better orgasm when penis is semi erect

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Regular Member

Date Joined Sep 2009
Total Posts : 27
   Posted 7/13/2010 10:47 PM (GMT -6)   
 Just eighteen months out from my prostectomy and can get  a shortlived errection.This is not enough for intercorse....Can get a longer lasting one with Levitra and ring at base of penis ,enough for intercorse.   My orgasm is not good at the fully erect state.,I do have near my old normal ,when semi erect....Anyone else have this situation?

Worried Guy
Veteran Member

Date Joined Jul 2009
Total Posts : 3739
   Posted 7/14/2010 5:19 AM (GMT -6)   
Yes. So far I have not been able to orgasm when fueled by Trimix. I have good orgasms when limp and lifeless. (On the bright side, that state is 99.99% of the time.)
Married 34 years, DX Age 56. First routine PSA test on April 8, 09: 17.8. Start 2 weeks of Cipro to rule out protatitis. May '09 PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, 20%-70%, Gleason 3+4=7, 3+3=6. Bone and C/T scans neg.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7, Tumor size: 2.5 x 1.8 cm, location: both lobes and apex.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots next See Uro 1/22/10 Trimix #1. Try 0.08- 25%, 0.12-25%, 2/26/10 try 0.16 First Success! 90%.
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day. Try controlling fluids.
12/11/09 5 months: 3 pads per day, 400-450ml/day
02/26/10 7 months: 3 pads but leak is now 320 ml (5 day avg.)
03/22/10 8 months: 3 pads per day, 280 ml/day (5 day avg.) PT says all muscles are tight and working properly. There must be another issue. Uro mtg 4/23.
5/22/10 10 months: 2 pads per day, 190 ml/day Scope on June 15 Short sphincter
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04, 1/14 6 months - 0.05, 4/14 9 months - 0.04 and <0.01 with ECLIA.

Regular Member

Date Joined Mar 2009
Total Posts : 75
   Posted 7/14/2010 10:54 AM (GMT -6)   

I have found mixed results.

I have found that we (my wife and I) have had to try new methods or variations in stimulation. Pre-surgery, for me, it was a no-brainer. I could see my wife, or touch her hand, or she touch me, and i was instantly erect. And, as for orgasms, 95% of the time, i had complete orgasms. The reason that i mention my pre-surgery results is to make the point that I did not have any 'issues' before surgery. (one of the brochures that I have read discusses how some guys are upset after surgery about problems with erection and orgasm, and studies have shown that some of the guys had difficulties BEFORE surgery. Well, the surgery is only going to make things more difficult, not make things easier.). With that stated up front, i will continue.

We have had to experiment to find what works now (post surgrey). Where (before surgery) several minutes of intercourse, oral, and hand stimulation, would lead to orgasm. Now, the pleasure is there again, but the final end result (orgasm) does not come as easily as it did. I have found that I now require some timing variations. Slower, faster, harder, softer, etc. Pause a few seconds, then continue. Lest you think that i am just rambling about the details of our sexual interaction, that is not my intent.

What i have found, is that with the proper variations (as described above), the intensity will continue to increase (which is what is needed for orgasm).

In answer to your question, i have found the best results when fully erect. However, in the past where continuous stimulation would make things work. Now (for me) I need some occasional pauses (for a few seconds). It seems to heighten the intensity, and take me higher on the excitement level. If the timing is good, and the mood is good, and the drug effect (viagra) is good, on occasions it has been very bit as enjoyable as pre-surgery. MOST of the time it is good, but not great. But some of the time it is truly great.

I still miss the mess, and all of the internal pulsations/thrusting that went with pre-surgery orgasms. It truly was a learning experience to discover (after surgery) how much an orgasm is more of a mental thing than a physical thing. Not that you don't need the physical stimulation, but the process (of climbing up the scale, reaching the climax) is more mental than physical. In the early days, after surgery, when i was first able to have some type of orgasm, there was very little sensation in my penis at the exact time of the orgasm, but instead it was more mental that was associated with the heavy breathing and increased heartbeat, the final climax, then cool down. Even now, it is weird to think about the orgasms that are less physical than mental.

