Changes to your orgasms after prostate cancer surgery

Black man exercising on outdoor bench

Orgasms will be different after prostate surgery. But you can still experience the full range of sexual pleasure. Here’s what you need to know.

Why do orgasms change after prostate cancer surgery?

During surgery, your prostate gland and seminal vesicles are removed. Why are these key? They both help your body make semen, which you ejaculate during orgasm.

Once these have been removed, your body doesn’t produce semen anymore.

It doesn't mean you can't have an orgasm. It just means that your orgasms will be “dry”.

Prostate gland

Seminal vesicles

What exactly is a dry orgasm?

Pretty much exactly what it sounds like. After surgery, you'll no longer produce semen.

When you orgasm (or cum), semen doesn’t come out, so your orgasms are considered “dry”. This might feel pretty different for you, but the orgasms will still be pleasurable. It’s possible they’ll feel more intense or less intense than before.

Will prostate cancer surgery make my orgasms feel different?

For most men, orgasms still feel good after prostate cancer surgery. Some men say their orgasms actually feel more intense after surgery.

1 in 10 men feel some pain with orgasm after surgery because of how the nerves have been affected. This pain should go away over time.

If it happens to you, talk to your doctor for advice. They may suggest a number of things, including taking an over-the-counter pain reliever before sex.

Can I have an orgasm without an erection?

Absolutely. Even if you’re experiencing erection troubles, you can still have a mind-blowing orgasm.

After surgery, most men experience erectile dysfunction (ED) and have issues getting and staying hard. So, you’re not alone there. It might take longer to climax, but orgasms can still feel amazing.

Hear from a guy who’s been there:

For months I thought my sex life was over and I would never orgasm again. I was playing around in the shower and low and behold, ACTION! It was an incredible feeling.

Iain, 48 years

As always, if you’ve got questions about changes to your orgasms and ways to improve, talk to your doctor or care team for assistance.

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