Are you experiencing dry orgasm after prostate cancer treatments?

Posted by jc76 @jc76, Apr 7, 2024

For me this is a very embarassing question and subject. I think MCC is a great place to ask.

I have seen some past post but don't remember much about the discussion. I had 30 rounds of proton radiation and no ADT. It will be 1 year since my last treatment in July 2024.

I am not sexually active (intercourse wise due to back and medical problems with both spouse and I). My spouse and I enjoy each other with manual arousal love making.

I noticed orgasms are dry with little or no liquid. I plan to discuss with my R/O in July but would like to see if this is something that has happen with others who did not have RP. I am not sure if I should be concerned about it or that is a common issue after radiation.

Bear with me was not easy to ask. I have found MCC a place where I can ask embarassing (at least for me) questions where I would never do so in person or in a in-person group.

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

tjv1156 | @tjv1156 | 4 days ago

During a prostatectomy, the prostate gland and seminal vesicles are typically removed, leading to a change in semen production and ejaculation. After the surgery, the seminal vesicles are no longer present, meaning the fluid they contribute to semen is not produced. While sperm can still be produced, they are reabsorbed into the body and no longer contribute to ejaculation.

retireditguy | @retireditguy | 5 days ago

In reply to @mnj9092 "Amazon Pharmacy - I pay approx $13.00 for 30 day supply of 5mg - that's what..." + (show)

As a Costco member, I pay a similar price at Costco. Interestingly, the 90 day amount is only about $5 more and since I was paying cash and it's not a controlled drug like a pain killer, the Costco clerk changed my prescription from 30 to 90 (now every 3 months) to save me some money when I asked about it. Before switching to Costco, I got 90 tablets at Smith's grocery/pharmacy for about $20 with a Goodrx free coupon. Ditto for Viagra when I checked. Of course, I'm talking generic and not name brand with both.

buffalo1 | @buffalo1 | 5 days ago

Yes you will have dry orgasm but it can still be very pleasurable. Will eventually get used to it.

butchthefireman | @butchthefireman | 5 days ago

Thanks Jake. I'm pretty confident but I will seek another opinion. I appreciate you and others who voice their opinions. God's blessings.

Leonard | @jakedduck1 | 6 days ago

In reply to @butchthefireman "I have ejaculated fluid which is brownish in color , Urology Doc said I will have..." + (show)

@butchthefireman
Are you going to a doctor or a clairvoyant? I suppose there is a small chance the doctor could be right although I‘d ask how s/he came to that conclusion. Were you given a diagnosis that you could research and verify that what he said may or may not be true? I probably would have asked if it could be old blood causing the problem which isn't unheard of by a long shot. Seamen comes in a considerable variety of colors and I have my doubts any of them last for the rest of anyone's life.
I’ve had too many doctors who think they are both physicians and clairvoyants.
When they tell me “for the rest of your life” I find another doctor. I've had a doctor say this or that happened at birth during delivery. I asked him “were you there?” Another doctor said “you’ll have seizures until the day you die.”WRONG AGAIN. My parents being called to my hospital bedside numerous times because the doctors called them and said I wasn't going to make it through the night,
WRONG x 3. Contrary to how it may sound I don't dislike doctors. I should rephrase that. I dislike bad doctors and doctors who think they know it all and ones who are confused about whether they are physicians or clairvoyants and doctors who don't care about their patients.
Just my two cents.
Take care,
Jake

butchthefireman | @butchthefireman | 6 days ago

In reply to @davidrm "Radical prostatectomy equals no more baby making mechanism. Those days are gone forever. Depending on your..." + (show)

I have ejaculated fluid which is brownish in color , Urology Doc said I will have off and on the rest of my life.

davidrm | @davidrm | Apr 18 11:26am

Radical prostatectomy equals no more baby making mechanism. Those days are gone forever. Depending on your age, that can have a large psychological effect. Even when older it has some psychological effect. Nothing about prostate cancer is good on our testosterone driven male being.

milans | @milans | Apr 18 4:41am

Yes. The ejaculated fluid comes from the prostate which is being removed (with surgery) or destroyed ( with radiation) so I’d take it a a good sign. Sometimes there can be a little urine leakage at orgasm but your Kegels will help with that. On a personal level I was surprised how much the orgasm felt the same without ejaculate. (Saves on Kleenex too. Haha)