunction, he said it sounds very possible and that I should test with some of my favourite type of women in porn.. I got a semi erection from just watching the intro of the video and had the urge to masturbate.. Up he popped when I skipped through and got even harder once I started masturbating, I stayed hard throughout the whole time. If Accutane had affected me, would this happen? Is it common to still get hard to visually stimulating material? I thought if accutane was to play with my chemical brain balance I might of needed the extra visual stimulation (porn) to stay erect and 'activate' that part of my brain. I ejaculated and it felt so so good. Now I don't think I mentioned in the other post but I havent watched porn in over 3-4 weeks and havent masturbated for 5 days, and this is where I noticed my drop in libido.
I'm still not sure though, I have no urge to look at it or masturbate it unless I manually initiate it.
So in short, If affected by accutane would this be the case?
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Well iam a female! However if you sign up on all things male fourm or pm Dubya on this fourm and copy and paste what you just explained I bet they could help you!
Also, if you had a accident iam not sure where you leg got hurt, but it could of hurt a nerve and accutane make it worse! Let me know if they don't respond I'll get in touch with them too!
Did you find out anything about this? I'm also experiencing the same thing as you. I can still get an erection but it is very difficult to maintain it. I only took accutane for 2 months and had to stop due to many many side effects. But I thought this would get better but after almost 3 weeks since stopping accutane, I still have a very difficult time maintaining an erection. Before accutane, I would get an erection very easily, and also maintaining it was no problem. But now, I can get an erection but just in few seconds, it would go soft. Let me know what you find. I'm still dealing with other side effects as well as severe cystic acne so I'm just having a hard time living each day. I'm hoping it would go back to normal with more time but who knows.
Hey, I have been through the exact same thing as you guys, I have had an endless amount of tests & scans done through my endo and a number of GP's. Please do sign up to the accutane all things male forum-there are people on there that can offer you support.
Also i recommend getting a 24hr USP done, to test your sex hormones and cortisol. A number of tanners have not showed any results via serum tests but significant results by the 24hr USP.
Cheers
Best of luck
Sorry to hear of your problem. I've often wondered this myself, but for me I think the reasons for it happening, when it does, seems to be depression rather than the tane. I initially found it difficult to maintain or get a proper erection sometimes, still do now and then, but fortunately at some points during tane treatment had some very 'good times' which went a long way to reassuring me and my libido. The only difference was the 'good times' occurred when I was fairly happy all round. It also helps to be with someone you feel comfortable with and trust completely I've found: if Im generally feeling blue, both on or off tane, and/or with a girl I don't really know, no matter how much I would like to have sex, often I cannot get a regular erection, or if I do, it requires a bit more work and stimulation. This almost always occurs I believe because I'm feeling down in my day to day life and not because of my meds....its strange you mention the standing up thing, as I find this has been an issue for me also!
It's not an easy topic to discuss but Im sure every guy taking the medication thinks and worries about this at some point. Hell, every guy probably worries about this at some point! Try not to get too anxious. Develop a strong and close relationship with a girl you can wholeheartedly trust before trying anything, you'll find you will surprise yourself when it finally happens.
Hope you find the answer and resolve the issue.
Best of luck
Just giving this a bump, because I am suffering from the same issue, and it IS Accutane that caused it. I have had side effects from tane over the years, but sometimes go back on it to settle my own vanity. I haven't take it in about 2 years but decided to do a quick low dose ( 40mg over 4 days for a month). I have NEVER had a problem getting an erection. I didn't even need porn to masturbate, I'd just lay in bed and open up the spank bank from previous relationships and I was hard as a rock.
Soon as I popped the accutane now over a month ago.... EVERYTHING has changed. Attempting to think about sexual thoughts with girls does nothing for me. I use to masturbate almost nightly before bed, but now I am just exhausted, I just want to sleep. I use to almost be embarrassed cause if a girl started just kissing me, I'd have a full blown erection. Just 2 weeks ago though I hooked up with a girl from my gym I've always wanted to get with..... and although I was doing oral sex with her, I was soft as could be. She wanted to get on top, but I couldn't hold an erection hard enough to keep it up. I am honestly devastated.
I can still get a decent erection over porn, did this morning..... but it is NOTHING in comparison to what I could get previously. I honestly just hope it's temporary. Never EVER touching this fucking drug again.