another update:
for all the other men who have posted or even are just reading this, you aren't alone in this and it's not your fault.
this is not commonly discussed for a reason, because a lot of people are ashamed to do so. I was.
making this thread wasn't easy, it's not easy to casually admit even behind a pseudonym that your potency is not what it could be, regardless of the reason. in our society most men would probably admit to anything other than being broke or being impotent. well, a lot of us on suboxone may be both. and it's a hard enough thing, either one. thanks to a few people above and some who PM'd me about this and others who I've read or heard from online who've had the issue. thanks for your courage.
it's not even easy to admit to your intimate partner. in my case it was not even easy for her to believe. our relationship ended. this was by no means the reason why or the "only" reason why, my psychological reactions to this "bedroom issue" not only only compounded the problem but lead to me having difficult expressing a certain emotional reciprocity with her, but to me withdrawing from her physically in general, I guess out of fear of further "humiliating" myself because of this issue. she had her own issues of course which I won't get into detail about but felt not only the psychological but the physiological aspect of this to be a sort of rejection of her on my part which was by no means the case, but the ensuing dynamic was catastrophic to our relationship, it wound up with a lot of insincerity, emotional distance, "emotional infidelity" and other problems and eventually we went our separate ways in a fashion that was so abrupt as to be traumatic.
most of us who are using suboxone aren't using it because we want to, we're using it because we have to because all other attempts at managing our lives have failed. we all know that kicking dope is easy, but staying off is hard. it requires some sort of inner strength that we at the moment might lack and we need some pharmacological back up. I think there's no shame in that whatsoever.
however, it's not without it's consequences. suboxone makes me constipated unlike any other opiate I've ever taken. I need to take milk of magnesia every other day. this is a physiological reaction to the drug and not one that we might speak of in public company, but not one that has profound psychological and relational consequences like this one. read the pharmaceutical packaging or the printout or the literature, you'll find constipation; you'll not, as far as I know, find this. and yet it is real, and it is a different kind of problem to the lack of sexual desire that's initiated by heroin or other classical opiates. this is a pet theory but I'd put money on it being due to the different pharmacology of bupe.
but this is all academic. it doesn't matter why. it happens. it's not just me. it's not just you. it's not just the small number of men posting in this thread, and I'm sure more who are reading it: hundreds of you so far. opiates cause testosterone droppage, we all know that. does every doctor that prescribes them? no. every chronic pain or maintenance patient deserves testosterone testing and possible supplementation. and, in suboxone's case, perhaps a *-afil rug or similar for difficulties not on the drive but on the practical end of things, that in addition to a an ED drugi; suboxone being particularly difficult as opposed to say, methadone, in that it will cause both low T and "technical difficulties." methadone and sometiimes dope for the matter may dim desire and lengthen the period it takes for a man to be physiologically aroused, but they won't cause difficulties with maintaining an erection, in fact, they're more likely to keep it too long, even 'till she's ready to stop. suboxone is different, and I think people don't get this. some of our girlfriends don't get this. mine didn't at the time.
please don't be ashamed. i was for years. recently this whole thing was brought up for me again, and in public, and certainly not by my own choice, but, I think, for the better. recalling the time in my life during which this was a relationship problem is very emotional for me; and to think (I'm not in a relationship currently) that it could be a problem in the future. thankfully, I'm finding some help.
opiates constipate you. milk of mag, colace, whatever, even this fancy new stuff with the twee dancing pill, you might need some help with that.
opiates cause low T and a lack of sex drive. test cyp/enanthate, the gel, whatever, you might need some help with that.
suboxone, in particular, seems to cause problems sustaining and maintaining an erection. this seems to respond at least adequately in a few anecdotal experiences of mine, to tadalafil in addition to the already-mentioned test.
men who are going through this shouldn't be alone or without help.
please if you're going through this don't be afraid to reach out either posting here or by PMing me, if the latter I promise I'll keep whatever you say in confidence.
with respect and regards to you all
skl