PredniSONE and loss of libido

Dear Friends:

I have been off and on prednisone for thirty years. I am a chronic asthmatic, and things flare up easily. This past six months have been difficult, as my symptoms have exacerbated about every month.

Prednisone has taken its toll. My weight has been a problem even though I am careful what I eat. My muscle mass seems to have decreased, and I find that I do not have the strength I used to have. I am 67 years of age and otherwise in good health. I do have peripheral neuropathy in both feet and legs, and polycythemia vera. The Polycythemia is been under control for 7 months, with no phlebotomies required.

The worst side-effect of all is on my libido. I have always been sexually active, but the prednisone has made me dysfunctional. When I ask my doctor(s), the inevitible reply is, "Well, as we age, things are never what they used to be." They avoid the subject like the plague.

I need some information. Is it the prednisone which has caused erectile dysfunction and loss of libido? If so, what can be done about it?

Dave