Little to no orgasm

Dear tedgard,

Welcome to the forum,  and to the wealth of info you will no doubt receive from others. You said... "I have the desire, I even feel pretty good during stimulation and intercourse, but even though it does seem to build up toward a climax, it never goes over the edge. Has anyone else experienced this issue?  Have things improved over time?  If so, how long did it take?".....

 

When my husband was at your stage of recovery,  he was experiencing ED in all its aspects. Starting from about 4 months,  his ability to orgasm returned with his description being "a little one" only.  He described no exact "release" as previously pre-op, but over time this HAS improved. He now feels 80-85% back to previous feeling, and each time it is improving,  although he reports the feeling as slightly different due to no release of fluid.

I think the emotional turmoil and disappointment in progress you describe,  is similiar to ours. We found the more we focused on this, the LESS it worked. Many recommend patience plus is needed, and we found this too. It seems this healing can go on for up to 2 years slowly and surely, in some cases.

 

It seems to me you are making great gains functionally, and you will probably see some improvement in sensation as the months go on. This was just to briefly answer your question -  that from an initial nothing,  our situation did  improve sensation-wise over 9-10 months with lots of patience and communication. I am no expert, however I think as your body heals you may indeed notice some improvment. We found also the emotional issues had to be tacked simultaneously, so the other option is to further discuss with your surgeon now if you can, since this is all an important part of your recovery and healing. Hope this helps. I will leave the rest to the guys to answer, but Welcome again from us.

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Creed_three (Lana & CJ)

 

Husband CJ aged 50 yrs (49 years at diagnosis and surgery)

PSA (2002) 2.1.  PSA (Nov 2006) 3.5.  1 x (5%) core of 12 positive at biopsy. 11 cores negative. Open Radical Prostatectomy with nerve sparing, on Tuesday 17th April 2007 (Sydney, Australia).

Gleeson 3 + 4 = 7.  Cancer confined. Margins all clear, including bladder neck and seminal vessicles. No incontinence (thankfully).

1st PSA 0.01 (June 07) 2nd PSA 0.02 (Oct 07) undetectable.

ED post-op recovery: Returned 8 months after surgery with Levitra 20mg as needed. Next PSA March 08.

Tedgard

I see this is your first post, glad you have found this  website.  I am over one year past surgery.  I am still having significant erectile problems. 

I have posted before that I do not experience much of an orgasm.  It just ends becomes overly sensitive.  I have talked with my urologist, but so far he has not given me anything positive to look forward to.

Hopefully we can get some new ideas about this problem.

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Biopsy 10/16/06

T2A,  PSA 4.7

Gleason 4+4=8 right side

adrenocarcinoma of prostate

DaVinci Surgery 01/16/07

Post op report,confirms Gleason4+4=8 , no extra extension or invasion

No continence problems

PSA results 90 day (-.01) 6 months (-.01) 9 months (+.02)

PSA one year (+.02)

Using Caverject/viagra for continuing ED problems (one year)

Hi tedgard ~

We’re sorry for the reason you’re had to find us, but so glad you decided to make us part of your journey.

There are many wonderful forum members here willing to listen, share, and help.  Please feel comfortable to share with us, as if you’ve always been here! 

For the particular issue you are addressing, there are links provided as mentioned in the welcome post where you may obtain further information.  As others have said, you should allow time for your body to heal to improve toward normal function.  Sometimes it takes up to one year for normal sexual function to return.

Stay close and we will be here to listen and support.

All the best,

Barry

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"Idaho" ~ Barry

 

Da Vinci Surgery July 31, 2007… 54 on surgery day
PSA 4.3  Gleason 3+3=6  T2a  Confined to Prostate

1st PSA  9/11/2007   <0.04 (undetectable)

2nd PSA 12/10/2007  <0.04

My web site: http://pca-info.blogspot.com

I am at about 19 months post surgery (you can see many details in my signature). FWIW, I use injections plus generic Levitra or generic Viagra for erections, occasionally a pump.

My orgasm quality is definitely less than it was prior to surgery. Very subtle orgasms, most of the time. Some here have said that their orgasm quality actually improved, but that hasn't been the case with me yet. Some people have also indicated that the orgasm experience has changed from more of an explosion (prior to surgery) to a wave effect (after surgery)... I think this is true for me some of the time.

Sometimes, with all the effort it takes to achieve an erection and maintain it, and have a little sexual pleasure with it, I am not sure if what I end up with is an orgasm - sometimes it just seems like exasperation and exhaustion. But things are improving for me, gradually.

As for the decrease in quality, I think this is anywhere from 33% to 50% mental. Having an orgasm was obvious prior to surgery - we had physical proof of the crime! Not having the ejaculate now, I think we need to re-learn how our bodies and minds experience the orgasm, from the build up, to the orgasm itself and the aftermath. I think this takes time and patience, and practice - a lot of practice - both with a partner and while m*sturbating. I also try to enjoy the experience rather than looking for the outcome... which is what I guess many women do anyway, right? They don't always have orgasms (I am sure that doesn't apply to any of the womenfolk here, though!)

I am not happy that this is where I have ended up at this age (diagnosed at 40, surgery at 41)... but I try to make progress. Frankly, a lot of the progress involves adjusting to the new reality.

P.S.: it bugs me to no end that this forum doesn't allow the word M*asturbation. It's a natural freaking thing, for Pete's sake.

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____________________

Prostate cancer diagnosed: May 15, 2006 (age 40)
Gleason score: pre-surgery 3+3=6; post-surgery 3+4=7
daVinci radical prostatectomy: July 25, 2006
size of tumor: approx 1.1 inches; negative margins from surgery

- number of pads/day at 3 months after surgery: 3 to 5
- number of pads/day at 4 months after surgery: 1 to 2
- number of pads/day at 6-18 months after surgery: 0 to 1

- 1st post-surgery PSA: 0 (Nov 2006); 2nd post-surgery PSA: 0 (Feb 2007)
- 3rd post-surgery PSA: 0 (May 2007); 4th post-surgery PSA: 0 (June 2007); 5th post-surgery PSA: 0

The search for timber: took Viagra/Cialis approx. every other day, ErecAid once a day, injections. Peyronie's diagnosed 7/5/07. Now on daily Cialis, L-arginine and pentoxyfylline. Peyronies has stabilized and significantly reversed.

- PGE1 batting average: .364 (4 for 11)
- Bimix batting average: .706 (12 for 17)
- Trimix batting average: .500 (1 for 2) Grand total 17 for 30 = .567

"Lost in the valley without my horses, no one can tell me what my remorse is..."

Post Edited (StrictlyInc) : 2/20/2008 2:28:22 PM (GMT-7)