I follow another posting on the PCAI. There was a thread started there on help for low or non-existant orgasm after Prostate Cancer treatment.
Here are a few of the posts:
A while ago I posted and there was a follow up flurry of posts regarding
loss of orgasm post RRP. This is not an often recognized side effect as is
the usually acknowledged ED and incontinence. And it doesn't seem to be
remediable.
One urologist claimed, based on a small study, that Cabergoline helped.
Some posted marijuana helped. But I didn't find either to help
What I will say from my personal experience is that the intensity and
sensation of orgasm has changed. The former to a low level of sensation, and
the latter being a very different feeling no longer the explosion.
Obviously there is nothing to ejaculate so that may be the basis for a
change, although I will say that once - and just last week, after four years
- I did have a sense of the old explosive orgasm. I will remain hopeful for
a repeat.
I would think it's hard to get anything with a flaccid penis, but some guys
do report they do. I need to be hard, which I accomplish with penile
injections, and the harder the more effective for orgasm.
Also to know, that some meds may diminish even the diminished orgasm. I feel
anti-anxiety meds have that effect, and statins may have that effect also,
as well as there must be others. (BTW, not talking libido here but effect on
orgasm).
A post from a lady:
Obviously I am not an expert on this, but I do have some observations. 1st,
> I think reducing frequency is not likely to help. What you need now is more
> stimulation, not less IMHO. I think the old proverb "if you want great sex
> in the evening, you must start early in the morning.", may have more merit.
> Not all stimulation need be direct touch either. Full body massages (not
> intended to be immediately sexual) are relaxing and sensual can be relaxing
> and sensory focused. Long, leisurely showers, or anything relaxing but
> physically enjoyable will do the same. Plus, walking. I know, that can
> sound more like work than pleasure, but I do believe exercise and especially
> walking can produce more benefits for those fighting this particular battle
> than most of the meds do.
>
> Remember too that orgasms are hindered by mental effort. If your mind is
> engaged in thinking about how to "get it to happen", it is not free to "let
> it happen". Pleasure yourself and your partner (if available) for the sheer
> pleasure of it. You are more likely to have the orgasms you seek than if you
> are chasing the orgasm.
>
> Don't think I am discounting the desire for orgasms. My husband and I have
> fought the good fight with ED, so trust me when I say that I believe this is
> important. Marvin has an implant now and that helps a lot with relaxed sex,
> but orgasms are still not as reliable or simple as they once were. I think
> we are both happier when we make sure that we have fun, relaxing time
> together and bring those same qualities into our sexual encounters.
>
> I wish you well, I wish you orgasms. Lots of them!
My 2 cents:
Carol's suggestions are good: watch your diet, exercise, touching.
I would just add to it.
Exercise will help keep the cancer away, as well as help you get in shape for better sex. Walk, run, whatever you can do--and do it regularly. Do kegel exercises, google it if you don't know how.
Watch your diet. There are certain foods that seem to help libido. One that I can think of off the top of my head is watermelon, but if you google "foods that increase male libido" you will get a ton of responses. You will have to sift the trash from the good stuff.
Non-sexual touching. As for skin-to-skin bonding, I find that very helpful. I really enjoy letting my genitals touch my wife while I am giving her a back rub, hip rub, neck rub, head rub or whatever pleases her. She likes a lot of pressure and as I apply the pressure that really turns me on--makes me feel virile. It has been proven that us older guys, even without having PCa treatment, need more stimulation too. So take turns and have her give you a chest rub, genital rub, whatever feels good to you and helps you get up.
I had radiation and seeding as my PCa treatment and it did a number on my ability to orgasm. I now have retrograde ejac which takes away from the total experience a great deal, at least for me. We guys just have to come to the realization that we won't be like we were before PCa treatment, but just try to make the best of what we have--at least we are alive and healthy.
I had a day when working on the computer at home and rubbed my frenulum off and on all day. By the time my wife and I had sex the next morning it was pretty great. Of course, I can't do that all the time and have only done it once, so I can't speak to how it works all the time. My experience with frenulum rubbing is that 30 minutes isn't enough. Maybe young guys can, but I'm not that sensitive any more so I have to be more patient.
One thing not mentioned, I think, is visualization. I would NOT recommend porn as that has been proven to be counter-productive, as well as not very moral. However, enjoy any feeling you might have down there, sort of live in the moment. You definitely do not want to stress over what is going on--am I getting an erection, am I keeping an erection, etc--, but just try to enjoy whatever is and even imagine, if you can, that you are growing and becoming more virile, etc.
Well, I haven't found the "secret" to orgasms yet, but this is how I am working on it and having some limited success. In the end just be thankful for life and its blessings, however meager they might seem, especially in this area.
Thanks for posting because in some ways I thought I was the only guy not having orgasms!
One other guy's remarks to Carol's post:
You are correct in your assessment. We all try different ways to approach
the issue with some results better than others. I believe we need to listen
to women and their sexual responses, as I'm thinking we men are now more
like women. Slow to warm up and when the moment comes it is either a
plateau just hanging there, a bump up with a mild release or a very nice
release. I seem to come down from whatever peak experienced a lot slower
and softer than I use to which again somewhat compares to a woman's reaction
at least with my experience.
In regards to a relaxation approach, I find merit in this as I often find a
sweeter orgasm when I prepare mentally to accept whatever it is going to be,
taking a relaxant light dose of Xanax, some lubrication and have comfortable
and deep penetration. Your right in saying that it is not like it was at
least for the male & pre RRP. I miss the automatic great ejaculatory
orgasms pre surgery , but find now I love the slower approach and appreciate
many details that I had missed before. It is much more sensual and things
flow better with my wife which I am remiss for not taking part in before
surgery. Maybe we are better lovers out of all of this regardless of the
orgasm intensity. How sweet it is to be alive with my wife in all phases.