← Return to Total inability to have an orgasm post radiation

Discussion

Total inability to have an orgasm post radiation

Prostate Cancer | Last Active: Aug 28 10:26am | Replies (39)
Comment receiving replies
@northoftheborder

Ah, you're right. I was focusing too much on "IELT".

But also note the wording of the summary:

"ADT results in significant orgasm dysfunction with loss of orgasmic capability in all patients with time and reduced intensity and increased IELT in all. Patients undergoing ADT should be counseled regarding changes in orgasm."

So, if I may paraphrase my reading:

1. All patients on ADT lose some of their orgasmic capability over time.
2. All patients on ADT experience reduced intensity and longer IELT (Intravaginal Ejaculatory Latency Time).
3. Patients should be counseled about these changes in orgasm this before taking ADT.

Note that it doesn't say that all patients lose the capacity to have an orgasm completely over time (the experience of many of us here in the forum would contradict that, and their own addition of "increased IELT" wouldn't be necessary), but that 100% of patients experience *some* level of diminishment in orgasm over time on ADT (which is consistent with what people are reporting here).

Jump to this post

Replies to "Ah, you're right. I was focusing too much on "IELT". But also note the wording of..."
5galloncan | @5galloncan | Aug 28 9:36am

I don't think they worded their conclusions succinctly, because it's confusing to read partial loss and total loss in the same sentence. When they say, "...with loss of orgasmic capability in all patients with time.." I interpret that as meaning all of the patients lost the ability to orgasm. Indeed, some of the text in the narrative preceding the conclusions, says, "...Mean time to complete loss of orgasm = 5±2.5 months on ADT, with 12% capable of orgasm within 6 months of starting ADT, 8% 6-12 months and none beyond that time-point."

So again, I read "complete loss of orgasm" and "none beyond that time-point" to mean all patients in the study lost the complete ability to orgasm after about a year and some before that. But I'm not a doctor and I didn't take the ADT. I would hope they did some sort of followup to see if any regained their ability to orgasm when/if they stopped the ADT.

Also, I found some indication that "push button" orgasms has been studied in relation to implanting a device in the body that could trigger orgasm, but it's from many years ago and who knows where it is today. Maybe Elon Musk could figure out the science since he's into brain implants anyway. See https://www.bbc.com/future/article/20140321-orgasms-at-the-push-of-a-button.

VIEW AND REPLY