Are you experiencing dry orgasm after prostate cancer treatments?

@brian5837
I was the original poster on this all the way back to April of 2024.

I too was shocked when it happened. I did not remember any discussion of it. So I posted the original post back in April of 2024. I found like you that is common. Then I went to my R/O and found out the same. Problem was this was not told to me to expect it and if they did I did not remember it.

The seminal vessels come through the prostate and thus are going to be radiated. Mosts R/Os will also do margins which would impact seminal vessels just outside of prostate. Don't know if that happened to you just passing on what my R/O told me.

I have not felt comfortable with the dry orgasms. To me I can feel the pressure to ejaculate but is blocked. I can orgasm but cannot ejaculate. The feeling I get with the blockage is not good or comfortable. It has affected my desire for sex and orgasms. I have talked ot my wife about this just to let her know.

You did not mentioned your age. I am 78. I was 76 when I got radiation treatments. Thus I was not overally active at my age and my and my wifes medical problems. But for me was a real shock and disapointment that this happened.

I wish I could be more positive in my post to you but for me this was a side affect that stayed and has not improved as the other side affects did over time. I am glad my PSA test show my radiation (I had 30 rounds of proton) has worked but for me this one side affect was probably the worse of all and was never mentioned or if it was not emphasized.

It too take cialis. It is not for ED but to help relax prostate, bladder, etc. so I do not have the increased urniation and urgency that occured around 2 year post radiation.
Hopefully others will have a more positive post for you. I do know we on MCC are suppose to be a inspiration to others but on this one I suffered this, found it was common, and still don't like the feelling.

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.

I want to follow your progress. I'm 73, in my eighth month (of 24, supposedly) of Orgovyx, and haven't experienced a normal erection or orgasm all year. I'm cheering for your recovery!

Thanks for some hope! The pelvic floor exercises sound intriguing. Any way to share what they are?

I share your pain Brian after a year of surgery radiation and Lupron not a sign of having sex again despite Trimix and Bimix I feel nothing, whenever I see couples out in public holding hands I get very depressed knowing they can enjoy love making when they get home , I might as well be in Prison , not happy

I had 5 rounds of radiation in 2020. I had only one ejaculation a week after treatment, it less than usual with a bit of blood in it. My doctor told me to expect a bit of blood the first couple of times. I had pre-cum many times (a small amount of clear liquid). Then nothing. The stimulation of my member feels normal, but as I get close to ejaculation, nothing happens. I've come to accept it, being grateful to be alive, and mostly functional. This happened when I was 70. Now I am 76 years old. It would have been better if your doctor had told you what to expect. My doctor told me all the possible outcomes. I take Cialis every day; it makes my dick more meaty and much easier to urinate. I tried trimix, but was uncomfortable with injecting. Too much can be painful, and you might have to go to the emergency room if it doesn't return to normal size.

Leakage and uncontrolled urination can happen. I do pelvic floor exercises regularly; otherwise, the symptoms will return. Again, I have to accept this, like becoming bald, arthritis issues, and having digestion issues due to various medical issues.

Most of the ones I was given were among these: https://nafc.org/downloadable-pelvic-floor-exercises/

A lot of them are VERY similar to yoga poses and involve a lot of stretching. Another one I was given was to do kegels but do five VERY quickly with no pause in between and no holding just 1, 2, 3, 4, 5 in five seconds several times a day. That's different than the ones for urinary control.

Thanks so much, Scott! Very helpful.

I had radiation to my prostate and because of local mets also to one seminal vesicle. I mostly have dry orgasms with small amounts of ejaculations every once in a while. Sometimes I think I don't have any ejaculate but when I wake up there is some dried ejaculate on my leg.

I’m coming up on one year since I finished my 28 sessions of radiation treatment for PC. I’m dry too and never was told this was a side effect. I thought I did a lot of research but have to blame myself. I’m working on getting over it but it does make me hesitate for sex. Thanks everyone in this group.