Are you experiencing dry orgasm after prostate cancer treatments?

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.

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.

@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.

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.

Ah, the trustworthy voice of experience.

Dry organisms are normal, the feeling is no different.

The prostate and the seminal vesicles produce fluid that nourishes and helps propel semen. Radiation is whole organ treatment and can include the seminal vesicles ( incidentally or purposefully if there had been cancer extension into the vesicle), while semen is distantly safer in the testes. Dry orgasms aren't abnormal after radiation treatment.

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.

If you destroy your prostate, either by radiation or by surgery, you will end ejaculate (having only dry orgasms). You still have a pair of small glands (bulbourethral glands, also known as Cowper’s glands) located outside the prostate. They produce the small amount of liquid to help lubricate the urethra and condition it for the semen. That is often called "pre-cum". That will eventually go away too, though it may stick around for a year or more. So, yes, dry orgasms (the loss of any liquid) is normal and expected when you take action to get rid of or destroy the prostate. With radiation this can take some time. It is also true that doctors are not real upfront about this, especially with patients that they sense are uncomfortable talking about such things.

Check out my post regarding a Facebook support group I belong to. We openly discuss all of the questions that people may consider embarrassing. https://connect.mayoclinic.org/discussion/facebook-support-group-for-guys-with-pc/