well any toughts willbe helpfull,my condition lower backpain for years findout was herniated 3 years ago, noticed problems with erection and libido per years Dr they said because your age Im 35 not this old, my nerve is press in someway althought I dont have sciatica just lower back pain L3 L4 L5, was reading and article thatsaid that L5 nerves are the most important for SEX organs. could I be affected? could this be a coincidence? my neurologist Dr.xxxx he said nothing to do with this not relation between this and poor erection and low of libido. any toughts or ideas already try syldenafil andwork fine for alittle b after 6moths nothing then cialis not as good just give me nasty headaches that makesmevomit. hardlife but this is for theones wediditn elect surgery yet and you dont know for sureif surgery is a solution or ticket to get worst too.