Dry Orgasm after surgery: Does it get better with time?

I get so much junk on FB , so I decided to pull it and suspend it , and just use Messeneger . You can get me on Messeneger at James Varga ( wearing a blue shirt ) . There may be some Island pictures attached to it , I have some aviation ones and fishing ones , maybe a couple with my duel purpose bike I use on the Island ... So far I have had surgery but PSA didnt go to zero so the RO said lets do 22 sessions of Salvage , that was 2 years ago. I think that did the trick , as PSA started to go down from 0.14 ( when I got pelvic salvage radiation) to now 0.041 . Dr stated it appears everything was in pelvic region- good guess as he didnt do a PSMA-PET scan before hand . HA!!!! Level wings my friend and keep the scan going ! 🙂 James on Vancouver Island .

Hey, thanks for your wonderful post. It made my day. I love flying! I’m just a GA pilot but I’m also taking lessons to get my helicopter certification. I won’t complete training until I’m off ADT next November which is good because one of the drugs I am on xytiga is conditionally on the no-fly list so these days, I’m limiting my flying to time spent with one of my instructor friends so we’re all legal.

if you are on Facebook, look for “Roberts Luthiery”. That’s my Facebook handle and I Post aviation content whenever I am fortunate enough to be able to fly something somewhere with someone! Send me a friend request if you’re interested in staying in touch.

All the best to you on your journey with PCa.

Rob - I hear you Brother . He is trying to be helpful and encouraging I think. I posted a note here today to BDC . I was light , and explained to hang in there , it will get better . BDC is also exposed to ADT , so that may not have washed out of his system yet . Im no Dr ( thank god ) , Im a commercial pilot BUT , ive hear some guys have problems after ADT for 3-10 months after . On that note , I hear a lot of my pilots I used to fly with are comming down with Prostate Cancer . Very high number than general population. We are exposed to massive RF radiation from radio's , Nav equipment, and transponders (2) operating at massive wattage ! Also the air at Flight Level 40 ( thats 40,000' ) there is so much , X-rays , Gamma rays , and other comic rays. Darn I was exposed to that for 30 years . Now when I take contracts overseas ( ill be with Cebu Pacific in Jan for 5-6 months) . I try and get on the ATR-72's . Its a turbo prop , flys very low ( 18,000 feet is usually cruise altitude ) and is rather slow compared to the A320, 737, 767 ( Which I usually fly ) . So now I choose lower altitudes - safer for a pilot . I would say 50-55% have prostate cancers . Way more than population- I have told the Government of Canada and Health Canada . they say they have no money to investigate . I said what about all that money you have in Breast Cancer ? They said nothing ! Men get little respect in North America (NA) . Prostate Cancer get about 2-5% of the funding breast cancer gets if you do a long study on funding and direct and indirect funding ....yet more men die of prostate cancers than people die of Breast Cancer these days . God Bless you Sir . Keep the faith and thanks of all your help to our brothers !

BDC- In time it gets better brother . You are still very much healing. How old are you ? Give yourself some time. The ED ok ? I had Operation and then Salvage Radiation , so double trouble , but now 3 years later the ED is MUCH better with pills and pump and wife is getting use to different style of interaction per se . I would say I stepped down from my 12 gauge , to my Ruger Semi Auto .22 . A little lighter , but very much enjoyable , recovery time easier to go again ! 🙂 God Bless Brother , keep us in the loop ! James on Vancouver Island .

Well, I don’t know about the outcome with surgery but I had high dose Proton radiation and hormone therapy and right after I rang the bell, I was experiencing dry orgasims. Now, 18 months later I am having orgasims, but the finish is “wet”. By wet, I mean I ejaculate but only a clear liquid, no sperm in it at all. I found out somewhere that, that will be the case from now on. Also, I’m still recovering from the hormones, only got 3 shots total over 18 mths ago. A webinar from the PCF on the subject stated that it could take years to recover from it. So far it is true. I don’t have a partner and while it seems like I’m having a strong erection, I don’t know how strong or if I can penetrate to a mutual satisfaction. What a journey and a strange trip it has been. Stay strong.

You are correct

There is this mindset with the doctors that you should be happy you dont have cancer. They arent as aggressive with helping with the side-effects. Don't get me wrong, I think I made the right choice about surgery. But, it was implied they had several options to help with the other issues. But when I emailed my doctor I was told, just increase your Cialis dosage. I was hoping for something a little more helpful.

I had the rezum procedure done for bph 3 years ago. Have had dry orgasm ever since. when i went back for 6 month checkup and told doc this he said why does that matter at your age (60). I never went back. From what i can gather, he did nerve damage which is not reversible. He never told me this could happen and i didn't know to ask. I have since read multiple times that he could have avoided the nerves. Be sure to ask if you have any procedure done. Still disappointed.

My therapist had me doing planks, side planks, clamshells with resistance bands, bridges with resistance bands, squats with resistance bands, bossa ball balance, and several others, along with kegels. For me it dried me up and improved ed function. A good therapist really helped.

I suspect strengthening the pelvic floor is not just "kegels." @robertmizek or anyone else, do you have other exercises that help rebuild the muscles in this area? Does restrengthening the abdominal wall or whatever that is called also make a difference? I've been doing slow pushups, bridges, and leg lifts but I have received no coaching along these lines. I also had back pain which I suspected was due to a weaker "core." I'm not sure where to go to get advice on further muscle support and recovery. I did get a good start on pelvic floor thanks to a physical therapist around the time of RALP, but she was about 50 miles away and I didn't want to keep making the trek once I got some initial relief and continence.