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Are you experiencing dry orgasm after prostate cancer treatments?
Prostate Cancer | Last Active: 2 days ago | Replies (73)Comment receiving replies
I had dry orgasms, too, when I stopped Orgovyx but now that it's almost a year later, I ejaculate a lot of clear pre-cum which feels good. Unfortunately, I only have orgasms about half the time now when I used to have them 90% of the time. I also need 20 mg Viagra when I needed nothing before. Orgasms were pretty weak but I did pelvic floor physical therapy and that greatly improved their quality.
As for how to get to acceptance, I'm still not there. Some days I'm OK, others I'm angry or sad. That's just how it is, I assume. I guess over time I'l get used to it since it seems people can get used to just about anything.
Replies to "I had dry orgasms, too, when I stopped Orgovyx but now that it's almost a year..."
Hey Scott,
My name is Paul and I’m 67 years old. I finally decided to check out the Mayo Clinic blogs and I read your story... I thought I would contribute as I went through the madness years ago (5+) and I’m still having consequences.
I was diagnosed way back during the pandemic with a similar score (Gleason 7 4+3) and in actuality I had it way before then as my PSA was rather low (under 3) but when it started creeping up I was recommended a biopsy which was fun by the way... I was seeing an old-school Urologist (Garo M. Tertzakian was born in Lebanon) and he recommended removal. I chose a second opinion with another Urologist (Dr. Leonard A. Farber) that specializes in prostate cancer and he recommended SBRT (Stereotactic Body Radiation Therapy). I also had an option to do hormone therapy with 2 shots of Lupron (every 3 months) which really sucked as the side-affects were real... Libido = 0 and hot flashes for the duration plus... my wife was pissed! ha ha. I did the hydrogel spacer, (SpaceOAR) to protect the rectum from the radiation (not 100% protection at all...).
When all that ran its course, my labido came back 2-fold and the hot flashes subsided pretty much intirely. I have scar tissue which makes peeing a little less flowing and there are minor accidents)... and my bowel movements are more frequent but not terrible and tolerable.
I was taking Viagra, Cialis which worked for a while but not for the last couple of years. I have resorted to having to take a shot at the base of my penis. It’s called Trimix. It’s really not as bad as it sounds... a very small needle and very little pain. Well worth it. The erection will last a little longer than desired tho... best at night as becomes a little rough whilst walking around for a while...
Now though... as time is going by... I’ve been having trouble having an orgasm which really sucks... (and that’s including by myself) Luckily I really enjoy oral sex which helps very much. This has been going on for about six months now unfortunately... I have an appointment coming up with my original doctor (Garo M. Tertzakian) which will be interesting... to see if there’s anything that will help with that.
I forgot to mention now that I’m proofreading... my PSA gets checked every six months and I’m happy to say it has stayed at 0.2 which is almost undetectable...
I’m hoping by writing this that yourself, or someone is familiar with this situation and what to do about it...
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Thanks for some hope! The pelvic floor exercises sound intriguing. Any way to share what they are?