why has my orgasm feel less intense after my prostate surgery?

I felt the same way when I first watched it. For me, recovering from RP at 70 it really helped educate me on the time scale I should expect for the nerves to wake up and then to become functional again. Plus, it was clear to me that this guy really knows what he's talking about. I'm glad it was useful to you. I really don't recall, but I think I first ran across it on this blog when someone else posted it. But it's simply too informative not to occasionally repost. Best wishes.

I am 72 and had RP at 68, Triple therapy a year later and pelvic radiation after that. PSA undetectable for last 2 1/2 years. I was on Lupron for 1 year but my T never recovered after one and a half years. Since the RP in 10/2021 up until 10/24, I had no spontaneous erections. Used the pump and Trimix.

At my last MO appointment in 10/24 at Hopkins my MO said my T recovery was too slow and wanted me to go on TRT under the direction of an endocrinologist. I made an appointment at Emory (live close by) and the endocrinologist suggested Clomiphene to stimulate the pituitary to produce FSH/LH to induce the testicles to produce T. Before starting treatment he ordered labs. My FSH/LH were high, indicating my body was already trying to stimulate my testicles to produce T but that factory was shut down. Diagnosis of primary hypogonadism-not treatable with Clomiphene. So, I was started on TRT, Androgel. My T immediately came back to normal and the endocrinologist had to titrate the dosage to get the T at the level he wanted (300-500).

I realize the physical and psychological effects of T deprivation are different for men. For me, the very low T (< 3) from my Lupron treatment was almost intolerable. Fatigue, hot flashes, loss of libido, muscle loss, genital shrinkage etc. After 7 months on T I have regained my energy, hot flashed are gone, my libido is back (!!), I have gained muscle and lost fat, my body hair has returned and I have had some return in penile length. After around 2 months on TRT I began to notice a return of nocturnal erections and erections with foreplay with my wife. Still not 100% but getting better. My orgasms are stronger than before TRT. Unfortunately, I have climaturia (ejaculation of urine with orgasm) but there are ways to help ( empty bladder before sex, limit fluid intake a couple hours before, cock ring, condom). Actually, the ejaculation of urine is a similar feeling to semen but.....it's still urine.

I have largely come to accept the new normal regarding my cancer and its treatment side effects. It's hard sometimes but I try to have gratitude for what I still have.