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.

@lookingforward
Thanks for your input. I too just don't remember it.

But just like you I was really getting stressed out about the other stuff and could have missed it.

Quite a shocked to me and of course thought oh no serious problem now with this. So glad MCC is here to say it happens quite commonly after radiation.

And that made me contact my R/O who confirmed that is does happen as a result to radiation that affects the seminal vessels.

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@jc76

Now the question comes back to the man about faking it.

I remember being told about almost every conceivable side effect of radiation treatment. But dry orgasms were not one or gone over so quickly I did not remember.

I did not see posts about it, so I did one and boy did the posts come back with so many others with same side effect. I did go to my R/O who confirm common as the margins included (for me) the semenial vessels as well as other margins.

I empathsize with others who have experience this. It seems quite more common than I thought. That does reflect or reduce the shock when it happened to me, and others when it happens the first time.

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Yeh, I also do not remember my doctor mentioning dry orgasm as a consequence of radiation. Maybe I wasnt listening. There was so much other stuff to worry about such as potential rectal problems (which thankfully I dont have) and recurrence (again thankfully I dont have). But I'm pretty sure he didnt mention it.

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It's normal. I have zero seminal fluid due to seminal vessels being removed during my radical procedure. My first time pee shot about 3 feet over my left shoulder lol. Perhaps TMI but worth noting. My wife can't tell when I organism, but I can. It isn't as powerful which I think is probably a nerve related thing due to not having seminal fluid passing through but still happens and is satisfying. I can still put a smile on her face with alternate methods due to her post cancer physiology. The gift of life is the most satisfying aspect of the surgery.

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@jc76

Now the question comes back to the man about faking it.

I remember being told about almost every conceivable side effect of radiation treatment. But dry orgasms were not one or gone over so quickly I did not remember.

I did not see posts about it, so I did one and boy did the posts come back with so many others with same side effect. I did go to my R/O who confirm common as the margins included (for me) the semenial vessels as well as other margins.

I empathsize with others who have experience this. It seems quite more common than I thought. That does reflect or reduce the shock when it happened to me, and others when it happens the first time.

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It can also be a side effect of taking Flomax and goes back to normal after stopping Flomax. But my doctor said it is also pretty much going to happen with radiation of the whole gland and if the seminal vesicles are involved too.

I don't think it is a bad thing, just different. My wife and I actually had a good laugh over it, as in, "What? That's it?"

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@scottbeammeup

It's totally normal for it to be dry. I've already been asked if I'm "faking it" because there's no longer any "evidence" that I enjoyed myself. It's depressing as hell.

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Now the question comes back to the man about faking it.

I remember being told about almost every conceivable side effect of radiation treatment. But dry orgasms were not one or gone over so quickly I did not remember.

I did not see posts about it, so I did one and boy did the posts come back with so many others with same side effect. I did go to my R/O who confirm common as the margins included (for me) the semenial vessels as well as other margins.

I empathsize with others who have experience this. It seems quite more common than I thought. That does reflect or reduce the shock when it happened to me, and others when it happens the first time.

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Intermittent hormone treatment

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It's totally normal for it to be dry. I've already been asked if I'm "faking it" because there's no longer any "evidence" that I enjoyed myself. It's depressing as hell.

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Well guys. I chose a full prostectomy rather than radiation after being offered a choice and I am glad I did except for my inability to have an erection. I miss the intimate aspects of my marital relationship. I now need an injection to get an erection and I cannot have an ejaculation. At 75 I should not complain but desire does not disappear.

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@rparsons

jc76 Yes this is common. I had 28 rounds of imrt & 18 months of Elagard. I too have dry orgasms. It’s nothing to worry about. I don’t mind it. You just have to get used to it. At least we can get an erection.

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@rparsons
Thanks. I had not idea was common. When I did my consultations at Mayo and UFHPTI it was not mentioned. Then when I posted this I saw that others had had it and asked my R/O about it.

It is the concern that does this mean another problem or is this serious because you don't know.

Thanks again.

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@milans

I find this interesting in that my emulators volume had already decreased before my biopsy and after a few bloody emasculations (which the did warn me about) it pretty much stopped completely. Since I’ve really not had any treatment yet I attributed it to the cancer.

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The blood filled ejaculations scared the crap out of me. I was totally unprepared. Basically tomato ketchup. Gross.

The sad part is that those were the last of my "good" ejaculations. After that, I had radiation and then, for a while, I had strong muscle contractions, but with no fluid, and then pain. Since then my lower end has, I suppose, come to some kind of arrangement with itself so now I get no muscle contractions and a feeble dribble.

I had not realized a long term consequence of the radiation would be to affect the muscles. Is there any value in trying kegel exercises or similar? I shouldn't complain though. Today I dropped down to 0.2 ng/ml. My lowest value yet.

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