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Dry orgasm after prostate cancer treatments

Posted by jc76 @jc76, Apr 7, 2024

For me this is a very emparassing question and subject. I think MCC is a great place to ask.

I have seen some past post but don't remember much about the discussion. I had 30 rounds of proton radiation and no ADT. It will be 1 year since my last treatment in July 2024.

I am not sexually active (intercourse wise due to back and medical problems with both spouse and I). My spouse and I enjoy each other with manual arousal love making.

I noticed orgasms are dry with litte or no liquid. I plan to discuss with my R/O in July but would like to see if this is something that has happen with others who did not have RP. I am not sure if I should be concerned about it or that is a common issue after radiation.

Bear with me was not easy to ask. I have found MCC a place where I can ask embarassing (at least for me) questions where I would never do so in person or in a in-person group.

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

rparsons | @rparsons | 2 days ago

jc76 Yes this is common. I had 28 rounds of imrt & 18 months of Elagard. I too have dry orgasms. It’s nothing to worry about. I don’t mind it. You just have to get used to it. At least we can get an erection.

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gently | @gently | 2 days ago

The prostate and the seminal vesicles produce fluid that nourishes and helps propel semen. Radiation is whole organ treatment and can include the seminal vesicles ( incidentally or purposefully if there had been cancer extension into the vesicle), while semen is distantly safer in the testes. Dry orgasms aren't abnormal after radiation treatment.

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bkizer | @bkizer | 2 days ago
In reply to @gently "jc76, thanks for asking this question. Kishan at UCLA said that dry organism are something that..." + (show)
@gently

jc76, thanks for asking this question. Kishan at UCLA said that dry organism are something that take getting use to. And I was too timid to ask. They are common because the prostate produces fluid that propels sperm through the penis. Since we pretty much evicerate the prostate gland with radiation if we don't remove it, we might not have much recourse. I have read that some medications make it worse. And I read somewhere that they are having some success with stem cell implants in the prostate gland. I wanted to ask Kishan if they are painful or just not as pleasurable. I'll be looking for better responses than mine.

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Dry organisms are normal, the feeling is no different.

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gently | @gently | 2 days ago

Ah, the trustworthy voice of experience.

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lookingforward | @lookingforward | 5 hours ago
In reply to @milans "I find this interesting in that my emulators volume had already decreased before my biopsy and..." + (show)
@milans

I find this interesting in that my emulators volume had already decreased before my biopsy and after a few bloody emasculations (which the did warn me about) it pretty much stopped completely. Since I’ve really not had any treatment yet I attributed it to the cancer.

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The blood filled ejaculations scared the crap out of me. I was totally unprepared. Basically tomato ketchup. Gross.

The sad part is that those were the last of my "good" ejaculations. After that, I had radiation and then, for a while, I had strong muscle contractions, but with no fluid, and then pain. Since then my lower end has, I suppose, come to some kind of arrangement with itself so now I get no muscle contractions and a feeble dribble.

I had not realized a long term consequence of the radiation would be to affect the muscles. Is there any value in trying kegel exercises or similar? I shouldn't complain though. Today I dropped down to 0.2 ng/ml. My lowest value yet.

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