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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.

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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.

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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)

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hoopsh | @hoopsh | Apr 17 10:06pm

I've had the same experience. Dry ejaculations since my radiation treatment for prostate cancer - eight years ago.

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graybeard46 | @graybeard46 | Apr 17 9:12am

I was told if your prostate is removed, no more sperm some partners might be smiling 🥵

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slick64 | @slick64 | Apr 17 8:51am
In reply to @zzotte "I don’t know how old you are but even without PC depending on your age according..." + (show)
Profile picture for zzotte @zzotte

I don’t know how old you are but even without PC depending on your age according to my Urologist it’s normal to have dry orgasm.

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Before having PC, I never had a dry orgasim or even ever heard of it. Just have to make the best of it, deal with it and move on. Improvise, adapt and overcome. While it’s not shocking, it is and does take a little to get used to.

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zzotte | @zzotte | Apr 16 7:58pm

I don’t know how old you are but even without PC depending on your age according to my Urologist it’s normal to have dry orgasm.

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dragonfly | @dragonfly25 | Apr 16 12:53pm
In reply to @jc76 "@cstrutt52 None taken here at all and appreciated others responding to my original post. I thought..." + (show)
Profile picture for jc76 @jc76

@cstrutt52
None taken here at all and appreciated others responding to my original post.

I thought it was something unique to me and a serious problem until I got the responses from fellow MCCs. I did talk to my R/O after reading posts and confirmed that it is a common problem. Not sure how I missed that when discussing side effects, but UFHPTI is so thorough I sure they did.

We are not medical professionals or experts on prostate cancer experts and none of us should expect that from others on MCC nor should the attempt to give medical advice. MCC was formed to have others post their experiences with their disease symptoms, diagnosis, treatments, and recovery and provide an inspiration to others.

You are a MCC and thanks for posting your experience. Please keep posting everyone's experience on this subject is very valuable to others.

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I had a prostaetomy a few years ago and have "dry" orgasms, bu still FEEL the orgasm feeling.

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brian5837 | @brian5837 | Apr 16 11:50am
In reply to @mnj9092 "Amazon Pharmacy - I pay approx $13.00 for 30 day supply of 5mg - that's what..." + (show)
Profile picture for mnj9092 @mnj9092

Amazon Pharmacy - I pay approx $13.00 for 30 day supply of 5mg - that's what I've been prescribed for daily use.

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If you don't mind, how does Amazon pharmacy work? It it e-prescribing only? Will they give you a Rx after talking to one of their people or do you have to get it from your own doc? Thanks.

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mnj9092 | @mnj9092 | Feb 14 9:12am
In reply to @seasuite "The only warning I got was from my cousin who had a RP. He made it..." + (show)
Profile picture for seasuite @seasuite

The only warning I got was from my cousin who had a RP. He made it sound like he was happy to have even that given that ED drugs didn't work for him. My main RO ran thru the side effects list at the same speed as the drug vendors on TV, a total blur of useless details. Regrettably, she did not 'net it out' and tell me those side effects that are most likely and how I should be prepared.

After my radiation and Orgovyx, I am also 'shooting blanks'. I should add that I had an unnecessary orchiectomy, right side, since my Dr. decided that I likely had testicular cancer that turned out benign, and ejaculation was weak to begin with.

I now get about 80% of a normal erection 3 months post completion of all therapies. I was offered a Cialis prescription, but, my pharmacy just sent: Price*
Tadalafil 20mg Tablets
30 $1501.09
Total: $1501.09

I don't know it that is the final price, but, I'll have to decide if it's work it or not.

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Amazon Pharmacy - I pay approx $13.00 for 30 day supply of 5mg - that's what I've been prescribed for daily use.

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2 replies
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cstrutt52 | @cstrutt52 | Feb 13 12:19pm
In reply to @jc76 "@cstrutt52 None taken here at all and appreciated others responding to my original post. I thought..." + (show)
Profile picture for jc76 @jc76

@cstrutt52
None taken here at all and appreciated others responding to my original post.

I thought it was something unique to me and a serious problem until I got the responses from fellow MCCs. I did talk to my R/O after reading posts and confirmed that it is a common problem. Not sure how I missed that when discussing side effects, but UFHPTI is so thorough I sure they did.

We are not medical professionals or experts on prostate cancer experts and none of us should expect that from others on MCC nor should the attempt to give medical advice. MCC was formed to have others post their experiences with their disease symptoms, diagnosis, treatments, and recovery and provide an inspiration to others.

You are a MCC and thanks for posting your experience. Please keep posting everyone's experience on this subject is very valuable to others.

Jump to this post

I suspect this result was not mentioned to you. I learned about it by being Dr. Google and asked my first doctor about it. He confirmed it like, "yeah, of course," like maybe they think it is common knowledge ("we take out your lungs, you don't breathe" kind of thing). And, to others. After a vasectomy, our sperm is absorbed into the lining of the epididymis (the tube where it is stored). The rest of the unused sperm is absorbed simply and naturally by your body.

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