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Considering Tulsa Pro or Proton radiation (full gland)
Prostate Cancer | Last Active: 1 day ago | Replies (101)Comment receiving replies
Hi @jeffmarc, I’m a bit confused. I did proton, whole gland, was on Orgovyx for 14 months (before & after treatment). Was Gleason 8. After months of no libido, started getting minor erections. Tested it out and not only orgasmed, but had fluid, presumably semen. Is this even possible? Does this mean the Proton didn’t work?
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@robertov
It is possible that a small amount of semen could be produced still. More likely the following.
Reduced/No Volume: Radiation causes tissues in the prostate and seminal vesicles to scar or become fibrous. Since these glands produce \(90\text{--}95\%\) of the fluid in semen, this damage results in little to no liquid being produced.What comes out? If any fluid is produced, it is likely only a very small amount of clear "pre-cum" (fluid from Cowper's glands), which are less likely to be damaged by radiation than the main prostate/seminal vesicle glands.