As for my current situation: I am getting ready (have an Appt) to use Trimix. Up till now, i have used Viagra and an Osbon Erectaid pump. I am able to get some mild form of erection with no viagra and no pump, but it is not usable for intercourse. If i take viagra, then i can get firm enough for intercourse. The problem is that the duration of the erection is not as long as i would like (and it not like pre-surgery). and the firmness varies. The pump helps to make things a bit more firm. And the ring, with the pump, maintains the firmness (enough for my wife to have an orgasm). There are minor issues with the pump/ring. (1) she can feel the ring, when she is on top and rubs tightly against me in order to stimulate herself. (2) the erection actually begins at the point of constriction, where the ring is, and therefore there is some slight bending below the pump. Dr Patrick Walsh' book (Surviving Prostate Cancer, 2nd Ed, page 434) addresses this issue. I have heard from guys who use Trimix, that the erection is not associated with the point of the ring, and instead the erection is full born, and therefore it should remove the issues that I have with the pump and ring.
Age: 53
8/1/2008: PSA 6.2, GP recommended retake.
8/27/2008: PSA 5.8 (%free 12.1) referred to Urologist.
9/10/2008: DRE - non palpable. Urologist recommended biopsy
10/21/2008: Biopsy appt: 10 samples taken
10/31/2008: Biopsy results; 1 positive out of 10 samples.
10/31/2008: Biopsy Results: Gleason 7 (3+4) , no evidence of perineural invasion.
10/31/2008: Referred to UCSF
12/19/2008: Transrectal Ultrasound at UCSF
12/19/2008: Consultation with Surgeon.
12/19/2008: Surgeon concurred on Gleason 7=3+4 (per slides).
2/24/2009: Robotic Assisted Laparoscopic Prostatectomy (DaVinci) UCSF
3/5/2009: Cathetor removal.
3/21/2009Post Op Pathology: margins negative/clear, Gleason 4+3=7
4/9/2009: first post-op Ultrasensative PSA: less than 0.01
Currently taking Viagra (since March 2009), Levitra (tried Cialis).
6/2009: Purchased and using Osbon manual pump.
7/28/09: 5 month Ultrasensative PSA: less than 0.01

Post Edited (FiftiesMale) : 7/14/2010 10:02:05 AM (GMT-6)

Veteran Member

Date Joined Apr 2008
Total Posts : 847
   Posted 7/14/2010 4:37 PM (GMT -6)   
If you want to experiment with constriction, a few appropriate-sized office rubber bands, doubled over if necessary, may work. Cheap and adjustable -- if you want more or less constriction, simply alter the number of bands. I find that as I get some response to physical stimulation, the bands help to sustain the erection.

Like Worried Guy (Jeff), I found injections (Bimix) made orgasm a lot harder to achieve. Even though I usually had a good erection, I sometimes had to give up, having "overstayed my welcome". This was unusual for me since in my previous life I tended towards premature -- I felt the injections desensitized things down there. However the orgasm quality was every bit as good if not better than before.

I use only the pump these days, and while my erection quality is not as good as with Bimix, orgasm quality is the same and without the undesirable delay.
Age 63 at diagnosis, now 65.
No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores.
Non-nerve-sparing open surgery on 7 March 2008.
Two nights in hospital; catheter out after 7 days.
Continent; no pads needed from the get-go.
Pathology showed organ confined and negative margins. Gleason downgraded to 4+4=8.
6-week : <0.05
7-month: <0.05
13-month: 0.07 (start of a trend?)
19-month: 0.09 (maybe)
25-month: 0.2 (yes, bummer)
27-month: 0.2 (not up; glad about that)
After a learning curve, Bimix injections (0.2ml) worked well. From 14 months, occasional nocturnal erections. At 18 months, "graduated" to just the pump.

Veteran Member

Date Joined Aug 2009
Total Posts : 669
   Posted 7/14/2010 9:12 PM (GMT -6)   
I would echo most everything that FiftiesMale has said, and his experiences are similar to mine. However, I think that the "orgasm is in your mind" rings especially true - and for whatever reason, the distractions and hassles post-surgery have made it so I have never yet been able to orgasm during intercourse. I am still making progress and am hopeful that I will get there. I doubt that it has anything to do with the strength of the erection, but everything to do with the circumstances and the fact that it is so much more difficult to be conditioned for orgasm (more stimulation, etc). For me, it seems the lack of ejaculation just plain distracts me as well and may hinder an orgasm.

Regarding the erection, I would say that I was about at the same point as you, jacknoon, at 18 months out, and now at 28 months, I have been just able to reach a good enough erection without injections or drugs to have intercourse (but not for a very long duration). Progress continues on that front as well.
Gleason, 3+4; PSA, 7.9
Robotic Prostatectomy, March 2008 (Age 48 then), nerves both sides spared, post surgery analysis confirmed 3+4 Gleason,
pT2c, prostate 60.2g, margins: negative; perineural invasion: present; lymphatic invasion: present; 3 lymph nodes removed, clear; seminal vesicle invasion: absent; Gleason 4 comprises 5-10% of carcinoma
PSA consistently <0.1 since surgery until Oct 09: 0.1; retested Oct 09, <0.1,
Jan 10, 0.2
retest Feb 1 confirmed 0.2
CT scan, bone scan Feb 10 both clear
PSA after, 2010: March, 0.17; April, 0.17; May, 0.24; June, 0.31; July, 0.29
Starting salvage IGRT on August 4, plan 72Gy

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