Are you experiencing dry orgasm after prostate cancer treatments?

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.

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.

Dry organisms are normal, the feeling is no different.

Ah, the trustworthy voice of experience.

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.

@rparsons
Thanks. I had not idea was common. When I did my consultations at Mayo and UFHPTI it was not mentioned. Then when I posted this I saw that others had had it and asked my R/O about it.

It is the concern that does this mean another problem or is this serious because you don't know.

Thanks again.

Well guys. I chose a full prostectomy rather than radiation after being offered a choice and I am glad I did except for my inability to have an erection. I miss the intimate aspects of my marital relationship. I now need an injection to get an erection and I cannot have an ejaculation. At 75 I should not complain but desire does not disappear.

It's totally normal for it to be dry. I've already been asked if I'm "faking it" because there's no longer any "evidence" that I enjoyed myself. It's depressing as hell.

Intermittent hormone treatment

Now the question comes back to the man about faking it.

I remember being told about almost every conceivable side effect of radiation treatment. But dry orgasms were not one or gone over so quickly I did not remember.

I did not see posts about it, so I did one and boy did the posts come back with so many others with same side effect. I did go to my R/O who confirm common as the margins included (for me) the semenial vessels as well as other margins.

I empathsize with others who have experience this. It seems quite more common than I thought. That does reflect or reduce the shock when it happened to me, and others when it happens the first time.