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Can a dry orgasm after prostatectomy still be pleasurable?

Posted by buffalo1 @buffalo1, Dec 30, 2024

Hi all,
I had my prostate removed and was told that my orgasm would be dry due to the removal of the seminal vesicles. Is it still pleasurable to have sex without that feeling of fullness when you are about to orgasm?

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guyrm | @guyrm | May 27 9:54am

Yes, orgasms post-surgery can be great, even without an erection. If you were someone who mainly depended on a vagina for sexual satisfaction, I would urge you to get reacquainted with your body. After my surgery, I got no instructions for rehab and wasn’t generally getting a decent erection, but always able to get a good orgasm. I started Trimix this year (7 years post-surgery) and it has been really effective at giving me a hard erection that often lasts for about an hour.

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guyrm | @guyrm | May 27 9:56am

Still get that feeling of fullness before orgasm. If I am semi-erect, it’s often the bumper that pumps me up a bit.

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pesquallie | @pesquallie | May 27 1:17pm
In reply to @jime51 "You guys are giving me hope! I haven't had an adequate erection or climax since starting..." + (show)
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You guys are giving me hope! I haven't had an adequate erection or climax since starting ADT 17 months ago. I go off med at the end of June and am crossing my fingers (and uncrossing my legs!) that the ability will return. I've been taking 5mg Cialis for blood flow and using a vacuum device after showers to stretch the tissue. I tried Trimix but there was either no erection or one with lots of pain, so I discontinued and haven't experimented otherwise. If not, my wife and I had a consult regarding an implant but I'm not sure she's on board for that as the alternative, yet. I'll know better in September, after some recovery time.

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@jime51

ADT ended 10 months ago after 44 radiation treatments. No erections or libido and my 82-year-old wife is still beautiful to me. ED meds and vacuum pump have not been adequate. I have read that Trimix will not work well if there is little libido. An implant might work but I am not ready for that. My wife has vaginal atrophy even with Estradiol creme so sex is painful for her and may not be possible even with a firm erection. I believe testosterone replacement treatment would help more than anything especially since I still have major side effects from Lupron that make hot flashes look like fun. However, my urologist will not even consider raising my 100-level testosterone. I have no detectable PSA. Have I missed anything?

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jime51 | @jime51 | May 27 5:53pm
In reply to @pesquallie "@jime51 ADT ended 10 months ago after 44 radiation treatments. No erections or libido and my..." + (show)
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@jime51

ADT ended 10 months ago after 44 radiation treatments. No erections or libido and my 82-year-old wife is still beautiful to me. ED meds and vacuum pump have not been adequate. I have read that Trimix will not work well if there is little libido. An implant might work but I am not ready for that. My wife has vaginal atrophy even with Estradiol creme so sex is painful for her and may not be possible even with a firm erection. I believe testosterone replacement treatment would help more than anything especially since I still have major side effects from Lupron that make hot flashes look like fun. However, my urologist will not even consider raising my 100-level testosterone. I have no detectable PSA. Have I missed anything?

Jump to this post

@pesquallie I've not had the experience, but I understand that recovery from Lupron takes longer than from the oral medication, and I'm sorry for the long time waiting. My oncologist's PA said that they typically don't consider testosterone supplementation for 9-12 months after treatment ends, and even then it depends on the cancer that has been treated. I wish you recovery soon!

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