You had your prostate surgically removed due to prostate cancer, but that doesn’t mean to stop having sex. A radical prostatectomy takes your prostate and the seminal vesicles (which produces fluid) making it impossible to ejaculate.
Most men ejaculate once they reach orgasm. You will no longer be able to do this, but you can still have sex and have a dry orgasm.
What exactly is a dry orgasm?
After prostate surgery, you will have dry orgasms. The American Cancer Society explains, “Cancer treatment can interfere with ejaculation by damaging the nerves that control the prostate, seminal vesicles, and the opening to the bladder.”
“It can also stop semen from being made in the prostate and seminal vesicles, or it can cut off the path that semen normally takes out of the body. Despite this, a man can still feel the sensation of pleasure that makes an orgasm. The difference is that, at the moment of orgasm, little or no semen comes out.”
Sex therapy can help
If you are unable to obtain and hold an erection long enough for a dry orgasm, you can talk to a therapist, sex therapist, or your medical provider. Your medical provider may prescribe a medication for ED.
A sex therapist can work with you alone, or with you and your partner to find steps to help you achieve orgasm. Be open to sharing your feelings with your partner. Your partner may be apprehensive and tense. It’s okay for you to be nervous that you won’t please your partner or be pleasured yourself.
Even though the thought of therapy is difficult, it opens the communication you need to relax in a new sexual situation. Your therapist can guide you with words and strategies to move your sex life forward. If it can help, consider giving it a try.
