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Post RARP Sexual Activity
How long did you wait until the first orgasm post RARP? My doctor said at least 3-4 weeks, web sites say 4-6 weeks. I'm right on the bubble, tomorrow is 4 weeks and that also is 4 weeks since the last time - which for me is a long time!
My wife and I were fooling around very carefully last night but I experienced what I can only describe as a "micro orgasm" accidentally - we were trying to be careful not to take things too far, it wasn't a full release but more of when you would stop right before (edging more or less - which is precisely what we were doing) and you might ejaculate a little bit but not fully - that's the sensation.
I've been quite careful, particularly as I noticed that sustained erections had been causing some perineal pain but that has been dissipating of late so I figured it was time to try a little more, feeling like the more I push the limit then the better things get since the perineum and urethra [Franklin] (yea, that's what I call it because I'm silly like that) need to get used to a new normal.
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I should have kept a log because I really don't remember exactly. For me it wasn't a case of "how long did you wait" but rather "the first time it just happened". I think it was around 6 - 8 weeks. It was really inconsistent at first but now 8 months out it's reasonably consistent. I don't always have an orgasm, but usually. For me the new normal was an adjustment of our sexual experience to more cuddling, so I'd characterize my orgasms now as being driven by more "mental" where before surgery I think they were driven more by "physical" (if that makes any sense). When I did start having orgasms again I'd usually had some minor pain in my pelvis area for a day or so. It'd start a few hours after orgasm and last for a day or so. I should have reached out to my care team but I didn't bother (which wasn't smart). But that slowly eased up over a couple of months and it's gone entirely now. From your post it sounds like you have much more control over your erection than me. I'm 71 so I'm a bit older than you. Things are still progressing for me, but very slowly. That said, I'm pretty happy and optimistic at this point (8 months) and hopeful things will continue to improve. I'm not a medical professional nor do I remember specifically hearing any directions from my care team about when I could try to start having orgasms. Said another way, I have no idea what the medical recommendation would be so I'd suggest asking your care team what they recommend regarding when you can try to have an orgasm since it sounds like you actually will have some control over it. If you do talk to your care team, also ask about what you should do if you get some light pelvic pain afterwards. Congrats! It sounds like you're doing great (much better than me). Best wishes on your recovery.
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4 ReactionsI found this interesting study, an emerging method that not only can help men overcome ED after RARP but can also actually regenerate the lost nerves. It doesn't answer the question that this thread is asking but I thought it an interesting read as I still try to figure out when I can finally have that first O.
https://www.sciencedaily.com/releases/2021/04/210419135742.htm
Wish they’d find something. This article is from 2021….when??
Maybe they can incorporate this enzyme into Trimix.
I was told to wait two weeks, so between 2 and 3 weeks, I realized some great sensations when rubbing my penis and was able to come to orgasm (without a full erection) fairly quickly. In fact, post surgery I have been reaching orgasm much easier and more quickly...not sure why but I am not complaining. I never had any pain during sex, but did experience some discomfort as you described, when my penis was first getting hard. I am still ejaculating urine, but am hoping my kegels will eliminate that, since that is a problem when having sex with a partner.